Wetting the bed is a very common issue that occurs with many children. Below are some preventative and reactive strategies to help decrease bed wetting from occurring.
Preventative Strategies for Wetting the Bed
It is important for children to drink liquid throughout the day to stay hydrated, but it is best to stop drinking liquids before bed time. This may prevent the bladder from having to be emptied while the child is asleep.
Scheduled bathroom breaks help empty the bladder when it may need to be emptied. Many times when children are engaged in a preferred activity they choose to not use the bathroom when it is needed. Bathroom breaks/schedules throughout the day can prevent other issues like infection or wetting pants during other parts of the day. Using the bathroom multiple times or at least one time right before bed may help the child from needing to empty the bladder while he or she is sleeping. Parents can also wake their children up when they are getting ready for bed and have them use the restroom one more time.
Reactive Strategies for Wetting the Bed
When a child does wet the bed, use waterproof bedding, blankets, and padding to prevent any damage to mattress. Clean up will also be easier.
Sometimes children are in such a deep sleep that the signal of wetting the bed does not wake them up. There are alarms that can be bought to help signal/wake the child when he or she needs to use the bathroom in the middle of the night.
It is important to not embarrass your children or make them feel bad when they wet the bed. This can be a sensitive topic and it is important for open communication and to make you child feel comfortable when it happens.
https://secureservercdn.net/18.104.22.168/fnf.6b5.myftpupload.com/wp-content/uploads/2017/02/Blog-Wetting-the-Bed-FeaturedImage.png?time=1585508196186183Kristin Francescohttps://secureservercdn.net/22.214.171.124/fnf.6b5.myftpupload.com/wp-content/uploads/2016/05/nspt_2-color-logo_noclaims.pngKristin Francesco2017-02-17 05:30:222017-02-10 13:47:51Help! My Child is Wetting the Bed
Life can already be busy enough making sure your child gets through all of the tasks he or she needs each day. The last thing you need is your child refusing to follow directions. Here are some proactive and reactive strategies for when you need help with defiance.
Preventative Strategies for Defiance
When asking your child to complete a task, make sure you are crystal clear with the directions. For example, if you ask your child to clean their room, your child may go pick up their clothes off of the floor and then say they are all done. When you go to check the room you say, “Your room is not clean.” This may cause an argument/conflict. To your child, a clean room means there are no clothes on the ground. To you, a clean room is a made bed, clothes folded and put away, and a clean desk. Clearly state your expectations to leave no room for confusion and make success more achievable for your child.
Sometimes, your child may get overwhelmed and become defiant if they have numerous tasks to complete. Giving them the option to choose what tasks they need to complete each day may make them more compliant and successful. For example, give your child the option of making the bed or cleaning the clothes off the ground. Another example is giving your child the option of which homework assignment they would like to complete first.
I know many teachers who use this tip when working with students who refuse to do their work. For example, they might give a student a math worksheet of 20 problems and ask them to complete 15. Another way to use this tip is asking them to work on one problem or one part of the task and then increasing the number of problems/parts of the task over time. Following strategies like this may feel like you are giving in to them, but in the end they are still completing part of the task, as opposed to refusing to address it at all.
Many children are motivated by rewards. When stating your expectations, ask them what they would like to earn after they complete the task or give them options of what they can earn. You want to make sure you do this while stating the expectations. If you do not, and your child engages in defiant behavior and you then offer the reward, it becomes a bribe. Bribes are dangerous for growth because they teach children that if they refuse to do something at first, they will eventually get something extra. We want them to learn that they get a reward by complying with the task. For example, “What do you want to earn when you complete your chores? You can get 15 minutes on the iPad or a candy bar.” Make sure the rewards are activities or items that your child enjoys and will motivate them. If earning a reward is not enough, you can also present the consequences of what will happen if they refuse to do the task.
Reactive Strategies for Defiance
After the child decides what they want to earn, they still may not complete the task. Their behavior shows that the reward may not be motivating enough for them. You can offer new choices or remind them what they are earning if they complete the task.
When your child is engaging in defiant behaviors you want to stay calm. Use a neutral tone when you speak to them and make sure your facial expressions stay neutral, too.
