Aspiring Women is trending now - Langlade Hospital | Aspire
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Aspiring Women is trending now - Langlade Hospital | Aspire
Aspiring Women is trending now page 8 YOUR GUIDE TO HEALTHY LIVING FALL 2016 contents Aspiring Women Aspirus providers are leading fun, educational women’s health events across the region. Endlessly supportive Diabetes support takes a team. We honor the dedication of a beloved member of the Aspirus Antigo Clinic team. 8 3 Susan Frangiskakis, MD, led an Aspiring Women event on the topic of pediatric vaccines, “Hit Me With Your Best Shot,” on Aug. 29. Ask the doc Aspirus Antigo Clinic physicians answer questions about asthma, fever and prediabetes. 10 This one’s for the girls! On the cover: Coordinated for a cause—our team wear purple as ambassadors for Aspiring Women. A mind for business, a heart for care Aspirus Langlade Hospital’s ASPIRE is a free publication intended to provide health information to the people living in and around Langlade County. Aspirus Langlade Hospital is proud to offer this publication as a resource to you and your family. This publication is also available online at www.aspirus.org. Aspirus Langlade Hospital 112 E. Fifth Ave., Antigo, WI 54409 715-623-2331 www.aspirus.org David Schneider Executive Director Bessant Parker, MD Chief Medical Officer Pat Tincher Director of Finance Janelle Markgraf Director of Human Resources and Off Campus Services Sherry Bunten Director of Patient Care Services Betsy Kommers Marketing and Fund Development Manager [email protected] Sarah Olafson Marketing and Communication Specialist [email protected] Information in this publication is not intended to replace medical advice, nor is it for self-diagnosis. Individuals should speak with their primary care provider or other health care professionals regarding medical concerns. If you would prefer not to receive ASPIRE magazine, call Sarah Olafson at 715-623-9877 or email sarah.olafson@ aspirus.org and provide your mailing address. Models may be used in photos and illustrations. 2016 © Coffey Communications, Inc. All rights reserved. 2 aspire Fall 2016 Meet the new CMO Aspirus Langlade Hospital recently welcomed Bessant Parker, MD, to the senior leadership team as Chief Medical Officer (CMO). Dr. Parker is responsible for working with staff and providers to continuously improve the quality and experience of care for our patients. He replaces Renee Smith, MD, who served as CMO part-time before she was promoted to CMO for Aspirus Network. Dr. Parker completed his internal medicine residency at Harlem Hospital, an affiliate of Columbia University, in New York. After his residency, he served as a hospitalist at St. Elizabeth’s Hospital in Appleton, Wisconsin. He went on to complete a full-time master’s degree in business administration from the University of Chicago Booth School of Business while working part-time at St. Elizabeth’s. Most recently, Dr. Parker served with Tenet Healthcare on the executive Bessant Parker, management MD, MBA team at Chief Medical Officer St. Vincent Hospital in Worcester, Massachusetts, where he was involved in leading quality improvement and process improvement efforts. “Dr. Parker is a well-qualified medical officer who has had considerable experience and training in leading quality improvement efforts to improve patient care,” explained Dave Schneider, Aspirus Langlade Hospital CEO. “His leadership will be very valuable.” Team Michelle show their support at her memorial bench. It was acquired through donations from the employees of Aspirus Langlade Hospital, Aspirus Antigo Clinic and Antigo Swim Club. Passion for diabetes care endures Remembering a friend and co-worker WHEN you first learn that you have diabetes, it may be a hard fact to face. Without question, diabetes is a serious disease that can have life-altering consequences. And even though it’s normal to feel uneasy about the diagnosis, now is not the time for denial. What you need now is information and a plan so you can manage your condition and get on with enjoying your life. The team at Aspirus Langlade Hospital and Clinics provides diabetic support as a team effort. This past March, the team at Aspirus Antigo Clinic lost a dear friend in Michelle Koss, RN, Certified Diabetes Educator. Her dedication to the diabetic program and youth in the area is a legacy to be proud of. Roughly 7,300 patients in Langlade County have diabetes, and 5,000 patients have prediabetes. The main goal of diabetes treatment is to control your blood sugar (glucose) levels. When blood sugar isn’t controlled, it can lead to eye, kidney and nerve damage. But you don’t have to go it alone. Your doctor will develop a care plan that sets target levels for your blood sugar, and he or she will monitor your progress. NEED SUPPORT? For more information about diabetes management, please contact your primary care provider or Bonnie Hessedal, Registered Dietitian, Certified Diabetes Educator, at the Aspirus Antigo Clinic: 