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Nurse's Notes

Welcome!  Watch here for health news affecting the Lesterville R-IV School District.

May is don't burn month.  Here are a few tips and information regarding sunburn and prevention.

Have a fun and safe summer see you in August!

Sunburn can happen within 15 minutes of being in the sun, but the redness and discomfort may not be noticed for a few hours. Repeated sunburns can lead toskin cancer. Unprotected sun exposure is even more dangerous for kids who have many moles or freckles, very fairskin and hair, or a family history of skin cancer.

Signs and Symptoms


  • skin redness and warmth
  • pain
  • itchiness


  • skin redness and blistering
  • pain and tingling
  • swelling
  • headache
  • nausea
  • feverand chills
  • dizziness

What to Do

  • Remove your child from the sun right away.
  • Place your child in a cool (not cold) shower or bath — or apply cool compresses as often as needed.
  • Give extra fluids for the next 2 to 3 days.
  • Give your childibuprofenoracetaminophenas directed, if needed, to relieve pain.
  • Use moisturizing creams or aloe gel to provide comfort.
  • When going outside, all sunburned areas should be fully covered to protect the skin from the sun until healed.

Seek Emergency Medical Care


  • a sunburn forms blisters or is extremely painful
  • your child has facial swelling from a sunburn
  • a sunburn covers a large area
  • your child has fever or chills after getting sunburned
  • your child has a headache, confusion, or a feeling of faintness
  • you see signs ofdehydration(increased thirst or dry eyes and mouth)

Think Prevention!

  • Minimize kids'summer sun exposurebetween 10 a.m. and 4 p.m.
  • Have kids wear protective clothing, sunglasses, and a hat.
  • Apply sunscreen that provides UVB and UVA protection with a sun protection factor (SPF) of at least 15.
  • Apply sunscreen 15 to 30 minutesbefore sun exposureand 30 minutes after exposure begins, then reapply after kids have been swimming or sweating.
  • Although the best way to protect babies 6 months of age or younger is to keep them shaded, you can use minimal amounts of sunscreen (with an SPF of at least 15) on small exposed areas, like the face.


Action Steps for Sun Protection:☀
While some exposure to sunlight can be enjoyable, too much can be dangerous.
Overexposure to ultraviolet (UV) radiation in sunlight can result in a painful sunburn. It can also lead to more serious health effects, including skin cancer, premature aging of the skin, and other skin problems; cataracts and other eye damage; and immune system suppression. Children particularly need sun protection education, since unprotected exposure to the sun during youth puts them at an increased lifetime risk for skin cancer.

Be Sun Wise: Most people are not aware that skin cancer, while largely preventable, is the most common form of cancer in the United States, with more than 3.5 million cases diagnosed each year.   By following a number of simple steps, you can still enjoy your time in the sun while protecting yourself from overexposure. In cooperation with a number of leading public health organizations, the U.S. Environmental Protection Agency (EPA) is providing these action steps to help you and your family be “Sun Wise.” Other than staying indoors, no single step can fully protect you from overexposure to UV radiation, so use as many of the following actions as possible.

Do Not Burn :Overexposure to the sun is the most preventable risk factor for skin cancer.

BMI is an important tool to identify childhood obesity.

Are you worried that you child could be overweight? Nearly 1 in 3 kids or teens in the U.S. are overweight or obese, nearly three times the number in 1963. Carrying extra weight as a child or teenager can pose significant health risks, both during childhood and into adulthood.

Maintaining a healthy weight during childhood is especially important for heart health.

Research shows that nearly 60 percent of overweight children age 5 to 17 had at least one risk factor for cardiovascular disease and 25 percent had two or more. And obese kids have an 80 percent chance of staying obese their entire lives.

But heart disease, often caused by high blood pressure and/or high cholesterol, isn’t the only health risk. Childhood obesity may also lead to significant health problems, including: 

What is BMI?

Body Mass Index is calculated using weight and height measurements and is an indicator of body fatness. It is not a direct measurement of fat, but research has shown that BMI measurements correlate to direct measurement. It’s an inexpensive and easy-to-perform way to screen for possible weight issues that may lead to health problems. BMI is measured differently in adults than in children, so it is important to use the proper calculator to find out yours and your child’s separately.

BMI is not used to diagnose health issues, but it can be an early screening tool. Your health care provider may use additional information, such as family history, information about diet and exercise or a measurement of skinfold thickness or other tests to determine whether excess fat is a problem.

You can find your child’s BMI by entering his or her height and weight into this online BMI calculator for children and teens from the CDC. (Link opens in new window.)

What does my child’s BMI mean?

For children and teens, BMI is evaluated using age- and gender-specific charts that take into account the different growth patterns for gender. Weight and the amount of fat in the body differ for boys and girls and those levels change as they grow taller and older.

These charts help health care providers determine how a child’s particular BMI reading compares to the readings of other U.S. children his or her age. The group is divided into percentiles that reflect whether a child is at a healthy weight, underweight, overweight or obese./p>

Children over age 2, or teens whose BMI is:

  • Less than the 5th percentile are considered underweight.
  • Between the 5th percentile and less than the 85th percentile are at a healthy weight.
  • In the 85th percentile to less than the 95th percentile are considered overweight.
  • Equal to, or greater than the 95th percentile are considered obese.

Learn more:

This content was last reviewed on 09/05/2013.

I thought this was an article that maybe of interest since we are doing spring height and weight this month.