Stay Consistent and Follow Through on Expectations
If you offer your child a reward after they complete a task, make sure you give it to them immediately. If you do not, your child may not be motivated by rewards because they will become skeptical. Additionally, you can’t give them the reward at a later time if they do not complete the task.
Deliver Verbal Praise for Appropriate Behaviors
When your child is being compliant instead of showing defiance, please deliver verbal praise!
Let me begin by asking you a question. If you needed heart surgery, would you go to a general practitioner or an internist? Of course you would not entrust your heart surgery to anyone but an experienced heart surgeon. Likewise, when you need special needs planning, you shouldn’t be considering a general practitioner, or even a general estate planning attorney.
So, what is special needs planning?
The attorney should be experienced not only in drafting the two kinds of Special Needs Trusts, but also be experienced dealing with the Social Security Administration and the state when they review the trusts upon application for SSI and Medicaid, or upon redeterminations. The attorney should also be familiar with guardianship and the alternatives to guardianship, as well as how to navigate successfully the state’s children and adult services system for individuals with special needs including intellectual and/or developmental disabilities, mental illness, or those with significant physical disabilities. We often refer to it as the Illinois “maze” for services.
In addition, you want an attorney who will know, and advise you promptly, when new laws, rules, or procedures occur that impact your planning. You want to find an attorney or firm that can assist you, with compassion and understanding. Many special needs planning attorneys are themselves parents or siblings of individuals with special needs and “get it.”
I suggest that the first place to visit is www.specialneedsalliance.org, The Special Needs Alliance (SNA) is a national, not-for-profit, association of experienced special needs planning attorneys, a majority of whom are fellow parents or siblings. Membership is by invitation. I was honored last year to be invited as one of the youngest members to ever be invited to join the SNA and my father is honored to serve as President-Elect of that national organization. In fact, three of the four attorneys in our office are invited SNA Member Attorneys, and the fourth is an Affiliate SNA Member attorney.
Another source is www.specialneedsplanners.com. The Academy of Special Needs Planners (ASNP), a national group, is owned by three attorneys and is open to all attorneys, regardless of experience. My father was a charter member of that group and I remain a member of this group. There are many excellent special needs planning attorneys that are members of ASNP.
However, if you are considering an attorney who is not a member of Special Needs Alliance, I suggest you ask some questions such as:
How many “third party special needs trusts” have you prepared in the past month? Six months?
How many “first party special needs trusts” have you prepared in the past month? Six months?
If the Social Security Administration or the State of Illinois has questions about the trust(s) you drafted, will you “handle” those questions without any additional cost/fees?
How many adult guardianships have you handled and powers of attorney have you drafted for individuals with special needs in the past year?
What other areas of practice does that attorney handle (check his or her web site)? That is, are they also doing business law, traffic, divorce, bankruptcy, personal injury, etc.? If they are practicing in other areas of law, then they will not be able to adequately stay current with the constant changes that take place in the area of special needs planning.
Finally, you are not just looking for someone to draft a document, but you are looking for a relationship with a firm that will be going down that road to peace of mind with you for many years.
Benjamin Rubin limits his law practice, as does the firm of Rubin Law, to Special Needs Legal and Future Planning for his fellow families of individuals with special needs. Benji serves as Vice-Chair of the American Bar Association’s Special Needs Planning Committee, is a member of both the Academy of Special Needs Planners and, by invitation, the Special Needs Alliance, the national not-for-profit association of special needs planning attorneys, is President of SIBS (Supporting Illinois Brothers and Sisters), the Illinois chapter of the national Sibling Leadership Network, which is an organization of adult siblings of individuals with intellectual disabilities, developmental Disabilities, mental illness, among other special needs, is a member of the Board of Directors of The Arc of Illinois, is a member of the Clearbrook Associate Board (Clearbrook is an agency serving over 7,000 children and adults with intellectual and developmental disabilities, one of whom is Benji’s brother Mitchell), is a member of the SEDOL (Special Education District of Lake County) Foundation Board of Directors, and serves on the Advisory Council of Encompass a joint venture that in partnership with Jewish Child & Family Services, Jewish United Fund, JVS Chicago, JCC Chicago, Keshet, and The Center for Enriched Living and Center for Independent Futures, seeks to provide adults with I/DD a full array of financially sustainable, community-based services and supports.Having Mitchell as a brother profoundly shaped who Benji is today, and thus the type of law he chose to practice. His personal experiences as a sibling offer a unique perspective into the responsibilities that come with caring for a sibling with special needs. Now, as an adult, those sometimes present and future responsibilities he will share with his older sister regarding his brother’s care, are a concern that he shares with all brothers and sisters of individuals with special needs.