715-623-2351. For additional help, your doctor may refer you to other team members, such as a nurse educator, which is what Koss dedicated her professional life to. This past July, the annual Splash N Dash was held as a memorial race in her honor. The swim/run was a success at Jack Lake, with more participants than ever before. Koss’ vision for the Splash N Dash was for it to be the primary fundraiser for the Swim Club that would help keep children active. A memorial bench was placed at the Jack Lake beachfront to honor her. Members of the Aspirus Antigo Clinic staff were there to race for Team Michelle. aspirus.org 3 The Jackson family: Back row, from left: Pete, Katie and Anders Front row, from left: Bodie, Anya and Aksel CELEBRATING a decade of specialized newborn care Anya Marie Jackson and the NICU she inspired turn 10 TEN YEARS AGO, two very special things happened that changed lives forever. First, Peter and Katie Jackson welcomed their daughter, Anya Marie, into the world. Anya’s life then inspired the vision for a state-of-the-art Newborn Intensive Care Unit (NICU) at Aspirus Wausau Hospital. Anya Marie Jackson was born in Colorado on May 22, 2006, and instantly became the family’s “little princess.” Shortly after birth she experienced health issues that led to a series of tests, surgeries and evaluations by many Anya Marie Jackson Newborn ICU vital statistics 4 aspire Fall 2016 different doctors. While her outlook was bleak at times, Anya persevered. Fast forward to 2016, and Anya continues to persevere. She still faces significant health challenges on a daily basis, but this year Anya celebrated her 10th birthday—as did the NICU at Aspirus Wausau Hospital, which is named after Anya. “For 10 years, we’ve taken everything one day at a time, and it truly has been a nonstop adventure,” Peter Jackson says. “Throughout it all, we’ve gained an appreciation for all things good and bad in life, because without the valleys, there can’t be peaks.” Anya’s spirit and toughness have inspired countless people who have come to know her. Among those she has inspired are her family and the B.A. & Esther Greenheck Foundation, which was created by her great-grandparents, Bernie and Esther Greenheck, as a place where the people of north-central Wisconsin could come for help to meet the needs of the community. The B.A. & Esther Greenheck 1,504 Babies 997 NICU graduates 194 Babies kept lovingly cared for since the 2009 NICU Expansion and family members celebrated at the 2015 reunion safe during their NICU transport journey between hospitals Innovative care With the nearest single-room care model NICU at least 150 miles from Wausau, the innovative Anya Marie Jackson NICU at Aspirus Wausau Hospital is unmatched in its dynamic approach to care. It can provide care for as many as 14 babies, with special accommodations for multiple births. Generosity advances NICU care In addition to the B.A. & Esther Greenheck Foundation, others have also been inspired to give generously to support the NICU, including Girl Scouts, student groups, families, participants in the Aspirus Women’s Golf Classic event and numerous volunteers. Foundation has forged an ongoing partnership with the Aspirus Health Foundation to help critically ill and premature newborns throughout north-central Wisconsin. Inspired to make a difference The partnership started in 2009, when Aspirus Wausau Hospital was looking to expand and enhance its NICU, which opened in February 2006. The need for advanced newborn care was great and growing, and the four-bed unit was often filled over capacity. Knowing first-hand the impact this type of specialized care can have for newborns and their families, the B.A. & Esther Greenheck Foundation made a significant donation, and Anya’s parents and family shared their experience to help advance and transform the NICU into what it is today—a 14-bed, private room, state-of-the-art facility. In 2016, Adam and Danielle Mullins created The Brennan Mullins Newborn Support Fund with the Aspirus Health Foundation. The fund honors their daughter, Brennan, who touched the lives and hearts of many during her brief four days of life. The Mullins have since happily welcomed a healthy baby girl. “Knowing that our baby could be born in the NICU at Aspirus Wausau Hospital if needed helped relieve our stress and worries,” Danielle says. “The day after Reagan was born, she experienced low blood sugar and was transferred from the Birthing Center to the NICU for a couple of days. We went home together and were grateful the NICU was here when we needed it.” “As parents, we really don’t understand the importance of having a community-based NICU until we need it.” —Peter Jackson “It’s interesting that as parents, we really don’t understand the importance of having a community-based NICU until we need it,” Peter Jackson says. “It is such a blessing to have a premier NICU here in Wausau.” The Anya Marie Jackson Newborn Intensive Care Unit is named in honor of Anya, who inspired the Aspirus