Podcasts about older child

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Best podcasts about older child

Latest podcast episodes about older child

Creating a Family: Talk about Infertility, Adoption & Foster Care
Should I Foster a Younger Child or Teen First? - Weekend Wisdom

Creating a Family: Talk about Infertility, Adoption & Foster Care

Play Episode Listen Later Jan 4, 2025 4:35 Transcription Available


Click here to send us a topic idea or question for Weekend Wisdom.Question: My husband and I are licensed to foster/adopt, but there have been no placements yet. We initially thought our age preference was 2-6 year olds, but as we have gotten more information/education we think we may be a good home for teenagers. We have no children (adopted/fostered/biological) between us but this also means we have no one else in the home at this time. We are still interested in fostering (and adopting should the opportunity arise) younger children as well at some point. My question is would it be "better" for us to start with teens and move to younger children after the teens have left our home (for college, work, general adulthood independence) or would we be better prepared for teens after having younger children first?Resources:Becoming a Foster ParentFoster Care AdoptionWelcoming an Older Child to Your HomeSupport the showPlease leave us a rating or review. This podcast is produced by www.CreatingaFamily.org. We are a national non-profit with the mission to strengthen and inspire adoptive, foster & kinship parents and the professionals who support them.Creating a Family brings you the following trauma-informed, expert-based content: Weekly podcasts Weekly articles/blog posts Resource pages on all aspects of family building

In Search Of Excellence
Amanza Smith: Hardships, Defying the Odds, and Selling Sunset | E137

In Search Of Excellence

Play Episode Listen Later Nov 12, 2024 130:40 Transcription Available


Amanza Smith is an accomplished entertainer, real estate agent, and advocate who has overcome immense personal challenges. Born to a mixed-race family in small-town Indiana, Amanza faced racism and abuse from a young age. Despite these adversities, she pursued her dreams, becoming a cheerleader, model, and reality TV star. Amanza's big break came on the hit show "Deal or No Deal," which led to her joining the prestigious Oppenheim Group and starring on "Selling Sunset." Beyond her professional success, Amanza's most inspiring role is that of a single mother. After her ex-husband's sudden disappearance, she fought tirelessly to provide for her children, relying on government assistance at times. Today, Amanza uses her platform to advocate for victims of abuse, encouraging others to seek help and support. Her ultimate goal is to inspire change through a design-focused TV show and a line of home goods. Amanza's journey is a testament to the power of resilience, creativity, and the pursuit of excellence in the face of adversity.2:18 - Introduction to Amanda Smith's Diverse Career  12:01 - Amanza's Unconventional Family Background18:55 - Experiencing Racism and Physical Abuse as a Child 30:35 - Coping Mechanisms: Gymnastics and Humor36:00 - Transition to Modeling and Acting42:27 - Challenges in Marriage and Financial Struggles 48:15 - Joining the Oppenheimer Group and Selling Sunset54:38 - Ralph Brown's Disappearance and Legal Battles1:00:52 - Advice for Victims of Abuse: Seeking Help and Therapy1:06:35 - Amanza's Goal: Hosting Her Own Design-Focused TV Show1:12:15 - Developing a Line of Home Goods and Furniture Products1:18:35 - Considering Adopting an Older Child in the Future1:24:23 - Amanza's Perspective on Dating in Los Angeles1:30:30 - Dealing with Haters and Social Media Criticism1:36:06 - Amanza's Responsibility as a Successful Black Woman1:42:29 - The Biggest Lesson Amanza Has Learned in Life1:48:13 - Amanza's Number One Personal and Professional Goals1:54:32 - Amanza's Biggest Regret and the Craziest Thing in Her CareerSponsors:Sandee | Bliss: BeachesWant to Connect? Reach out to us online!Website | Instagram | LinkedIn

Busted Halo Show w/Fr. Dave Dwyer
What Is the Proper Protocol for Baptizing an Older Child?

Busted Halo Show w/Fr. Dave Dwyer

Play Episode Listen Later Oct 15, 2024 17:11


A listener named Ginger asks Father Dave about baptizing older children. She asks, “When a child is between the ages of 8 to 9, how do they get a baptism?” 

Creating a Family: Talk about Infertility, Adoption & Foster Care
How to Handle Cell Phone Use With a 14-Year-Old Foster Child - Weekend Wisdom

Creating a Family: Talk about Infertility, Adoption & Foster Care

Play Episode Play 33 sec Highlight Listen Later Aug 3, 2024 8:00 Transcription Available


Click here to send us a topic idea or question for Weekend Wisdom.Question: I just became a foster parent of a 14-year-old girl. She came with a cell phone paid for by her prior foster family. I told them I wanted to take over payments. I also want to sit down with her periodically and spontaneously and ask her to show me what she's been doing on her phone while I show her what I do on my phone. I hope she will realize she can tell me anything and that I won't hide things from her. Is this a good idea? How should I approach it? Do you think it will build trust, or will she resent it? Resources:Managing Technology & Screens (Resource page)Welcoming an Older Child to Your Home (Resource page)Raising Foster Children (Resource page)Support the Show.Please leave us a rating or review. This podcast is produced by www.CreatingaFamily.org. We are a national non-profit with the mission to strengthen and inspire adoptive, foster & kinship parents and the professionals who support them.Creating a Family brings you the following trauma-informed, expert-based content: Weekly podcasts Weekly articles/blog posts Resource pages on all aspects of family building

Creating a Family: Talk about Infertility, Adoption & Foster Care
Should I Take in a Spanish-Speaking Foster Teen With a Baby? - Weekend Wisdom

Creating a Family: Talk about Infertility, Adoption & Foster Care

Play Episode Play 31 sec Highlight Listen Later Jul 20, 2024 4:58 Transcription Available


Click here to send us a topic idea or question for Weekend Wisdom.Question: I was just asked to take on a Spanish-speaking teen with a baby. Do you have any resources to address fostering a teenager with a language barrier, as well as supporting her in developing adult skills and independence? She comes with a complicated history involving immigrating here on her own. Resources:Welcome an Older Child to Your Home (Resource)Former Foster Youth Voices (Resource)Helping a Child Heal from Trauma (Resource)Support the Show.Please leave us a rating or review. This podcast is produced by www.CreatingaFamily.org. We are a national non-profit with the mission to strengthen and inspire adoptive, foster & kinship parents and the professionals who support them.Creating a Family brings you the following trauma-informed, expert-based content: Weekly podcasts Weekly articles/blog posts Resource pages on all aspects of family building

Creating a Family: Talk about Infertility, Adoption & Foster Care
How to Make and Use an Adoption Lifebook - Weekend Wisdom

Creating a Family: Talk about Infertility, Adoption & Foster Care

Play Episode Play 54 sec Highlight Listen Later Jun 15, 2024 6:23 Transcription Available


Send us a topic idea or question for Weekend Wisdom.A Lifebook is the story of how your child came to be yours and the story of his life before he came to you. Adoption is only one aspect of your child, and at some point, his life merges into your life. However, he had a life before he came to your family, and his Lifebook tells this part of his story.ResourcesAdoption Lifebooks (Suggested Books)Welcoming an Older Child to Your Home (Resource Page)Transitioning a Child to Your Home (Resource Page)Support the Show.Please leave us a rating or review. This podcast is produced by www.CreatingaFamily.org. We are a national non-profit with the mission to strengthen and inspire adoptive, foster & kinship parents and the professionals who support them.Creating a Family brings you the following trauma-informed, expert-based content: Weekly podcasts Weekly articles/blog posts Resource pages on all aspects of family building

Understate: Lawyer X
FORENSICS: The flawed 'science' putting parents behind bars

Understate: Lawyer X

Play Episode Listen Later May 28, 2024 54:04


Heartbreaking was the only word that could be used to describe the death of a 10-month-old baby in Perth. What was less clear cut is the question that was posed to the judge - was the baby boy's death an accident, or was he murdered by his father? Judith Fordham has been lauded as one of Western Australia's most high-profile criminal lawyers, but her dual expertise in law and forensics sets her apart from her colleagues. In this episode with host Kathryn Fox, hear about one of the most divisive areas in both forensic science and the law - "shaken baby syndrome".  This episode references child abuse and infant loss. If you or someone you know is experiencing, or at risk of experiencing, domestic, family or sexual violence, call 1800RESPECT on 1800 737 732, text 0458 737 732 or visit 1800RESPECT.org.au for online chat and video call services. For support relating to infant loss, contact Red Nose Grief and Loss on 1300 308 307 or visit rednosegriefandloss.org.au. See omnystudio.com/listener for privacy information.