https://secureservercdn.net/126.96.36.199/fnf.6b5.myftpupload.com/wp-content/uploads/2017/01/Blog-Special-Needs-Lawyer-FeaturedImage.png?time=1585508196186183North Shore Pediatric Therapyhttps://secureservercdn.net/188.8.131.52/fnf.6b5.myftpupload.com/wp-content/uploads/2016/05/nspt_2-color-logo_noclaims.pngNorth Shore Pediatric Therapy2017-01-16 05:30:052017-01-13 14:46:30How Do I Find a Special Needs Planning Lawyer?
Estate planning for parents of a child with special needs is, regretfully, a very complex process. In order to provide for a “special needs” child’s financial security to assure that he or she remains qualified or able to qualify in the future for government benefits such as S.S.I. and Medicaid, and to protect any inheritance or gift from claims of the government for reimbursement for benefits provided to him or her prior to our death or receipt of the gift, parents must properly plan now. More importantly, we must plan differently than other parents who do not have a child with special needs.
The facts are that in Illinois, as is the case in most states, without proper wills and trusts, a child with special needs may inherit property or receive gifts only to be then disqualified from receiving government benefits. Additionally, without proper planning and drafting of estate plan documents, the government may claim reimbursement from the child’s inheritance or gift for benefits provided to the child prior to the parent’s death or receipt of such a gift. This result is true even with “traditional” family trusts with “spendthrift” provisions that many attorneys use for all parents. One of the primary objectives in estate planning for parents of a child with special needs is to assure that the child remains qualified and eligible for government entitlement programs, while protecting the family’s assets, and the child’s inheritance, from seizure by the government as “reimbursement.”
My parents, like nearly all parents of a child with special needs, do not want my brother to rely solely upon the government to provide the level of care that they, my sister and I desire for him. The good news is that there are viable alternatives. A special form of a trust has become the appropriate and preferred estate planning document for families such as mine. Illinois law provides that such a trust established for the benefit of an individual with special needs shall not be liable to pay or reimburse the State (and by current regulations, the Social Security Administration), or any public agency for benefits received. Illinois law also provides that property, goods and services purchased or owned by such a trust for and or used by or consumed by the beneficiary, are not to be considered assets of the beneficiary.
The second type of trust “option” is commonly referred to as an OBRA or “pay-back” trust. This second form of a special needs trust is needed to preserve government benefits and still receive personal injury or medical malpractice settlements, inheritances left directly to a child with special needs, or assets already in his or her own name.
As family members we must become familiar with the laws concerning “guardianship of an adult disabled person.” Parents must also attempt to educate their “chosen” people who will act as Custodial Guardians and Trustees about the relevant laws, regulations, programs and entitlements affecting or benefiting their child with special needs, as well as about their “plans” and desires, including the estate plans. Parents must consider the school district, “residential alternatives,” special recreation association, religious programs available to individuals with disabilities and vocational or workshop opportunities available in the vicinity of their chosen custodial guardians.
Parents must also convince grandparents and other relatives that they are not doing their “special needs” grandchild or relative any favor by treating them the same as other beneficiaries in their own wills and trusts, but that they should leave the “inheritance” to the special needs trust that parents have created for such purpose.
There are many, many other topics that a family of a child with special needs may need to consider which we plan to cover in future blog topics, including:
When using the newly permitted ABLE Accounts might make sense and what states currently make them available to Illinois residents.