single-room care model NICU that has given back to so many others. Since the expansion in 2009, more than 1,500 babies have received care in 116 Newborns 50 Staff members 39 People whose weighed less than 3 pounds, 3 ounces provide specialized, compassionate care donations made the NICU expansion possible the NICU made possible by the B.A. & Esther Greenheck Foundation and many generous donations from others in the Wausau area. The families of these babies all share similar experiences that are celebrated annually at Aspirus’ NICU reunion, held each August. Last year’s reunion brought nearly 1,000 people together who share a common bond built on appreciation and generosity—the type of values the Jacksons continue to see Anya inspiring in others. “Through all the needles and surgeries [which number more than 20], Anya always comes out and gives me a smile,” Katie Jackson says. “We’re blessed that we get the smiles, and we hold onto that. She has really raised the level of acceptance, responsibility, respect, appreciation and compassion for our whole family, and I can see that in other people who meet her too.” 1 pound, 6 ounces: Smallest baby cared for 1 Little girl, Anya Marie Jackson, whose life has helped so many vulnerable babies and families aspirus.org aspirus.org 55 Our expertise is growing. Three new providers to care for you: Bessant Parker, MD, MBA Chief Medical Officer Hospitalist Dr. Parker was born in Ghana, West Africa, where he completed his medical education before coming to the United States for further training (see “A Mind for Business, A Heart for Care,” page 2). Dr. Parker enjoys giving motivational speeches for high school students. Other interests and hobbies include soccer, table tennis, travel and cultural cuisine. He also founded a tutoring school in Ghana that helps high school drop-outs get their GED diploma. Mary Kautza, APNP Palliative Nurse Practitioner Mary joins the Hospice and Palliative Care Team as a Family Nurse Practitioner. She received her Bachelor of Science in Nursing from the University of Wisconsin–Oshkosh and her Master’s Degree in Nursing from Frontier Nursing University in Hyden, Ky. She and her husband live in the area and have two daughters, who are nurses. Mary loves to go antiquing for furniture to restore and finding unique works of art at arts and crafts festivals. Lesley Washatko, PA-C Aspirus Antigo Clinic Lesley joined the Aspirus Antigo Clinic providers in August. She graduated with her Master’s Degree in Physician Assistant Studies from the University of Wisconsin–Madison. She completed her undergraduate degree in clinical laboratory science at the University of Wisconsin–Stevens Point and has been a Medical Technologist at Aspirus Langlade Hospital for the past seven years. She and her husband have three children and enjoy bike riding, baking and reading. Lesley began seeing patients at the Antigo Clinic in August 2016. 6 aspire Fall 2016 Care at your convenience 8 a.m. to 8 p.m. 7 days a week Aspirus Langlade Hospital has expanded Walk-In hours to better serve our community, effective July 1, 2016: ww 8 a.m. to 8 p.m. ww 7 days a week No appointment necessary for: ww Colds; flu; fever; and minor injuries, like sprains and strains. ww Skin rashes and insect bites. ww Pink eye, sore throat, earaches. Sinus infections. Patients have access to all hospital services. Emergency Department care is available if symptoms warrant it. It is important that you establish a relationship with a primary care provider. But when you need quick and convenient care, the Walk-In is available. ww 112 E. Fifth Ave. Antigo, WI 54409 www.aspirus.org We’re expanding! BUILDING on safety, freedom and resident choice Aspirus Langlade Hospital breaks ground for Rosalia Gardens expansion ON July 11, representatives from Aspirus Langlade Hospital, the Religious Hospitallers of St. Joseph, Community Living Solutions and community members gathered to break ground on the addition to Rosalia Gardens Assisted Living Facility, located on Flight Road in Antigo. “We have carefully planned this project with the project architects, Community Living Solutions, input from our current residents and their families, and frontline staff to incorporate the very latest in assisted living best practices and functional work space,” says Aspirus Langlade Hospital CEO Dave Schneider. “Safety, freedom and resident choice are at the heart of our planning.” A social model The 19,022-square-foot project will provide 25 additional private rooms, dedicated hospice rooms and an expansion of Adult Day Care, as well as private and communal dining, with several dining options and venues for residents to enjoy. The new facility will include an 18-bed Memory Care area, designed especially for residents with dementia. The plan also features separate living room and den areas, a country kitchen and a spa that includes a hair salon. The building will be monitored and secured with a state-of-the-art SERVING A GROWING NEED: Construction to expand the