The Cycle Breaker Podcast
How to build an environment of communication and trust with your older child with Jessica.

The Cycle Breaker Podcast

Play Episode Listen Later Apr 2, 2024 27:27


In this insightful podcast episode, we delve into the challenges of parenting during the turbulent teenage years, using a real-life scenario with Jessica, a mom striving to foster open communication and trust with her 13-year-old daughter. Through expert advice and practical strategies, discover how to navigate teenage rebellion, establish meaningful connections, and guide your teen towards making positive choices in a supportive and understanding environment. CLICK HERE to book your Free Parenting Assessment call with a HIC Parenting Advisor, where you will get clear about the root of your struggle and learn more about our coaching services. This is not a coaching session, but a space where you are going to be heard and get clear on your current parenting dynamic.

Creating a Family: Talk about Infertility, Adoption & Foster Care
Is It Worth It To Apply For An Adoption Grant? - Weekend Wisdom

Creating a Family: Talk about Infertility, Adoption & Foster Care

Play Episode Play 35 sec Highlight Listen Later Mar 31, 2024 3:34 Transcription Available


Question: My husband and I are seriously considering domestic infant adoption. In my research I have found grants are available for people who want to adopt. We make decent money, but do not want to spend all of our savings on adoption fees when we know expenses will only go up when we have a child. Will filling out applications for grants be a waste of time for us or will they consider us even though we make decent money?Resources:Affording Adoption (Resource page)Adoption Tax Credit (Resource page)Welcoming an Older Child to Your Family (Resource page)This podcast is produced by www.CreatingaFamily.org. We are a national non-profit with the mission to strengthen and inspire adoptive, foster & kinship parents and the professionals who support them. Creating a Family brings you the following trauma-informed, expert-based content:Weekly podcastsWeekly articles/blog postsResource pages on all aspects of family buildingPlease leave us a rating or review RateThisPodcast.com/creatingafamilySupport the showPlease leave us a rating or review RateThisPodcast.com/creatingafamily

The Grief Gang
The death of an older child and reinventing yourself with Jane Harris, CO-founder of The Good Grief Project.

The Grief Gang

Play Episode Listen Later Mar 20, 2024 61:53


This week I'm speaking with Jane Harris, Co-Founder of The Good Grief Project.I've known Jane and her husband Jimmy for some years now, ever since I started The Grief Gang really. It has been long overdue getting Jane onto the podcast, but here we are. Jane and Jimmy's story is rooted in the grief for their son, Joshua, who died unexpectedly aged 22 in a motorbike accident whilst travelling in Vietnam.Since then, the breadth of Jane and Jimmy's work is extensive and so moving, all in the name of their son Joshua and to help other bereaved parents and siblings. Jane in this episode offers both a personal and professional perspective to what it is like navigating grief for an older child, whilst also being a therapist. How both Jane and Jimmy knew the importance of community very early on in their grief, especially regarding planning Joshua's funeral. And what it's like raising children whilst grieving for a child too.Jane and Jimmy work tirelessly to support other bereaved families, their retreats are a balm for all those who need them. To support their work, find out more and buy their book, please visit their website here. Big love,Amber xFollow and be part of The Grief Gang community:Enquire about Grief Gang 1:1 and group circle mentoring hereBook onto a Grief Gang group circle hereInstagramTwitterFacebookYoutubeTikTokSubstackWebsiteSupport this show http://supporter.acast.com/thegriefgang. Hosted on Acast. See acast.com/privacy for more information.

Start to Stop Toddler Breastfeeding
43: *UPDATED* Tandem breastfeeding: Life with 2 booby-monsters (part 3 of the tandem feeding series)*

Start to Stop Toddler Breastfeeding

Play Episode Listen Later Mar 12, 2024 40:06 Transcription Available


**AUDIO FIXED**Breastfeeding a toddler and a newborn... at the same time -> most people in the Western world think this is crazy. And yet, I breastfed 2 kids (of different ages) for 3.5 years, and I hear from listeners all the time who are either doing it or considering it. But, just like most things "extended breastfeeding" there aren't many places to find support when you start out on your tandem nursing journey. In this final part of the Tandem Feeding series I give you all the things I wish I would have known as a first time tandem feeding mom, I cover: The most commonly asked tandemfeeding questionsPreparing to tandem feedNavigating the early days of tandem nursing (including positions & sleep) Common challengesSome benefits of tandem nursing. Resources & Links from the episode:Sleep:Tiffany's Safe Bedsharing GuideUniversity of Notre Dame Mother Baby Sleep Labratory FAQLa Leche League International Safe 7 SleepingBaby Wearing:Tula Toddler Carriers (not an affiliate - just an example of something available)Ring Sling with a newborn videoBreastfeeding in a ringslingWoven wrap tandem carry  with a woven wrapBack carry newborn (ONLY ATTEMPT IF YOU ARE EXPERIENCED)Studies referenced in the episode:Sinkiewicz-Darol E, Bernatowicz-Łojko U, Łubiech K, Adamczyk I, Twarużek M, Baranowska B, Skowron K, Spatz DL. Tandem Breastfeeding: A Descriptive Analysis of the Nutritional Value of Milk When Feeding a Younger and Older Child. Nutrients. 2021 Jan 19;13(1):277. doi: 10.3390/nu13010277. PMID: 33478010; PMCID: PMC7835967.Yate ZM. A Qualitative Study on Negative Emotions Triggered by Breastfeeding; Describing the Phenomenon of Breastfeeding/Nursing Aversion and Agitation in Breastfeeding Mothers. Iran J Nurs Midwifery Res. 2017 Nov-Dec;22(6):449-454. doi: 10.4103/ijnmr.IJNMR_235_16. PMID: 29184583; PMCID: PMC5684792.Supportive resources for navigating judgment while tandem feeding:Podcast episode on Navigating JudgmentAdventures in Tandem Nursing by Hilary Flowers, PhDKellyMom.com Tandem feedingWant to learn more from me? Watch my free, instant access workshop: Designing Your Pathway to Toddler Breastfeeding Mastery Grab your free guide to say "No" to the feed while still saying "yes" to the need at www.ownyourparentingstory.com/guideLove this episode?! Shoot me a DM over on Instagram @own.your.parenting.story and tell me all about it.

Science Weekly
Classic older child? What the science says about birth order and personality | Podcast

Science Weekly

Play Episode Listen Later Mar 5, 2024 16:34


We all know the cliches about older siblings being responsible, younger ones being creative, and middle children being peacemakers. But is there any evidence our position in the family has an impact on our personality? Madeleine Finlay meets Dr Julia Rohrer, a personality psychologist at the University of Leipzig, to unpick the science behind our intuition about birth order. Help support our independent journalism at theguardian.com/sciencepod

From Foster to Forever
Two dads adopt an older child through foster care

From Foster to Forever

Play Episode Listen Later Feb 20, 2024 57:13 Transcription Available


Ted and Carlos adopted Daniel when he was eight through the foster care system. His parental rights had already been terminated and he'd been through multiple failed placements before arriving in their home. On this special episode, we get to hear from Daniel, himself, about his experiences, as well as chat with Ted and Carlos about the joys and challenges of adopting an older child who has been in the system longer and how they surmounted difficulties through love, patience and perseverance. They talk about the "honeymoon period", behavioral challenges and helping Daniel get off lots of medication. They discuss how they bonded as a family during the pandemic, and "family fun day", a family tradition they developed when they were getting to know each other that they still try to continue today. They also touch on homophobia and how they deal with it, as a family with two dads. Ted is an old friend of mine from my college days of studying in London. I'm thrilled to have had the opportunity to interview him and his beautiful family.

