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Questions for you ladies....
Most of us have fevers included in our sick policies, but how do you handle fevers from teething? I have a little one and she has a fever of 102. Called her mom and she questioned why I would call her because she gets fevers if she's teething.
In my opinion, a fever is a fever, plus I don't keep infant or children's Tylenol (or whatever brand) at my house as I mine are grown and don't use it.
How would you handle this?
I have this in my policy:
Notes About Teething
Teething can cause:
Increased drooling.
Restless or decreased sleeping due to gum discomfort.
Refusal of food due to soreness of the gum region.
Fussiness that comes and goes.
Bringing the hands to the mouth.
Mild rash around the mouth due to skin irritation secondary to excessive drooling.
Rubbing the cheek or ear region as a consequence of referred pain during eruption of the molars.
Teething has not been shown to cause the following:
Fever (especially over 101 degrees).
Diarrhea, runny nose and a cough.
Prolonged fussiness. (Meaning crying and irritability that outlasts new the new tooth/teeth coming in)
Rashes on the body.
Yeah, try telling that to a parent that insists it's true, lol.
She does have signs that she is teething, but I don't feel comfortable keeping her while she has a fever.
I send home regardless of the reason if the fever is not low grade.
I really don't see how a body can have a fever from teething. The body has a fever to fight off illness/germs/disease kinda thing. Teething would not cause that reaction in a body. They are just unrelated.
A fever is a fever and regardless of parent view, unless they doctor, they only presuming temp is caused by teething. I had little girl her Christmas who mom keep saying it from teething and then I find out that whole family off sick with stomach flu. I asked her since both teenager home with vomiting and diarrhea, and her husband also home with same, that her first logical explaination for fever was teething not stomach flu which knock rest of family on their butt.
I do not get into why there is a fever with parent. Some will lie and say teething like we idiot. Some will be in denial and say teething as it more convenient. Here if they have fever, they go home.
I also have that I have final say in if child fit enough to attend. They must be able fully participate and they must be symptom free for at least 24 hour without use of meds, before they return. I not give any over counter meds, ever. Unless it been prescribed by doctor, with clear instruction from pharmacist on label with child's name and doctor's name, they not get meds here. It insurance liability otherwise. If someone think I need give their child meds which generally for fever, pain, to make it through whole day, then it clear that child not well enough to participate and need be home.
I've read articles that say teething may cause fevers and read others that say they don't. From experience, I have found both to be true and it seems to just vary from child to child. Some get a fever and some don't. One thing I've never noticed (but not saying it's not true) is if teething fevers spread.
HOWEVER, a fever is a fever and I don't allow them to stay if they have one. This is outlined in the sick policy and the parents know this before starting with me. If they questioned it, I'd just refer them to the sick policy and remind them that they agreed to these terms.
A sick child needs to be at home resting and getting medication or doing home remedies to get the fever down anyways IMO.
I know it may sound weird. But both my kids got high fevers when teething. One day they wake with a fever I'd think flu or cold then two days later out comes the tooth and fever gone. Every single time a new tooth came. Weird. But as a provider I don't keep kids with fevers regardless if it's teeth or not.
Where did you get this information from? It just isn't true.Quote:
Originally Posted by dodge__driver11
A fever is the bodies response to multiple things, most commonly infection, but at the root of everything is inflammation. When someone has an infection their body is in a state of inflammation.
Teething is inflammation so that is why so many children get a fever. It can make some kids really ill. Also the no cough, is BS. My nephew had croup every single time he cut a tooth and the hospital paediatrician said that it is common for children's respitory system to be effected.
It is okay to have in a contract that regardless of cause of fever, child is not welcome in daycare, I have that clause because you never can be certain, especially as a none medical professional, but to deny those symptoms as legitimate is not okay in my opinion. While it may not be common place, or what is heard of most, they still do occur more often than you know. My daughter didn't flinch when she was teething no pain, no drooling, no fever, but she would have horrific diarrhea until it cut through every time. It's still as a result of a body in an inflammatory state. The body reacts in ways that us none medically trained folks can not begin to understand. I only know this because I see a specialist for inflammation and because of my families experience. But I'm not about to tell someone that their explanation of their child's fever as teething to be wrong, just that simply that we can't be certain and that my policy requires child to be excluded from daycare until 24 hour clear.
Hmm, not the info I got. I will ask questions and see. I send home if the fever is not low grade.
Everything you described in your policy sounds a lot like the Baby Center article here:Quote:
Originally Posted by dodge__driver11
http://www.babycenter.com/0_teething_11403.bc
I also am a firm believer that teething does not cause significant fevers or diarrhea.
But regardless, as providers, we exclude for the symptoms, not the cause.
It doesn't matter what is causing the fever. Child is not well and needs to go home.
Yes the child with a fever needs to go home as too hard to deal with a sick kid- sometimes hard to deal with when they are fine without having a fever too:)
I send home at 101 regardless, or a lower grade fever with lethargy or inability to participate in the program. Teething fevers are not generally 102 degress, more of a lower grade fever.
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