If the parents are divorced and child support is being paid to an adult child with special needs, how must the child support be paid to ensure benefits are protected and what other considerations such as life insurance and health insurance even after age 26 might need to be brought up in the marital settlement agreement?
If one or both of the parents has a public pension such as TRS, SURS, the Judges Retirement System Pension, police pension, fire department pension, and the US Military retirement pension, among others, many are permitted to be left as a continuing annuity to a special needs trust for the benefit of an adult child with special needs for their entire lifetime so long as there are certain, sometimes very specific, provisions in the trust.
What if the parents need skilled nursing care and are worried they will spend all of their assets and have nothing left to leave to their child’s special needs trust? How can the special needs trust be drafted to allow the parents to use their child’s trust to qualify themselves for Medicaid to pay for their own skilled nursing care?
What should be in a “letter of intent” document to educate the “future team?”
Benjamin Rubin limits his law practice, as does the firm of Rubin Law, to Special Needs Legal and Future Planning for his fellow families of individuals with special needs. Benji serves as Vice-Chair of the American Bar Association’s Special Needs Planning Committee, is a member of both the Academy of Special Needs Planners and, by invitation, the Special Needs Alliance, the national not-for-profit association of special needs planning attorneys, is President of SIBS (Supporting Illinois Brothers and Sisters), the Illinois chapter of the national Sibling Leadership Network, which is an organization of adult siblings of individuals with intellectual disabilities, developmental Disabilities, mental illness, among other special needs, is a member of the Board of Directors of The Arc of Illinois, is a member of the Clearbrook Associate Board (Clearbrook is an agency serving over 7,000 children and adults with intellectual and developmental disabilities, one of whom is Benji’s brother Mitchell), is a member of the SEDOL (Special Education District of Lake County) Foundation Board of Directors, and serves on the Advisory Council of Encompass a joint venture that in partnership with Jewish Child & Family Services, Jewish United Fund, JVS Chicago, JCC Chicago, Keshet, and The Center for Enriched Living and Center for Independent Futures, seeks to provide adults with I/DD a full array of financially sustainable, community-based services and supports.
Having Mitchell as a brother profoundly shaped who Benji is today, and thus the type of law he chose to practice. His personal experiences as a sibling offer a unique perspective into the responsibilities that come with caring for a sibling with special needs. Now, as an adult, those sometimes present and future responsibilities he will share with his older sister regarding his brother’s care, are a concern that he shares with all brothers and sisters of individuals with special needs.
https://secureservercdn.net/184.108.40.206/fnf.6b5.myftpupload.com/wp-content/uploads/2016/12/Blog-Legal-and-Financial-FeaturedImage.png?time=1585508196186183North Shore Pediatric Therapyhttps://secureservercdn.net/220.127.116.11/fnf.6b5.myftpupload.com/wp-content/uploads/2016/05/nspt_2-color-logo_noclaims.pngNorth Shore Pediatric Therapy2016-12-30 05:30:492016-12-27 14:22:38How to Make Financial and Legal Decisions for My Child with Special Needs
When a family is coping with a caretaker’s absence, it can be challenging and emotional, especially when it is due to deployment and military service. The emotions, concerns, and needs of each family are unique but here is some information on what to expect from children when one of their caretakers are away on deployment, and some information on how to answer difficult questions children may have.
Here are some helpful hints about what to tell your children regarding their caretaker’s deployment:
Emphasis that the child is not at fault in any way for the parent leaving.
Let the child know where the parent will be. This can help reduce some anxiety about their absence. You can show them where it is on a map, learn about the country where they are (language, customs, etc.). In addition, it can be helpful to talk about the parent’s schedule when they are gone and what they will be doing when they are there. Remember to keep that information age appropriate.
TALK about it! Encourage your child to talk about their feelings regarding the deployment and acknowledge that it’s okay to feel that away. A child has a right to be sad or angry about the recent change. Also, talk about the parent who is gone. It is important to talk about the parent to help keep their presence at home and to help the adjustment when the parent returns.
Limit the outside information (news, papers, movies, and internet) that the child can access about war or military action. Make sure the information they do get is accurate and age appropriate.