Rosalia Gardens Assisted Living Facility in Antigo broke ground on July 11. The 19,022-square-foot project is scheduled to be completed in October 2017. nurse call and wayfinding management system. More than an attractive design, the social household model promotes dignity, independence and respect for its residents, creating an atmosphere that leads to successful and happy aging. Construction of the new facility is scheduled for completion in October 2017. The existing Rosalia Gardens space that includes 18 residences will be transitioned to Memory Care. Rosalia Gardens is a licensed community-based residential facility for people who need assistance with daily living, where caring, compassionate staff understand their unique needs and help them thrive. Caregivers encourage residents to live as independently as possible for their physical, mental, emotional and spiritual health in the least restrictive environment. The decision to add additional space to the existing structure came from the results of a comprehensive feasibility study that determined there is a growing need in our community. aspirus.org aspirus.org 77 Aspirus kicks off Aspiring Women Susan Frangiskakis, MD, presented an Aspiring Women event in August about childhood vaccines. ASPIRING WOMENkicked off across the Aspirus region in May and June. More than 500 women attended “South of Your Border,” held at several Aspirus locations, where Aspirus providers discussed reproductive health, menopause, incontinence and other pelvic health topics. Women who attended sampled “south of the border” refreshments and received an Aspiring Women gift of cranberry chipotle sauce. Most of the Aspiring Women events are free girls’ nights out that can be described as “health-u-tainment.” Girls’ nights out feature: ww Useful information on a specific health topic that is presented by a medical expert or experts. ww Tasty, healthy appetizers that relate to the evening’s health topic and recipes for many of the appetizers that are served. ww A small gift that also relates to the evening’s theme. In addition to hearing the presentation, women will have the opportunity to ask Aspirus medical experts questions and socialize with one another. Members of the Aspiring Women Team at an event in May. For you and about you Aspirus invites all area ladies to join Aspiring Women, which is the Aspirus partnership with Spirit of Women—a nationwide network of hospitals and health care systems that inspire health and wellness on a local level, primarily through education and entertainment for women. Aspiring Women is about serious information and a seriously good time. It’s about taking care of you—because you take care of everyone else. It’s about fun, educational girls’ nights out that inspire you to achieve a lifetime of wellness. It’s for you and about you. Aspiring Women is for women who aspire to lead healthier, happier, more active lives. It’s for women like you who want to share what you learn and experience with your family, your friends, and your community. SIGN UP TODAY! You can find Aspiring Women at any Aspirus Hospital. Membership is free, and members receive notice of upcoming events, free e-newsletters and other fun benefits. To join, visit www.aspirus.org/AspiringWomen. 8 aspire Fall 2016 Lesley Washatko, PA-C; Angela Buchman, PA-C; and Dennis McFadden, DO, OB-GYN, presented “South of Your Border,” the May event. Not pictured: Sue Bowman, APNP. What’s next for Aspiring Women? “Let’s Hear it for the Girls” will be the entertaining health education theme on Wednesday, Oct. 26, at North Star, Antigo. For details and to register, call the Aspirus Customer Contact Center at 800-847-4707. COMMUNITY HEALTH NEEDS ASSESSMENT Mental health in top 3 priorities EVERY three years, Aspirus Langlade Hospital conducts an assessment to identify the greatest health needs in Langlade County. After 10 months of research and review, the Langlade County Community Health Needs Assessment (CHNA) is complete. The 2016 CHNA used published state and federal quantitative health, quality-of-life research and demographic data. The research included a review of identified health indicators and health Seasonal affective disorder SAD? How light therapy can help Seasonal affective disorder (SAD) is a type of depression that’s related to seasonal changes in light. Sunlight helps regulate your internal biological clock. When there are changes in the amount of light you get, such as when days are shorter in the fall and winter, that clock gets out of balance, and levels of the sleep-related hormone melatonin can increase. This hormone may cause symptoms of depression. Both children and adults can get SAD. However, it usually develops between the ages of 18 and 30. Women are affected risk factors as reported by these sources. Data was also gathered locally from several sources, including interviews with 67 key informants (individuals and groups whose professional occupations offer key insights into local health needs) and input from a