A Heart-to-Heart with Adoptions From The Heart
Ep. 40 Navigating the Open Adoption Process of an Older Child

A Heart-to-Heart with Adoptions From The Heart

Play Episode Listen Later Nov 30, 2023 27:59


In This episode, we sit down with Vaughn and Marvin, two adoptive dads, as they share their journey as a same-sex couple navigating the open adoption process. We discuss their experiences, similarities, and differences in adopting a newborn vs. an older child placement(a two-year-old). We also dive into the many hurdles faced with finalization, navigating transitions from one household to another, identity, addressing the importance of inclusion and diversity, how to deal with the opinions of others, and how they overcame personal challenges. To learn more about Adoptions From The Heart and the services we provide you can go to www.afth.org or call 800-355-5500. Please make sure you subscribe and rate our podcast! --- Send in a voice message: https://podcasters.spotify.com/pod/show/a-heart-to-heart/message

The Holistic Baby and Toddler Sleep Podcast
EPISODE 18 - How do I get my older child to stay in their bed?

The Holistic Baby and Toddler Sleep Podcast

Play Episode Listen Later Sep 6, 2023 35:02


Once your little one transitions into their big bed it is a total game changer! For many families- for the worst! Once their children realise they can get out of their own beds it can cause sleepless nights for your child as well as confusion and exhaustion for parents. If all the elements that combine to get great age appropriate sleep aren't aligned, parents may experience plenty of disruption, frustration and of course exhaustion as they attempt to get their child to stay in their own bed! Like all sleep challenges our babies and toddlers face, its crucial for parents to understand WHY this is happening developmentally and what are the factors that are causing their child to get out of their bed.  Finally, we want to settle on a strategy that you can implement successfully to have them stay in their bed which are discussed in this episode.  This episode is incredibly practical as it takes you through a 5 Stage approach to identifying WHY your child isn't staying in their bed as well as giving some practical strategies to work through to have your child stay in their own bed from now on! Listen here!   Links To get further 1:1 support for your little one who is getting out of their bed check out the range of sleep support packages https://www.theholisticsleepproject.com/sleep-solutions  To join The Sleep Collective Membership! https://www.theholisticsleepproject.com/the-sleep-collective To grab the Overcoming Bedtime Resistance Download mentioned within the episode to know how to implement a solid and successful bedtime routine. https://www.theholisticsleepproject.com/offers/BUaqruLr/checkout For more sleep and nutrition tips for your baby, toddler or pre-schooler check out our Instagram! https://www.instagram.com/theholisticsleepproject  

Better Together! Christian Marriage and Parenting Podcast
37. Helping Your Older Child With College Life

Better Together! Christian Marriage and Parenting Podcast

Play Episode Listen Later Aug 30, 2023 54:22


Making the transition to college can be difficult for your new college student...and often we as parents get calls when things are not going well. In this episode we look at 6 common issues that freshman have at college and how to help them deal with those issues.

Cultivate: A Veritas Academy Podcast
Parenting Teens & Tweens: Relating to Your Older Child With Godly Influence (Re-Release from Season 1)

Cultivate: A Veritas Academy Podcast

Play Episode Listen Later Aug 1, 2023 39:44


This episode originally aired in July 2022 as part of Cultivate Season 1. We're looking forward to sharing this eye-opening, important conversation with you again this summer, to encourage strong, Godly influence and relationships with your older children. We invite author, pastor, and speaker Dr. Tedd Tripp to talk with our host Ty Fischer about how Christian parents can relate with their older children and teens. Ted's well-known book, Shepherding a Child's Heart, is often remembered for its call on parents to establish Godly, firm but loving authority with their young children, but the second part of the book covers how that relationship changes as our children mature. Ted encourages parents with older children on how to relate with their teenage kids in a way that invites influence over their lives, rather than heavy handed authority, and offers hope for those who worry they've blown it already (hint: it's not too late). Books referenced: Shepherding a Child's Heart by Dr. Ted Tripp It's Not Too Late: Restoring Broken Relationships with Teenage and Adult Children by Margy Tripp Do Hard Things: A Teenage Rebellion Against Low Expectations by Alex & Brett Harris

The Go Diaper Free Podcast
#242 Does having another baby impact an older child's potty success?

The Go Diaper Free Podcast

Play Episode Listen Later Jul 4, 2023 11:41


You've probably heard that bringing home another baby can set you way back in the potty training department with your older child. But is that true? And if so, what's the best way to handle it? Tune in and find out how to set your older kiddo up for potty success when adding another little one to your family.    Get full show notes and add your comments or questions here: https://godiaperfree.com/242 Get my free easy start guide for EC https://godiaperfree.com/start Start EC with your baby today with my popular book, Go Diaper Free: https://godiaperfree.com/thebook   

5–Minute Parenting: Tips to Help You Raise Competent, Godly Kids.
Forgiveness: Part 2: Teaching Your Older Child About Forgiveness

5–Minute Parenting: Tips to Help You Raise Competent, Godly Kids.

Play Episode Listen Later May 11, 2023 6:05


If you haven't listened to an earlier podcast I did on “Helping our Children Develop a Biblical Worldview, ”I suggest you go back and listen to that podcast, because some of that information is foundational to help your child build a positive, godly self-image and that will go a long way in helping them stand against all the negative feedback they receive in their life. What Forgiveness Does Not Mean:They won't feel hurt or sad anymore.They feel all warm an fuzzy after they forgive.They excuse what the other person did.They will just forget what was done to them.That they have to pretend it didn't hurt or happen.Doesn't mean they have to be friends with the person.What forgiveness is:Accepting that the other person hurt them and yet choosing to forgive them.Realizing that what the other person says about them (in the case of bullying, etc. is not the Truth.) They need to have a strong self-image based on what God says about them. That's why it's important to help them build that during their early childhood years.Choosing to keep no record of the person's wrong doing.Choosing not to keep thinking and rehearsing what happened over and over again in their mind. (Every time it comes up, they ask God to help them stop thinking about it. Pray instead for the person and that's may be the hardest but best thing to do.)Refusing to get back at the person who hurt them or punish them in some way.Not telling everyone what they did--spreading rumors about them, etc. (Sometimes it's necessary to tell an adult if what the other person did was bullying, illegal or harmful to them or someone else.)Forgiving themselves for any part they may have played in the offense. If necessary, confessing it to the other person and asking for their forgiveness. Then confessing it to God and receiving His forgiveness.Realizing that forgiveness is not easy, but that God can help them if they keep praying about it and praying for the other person. Realizing that we can't forgive in our own strength. Only God can help us. Also, although we choose to forgive on a specific date and time, it may take a while to work through the feelings and emotions. Some practical ways they might help your child with forgiveness:Perhaps your child might find journaling helpful—recording what happened, writing scriptures about forgiveness, and writing out their prayer of forgiveness and their daily progress in forgiving.Writing the offense on a piece of paper and after they have prayed and asked God to help them forgive, burn the paper (with your supervision).Check out free resources and downloads on my website: Website: http://SandraKayChambers.com Follow Me on Social Media: Instagram: http://instagram.com/SandraKayChambers Facebook: http://facebook.com/SandraKayChambersauthor Pinterest: http://www.pinterest.com/SandraKayChamberswriter Thanks to my Virtual Assistant, Alyssa Avant (https://alyssaavantandcompany.com), for her tech genius and help with this podcast.