Each child and family is different and their reactions can have a wide range of feelings and behaviors, but here is a few common reactions children may experience when coping with a parent on deployment.
0-2 years old: One of the biggest changes for this age group will be when the caretaker returns from deployment. It is important to allow the child to warm up to the caretaker and understand that they need to get know the parent again.
3-5 years old: At this age, children have difficulty understanding why the caretaker had to leave. They also may be scared that the at-home parent may leave as well. Being consistent in their schedule prior to deployment can help them feel calm and secure. Adjusting to life after deployment can be difficult for this age group as well. They may feel angry at the parent for leaving.
6-12 years old: Be on the lookout for increased aggression or behavioral issues at home or school, or physical symptoms like stomachaches or headaches. Children who are older may want to help out more around the house and take on that parent role. Although there are still some concerns with adjustment after deployment, children in this age group are usually excited and proud of the returning caretaker.
13-17 years old: Teens express emotions and feelings in a wide variety of ways and that is even truer of teens coping with a parent being deployed. Teens may want to help out more, or act indifferent to the change. It is important to look out for behavioral or mood changes.
The most important aspect of everything discussed in this blog is COMMUNICATION. Allow your children to discuss their feelings and let them know it is okay for them to feel the way they do.
https://secureservercdn.net/18.104.22.168/fnf.6b5.myftpupload.com/wp-content/uploads/2016/12/Blog-Military-FeaturedImage.png?time=1585508196186183Amy Fontanahttps://secureservercdn.net/22.214.171.124/fnf.6b5.myftpupload.com/wp-content/uploads/2016/05/nspt_2-color-logo_noclaims.pngAmy Fontana2016-12-16 05:30:332016-12-16 09:14:03Helping A Child Cope Who Has A Parent in the Military
As a parent, do you ever wonder what all those letters mean after your therapist’s name? To a speech-language pathologist, these letters represent years and years of hard work and ultimately they confirm certification to the American Speech-Language Hearing Association (ASHA).
So, what exactly is ASHA?
ASHA is the national organization and governing body for speech-language pathologists, audiologists and speech/language/hearing scientists. In 1926, ASHA became the first organization to initiate the development of national standards for these two professions. Today, ASHA represents more than 181,000+ professionals; 148,105 of which are certified speech-language pathologists (SLP’s), 31,964 of which are certified audiologists and 931 of which hold dual certification as both audiologists and SLPs. These two rewarding professions have shown immense growth over the years and continue to require a governing body to further detail professional standards.
ASHA has been certifying both speech-language pathologists and audiologists since 1952. These standards are established by audiologists and speech-language pathologists, respectively, who are members of ASHA’s Council for Clinical Certification in Audiology and Speech-Language Pathology (CFCC). ASHA’s certification standards are based on assessment of academic knowledge, professional and clinical skills by professors, employers and leaders in the discipline of communication sciences and disorders. This certification requires graduate level coursework and clinical practicum within a variety of settings and populations.
These populations span the lifetime and can include:
Clinical Practicum explores various settings for an SLP to work including:
Skilled Nursing Facilities
In addition, ASHA collaborates with the Educational Testing Service (ETS) in developing national examinations for both professions. Both speech-language pathologists and audiologists must obtain a passing score on the Praxis examination.
Now, back to the letters after your child’s therapist’s name. Being “certified” from ASHA means holding a Certificate of Clinical Competence (CCC). This is a nationally recognized professional credential that represents a level of excellence in the field of Audiology (CCC-A) or Speech-Language Pathology (CCC-SLP). Individuals who have achieved the CCC-ASHA certification have voluntarily met academic and professional standards, typically going beyond the minimum requirements for state licensure. In order to maintain their knowledge, skills and expertise to provide high quality clinical service, individuals who are certified with ASHA are required to engage in ongoing professional development courses.
North Shore Pediatric Therapy requires all speech-language pathologists to hold and maintain ASHA’s CCC Certification. This is a crucial aspect of ensuring that all our therapists continue to uphold high standards of clinical service to the clients we serve.