public survey that over 800 people residing in Langlade County completed online or mailed in. Much like the 2013 CHNA, the top health priorities will be collectively undertaken by many different at about three times the rate of men. Although SAD is typically considered a fall and winter disorder, in a small number of cases, symptoms may be triggered by the longer, brighter days of summer. Some people also experience symptoms during periods of overcast weather, regardless of the season. Shining a light A diagnosis of SAD is based on your symptoms and history. Symptoms typical of SAD must return every winter for three consecutive years and then completely disappear in the spring and summer. If you have SAD, getting more sunlight may make you feel better. It might be helpful to take walks outdoors or to place community sectors—such as law enforcement, schools, businesses, community groups and organizations, and public health and social services divisions—along with the hospital and clinics. The following health issues were identified as top priorities for the June 2016 assessment: ww Wellness and prevention and nutritional and physical activity. ww Substance abuse. ww Affordability of health care services and prescription medication costs. Mental and behavioral health issues were identified as a factor in each of the three health priorities above, with specific actions to address these issues outlined in each priority. Some examples of initiatives from the CHNA are The 100 Mile Club®, the WeekEnd Backpack Program and the White Lake Community Garden, just to name a few. Thank you to everyone who has participated in completing this year’s assessment. The full report will be available for the community on the Aspirus Langlade Hospital website, www.aspirus.org. Paper copies will also be available. yourself near a window. If your symptoms are particularly bothersome, light therapy may be recommended. This involves using special lighting while indoors. Therapeutic lighting is much more intense than standard lighting and has been shown to decrease levels of melatonin in the brain. Your doctor can help you decide how long to spend in this lighting and the best time of day to do so. For many people with SAD, light therapy is very effective. However, if it doesn’t work for you, your doctor may have other suggestions, including taking medicine for depression. Talk to your Aspirus provider. With proper treatment, SAD is manageable. Sources: Mental Health America; National Alliance on Mental Illness aspirus.org 9 Q & Ask the experts Q I have asthma, but I’m not having any symptoms. Why do I need to still take my asthma medicine? When your asthma is under control, taking medicine may be the last thing on your mind. But asthma is a disease that Kristine doesn’t go away. Flowers, MD That means it Family Medicine needs long-term Aspirus Antigo Clinic treatment to help keep it under control. Your doctor may ask you to take maintenance medications that help keep your lungs from getting inflamed and keep symptoms at bay. When you continue using them over time, those medicines may even help improve your lung function. The bottom line: Your asthma needs to be managed—even when you don’t have symptoms. If you stop, you run the risk of flare-ups that can make you feel bad or even put you in the hospital. Q What is the best way to treat a child’s fever? Some parents rush to treat a child’s fever, even when it’s relatively mild. But there are times when treatment is not needed. Christopher Fever is not an Strong, DO illness itself—it’s Family Medicine a symptom. And Antigo and Birnamwood a fever serves a purpose. Among other things, it can keep the germs causing the illness from growing or reproducing. For otherwise healthy kids, a fever typically poses no danger. With that in mind, parents don’t need to worry about treating all fevers. Instead, the main goal should be to keep the child comfortable. If your child is uncomfortable and you decide to use a fever reducer, opt for either ibuprofen or acetaminophen. Don’t use aspirin—it can trigger a potentially dangerous condition in children called Reye’s syndrome. ALL YOUR QUESTIONS ANSWERED To schedule a visit with Drs. Flowers, Strong or Myers in Antigo, please call 715-623-2351. For an appointment with Dr. Strong in Birnamwood, call 715-449-2539. 10 aspire Fall 2016 Q What should I know about prediabetes? At least three key things: 1) Prediabetes often has no symptoms. 2) If you’re diagnosed with it, you’re at high risk for type 2 diabetes, Randy Myers, MD heart disease and Internal Medicine stroke. 