The Milk Making Minutes
Episode 104 Helping an Older Child Bring Home a New Breastfeeding Baby with Katie of Child Life on Call

The Milk Making Minutes

Play Episode Listen Later Apr 27, 2023 30:46


As a parent do you feel like you are building the plane as you fly it? My guest Katie, a Child Life Specialist, the host of the Child Life on Call Podcast, and creator of the Child Life on Call App for other professionals helps clarify one important element of new parenting: helping an older sibling welcome a new baby.Topics covered in this episode:Preparing the older sibling for what's to comeSetting the older sibling up for successCreating a special basket specific for breastfeedingHow to prepare the sibling for extra appointments for the babyHow to prepare the sibling to be a helper in the familyValidating all feelings the older sibling has about their new role in the familyListen to Child Life on Call on any podcasting app! Visit Katie's Amazon Shop for great gift ideas for families of kids in the hospital! Parents, you can download the Child Life on Call for Parents, download her free parent starter kit.Make your voice heard on The Milk Making Community Group on Facebook!Head to Apple Podcasts or Spotify for more Milk Making Minutes episodes!Listen to Episodes of The Milk Making Minutes on Amazon Music too!To book a lactation consultation with me, visit my website: www.quabbinbirthservices.com. In many cases I can bill your insurance, or create a superbill for you to submit for reimbursement. I offer virtual consults for clients outside of my service area! Follow me on IG @lonigrosh to laugh about baby feeding (so you don't cry) and to see photos of guests. Follow me on TikTok to answer questions of the day and ponder systemic inequities together: @lonigroshibclc

Raised Resilient: Practical, Empowering & Respectful Parenting Support
Welcoming a New Baby: 6 Tips to Help Your Older Child Adjust to Their New Sibling

Raised Resilient: Practical, Empowering & Respectful Parenting Support

Play Episode Listen Later Mar 29, 2023 29:08


Welcoming a new baby is a HUGE transition for everyone involved – especially for older siblings! As parents, we all want to support our older child in bonding with their new baby sibling – but a new baby is a LOT of work, and we often feel unprepared for exactly how hard this process can be.   In this week's episode, I share six tips to support you as you help your older child adjust to having a new sibling. I share the reasons this transition is SO hard on our older kids and how you can support them now and as their sibling grows.   Here's the thing: Growing your family can be a wonderful thing, but your older child might not feel great about it right away. Your older child (and your family as a whole!) will adjust with time & the right support, which you'll know how to provide after listening to this week's episode!   FREE Mindset Shifts: https://www.raisedresilient.com/mindset   Connect with me on Instagram: https://www.instagram.com/raisedresilient/   Book a virtual coaching session with me! www.raisedresilient.com/coaching

On The Hard Days
Ep.139 Mothers Together Moms Steph, Nancy, & Lacey on Getting Support When You Have an Older Child & the Power of True Friendships For Our Mental Health

On The Hard Days

Play Episode Listen Later Dec 15, 2022 47:15


About This Episode: Steph, Nancy, and Lacey were kind enough to join me live on Instagram this week, talking all things Mothers Together and the journeys these moms are on. I think their stories will really resonate with you!January registration for Mothers Together has officially begun! Two things to note:1) I am raising the price starting in January, so the time to join is now! Doors close on this discount on Sunday, 12/18.2) If needed, I'm offering a full refund for the first two weeks of Mothers Together starting in January - that clock stops on 1/13/23. You have nothing to lose by giving MT a try!Sign up and save a spot at ontheharddays.com/instagram!Beyond the BoxWhere unconventional thinking intersects with societal and cultural norms. We represent...Listen on: Apple Podcasts Spotify

Cultivate: A Veritas Academy Podcast
Parenting Teens & Tweens: How to Relate to Your Older Child With Godly Influence & Respect

Cultivate: A Veritas Academy Podcast

Play Episode Listen Later Jul 27, 2022 39:40


We invite author, pastor, and speaker Dr. Tedd Tripp to talk with our host Ty Fischer about how Christian parents can relate with their older children and teens. Ted's well-known book, Shepherding a Child's Heart, is often remembered for its call on parents to establish Godly, firm but loving authority with their young children, but the second part of the book covers how that relationship changes as our children mature. Ted encourages parents with older children on how to relate with their teenage kids in a way that invites influence over their lives, rather than heavy handed authority, and offers hope for those who worry they've blown it already (hint: it's not too late). Books referenced: Shepherding a Child's Heart by Dr. Ted Tripp It's Not Too Late: Restoring Broken Relationships with Teenage and Adult Children by Margy Tripp Do Hard Things: A Teenage Rebellion Against Low Expectations by Alex & Brett Harris

Homeschool Reading
12: 3 Reasons to Read Out Loud to Your Older Child

Homeschool Reading

Play Episode Listen Later Jul 20, 2022 5:31


If your child can read independently, do you need to keep reading out loud to them? Here are 3 reasons to keep reading aloud to your child, no matter what their age.

Beyond Postpartum
Supporting Your Older Child When You Have PPD with Jessica Wendi Abel

Beyond Postpartum

Play Episode Listen Later Jul 14, 2022 50:04


The Cycle Breaker Podcast
How to build a strong relationship with your older child?

The Cycle Breaker Podcast

Play Episode Listen Later May 3, 2022 33:41


Hello Cycle Breakers! We are so excited to announce we are now the Parenting With Understanding Podcast. In Today's episode we will be talking about building a strong relationship with your older child. We are going to break down any misconceptions you may have such as “is it too late?” Or “Is the damage already done?” We walk you through on how you can start looking deeper into the why behind your tween or teens behaviors. This entire month we will be talking about tweens and teens! We are delighted to announce that High Impact Club has now a tween and teen parent coach! Her name is Dr Ann Louise she is a pediatric Psychologist who helps parents be able to navigate hard conversations with their tweens and teens without them becoming defensive or shutting down. And remember, if you have purchased any High Impact Club product, you are able to access our private Facebook community. Where you can interact with other cycle breakers just like you, and get additional support through your gentle parenting journey. Click the link in the description below to join the HIC Cycle Breaker group. Don't forget to follow us on all social media platforms @highimpactclub and @rachlynnrogers @dr.annlouise.lockhart and keep parenting with understanding. Navigating Hard Conversations With Your Teen HIC Cycle Breaker Facebook Group Dr. Ann-Louise Lockhart

Light The F*ck Up
E109 - How I Manifested A Human (An Adoption Story)

Light The F*ck Up

Play Episode Listen Later Apr 28, 2022 31:56


This is such an important episode, because not only am I going to share parts of our adoption story (from my perspective), I will also share how I came to understand and accept this was my personal path to follow. This is not a story about visualizing your future self. This is a true story about the one thing that needs to happen before you can manifest anything at all. In order to do this, we must release our innate need to control things. I am going to get real, raw, and share some details in this episode, but only those details that are mine to share. So, sit back, relax, or take a walk and let's spend some time together dishing it all out. If you've ever wondered how it all went down, this is the one to hear. Be sure to subscribe to my YouTube channel and check out Extra Light, weekly on Fridays. Want to have a conversation? I welcome those! Send a message to sunnythelifecoach@gmail.com and let's make it happen.  

The Bog of Mind: Self Help + Problem Solving
S3 E1: New Season Alert! Book Review: The Remains of the Day, Potty Training an Older Child, Fitness Goals!

The Bog of Mind: Self Help + Problem Solving

Play Episode Listen Later Feb 20, 2022 25:54


I am still here and apparently a few new listeners have been by! Thanks for that. I think I'm just overall pretty excited about all the chaos in my life right now, and I will share that with you. I threw in a teeny-tiny book review and some successes I've had lately. Enjoy and hopefully take some inspiration along with you. --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app Support this podcast: https://anchor.fm/jennifer-george6/support

FAMILIES THAT STICK TOGATHER™
86 \\ Togather Armor: The EXACT question to get your older child to OPEN UP (Great for teens!)

FAMILIES THAT STICK TOGATHER™

Play Episode Listen Later Jan 20, 2022 7:44


Raise your hand if you have a busy day. What about if you have tweens or teens? Now does that busy day bring chaos and sometimes the feeling that you missed out on connecting or on those meaningful moments that you wanted, but just didn't make their way into the day? I'm giving you the best, most wonderful, highly effective prompt that will work for you to get your teenager or tween (or anyone, really) to open up and feel the freedom to share with you. Woo hoo! Click play and you will have another amazing piece of armor to gather for your family. Let's grow! Jennifer  Today's sticker is from Togather™ Notecards: I know that was hard for you and I am proud of you. Grab a blank card or notepaper, draw a circle at the top and write this prompt in there. Then continue a quick, heartfelt note referring back to the conversation you had because of the other prompt you used from today's episode.  Shop all Togather™ products to build up your family Armor at togathermoments.com including Placemats, Togather™ for Family Dinner, Togather™ for Date Night, Togather™ Notecards, and many more simple ways to create words that matter! Free resources at togathermoments.com/free and when you sign up for our newsletter.  Show notes at togathermoments.com/podcast Follow @togathermoments and @familiesthatsticktogather on Instagram and Facebook The mission of Togather™ is to provide tools to help you build your strong family the way God intended. No doubt "Family" needs to rise up and we think there's no better time Togather™ Armor. Strong family communication, values, faith, parenting, life-hacks, connection ideas. These episodes are short for a reason: get quick tips that challenge you in the moment to take action that fits into your real life. Consider this your armor to keep growing strong in all the small moments. Every episode ends with a sticker from one of our conversation starter sticker games for you to have meaningful conversation at home TODAY about the topic.    