As an organization, ASHA provides an abundant amount of resources. Each year, ASHA holds a nationwide convention and invites professionals to come, attend lectures, network and earn CEU course hours. In addition, the ASHA website contains insightful resources, such as the Practice Portal. This online resource offers one-stop access to guide evidence-based decision-making on a variety of both clinical and professional issues. This resource contains direct research articles and resources on a variety of clinical topics and disorders, as well as professional practice issues.
Working with your teenage children towards growth and independence can sometimes be a tug-of-war between providing guided support and allowing the right amount of freedom. This is especially the case when it comes to children with special needs. Recognizing that it’s important to do a little bit of both is the key to success in independence!
Here are some proactive and reactive strategies to try that will allow you to foster independence in your teens:
Determine the Current Level of Independence
By looking at the many different areas of independence, from social interactions to daily living, figuring out where your child lies is a great starting point. By doing this you set yourself and your child up for success with directly pinpointing their areas of strength and deficit. From here, you can determine what they’ll need more support with and what they can begin completing independently.
Model the Behavior
One of the best ways for children to learn any behavior is through imitation. By modeling what a task looks like it gives your child the exposure and opportunity to imitate it. This can range from conversation skills and socialization to completing household chores and purchasing items.
Setting clear expectations prior to emerging independence will give your child a set of rules to follow. With this, everyone will be fully aware of what the guidelines are when it comes to added responsibilities and freedom. Involving your child in the creation of these rules allows for an added bonus of independence and control. If they understand and discuss the ‘why’ behind the rule, they’re more likely to follow it!
Providing the right type and amount of prompts will allow your teen to achieve the ultimate goal of independence, if utilized in the right way. Sometimes, too many prompts can teach your child to become prompt dependent. When this occurs they rely on the prompt to complete a task or activity and independence becomes less likely. On the opposite side, not enough prompts may teach your child the incorrect way to complete a task or activity.
Trying for independence first and then utilizing least to most prompting (below) is usually a good way to start:
Vocal – Direct and/or indirect statements provided vocally
Partial physical – Minimal physical guidance using a light touch
Full physical – Hand over hand physical guidance
Provide and Ask for Feedback
Much like including your child in creating expectations, providing and asking for feedback gives them accountability and control of their own development. Providing your child with feedback throughout their learning experience allows for progress and mastery to occur faster. It takes out guessing games and gives them exact corrective and positive information regarding their own behavior. Asking for feedback allows for growth in communication and relationship development. This gives your child a chance to be the one dictating what they need more or less of from you. Be willing to listen! When the experience is collaborative, the result is long lasting.
https://secureservercdn.net/126.96.36.199/fnf.6b5.myftpupload.com/wp-content/uploads/2016/10/Blog-Independence-FeaturedImage.png?time=1585508196186183Jennifer Casalehttps://secureservercdn.net/188.8.131.52/fnf.6b5.myftpupload.com/wp-content/uploads/2016/05/nspt_2-color-logo_noclaims.pngJennifer Casale2016-10-27 05:30:182016-10-24 15:01:17Fostering Independence in Your Teens
These are questions my wife, Zahava, and I talk about. Our son Shimmy is a spunky, lively, 15-year-old young man with both Down Syndrome and Autism. Shimmy is usually the life of the party and can make everyone in a room laugh, but also exhibits extreme behavioral issues (Thank you North Shore Pediatric Therapy, for helping us improve in that area).
About two years ago, our family (my wife and 6 kids) attended a special needs family retreat and my older kids had an “ah ha” moment when they attended a siblings presentation (this is a presentation that was given by a social worker, who herself has a 30-year-old brother with Down Syndrome). This presenter opened their eyes to the probable eventuality that one day THEY were going to have to take care of Shimmy. That wasn’t something a 20-year-old was expecting to hear.
My kids, generally, are very good with Shimmy and they work really well with him as far as providing for his needs and well being, as well as his safety. Long term, I’m not really concerned about that. What I am concerned about, and what I have been counseling clients about for over 20 years, is the financial burden that I don’t want placed on the kids when they have to step in, one day.
