Nurse Grace

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Grace Chimene Pediatric Nurse Practitioner. I am interested in the health and safety of children. BSN RN University of Texas School of Nursing 1983 MSN University of Texas Medical Branch Pediatric Nurse Practitioner 1987

Monday, March 31, 2014

Safety Tips for Children With Vision Loss

 Grace's Notes:  
Seattle Children's Hospital provides helpful information, educational materials, and tools for parents of children with Special Health Care Needs.  This safety tip sheet concerning safety tips for children with vision loss is compiled from Seattle Children's Hospital and the Safe Kids org.   Safety for kiddos with vision loss is especially important to me.

My first child was born with a birth defect in one eye called  persistent hyperplastic primary vitreous (PHPV).  One eye was small (microopthalmia) and blind. Most of the time the pediatricians will pick up a defect like this while performing a Red Reflex test.  
I didn't notice the defect until he was one month old.  
He had two surgeries but his sight could not be saved in that eye.  He was so cute.  The one eye  looked as though he was winking all the time. 

Safety precautions for a child with vision in one eye involve injury prevention due to decreased peripheral vision.  In other words "don't poke your eye out!"

As soon as he could toddle around he wore those adorable glasses with the band to hold them on his head.  All thorny bushes were banned from the yard, all poke your eye out toys were banned from our house and generally he played and toddled around with his glasses without a care in the world.

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Safety Tips for Children With Vision Loss

Tips
o   Give a copy to the people who care for your child.
o   Talk with your child’s care team including your child’s health care provider, school nurse, principal, teacher, school staff and other caregivers.
o   Involve your child. Talk about the steps you’ll take. Ask your child “what if” questions to help them learn to problem solve.

Fall Safety
o   Are home and play spaces well lit with lighting in hallways that is bright and even?
o   Do pathways provide clear access throughout the home? Are they cleared of throw rugs, worn 
carpet, low tables, and electric cords? (Electric cords can be taped to the floor).
o   Using High contrast colors and shapes in your home may increase the visibility of key objects for your child. Choose colors that your child can see well. White or bright yellow against a black background often provides the strongest color contrast.
o   Is there a nonskid mat or no-slip strips and grab bars in the bathtub?
o   Are there hand rails on any raised platforms and stairways? 


Fire and Burn Safety
o   Take steps to prevent your child from contact with fire hazards in the home such as space heaters, grills and fireplaces.
o   Do all electric outlets have covers in them? (For very young children).
o   Do you have a fire escape plan for your home? Talk about and practice a fire escape with your whole family. Plan for places such as school, places of worship, theaters, and stores. Review your child’s school fire escape plan to make certain help is planned for your child.
o   Include a special meeting place outside your home in your plan where all family members can meet in case of fire. Choose a spot that is easy to find with points of reference for your child. 
o   Teach all family members and other caregivers how to help your child escape in a fire.
o   If your child is not able to see to any degree, teach your child to exit your home by using their 
hand or foot to follow along a wall or crawl along the floor. Practice this.
o   Teach your child to dial 911 and to provide information for emergency services.
o   Do all adults and older children know where the fire extinguisher is and how to use it? 
Water Safety
o   Always watch your child or have an adult closely watch your child in all water activities even if there is a lifeguard on duty. A brightly colored swimsuit will make your child easy to spot.
o   Tell the lifeguard that your child is blind or has vision loss.
o   Have your child wear a life vest in a boat, on a dock and near open water like lakes or rivers. 


Pedestrian Safety
o   Work with your community to assess the need for audible signals to be installed at busy or complex intersections. Ask for safety signs to be posted in your neighborhood that informs drivers that a child with vision loss plays and lives in the area. 


For More Information
          Keeping Children with Special Needs Safe in the Home from Safe Kids and the MetLife Foundation. A series of safety videos highlighting how you can take precautions in your home to help prevent injuries to children with physical, developmental or cognitive disabilities http://www.safekids.org/safety-basics/special-needs/


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