Together by AGCI
Adopting an Older Child and Honoring Their Story

Together by AGCI

Play Episode Listen Later Nov 18, 2021 45:01


Adoption requires adoptive parents to hold space for a lot of unknowns and adopting an older child can often add another layer of complexity. Thankfully, we can learn from other parents and Jacqui has so much wisdom to offer to this conversation. We are so excited for you to hear a bit about the Gustafson family's adoption story and how they have been intentional in championing their children's unique stories through every stage of their lives. 

Simple Homeschool
Simple Homeschool Ep #72: My Personal Experience Using All About Spelling with an Older Child

Simple Homeschool

Play Episode Listen Later Oct 12, 2021 10:17


If you'd prefer to read this post instead, head here.  Find out more about All About Spelling or All About Reading here. And check out Jamie's personal experience with on All About Reading here.   Discover Jamie's books and her new course, Homeschooling with Purpose! ***** Today's episode is sponsored by Anatomy for Kids and Great Homeschool Conventions. ***** What's Your Homeschool Mom Personality? Take Jamie's quiz and get your free personality report at simplehomeschool.net/quiz *****

Parents Tip of the Day
Tears from an older child can be tough to decode. Here are the top triggers and soothing strategies.

Parents Tip of the Day

Play Episode Listen Later Aug 4, 2021 5:01


Time Out with Tinseltown Mom
Ep. 42: Steps to Consider When Giving An Older Child Up for Adoption – Attorney Parker Herring Explains

Time Out with Tinseltown Mom

Play Episode Listen Later Jun 28, 2021 30:25


On episode #42 of Time Out with Tinseltown Mom I speak with E. Parker Herring, a board-certified family law specialist with more than 25 years of experience. Parker is the director of A Child's Hope, a domestic, North Carolina adoption agency, plus she's the founder and managing member of Parker Herring Law Group, PLLC. Today she's going to talk about when a parent wants to give an older child up for adoption and the complete adoption process. For more on Parker Herring visit her at www.achildshope.com  or www.parkerherringlawgroup.com Follow Tinseltown Mom! TinseltownMom Blog Instagram Facebook Twitter Pinterest LinkedIn The post Ep. 42: Steps to Consider When Giving An Older Child Up for Adoption – Attorney Parker Herring Explains appeared first on Tinseltown Mom.

Raising Great Kids Podcast
Episode 43: The Importance of Open Communication with Your Older Child

Raising Great Kids Podcast

Play Episode Listen Later May 10, 2021 35:10


In this episode, we interview board-certified therapist Chinwe Williams about the importance of open communication with your older kids. We talk about the power of being heard, how to get your child to open up, creating safe and consistent places to talk, and what to do when you’re concerned about your kids.   End the Night Right Tool for Families We have created a tool that will help open the lines of communication with your child. End the Night Right is designed to help create a bedtime habit where kids talk with their parents about their day and parents can point them to wisdom from God that can help. Here’s our latest! https://www.raisinggreatkids.org/articles/preschool-night-right https://www.raisinggreatkids.org/articles/elementary-night-right This podcast is hosted by our Atlanta-area churches. If you would like to see more parenting content or if you have questions, please don’t hesitate to reach out.   Browns Bridge Community Church Cumming, GA https://brownsbridge.org/ @brownsbridge   Buckhead Church Atlanta, GA https://buckheadchurch.org/ @buckheadchurch   Decatur City Church Decatur, GA https://decaturcity.org/ @decaturcity   East Cobb Church Marietta, GA https://eastcobbchurch.org/ @eastcobbchurch   Gwinnett Church Gwinnett County, GA https://gwinnettchurch.org/ @gwinnettchurch   North Point Community Church Alpharetta, GA https://northpoint.org/ @northpointcommunitychurch   Woodstock City Church Woodstock, GA https://woodstockcity.org/ @woodstockcitychurch See omnystudio.com/listener for privacy information.

Parenting with Ginger Hubbard
Ep. 013 | Q & A Day: Older Child Who Argues and Disobeys

Parenting with Ginger Hubbard

Play Episode Listen Later Apr 19, 2021 38:52


Do you have a child who seems to enjoy arguing with you? Do you have a hard time not engaging in the argument? Join Ginger Hubbard and Katy Morgan for another edition of “Ask Ginger” (also known as “Q & A Day”) as they discuss how to handle an older child who argues and is disobedient.   *** For show notes and episode downloads, go to GingerHubbard.com/Podcast   *** Sponsors for this episode:   Lifeline Child | lifelinechild.org Dwell | dwelldifferently.com Not Consumed | notconsumed.com Rainbow Resource Center | rainbowresource.com  

The Milk Minute Podcast- Breastfeeding/Chestfeeding/Lactating/Pumping
Ep. 42 - Big Fat Positive Interview, with Big Fat Positive podcast hosts Shanna and Laura

The Milk Minute Podcast- Breastfeeding/Chestfeeding/Lactating/Pumping

Play Episode Listen Later Jan 29, 2021 34:22


If you'd like to support our podcast, you can find us on Patreon at patreon.com/milkminutepodcast.Thank you to our sponsor: Aeroflow. Click the link below to order your breast pump and accessories through your insurance!www.dpbolvw.net/click-9269202-13028985Thank you to our sponsor Liquid IV. Use promo code MILKMINUTE to get 25% off your order, plus free shipping:https://glnk.io/koyv/breastfeeding-for-busy-momsTable of Contents0:30 Welcome to the podcast1:15 Listener question of the week3:00 Thank you to our sponsor Aeroflow3:45 Welcome Big Fat Positive podcast hosts Shanna & Laura!4:35 Laura and Shanna intro themselves and their show6:57 How Heather and Maureen first met8:20 We're going to talk about bringing home baby #29:10 Discussion: What if you're still nursing child #1?11:05 Introducing new baby to a toddler can be tricky11:53 Getting a partner involved; growth opportunities abound!14:08 A few words about alone time15:20 Benefits of what you learned from baby #116:43 The challenges of managing baby plus toddler17:18 Working with a toddler who always wants attention19:50 Giving the older child responsibilities20:35 Addressing the fear of being over-touched22:15 Scheduling one-on-one time with your toddler23:35 Big Fat Positive: the pregnancy journey24:20 Pregnancy: feelings and experiences31:10 Thank you to our guests31:33 Socials for Big Fat Positive podcast32:15 Thank you to our sponsor Liquid IV33:00 The Milk Minute Awards in the Alcove!34:00 Thank you for listening!ResourcesBig Fat Positive podcast onlineWebsite: https://bigfatpositivepodcast.com/Twitter: https://twitter.com/bfppodcastInstagram: https://www.instagram.com/bfppodcast/Facebook page: https://www.facebook.com/BFPpodcastFacebook community: https://www.facebook.com/groups/bigfatpositivepodcastEmail: contact@bigfatpositivepodcast.comCredits and contactThanks to Cherie Louise Turner for editing and production and to Lindsay Brett Carothers for her musical stylings of our intro and outro.Additional music credits, thank you Wataboi and Mazzaccaro from Pixabay.Thanks for listening to The Milk Minute. If you haven't already please like, subscribe, and review our podcast wherever you listen.To send us feedback, personal stories, or just to chat you can send us an email at milkminutepodcast@gmail.comSupport the show (https://www.patreon.com/milkminutepodcast)

Every Child
The Gill Family - Adopting an Older Child

Every Child

Play Episode Listen Later Oct 2, 2020 45:26


In todays episode Sam & Rachel Cobb Sit down with Scott & Lisa Gill to talk about their adoption. “We talked about the adoption as an entire family. We talked about it and prayed about it as a family and really wanted them to be all-in because we knew that introducing another child would change the family dynamic.”