3) You can Aspirus Antigo Clinic help turn those risks around, however, by making some lifestyle changes. Prediabetes is frequently part of a larger problem called metabolic syndrome, which includes high blood pressure, obesity and high cholesterol. When you have prediabetes, the glucose (sugar) in your blood is higher than normal. But it’s not yet high enough to be considered diabetes. Prediabetes is a wake-up call: You need to take action now to reduce your risk of full-blown diabetes. That usually means, among other things: ww Losing some weight. Even a 5 to 10 percent drop in weight helps. ww Eating more fruits and vegetables. Doing so can help you eat fewer higher-calorie foods. ww Moving more. The goal is to do 30 to 60 minutes of exercise—such as walking—every day. ww Working with your doctor. Together, you can make changes to help prevent or delay diabetes. Community Health Foundation event nets more than $75,000 THE annual Spirits at the Lake fundraiser, held July 8 at Bass Lake Golf Course and Restaurant, kicked off with a sold-out 18-hole golf outing. Mother Nature decided rain and wind were part of the event (the golfers got a little wet), but the weather didn’t put a damper on the festivities. The event was held under a tent that was beautifully decorated by Laurie Packard and a group of volunteers. The event featured a Great Gatsby theme. Live music was provided by Hip Pocket. Guests enjoyed a spirits tasting provided by nine local craft brewers, wineries and liquor companies. Upon check-in, guests received a complimentary glass and tasting guide acknowledging all of the many local business sponsors, physicians and Aspirus Langlade Hospital vendor contributions. They also enjoyed a great 1920s-themed buffet of Waldorf salad, fried chicken, roast beef, baby red potatoes, and Merry’s Berries. Magnificent silent auction items and raffles filled the clubhouse. The volunteers and staff who made this year’s event a success deserve a big round of applause—the event raised over $75,000! The Community Health Foundation’s Mission is to identify needs, raise funds, and award grants to advance health care and the health and well-being of people in Antigo and neighboring communities served by Aspirus Langlade Hospital. Our vision is to be a vibrant community force that helps through collaboration to shape and improve the quality and availability of health care, right here at home. aspirus.org 11 Contact us Nonprofit Org. U.S. Postage Aspirus Langlade Hospital 715-623-2331 Marketing Department 715-623-9877 715-623-9455 Community Health Foundation 715-623-9557 PAID Madison, WI Permit No. 1184 112 E. Fifth Ave., Antigo, WI 54409 Visit us online at www.aspirus.org L ww If you did not receive this issue at your home address and would like one sent to you, please email [email protected]. It’s OK to provide occasional help—without actually doing the work. If your child struggles with daily assignments, be sure to mention this to the teacher. Getting there safely Is your child walking or biking to school? Don’t forget a helmet. Make sure your cyclist has a wellfitting helmet—and uses it every ride. Here’s a tip: If you let your child pick the helmet, it’s more likely to be worn. Review some rules of the road. Go over safety around traffic. For instance: ww Ride with the traffic, not against it, and stay as far to the right as possible. ww Stop at all stop signs and lights. ww Look drivers in the eye before crossing at crosswalks, to be sure they see you. And if your teen drives to school? Have a talk about safety, no texting while driving and the need to wear a seatbelt. School days Parents can help kids make the grade DOESN’T it seem like yesterday they were putting away their backpacks for the summer? And now your kiddos have filled them with notebooks and fresh pencils once again. From avoiding homework hassles to sports safety, here are some ways to help your kids have a successful school year. Hone homework skills According to the American Academy of Pediatrics (AAP), parents can help children learn good homework habits by designating a time and place and offering encouragement. Keep in mind: ww The area should be free of TV or distracting noises. It could be a desk or a well-lit kitchen table. ww Have your child help choose the homework time. Some study better right after school; others in the early evening. Or you might offer guidelines, such as homework before video games. Score with sports safety Schools often offer sports physicals. But you may want your child’s regular doctor to do a physical that covers his or her overall health as well. Beyond scheduling a physical, you can promote safe play and practices. Often, kids get hurt when they overdo it. Luckily, it’s possible to avoid many injuries with precautions. For instance: ww Make sure kids take at least one day off per week and one month off per year from a particular sport to give the body time to recover. ww Children should never play through pain. Be alert for any pain or swelling that a coach may not notice and your athlete may ignore. ww Limit the number of teams your child plays on in a single season, and don’t let your child play a single sport year-round. ww Make sure your youngster has proper safety equipment. Additional sources: American College of Emergency Physicians; American Academy of Child & Adolescent Psychiatry; U.S. National Library of Medicine; American Academy of Orthopaedic Surgeons.