Mrs. Moyes, RN, BSN

 

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My goal is to help your child have a safe, healthy, and successful school day and school year.  Please feel free to contact me with any questions or concerns.

Contact information:
Health Office: (508) 660-7234, option 2
Fax: (508) 660-7233 "Attention Lindsey Moyes"
Email: LMoyes@walpole.k12.ma.us 


Reminder per the Elementary School Handbook


Illness​ - Children who are ill with a temperature over 100, or who have diarrhea, nausea and vomiting, undiagnosed rashes, uncontrolled coughing, impetigo, or conjunctivitis should remain at home. If​ ​your​ ​child​ ​is​ ​ill​ ​with​ ​a​ ​fever​ ​they​ ​must​ ​be​ ​"Fever​ ​Free"​ ​for​ ​24​ ​hours​ ​WITHOUT the​ ​use​ ​of​ ​TYLENOL,​ ​MOTRIN,​ ​or​ ​any​ ​other​ ​fever​ ​reducing​ ​medication​ ​before​ ​they​ ​can return​ ​to​ ​school.​ ​If​ ​your​ ​child​ ​has​ ​a​ ​viral​ ​stomach​ ​illness​ ​with​ ​symptoms​ ​such​ ​as​ ​nausea, vomiting,​ ​or​ ​diarrhea,​ ​please​ ​keep​ ​them​ ​home​ ​for​ ​an​ ​additional​ ​24​ ​hours​ ​after​ ​symptoms​ ​have subsided.
If your child has been diagnosed with an infection requiring antibiotic treatment such as Strep Throat, Conjunctivitis, Impetigo, etc. they must be treated with the antibiotic for at least 24 hours before returning to school. In addition for Conjunctivitis, your child's eyes must be free of drainage. For Impetigo, lesions may not be oozing. 

Injuries- It is the responsibility of the parent/guardian to notify the school nurse of any activity restrictions for a child. A note from the health care provider is required if a student is to miss physical education classes for more than 5 days. The physician's note should include the kind of activity restriction and duration of the restriction. Any student who returns to school, for any reason, with a cast, sling, ace wrap, or crutches must be seen by the school nurse before the start of classes.Students who have a cast, hard splint, air boot, or other protective covering to promote healing of an injury may not participate in active recess or physical education classes. Active recess is defined as full participation in recess without restriction. A student may participate in quiet outdoor recess with the nurse’s permission. Quiet outdoor recess is defined as sitting at a designated area outside with a friend or friends to play board games, read books, do jigsaw puzzles, etc. If a student who participates in quiet outdoor recess is unable to remain at the designated area the student will need to stay indoors during recess. The decision on whether a student must remain indoors will be made by the principal with input from the nurse. Limitations on student participation in recess and physical education are imposed in order to avoid further injury to the student and / or their classmates. Students may return to active participation once a physician has determined that the student is sufficiently healed and the cast, hard splint, air boot, or other protective covering have been removed. At this time the student must provide a note from a physician stating that the student may participate in all activities without restrictions. 



Mandated Screenings

Hearing, vision and height and weight screenings will be conducted soon. A note will be sent home for those students having difficulty with the hearing or vision screening.  If you received a referral letter, please let us know if your child was seen by the eye doctor and the results of the exam. 5th Grade parents- Postural Screenings will be conducted in the Spring. A letter will go home prior to the screening.  If you need assistance in finding an eye doctor or financial assistance for glasses please let us know.


Recess

Recess is an important part of your child's day, but proper clothing is essential for making it enjoyable. Please be sure that your child wears appropriate footwear and clothing during the winter months. Sneakers are great for running and playing on the playground equipment. Please send in a change of clothes with your child in case they get wet especially in winter.


Attention Grades 2 and 5 Parents/Guardians

State regulations indicate that schools must collect a copy of a physical exam upon a student’s entry to school and every few years thereafter. Since most students enter school in Kindergarten, Walpole is asking for these exams in grades 2, 5, 8 and 11. If your child is in grades 2 or 5, please send the school nurse a copy of a physical exam that was completed after         June 30, 2018.  




Seasonal Allergy notes from HealthyChildren.org 
(a great resource from the American Academy of Pediatrics)

Seasonal Allergies in Children

Every fall, 5-year-old Timmy develops a runny nose, itchy, puffy eyes, and attacks of sneezing. His mother shares the problem, which she dismisses as mild hay fever, and something her son has to learn to live with. Lately, however, Timmy has also suffered attacks of wheezing and shortness of breath when he visits his grandmother and plays with her cats. Timmy’s pediatrician suspects allergic asthma, and wants him to undergo some tests.