Famly Nuggets
Shaping Behavior in My Older Child...Is It Too Late?

Famly Nuggets

Play Episode Listen Later Sep 28, 2020 65:33


This has to be one of my favorite conversations with one of my favorite people. Its an hour worth of goodness that will help you navigate negative behaviors in your older, elementary-age children. Honest, real, and funny. Nothing was edited out. This is a real conversation. It only gets better the more you listen. Enjoy! --- Send in a voice message: https://anchor.fm/famlynuggets/message Support this podcast: https://anchor.fm/famlynuggets/support

Adoption Adventures
Adopting an older child

Adoption Adventures

Play Episode Listen Later Sep 23, 2020 46:19


We recorded a webinar a while back with Adoption UK about adopting an older child but thought that it would be good to have it as an episode, so I covered the topic all over again!! :-)  If you have any questions about adopting an older child or anything else, then get in touch at: adoptionadventures123@gmail.com Adoption.Adventures - Facebook and Instagram AdoptionAdvent1 - Twitter 

You Can Adopt
Adopting an Older Child with Debbie Bright

You Can Adopt

Play Episode Listen Later Sep 14, 2020 47:27


Adopting an Older Child with Debbie Bright by You Can Adopt

STAR! An Adoption Podcast
Episode 11: All About Adopting An Older Child Part 2

STAR! An Adoption Podcast

Play Episode Listen Later May 30, 2020 27:48


Let's continue the conversation about adopting an older child in honor of Foster Care Month. Tune into this episode with host Zack Fried and guest, Christine Miller! A deep dive into our A-OK program! If you love this episode, please leave us a review!  Don't forget you can send us an email at podcast@adoptionstar.com for questions, comments, and episode requests!

Parenting Beyond Discipline
#166: Separation Anxiety in Older Child & Big Emotions in 4 Year Old

Parenting Beyond Discipline

Play Episode Listen Later Dec 20, 2019 21:58


We all know that separation anxiety is common in younger ages but how do you help an older child with persistent separation anxiety? Erin answers this question for one mom and also answers another mom's questions about helping her 4 year old with big emotions with several new ideas and tips when coaching just doesn't seem to be helping. Support this podcast at — https://redcircle.com/parenting-beyond-discipline/exclusive-content Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy

The Agent or Object Podcast
Episode 128 - How to Plan When Your Older Child Isn't Reading

The Agent or Object Podcast

Play Episode Listen Later May 20, 2019 35:31


Not Another Mummy Podcast
Sarah Gregory On Parenting An Older Child

Not Another Mummy Podcast

Play Episode Listen Later Apr 15, 2019 39:58


Families come in all shapes and sizes, and there's no one single way of "doing" motherhood. My guest on this episode, Sarah Gregory, is a mum of four - with her children ranging in age from six to 20. Sarah explains what it was like to become a mum, aged 18, and how different it felt to have her three daughters in her late 20s and early 30s.She talks about what a strong bond her son and eldest daughter have, despite the nine year age gap, and tells me about how she juggles the needs of all her children - and how she manages a hectic household.As well as being a mum of four, Sarah is a writer and co-edits the About Times, an online publication which features the writing of women. It promises to “challenge everyone, to step out of our echo chambers and explore the world through a different lens" - you can check out the latest issue here.Sarah's a brilliant one to follow on social media - she writes thought provoking captions and makes you take a fresh look at whatever's being talked about. Follow her on Instagram here.Chat to me on Instagram: @iamalisonperry or on Twitter: @iamalisonperryProducer: Imogen Hart, Create ProductionsMusic: Epidemic SoundArtwork: Eleanor Bowmer See acast.com/privacy for privacy and opt-out information.

Fist Pump Friday with Mendy Shriver
6. Three Things to Consider when Deciding to Adopt an Older Child | Mendy Shriver

Fist Pump Friday with Mendy Shriver

Play Episode Listen Later Oct 27, 2018 24:38


Mendy share her first hand experience in adopting older children into your family. She wants youth understand the hardships that you might face as well as the beauty that lies within the redemption of Jesus' love. 

HKWL podcast
EP11: Part 2: What it's like... older child.

HKWL podcast

Play Episode Listen Later Oct 21, 2018 36:53


In this special 3 part series that HK came up with, he talks about what it's like to be an older child in the system... ages 5-10. We talk about what he remembers and what parents can do to help kids at this age

Half the Fun
34. Jeff & Emily and Parenting an older child

Half the Fun

Play Episode Listen Later Oct 8, 2018 43:51


It's Jeff and Emily! Yes, we're going through and interviewing parenting pros who have some advice for us first time parents. Enjoy! --- Support this podcast: https://anchor.fm/halfthefun/support

New Medical Nomads Podcast
Ep. 40 Kay Slane, Part 2: Home School and Family Travel with an Older Child

New Medical Nomads Podcast

Play Episode Listen Later Apr 7, 2018 40:29


Kay Slane has been a traveling nurse for 15 years and is a grass root of the medical travel empowering movement. She is the author of the #1 selling traveling nurse book, Highway Hypodermics. She has also founded Highway Hypodermics, an organization leading travel nurses to the best staffing agencies. Listen to this episode as we talk about home schooling, traveling as a family with an older child, options as a traveler with a family, and where to find more traveler information! 2:00 - Traveling with a 14 Year-Old 8:00 - Moving and Traveling as a Child 11:00 - Long-distance Child Relationships 13:00 - THERE IS NO 50 MILE RULE 16:00 - Highway Hypodermics 18:00 - Top 20 Companies with Benefits 19:00 - Kay's Early Recruiter 24:00 - Night Shift Nurse 26:00 - “We are now in the Internet-Knowledge Age” 28:00 - Flexible and Adaptable as a Traveler 29:00 - The Changes in the Past 15 Years in Medical Travel 32:00 - Kay’s Must-have's for Travel: Cell Phone Booster 38:00 - Who Kay Follows: Dave Ramsey, Donald Miller, Ray Edwards (see below) Contact Kay Slane: FB - https://www.facebook.com/EpsteinLaRue Linkedin - https://www.linkedin.com/in/kay-slane-rn-7125b111 Email for Questions - highwayhypo@yahoo.com Email to be a Volunteer at the Travel’s Conference 2018 - kay@travelersconference.com Resources (Website): Highway Hypodermics RV Travelers Website - http://highwayhypodermics.com PAN Travelers website - https://www.pantravelers.org/ Donald Miller, Story Brand Website - https://storybrand.com Ray Edwards - https://rayedwards.com/about/ Resources (FB Groups): THE OFFICIAL TravCon GROUP - https://www.facebook.com/groups/110354919604541/about/ Highway Hypodermics RV Travelers Group - https://www.facebook.com/groups/HighwayHypodermicsRvTravelers/ Adventure in RV Travel Nursing/RV’s for Sale Group - https://www.facebook.com/groups/1799028867041124/about/ Travel Nursing Newbies Group - https://www.facebook.com/groups/TravelNursingNewbies/ Dave Ramsey - Healthcare Professionals Support Group - https://www.facebook.com/groups/DaveRamseyHealthcareProfessionals/?ref=br_rs Persons Mentioned: Patty Hingst AKA Patty Travels and The Tin Gypsy Phil Light RN (CEO of PAN Travel) Joseph Smith (President of Travel Tax) - http://traveltax.com/ Aaron Highfill, RN (International Traveler) Resources (Books): Highway Hypodermics: Your Roadmap to Travel Nursing 2017 - https://www.amazon.com/Highway-Hypodermics-Your-Travel-Nursing/dp/1932993169 Resources (Podcast): Dave Ramsey Podcast - https://www.daveramsey.com Rey Edward’s Podcast (Inspirational Copywriter) - https://rayedwards.com/podcast-archives/ Podcast: www.newmedicalnomads.com/p/podcast Safe community for medical traveling questions: https://www.facebook.com/groups/newmedicalnomads Page for the latest episodes: https://www.facebook.com/NMNPodcast/ Youtube Channel: https://www.youtube.com/channel/UC6611EoYBQx3u_b18T5CJMA iTunes: https://itunes.apple.com/us/podcast/new-medical-nomads-podcast/id1265522986?mt=2 Stitcher: https://www.stitcher.com/.../the-new-medical-nomads-podcast/ Get 3 Vetted Recruiters for Free! http://www.nomadicare.com/dylan