Nurse Melanie

February is Dental month. We have had some classroom presentations on good dental care with Mr. Handsome mouth and Mr. Snaggle tooth.  I found this information to be interesting.  I hope you do too!

Nurse Melanie

* Reduce your children’s risk of tooth decay: - Sugary foods and drinks should be consumed with meals. Saliva production increases during meals and helps neutralize acid production and rinse food particles from the mouth. - Limit between-meal snacks. If kids crave a snack, offer them nutritious foods. - If your kids chew gum, make it sugarless – Chewing sugarless gum after eating can increase saliva flow and help wash out food and decay-producing acid. - Monitor beverage consumption – Instead of soft drinks all day, children should also choose water and low-fat milk. - Help your children develop good brushing and flossing habits. - Schedule regular dental visits.

Mouth guards: Sports equipment that protects the smile It’s easy to take some things for granted until they’re suddenly gone. Have you ever thought about how it would feel if you lost one or two of your front teeth? You’d probably avoid smiling. It would be uncomfortable talking with someone face-to-face. It wouldn’t be easy pronouncing certain words. And how about eating an apple? Until your teeth are gone, you might not miss them. Each year, thousands of teens get hurt on the playing field, the basketball court, or while skateboarding, biking or during other activities. Blows to the face in nearly every sport can injure your teeth, lips, cheeks and tongue. A properly fitted mouth guard, or mouth protector, is an important piece of athletic gear that can protect your teeth and smile. You may have seen them used in contact sports, such as football, boxing, and ice hockey. However, you don’t have to be on the football field to benefit from a mouth guard. New findings in sports dentistry show that even in non-contact sports such as gymnastics, rollerblading, and field hockey, mouth guards help protect teeth. Many experts recommend that a mouth guard be worn for any recreational activity that poses a risk of injury to the mouth. There are three types of mouth guards: The ready-made, or stock, mouth guard; the mouthformed ―boil and bite‖ mouth guard; and the custom-made mouth guard made by your dentist. All three mouth guards provide protection but vary in comfort and cost

* An oral piercing can interfere with speech, chewing or swallowing. That may seem like a mere inconvenience until you consider that it may also cause: - Excessive drooling (something you won’t see in hip fashion magazines!) - Infection, pain and swelling - Chipped or cracked teeth - Injuries to the gums - Damage to fillings - Increased saliva flow - Hypersensitivity to metals - Scar tissue - Nerve damage These harmful effects can happen during the piercing, soon after, or even long after the procedure. An infection can quickly become life threatening if it’s not treated promptly. 

When to Keep Your Child Home from School


If your child is not feeling well, your physician is the best person to consult about whether she can go to school. Common sense, con­cern for your child's well-being, and the possibility of infecting classmates should all contribute to the decision about whether your child should stay home.

As general guidelines, keep her home if:

  1. she has a fever
  2. she is not well enough to participate in class
  3. you think she may be contagious to other children

If your child has been ill but is feeling better, yet has still awak­ened with a minor problem, such as a runny nose or slight head­ache, you can send her to school if none of the three circumstances listed above is present. Even so, make sure the school and your child have a phone number where you can be reached during the day if more serious symptoms develop and she needs to return home.

Hygiene Strategies

When your child or another family member has acoldor cough, there are extremely important steps in addition to frequenthand washingthat can lower the risk of spreading the infection to others. Some experts call these strategies respiratory hygiene, and they can be very effective if followed carefully. For example, to keep your sick child from blowing secretions into the air, where they can land on other people or on toys and other objects:

  • Encourage her to cough or sneeze into a tissue or, if a tissue isn’t available, onto her sleeve.
  • Discourage your child from covering her mouth with her hands while coughing or sneezing because this will leave germs on the hands that can be spread by touching other people or objects. Most often, germs are spread by the hands, not through the air.
  • Throw away tissues immediately after each use, putting them in a nearby wastebasket or other container.
  • Once your child is old enough, teach her how to blow her nose into a tissue.
  • Don’t allow your child to sharepacifiers, drinking cups, eating utensils, towels, or toothbrusheswhether she is sick.

Just some up dated information to help in your fight against Cold and Flu Season!


Most people who get influenza will recover in a few days to less than two weeks.  The flu is showing high activity in Missouri at this time.  I have listed the signs and symptoms of the flu vs a cold.  If you child is showing symptoms of the flu they need to stay home, rest, drink plenty of fluids and call your doctor.  He maybe able to give you medications to shorten the severity of the symptoms.  Please keep your child home until they are fever free with out medication for 24 hours.

Flu vs Cold

Signs and SymptomsInfluenzaCold
Symptom onset Abrupt Gradual
Fever Usual; lasts 3-4 days Rare
Aches Usual; often severe Slight
Chills Fairly common Uncommon
Fatigue, weakness Usual Sometimes
Sneezing Sometimes Common
Stuffy nose Sometimes Common
Sore throat Sometimes Common
Chest discomfort, cough Common; can be severe Mild to moderate; hacking cough
Headache Common


I hope you find this information helpful and your and your family avoids the flu season this year!


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33415 Hwy. 21
P. O. Box 120
Lesterville, MO 63654

Phone Numbers

Main Campus Numbers:

Main: (573) 637-2201
Main Fax: (573) 637-2279

Ranch Numbers:

Phone 573-269-4207
Fax 573-269-4277

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525 CR 816
P O Box 127
Black, MO 63625