I have been practicing long term financial and estate planning, in general, and special needs planning in particular, for over 20 years. My company, The Suss Financial Group, is located in Skokie, Il. and we have an attorney in the office (I am not an attorney, we often work together).
My client’s number one objective is to structure a plan to provide long term income for their special needs “child” without jeopardizing government benefits, such as SSI. We work on setting aside money, on a consistent basis so that there is money for the future. This is a must for everyone, but especially for families in our situation. Things can change, but as it appears now, our Shimmy will probably not be able to earn a living and that’s why planning is so important.
There isn’t one financial solution for every family. I would recommend that you sit down with both a special needs planning attorney and a financial planner to discuss your specifics, but here are some ideas that work for clients who have family members with special needs:
Systematic savings for the individual with special needs either in the bank or brokerage account
Stocks, bonds or mutual funds
Usually life insurance is the way to go, because you can provide a large sum for not a lot of money. The thought is, that the real need for funds results when mom and/or dad pass away and in most cases that’s not until much later in life. We will discuss this in more detail in a future blog.
Please remember that you really don’t want to title any assets in your kid’s name as it will affect his/her government benefits.
Howard N. Suss is a Registered Representative of Park Avenue Securities LLC (PAS). OSJ: 2550 Compass Road Suite H, Glenview, IL 60026. 847-564-0123 Securities products offered through PAS, member FINRA, SPIC. Financial Representative of The Guardian Life Insurance Company of America® (Guardian), New York, NY. PAS is an indirect, wholly-owned subsidiary of Guardian. The Suss Financial Group is not an affiliate or subsidiary of PAS or Guardian. 2016-28772 Exp. 9/16
Howard N. Suss, MBD, has been practicing long term financial and estate planning , in general, and special needs planning in particular, for over 20 years. His company, The Suss Financial Group, is located in Skokie, Il. Howard resides in Chicago with his wife Zahava and 6 kids (one married and 2 in college) as well as 3 younger kids at home, including Shimmy, who has both Down Syndrome and Autism.
https://secureservercdn.net/184.108.40.206/fnf.6b5.myftpupload.com/wp-content/uploads/2016/09/Blog-Financial-FeaturedImage.png?time=1585508196186183North Shore Pediatric Therapyhttps://secureservercdn.net/220.127.116.11/fnf.6b5.myftpupload.com/wp-content/uploads/2016/05/nspt_2-color-logo_noclaims.pngNorth Shore Pediatric Therapy2016-09-21 05:30:342016-09-21 09:41:04Who Will Take Care of our Special Needs Children When We're Gone? Who Will Provide for Them Financially?
Pets, be it a furry dog, fluffy cat, or bright orange fish, become honorary family members quite quickly. Have you glanced at the latest family drawing your child created at school? My guess is the family pet is in the mix. Handling the death of the family pet can be an overwhelming and emotional experience not only for parents, but for children in the family as well. Below are some ways to help your child through this difficult time:
Planning the Goodbye
Although some pet deaths are unexpected, when they are not it is important that your child be able to take part in the goodbye process in an age-appropriate way. This could include writing a goodbye letter to their furry friend or drawing their pet a picture. These activities can help with the grieving process as they allow your child to review positive memories and experiences, as well as express their feelings in a healthy way. For younger children, it may also be helpful to read children’s books addressing this topic as a jumping off point for parent-child conversations related to your pet.
Informing your Child’s Support System
Letting your child’s teachers and caregivers know about the recent passing of a pet can create a safe environment for your child to express their feelings. Children, just like adults, may seem off, irritable, or sad during these times. When adults caring for children are made aware of recent events, they can be on the lookout for these emotional changes and be more accommodating as needed.