The Adoptive Mom
AMP S1E13: Katheen and Kennedy Barnes - What It's like to Be Adopted as an Older Child

The Adoptive Mom

Play Episode Listen Later Nov 26, 2017 59:41


Therapy Without A Degree Podcast
Chapter 42: New Born & Older Child

Therapy Without A Degree Podcast

Play Episode Listen Later Oct 30, 2017 70:27


We are back! Older Child acting jealous with your new born? YouTubers We Mentioned - Teddy Ray and DoBoy Rapper We Mentioned - Slim Dymondz https://itunes.apple.com/us/artist/slim-dymondz/id1109313647 Joe Fucarino, Hitomi Takata & Walt Bauer. Every week you can catch us giving our perspective & input on topics sent to us anonymously! Do you need some barber shop style conversation for your current situation? Therapy is such a strong word but many can agree that everyone needs some type of therapy. We have call ins, cover topics sent to us by fans and have live one on one therapy sessions without all the awkwardness. Tell us what is on your mind. Let's talk! Email Us - Therapywithoutadegree@gmail.com to send a question, book a live session or call in for Free!

Pediatric Emergency Playbook
GI Bleeding in Children

Pediatric Emergency Playbook

Play Episode Listen Later Oct 1, 2016 33:25


Blood in the vomit. Blood in the stool. Blood in the diaper. How far do I go in my investigation? What do I really have to worry about?   The differential diagnosis of GI bleeding in children is broad. (Here is the complete differential diagnosis) In the ED, we can simplify by categorizing by age and appearance.     Neonates GI bleeding in the neonate (less than one month of age) is serious until proven otherwise. Well appearing? If this in obvious anal fissure, then no further work-up is necessary.  Counsel on proper feeding and follow-up. Evaluate for potential swallowed maternal blood by examining mother with a chaperone, then perform the Apt test. Consider allergic proctocolitis if the child is well.  Counsel the breastfeeding mother on diet modification.  If formula fed, the child should feed through thus until the primary care physician decides whether to start the sticky process of changing up formulas. If unclear, consider a complete blood count and/or further work-up and admission if unwell. Ill Appearing? The three most dangerous diagnoses in the neonate are necrotizing enterocolitis, malrotation with volvulus, and inherited coagulopathy.  It is important to note that 15% of necrotizing enterocolitis occurs in full-term babies; malrotation can present simply in shock, without initial overt bleed.  Inherited conditions may not be known to the family early on, as they have not yet heard back from the neonatal screening done at birth. Pitfalls in the neonate and infant Genitourinary bleeding; hematuria; or uric acid crystals: the classic fake out here is the orange or pink stained diaper – that is actually residue from deposits of uric acid crystals in the urine, an almost always benign phenomenon in which the concentrated crystals oxidize and stain the diaper, frightening the parents. Think -- pink stain, without clot:   Infants and Young Children Well appearing? Through the first year to age 5, things like infectious colitis and gastritis are common. Ill appearing? Think about intussusception, cryptic liver disease, or esophageal bleeding. Check the skin – is that a dark purple palpable rash on the buttocks? Think Henoch-Schoenlein purpura. Focus: Meckel's Diverticulum Meckel’s diverticulum is the most common congenital malformation of the GI tract, and the most common cause of GI bleeding in the toddler.  It is a remnant of the omphalomesenteric tract – it came from a long tube that once connected the yolk sac to the lumen of the midgut.  A stranded island of gastric tissue secretes acid in the intestine, where it doesn’t belong.  Sometimes these islands never cause much trouble. When it does present itself, a Meckel’s diverticulum usually follows the rule of twos: Presents by age 2 Affects 2% of the population Often 2 inches in length May include 2 types of mucosa Found within 2 feet of the ileocecal valve. Not actively bleeding: technetium-99 pertechnate scintigram (Meckel’s scan). Actively bleeding: radio-labeled red blood-cell scan (resuscitate and call your surgeons!) Pitfalls in the infant and young child Epistaxis; food-related misadventures   Older Child and Adolescent Well appearing? Mallory-Weiss tears after forceful vomiting; trivial hemoptysis after viral symptoms; pill esophagitis in the child is just learning to swallow medications.  Always consider foreign body ingestion. Ill Appearing? Varices from cryptic liver disease; hemorrhagic gastritis; vascular malformation, such as a Dieulafoy lesion, where a tortuous small artery ends just superficial to the gastric mucosa, and can erode through and erupt. Focus: Inflammatory Bowel Disease Approximately a quarter of patients with inflammatory bowel disease (IBD) -- both Ulcerative Colitis and Crohn disease – will present by age 20.  Children and adolescents may present with the classic symptoms of IBD: abdominal pain, weight loss, bloody diarrhea, but many present atypically with isolated signs like poor growth, anemia, or delayed puberty. You may also suspect IBD in the child with other extra-intestinal symptoms like oral ulcers, clubbing, erythema nodosum, jaundice, or hepatomegaly. On history and physical examination, you may get one of three cardinal presentations Fatigue, history of anemia, in a stable child who comes to the ED with bloody diarrhea Chronic diarrhea, chronic abdominal pain, and poor weight gain or weight loss A fulminant presentation, with severe abdominal pain, frankly bloody stools, tenesmus, fever, leukocytosis, and hypoalbuminemia. On exam, look for general appearance, glossitis from B2 deficiency, hair loss and brittle nails form protein loss, purpura (from vitamin C and vitamin K deficiencies).  Look for evidence of episcleritis or uveitis.  Listen for rubs as in pericarditis.  Do a good abdominal exam, especially looking for hepatomegaly. Perirectal skin tags are not uncommon. Children with IBD may form urinary calculi form oxalate crystal deposition. Do a thorough skin and neurologic exam. Treatment for both ulcerative colitis and Crohn’s disease is similar. Induction therapy: children with mild disease get aminosalicylates; those with moderate disease get steroids; and those with severe disease get cyclosporine. Maintenance regimens to prevent relapse include aminosalicylates, mercaptopurine, and azathioprine. Surgical treatments for refractory colitis include an ileal pouch and anal anastomosis – also called a J pouch, a type of neorectum created surgically by folding loops of ileum back on themselves and stitching them together to create a larger rectal reservoir where the rectum once was.  A neorectum allows the child to have voluntary control of his stools again. Stabilizing the Pediatric GI Bleed Life-threatening GI bleeding in children is, thankfully, rare, but we have to be prepared. Give blood for compensated shock, prepare for massive transfusion if giving more than 40 mL/kg total blood products. Differing Etiologies: adults and children The reasons for upper GI bleed in adults are vastly different from those of children.  In adults, mostly the life-threats are due to liver disease, varices, or hemorrhagic gastritis. In children, critical upper GI bleed is often secondary to critical illness (hemorrhagic gastritis or stress ulcer), or vascular malformation.  Critical lower gastrointestinal bleeding may be from Meckel's diverticulum or other congenital angiodysplasia. Endoscopy Get your patient urgent endoscopy as soon as possible after arrival if there is active bleeding. Otherwise, according to the Belgian guidelines, stable children may have endoscopy within the first 24 hours of hospitalization. The reported efficacy of endoscopy for controlling upper GI bleeding in children is approximately 90%. Miscellaneous Nasogastric tube? No routine role (unreliable to rule out or stratify upper GI bleed). Proton pump inhibitor? No good data, but no major common contraindications. Octreotide, vasopressin, broad-spectrum antibiotics?  May use adult data to extrapolate in the proper etiologic context. General Advice for the Brisk GI Bleed in Children This is a rare, but potentially life threatening situation, so anticipate how the child can decline, and get your team assembled: your pediatric intensivist, gastroenterologist, and surgeon – especially if we can’t ge the upper GI bleed to abate with endoscopy. The sooner you activate the team, the better. Summary The broad differential diagnosis may be paralyzing, and frustrating, since much of it we cannot discern in the ED. Consider actionable, high-yield etiologies based on age and appearance. Neonates Well appearing?  Think rectal fissure, maternal blood, or allergic proctocolitis Ill appearing?  Think necrotizing enterocolitis, malrotation, or an inherited coagulaopathy. Infants, and Young Children Well appearing? Think infectious colitis and gastritis. Ill appearing? Think intussusception and Meckel’s diverticulum. Older Children and Adolescents Well appearing?  Think Mallory Weiss tear from vomiting, or gastritis Ill appearing?  Think metabolic, cryptic liver disease, or inflammatory bowel disease. For everyone – a careful history and a good physical exam will point you tto the etiology, or risk-stratify for further outpatient evaluation and management. References Bozic MA, Puri K, Molleston JP. Screening and Prophylaxis for Varices in Children with Liver Disease. Curr Gastroenterol Rep. 2015 Jul;17(7):27. Chaïbou M, Tucci M, Dugas MA, Farrell CA, Proulx F, Lacroix J. Clinically significant upper gastrointestinal bleeding acquired in a pediatric intensive care unit: a prospective study. Pediatrics. 1998 Oct;102(4 Pt 1):933-8. Colle I, Wilmer A, Le Moine O, Debruyne R, Delwaide J, Dhondt E, Macken E, Penaloza A, Piessevaux H, Stéphenne X, Van Biervliet S, Laterre PF. Upper gastrointestinal tract bleeding management: Belgian guidelines for adults and children. Acta Gastroenterol Belg. 2011 Mar;74(1):45-66. Garcia-Tsao G, Bosch J. Varices and Variceal Hemorrhage in Cirrhosis: A New View of an Old Problem. Clin Gastroenterol Hepatol. 2015 Nov;13(12):2109-17. Kaya A, Toyran M, Civelek E, Misirlioglu E, Kirsaclioglu C, Kocabas CN. Characteristics and Prognosis of Allergic Proctocolitis in Infants. J Pediatr Gastroenterol Nutr. 2015 Jul;61(1):69-73. Lacroix J, Nadeau D, Laberge S, Gauthier M, Lapierre G, Farrell CA. Frequency of upper gastrointestinal bleeding in a pediatric intensive care unit. Crit Care Med. 1992 Jan;20(1):35-42. Osman D, Djibré M, Da Silva D, Goulenok C. Management by the intensivist of gastrointestinal bleeding in adults and children. Ann Intensive Care. 2012 Nov 9;2(1):46. Owensby S et al. Diagnosis and Management of Upper Gastrointestinal Bleeding in Children. J Am Board Fam Med. 2015; 28(1):134-145. Rosen MJ et al. Inflammatory Bowel Disease in Children and Adolescents. JAMA Pediatr. 2015 Nov;169(11):1053-60. Rufo PA, Bousvaros A. Current therapy of inflammatory bowel disease in children. Paediatr Drugs. 2006;8(5):279-302. Srygley FD, Gerardo CJ, Tran T, Fisher DA. Does this patient have a severe upper gastrointestinal bleed? JAMA. 2012 Mar 14;307(10):1072-9. Thomson MA, Leton N, Belsha D. Acute upper gastrointestinal bleeding in childhood: development of the Sheffield scoring system to predict need for endoscopic therapy. J Pediatr Gastroenterol Nutr. 2015 May;60(5):632-6. This post and podcast are dedicated to Carlo D'Apuzzo, MD  for his creativity, innovation, and dedication to the highest standards of emergency care.  Le tue pillole sono buona medicina. Grazie, Carlo per tutto quello che fai per il mondo #FOAMed.   GI Bleeding in Children Powered by #FOAMed -- Tim Horeczko, MD, MSCR, FACEP, FAAP