Timmy’s symptoms are by no means rare among children across the United States. Allergies and asthma often start in childhood and continue throughout life. Although neither can be cured, with proper care they can usually be kept under control. Allergies are caused by the body’s reaction to substances called “allergens,” which trigger the immune system to react to harmless substances as though they were attacking the body.

When to Suspect an Allergy

Some allergies are easy to identify by the pattern of symptoms that follows exposure to a particular substance. But others are subtler, and may masquerade as other conditions. Here are some common clues that could lead you to suspect your child may have an allergy.

Repeated or chronic cold-like symptoms that last more than a week or two, or that develop at about the same time every year. These could include:

  • Runny nose
  • Nasal stuffiness
  • Sneezing
  • Throat clearing
  • Nose rubbing
  • Sniffling
  • Snorting
  • Sneezing
  • Itchy, runny eyes

Itching or tingling sensations in the mouth and throat. Itchiness is not usually a complaint with a cold, but it is the hallmark of an allergy problem. Coughing, wheezing, difficulty breathing, and other respiratory symptoms. Recurrent red, itchy, dry, sometime scaly rashes in the creases of the skin, wrists, and ankles also may indicate an allergy.

Eczema

When it comes to rashes, the most common chronic inflammatory skin condition in children is eczema, also called atopic dermatitis. Although not strictly an allergic disorder, eczema in young children has many of the hallmarks of allergies and is often a sign that hay fever and asthma may develop. The rate of eczema, like that of asthma, is increasing throughout the world. Where asthma is rare, the rate of eczema is also low.

When to Suspect Asthma

Although allergies and asthma often go together, they are actually two different conditions. 

  • Asthma is a chronic condition that starts in the lungs.
  • Allergies are reactions that start in the immune system.

Not everybody with allergies has asthma, but most people with asthma have allergies.

Asthma Attacks

The airways of the typical child with asthma are infl amed or swollen, which makes them oversensitive. When they come in contact with an asthma “trigger” — something that causes an asthma attack — the airways, called bronchial tubes, overreact by constricting (getting narrower).

Many different substances and events can “trigger” an asthma attack:

  • Exercise
  • Cold air
  • Viruses
  • Air pollution
  • Certain fumes
  • Other allergens

In fact, about 80 percent of children with asthma also have allergies and, for them, allergens are often the most common asthma triggers.

Common Allergens in Home and School

In the fall, many indoor allergens cause problems for children because they are inside of home and school for longer periods.

  • Dust: contains dust mites and finely ground particles from other allergens, such as pollen, mold, and animal dander
  • Fungi: including molds too small to be seen with the naked eye
  • Furry animals: cats, dogs, guinea pigs, gerbils, rabbits, and other pets
  • Clothing and toys: made, trimmed, or stuffed with animal hair
  • Latex: household and school articles, such as rubber gloves, toys, balloons; elastic in socks, underwear, and other clothing; airborne particles
  • Bacterial enzymes: used to manufacture enzyme bleaches and cleaning products
  • Certain foods

Controlling Allergy Symptoms

  • It’s helpful to use air conditioners, where possible, to reduce exposure to pollen in both your home and your car.
  • Molds are present in the spring and late summer, particularly around areas of decaying vegetation. Children with mold allergies should avoid playing in piles of dead leaves in the fall.
  • Dust mites congregate in places where food for them (e.g , flakes of human skin) is plentiful. That means they are most commonly found in upholstered furniture, bedding, and rugs.
  • Padded furnishings, such as mattresses, box springs, pillows, and cushions should be encased in allergen-proof, zip-up covers, which are available through catalogs and specialized retailers.
  • Wash linens weekly, and other bedding such as blankets, every 2 to 3 weeks in hot water to kill the dust mite.
  • Pillows should be replaced every 2 to 3 years.

Working With Your Child’s Pediatrician

Your child’s allergy and/or asthma treatment should start with your pediatrician. If needed, your pediatrician may refer you to a pediatric allergy specialist for additional evaluations and treatments, depending on how severe the child’s symptoms are. Although there are many over-the-counter antihistamines, decongestants, and nasal sprays, it is very important that you work with a pediatrician over the years to make sure that your child’s allergy and asthma are correctly diagnosed and the symptoms properly treated.



 

Link for Ibuprofen and Acetaminophen consent

http://www.walpole.k12.ma.us/common/pages/DisplayFile.aspx?itemId=28536472


For more health information and WPS Health forms, see the Health Services link on the District Home Page.