Moving Forward After Death
Each family is different regarding their interest in continuing to care for a pet. As the grieving process unfolds it may be helpful to speak with your child about the possibility of adopting a new family pet. Although your previous pet is irreplaceable, the process of adopting a new pet can allow for your family to work together and create a caring home for a pet in need.
https://secureservercdn.net/18.104.22.168/fnf.6b5.myftpupload.com/wp-content/uploads/2016/07/Blog-Death-of-Pet-FeaturedImage.png?time=1585508196186183Rachel Ostrovhttps://secureservercdn.net/22.214.171.124/fnf.6b5.myftpupload.com/wp-content/uploads/2016/05/nspt_2-color-logo_noclaims.pngRachel Ostrov2016-07-20 05:30:552019-12-20 18:26:48Handling the Death of a Family Pet
If you have a child who loves that “w” position while sitting on the ground, chances are you’ve either corrected them yourself or heard someone else direct them to sit “criss-cross” or “fix their feet.” The challenge, however, is understanding why there are so many conflicting opinions on the matter. Is it really that bad? There was recently an article on Today.com titled “Why W-sitting is really not so bad for kids, after all.” Two orthopedic surgeons weigh-in on how w-sitting is a position that children sit in because their anatomy allows it, it feels comfortable, and when you should be concerned about it.
I want to acknowledge that, to some extent, I agree with this article. The anatomy, angles, and alignment of a child’s leg bones changes extensively throughout young childhood. Children do have more flexibility which can make w-sitting often a preferred position. And most often, prolonged w-sitting will not progress to the point of being a surgical issue. If your child only sometimes sits in this position and can easily move into and out of it, it is probably not a big deal. (Please note: as with the article above, I am generalizing this blog post. I am just discussing w-sitting and am not going to address the impairments that often result in w-sitting: low muscle tone, decreased core strength, excessive femoral anteversion, etc. Please speak with your pediatrician or see a physical therapist if you have concerns with your child’s development. Sometimes w-sitting is the result of other things going on which can impact their gross motor success.)
So—why do people like myself lovingly attempt to annoy your child out of w-sitting? It is not that physical therapists do not acknowledge the natural development of their anatomy and what feels best. It is that we are bombarded throughout our schooling, clinical experiences, and our entire professional careers of what occurs when muscles are not aligned “within normal limits.” For pediatric therapists, we are given this unique and wonderful opportunity to work with bodies who are just beginning their development, moldable, and are constantly changing to assess and promote optimal alignment- a strong foundation for a strong life. For me, it does not matter if your child is coming to me for shoulder pain- I am going to correct how their legs are positioned while they are sitting; posture is like the “eat your vegetables” and “brush your teeth” of my profession. I want each child’s physical growth and development to occur on top of the best possible foundation. Just as pediatricians and dentists want to establish healthy habits, routines, and lifestyles for short and long term health, physical therapists want to encourage the best posture for your child so that they will not be limited or suffer from the painful conditions or injuries that result from poor alignment and muscle imbalances.
An easy example to compare w-sitting to is poor sitting or standing posture. Almost all adults can relate to the neck and back pain that can occur from poor posture. In addition, poor posture can contribute to nerve impingement, shoulder pain/injury, jaw pain, sciatica, etc. This pain did not happen as your parents/grandparents/teachers/caregivers encouraged you to “sit up straight” or “stop slouching”—it happened later as the bad movement patterns continued and the muscle imbalances grew worse. In my mind, w-sitting is the same. It may resolve and you may never develop pain, or these movement patterns and muscle imbalances may progress; when you look at the alignment and muscle activation that w-sitting encourages, physical therapists think of the following (to name a few): patellofemoral syndrome, hip pain from impingement, flat feet and foot pain, knee osteoarthritis, and increased risk of knee and ankle injuries.
As the parent, how you use information is up to you. As a physical therapist, I will continue to kindly request that each child sits “criss-cross applesauce” for their current AND future development.
https://secureservercdn.net/126.96.36.199/fnf.6b5.myftpupload.com/wp-content/uploads/2016/07/Blog-W-Sitting-FeaturedImage.png?time=1585508196186183Lauren Beekerhttps://secureservercdn.net/188.8.131.52/fnf.6b5.myftpupload.com/wp-content/uploads/2016/05/nspt_2-color-logo_noclaims.pngLauren Beeker2016-07-15 05:30:482019-05-15 20:46:51W-Sitting: Why There Are Conflicting Opinions and Why Your Child's Therapist Cares So Much