Pirkei Avos (Rosh Yeshiva)
Marrying Off a Younger Child Before an Older Child (Bamidbar 5776)

Pirkei Avos (Rosh Yeshiva)

Play Episode Listen Later Jun 3, 2016


Marrying Off a Younger Child Before an Older Child (Bamidbar 5776)

Pirkei Avos (Rosh Yeshiva)
Marrying Off a Younger Child Before an Older Child (Bamidbar 5776)

Pirkei Avos (Rosh Yeshiva)

Play Episode Listen Later Jun 3, 2016


Marrying Off a Younger Child Before an Older Child (Bamidbar 5776)

Respectful Parenting: Janet Lansbury Unruffled
What To Expect From Your Older Child When You're Expecting (And Thoughts About Classes For Toddlers)

Respectful Parenting: Janet Lansbury Unruffled

Play Episode Listen Later May 31, 2016 16:03


In this episode: Janet answers a letter from an expecting mother whose 2.5 year old daughter has become wantonly defiant, especially during various extracurricular classes, and her antics are leading to some potentially dangerous situations. This mom feels like she’s being baited and wants the testing to stop. For more advice on common infant/toddler parenting issues, please check out Janet's books at Amazon and Audible (adbl.co/2OBVztZ). Also available for download, her audio series "Sessions" -- recorded consultations with parents discussing their most immediate and pressing concerns (SessionsAudio.com).

Baby Sleep 911, Help!
Baby Sleep 911, Help! My Child Wakes Up Early.

Baby Sleep 911, Help!

Play Episode Listen Later Apr 29, 2015 29:19


Join Ingrid Prueher, founder of www.babysleepwhisperer.com, a certified pediatric and adult sleep and nutrition consultant and host of Parents.com "Baby Sleep 911" Web TV series, on Wednesday afternoons from 2:30 pm to 3:00 pm EST. Ingrid will answer your child feed and sleep questions so your family can get the rest you all deserve. Call in number is (646) 595-2075, she looks forward to speaking with you soon!Chatting with sleepless families and helping their children to love sleep and bringing on experts to talk about everything parenting!Follow Ingrid on FB at The Baby Sleep Whisperer and on Twitter at @IngridPrueher

Baby Sleep 911, Help!
Baby Sleep 911, Help! My Child Wakes Up Early.

Baby Sleep 911, Help!

Play Episode Listen Later Apr 29, 2015 29:19


Join Ingrid Prueher, founder of www.babysleepwhisperer.com, a certified pediatric and adult sleep and nutrition consultant and host of Parents.com "Baby Sleep 911" Web TV series, on Wednesday afternoons from 2:30 pm to 3:00 pm EST. Ingrid will answer your child feed and sleep questions so your family can get the rest you all deserve. Call in number is (646) 595-2075, she looks forward to speaking with you soon!Chatting with sleepless families and helping their children to love sleep and bringing on experts to talk about everything parenting!Follow Ingrid on FB at The Baby Sleep Whisperer and on Twitter at @IngridPrueher

The Chaos Chronicles: Modern Motherhood with a Laugh
Chaos Chronicles 801: Mindfulness and the Family Dinner; Birth Order, Brains & Bitterness and Time to Plant the Tulips

The Chaos Chronicles: Modern Motherhood with a Laugh

Play Episode Listen Later Nov 8, 2013 38:36


On the show this week Triumph at the DMV   Can Family Dinners lead to extra Mindfulness? Lian has a  theory.  To read the article from the New York Times: Mindfulness Getting Its Share of Attention, click here.   Birth Order, Brains and Bitterness. Lian answers the Huffington Post's 28 Signs You're Dealing with an Older Child with her own list of 28 Signs You're Dealing with the Youngest Child. To Do List: Time to Plant the Tulips

Family Worship Center's Podcast
Parenting the Older Child

Family Worship Center's Podcast

Play Episode Listen Later Jan 18, 2008 66:28


This sermon was preached by Rev. Edward E. Cantu on January 17, 2008. Visit our website at www.familyworshipcenter.info