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Signs and symptoms
*Ear pain
*Headache
*Fever of 100 F or higher
*Drainage of fluid from the ear
*Difficulty in/while sleeping
*Loss of appetite
*Crying more then usual
*Diffuculty hearing or loss of sounds
*Tugging or pulling of the ear

Practitioners response
*Check the child's temperature
*Notify designated first aider
*Check child's medical history or records
*Inform child's care giver the child may need to go home for the childs best interest and also infection control
*Comfort the child
*Depending on the settings policy on administering medication, administer suitable amount of pain relief paracetamol or ibuprofen.
*Provide fluid for the child to drink.

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Middle ear infection in children | Health Information | Bupa UK

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Need to know more about acute middle ear infection in children? Visit bupa.co.uk where you will find numerous, easy-to-understand resources.

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One of the most common first signs of a cold is a general feeling of being unwell. If a child has a cold they may seem irritable and not their usual energetic selves. As the cold progresses the child may develop some of the following symptoms.
Runny or blocked nose.
* Sneezing
*Coughing
*A sore throat
* Tredness
* Headaches, body aches and pains

How to respond?
*check the child temperture
* offer the child plenty of water
* ensure they have rest
*keep an eye on the child
* Then report to the school management.

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If a child has diarrhoea and sikness in the setting:
Symptoms:
*  Abdominal pain
* Urgent need to have a bowel moviment or loss of boewl control.
* Bloood, mucous, or in your bowel moviment.
* weigh loss
* Anal irritation and inflammation

Signs:

Response:

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sign and symptoms and respond
The medical mean for chiken pox is varicella because it is cause by variclla zosder (vz) virous .It is higly infection diseases which means it's easy to catch frome someone who already has chicken pox.
SYMPTOMS OF CHIKEN POX
Feeling sick  tired and sluggish
little on appitite
Headache
Sorethroat
Decreased appetite

Muscle and/or joint pain

Cough or runny nose
Withen a day or 2, you will devlope the telltale checkenpox rash.It unfolds in three phases.
During the first  phase  you will develop itchy ,raised ,pink or red bumps.
Treatment
1. conterol them scratching.
2. Cut their nails  short .
3 .Apply calamine lotion.
4.Give oatmea bath and give them frequent bath.
5.Give them soft and bland food
6. Wearing comfortable clothes
7. Good rest .
What is our responses
1. keep on eyes
2.let  them rest
3.call the parent

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symptoms:
* Fever.
* Sore throat.
* Painful, red, blister-like lesions on the tongue, gums and inside of the cheeks.
* A red rash, without itching but sometimes with blistering, on the palms, soles and sometimes the buttlocks.
" Irritability in infants and toddlers.
Signs:
one sign the child may have is a cough, running nose and hot body temperature from having a fever. Another sign is if they have a sore throat they may have a hard time swallowing their food so they might bring it back up. You may also notice their body color changing with red marks or bumps. Lastly the child may cry, sleep alot and not want to participate in class from irritability of being ill.

Response:
* As practitioner's we will record and report that they are ill to the first aider and their parents. We will also remove them from the other children so they do not become ill as well. Then we will make sure they are ok by comforting and keeping an eye on them. We will get consent from parents in regards to giving them any medication. Moreover, we will inform parents that they will need to go home and take them to the gp until they are well.
A link for more information about this illness:

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your symptoms or your child's symptoms do not improve after 7 to 10 days

you or your child has a very high temperature, or feels hot and shivery

you're worried about your child's symptoms

your child is dehydrated - they're not peeing as often as usual

you're pregnant and get hand, foot and mouth disease

Hand, foot and mouth disease can be spread to other people.

Check with your GP surgery before going. They may suggest a phone consultation.

Coronavirus (COVID-19) update: how to contact a GP

It's still important to get help from a GP if you need it. To contact your GP surgery:
Find out about using the NHS during COVID-19

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your symptoms or your child's symptoms do not improve after 7 to 10 days you or your child has a very high temperature, or feels hot and shivery you're worried about your child's symptoms your child is dehydrated - they're not peeing as often as usual you're pregnant and get hand, foot and mouth disease Hand, foot and mouth disease can be spread to other people.

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SIGNS & SIMPTOMS
Fever , cold hands and feet
Vomiting
Drowsy, difficult to wake.
Confusion and  irritability.
Severe muscle pain.
Pale, blotchy skin. spots/ rash
Severe headache.
Stiff neck .
HOW TO RESPOND.
Babies and yound children are particularly vulnerable to meningitis as they cannot easily fight infection because their immune system is not fully developed. In nursery setting we need to seek medical advised from the first aider in the setting and inform the parents or carer to come and collect the child immediately to be taken to see the GP or go to the hospital . The rash usually starts as small, red pinpricks before spreading quickly and turning into red or purple blotches. It doesn't fade if you press the side of a clear glass firmly against the skin. If a rash doesn't fade under a glass, it's a sign of blood poisoning (septicaemia) caused by meningitis and you should get medical advice right away.

The rash can be harder to see on dark skin. Check for spots on paler areas like the palms of the hands, soles of the feet, the tummy, inside the eyelids, and the roof of the mouth.

we need to bring the child in a comfortable place to make the child free more relax and to prevent spreading infection to other children or adult in the setting also make sure we do not give the child anything to eat this can upset them more . We should keep an eye on the child until the parent/ carer collect the child.

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Symptoms of meningitis can appear in any order. Some may not appear at all. In the early stages, there may not be a rash, or the rash may fade when pressure is applied.
You should get medical help immediately if you're concerned about yourself or your child.

Trust your instincts and do not wait for all the symptoms to appear or until a rash develops.

Symptoms of meningitis and sepsis include:

a high temperature

cold hands and feet

vomiting

confusion

breathing quickly

muscle and joint pain

pale, mottled or blotchy skin (this may be harder to see on brown or black skin)

spots or a rash (this may be harder to see on brown or black skin)

headache

a stiff neck

a dislike of bright lights

being very sleepy or difficult to wake

fits (seizures)

Babies may also:

refuse feeds

be irritable

have a high-pitched cry

have a stiff body or be floppy or unresponsive

have a bulging soft spot on the top of their head

Someone with meningitis or sepsis can get a lot worse very quickly.

Call 999 for an ambulance or go to your nearest A&E immediately if you think you or someone you look after could have meningitis or sepsis.

Call NHS 111 for advice if you're not sure if it's anything serious.

If you've had medical advice and are still worried or any symptoms get worse, get medical help again.

Meningitis rash

If a rash does not fade under a glass, it can be a sign of sepsis (sometimes called septicaemia or blood poisoning) caused by meningitis and you should call 999 straight away.

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Page last reviewed: 25 October 2022
Next review due: 25 October 2025

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Read about the main symptoms of meningitis, including the meningitis rash, and find out when and where to get medical advice if you have any concerns.