Childcare schedule: Toddler’s Sample Schedule | KinderCare

Опубликовано: July 5, 2021 в 11:12 am

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Toddler’s Sample Schedule | KinderCare

Toddlers are ready to learn how to follow a daily rhythm with their class! At each center, our incredible teachers create a schedule that works for their room. See below for a general example. 


Morning


Afternoon


Morning


Arrival and breakfast


Open – 9:00 a.m.


It’s so nice to see everyone this morning! As children arrive, they are welcomed by smiling teachers. They can eat breakfast and play quietly while they wait for their friends to arrive.


Morning snack


9:00 a. m. – 9:15 a.m.


If your toddler didn’t eat breakfast with us, it’s time to have a quick healthy snack before we begin our day.


Group time


9:15 a.m. – 9:30 a.m.


The start to our day is when we come together as a group to welcome each other and talk briefly about the day’s planned events. We will also do things like read a book out loud or sing a song!


Activity centers


9:30 a. m. – 10:10 a.m.


Activity centers are an important part of our classrooms. This is where kids can play and explore on their own, or work together on a theme-related activity led by a teacher.


Outdoor play


10:10 a.m. – 10:40 a.m.


It’s time to go outside! Mostly little ones play on their own, using their imaginations. Outdoor time can also be part of our daily themed activity.


Lunch


10:40 a. m. – 11:10 a.m.


Time to wash our hands, help set tables, and get ready to eat lunch!


Afternoon


Rest time


11:50 a.m. – 1:50 p.m.


Ssshh … it’s quiet time. Most children will nap, but if they wake up (or if they never quite get to sleep), they can select different quiet activities, such as looking at books.


Afternoon snack


1:50 p. m. – 2:05 p.m.


They’ll have a nutritious snack like apples and seed butter.


Activity centers


2:05 p.m. – 2:45 p.m.


Kids come back to activity centers to play and explore on their own or do a theme-related activity led by a teacher.


Outdoor play


2:45 p.m. – 3:15 p.m.


It’s time to go outside again! They might play on their own or participate in a group activity.


Focus activity


3:15 p.m. – 3:45 p.m.


The classroom comes together to do a group activity! This can happen either inside or outside the classroom.


Group time


3:45 p.m. – 4:00 p.m.


Every afternoon, we gather as a group to talk about the day’s events as well as any special events planned for the following day. Other activities could include a read-aloud or a song.


Activity centers and pick-up


4:00 p.m. – Close


It’s time for pick-up! After a busy day together, children are given the space and time to explore and play in the activity centers on their own.


Return to the Toddler Program Page



Daycare Daily Schedule (with free printable schedule)

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Daily routines in your daycare daily schedule are one of the most important things you’ll do to make your days successful when running a home daycare.

Check out this super easy way to plan your schedule and even get a free printable version of what’s worked for me for 23 years of home daycare. There is nothing more important than a daily schedule for kids.

Having routines in home daycare has many benefits. The first one is, it makes sure you get all of the things into the day that are required. When planning your home daycare schedule, start with your meals first.

What are your requirements for feeding the kids? For me, they must be fed every three hours if they are awake. Click here to see how routines benefit kids.

For more tips for daycare providers, click here. 

Toddler daycare schedule

Over the years of trying out different snack times, I have found that if I feed a morning snack, the kids don’t eat well at lunch and we waste a lot of food, so I just do snacks in the afternoon in my daycare schedule for toddlers and preschoolers.

My food program requires that if I say my lunch is at 11:30, I must be feeding the kids NO EARLIER than 11:15 and NO LATER than 11:45. This doesn’t mean the meal has to fit in those times, it just means you have to begin serving between those times or the meal is not creditable.

Daycare daily schedule

I have kids that come in at all hours of the morning. Different parents have different jobs and start at different times. I noticed that most people dropped their kids off by 8:15 or so, so I made my breakfast serving time at 8:30. It’s hard to serve the kids a meal and having to keep running to the door and greet other kids. This daycare daily schedule works best for me.

I eat with my kids so I can keep an eye on them while they eat. It’s important for safety. I want to make sure no one chokes or throws their food on the floor or at each other. Sitting down with the kids at every meal if possible helps me model behavior for table manners and eating habits.

Kids are watching everything you do. I take vitamins every morning with breakfast and every day when I do, this certain little boy will act like he’s doing it too. It’s so cute, but it also reminds me that I am teaching with every action.

If I’m serving breakfast at 8:30, then the latest I can serve lunch is 11:30, so that’s a given on my home daycare schedule. Next, I have to figure out afternoon snack time.

That depends on nap. I don’t like to feed my kids and put them straight to bed, so after we clean up our lunch, we have quiet stories and songs.

We usually finish lunch around 12 and get cleaned up and start stories by around 12:15, so if we sing and snuggle for 20 minutes, that puts the start of nap around 12:35 or 12:40. The kids are usually all asleep by 1. I let them sleep for about two hours and wake them up at 3. Their snack is ready for them when they get up and put their beds away.

Click here to see how to make lesson planning easier. 

Daycare schedule

Meals are 8:30, 11:30 and 3, and nap is from 1-3, that is the main structure for our day. We are required to read to the kids for 15 minutes a day in home daycare, and that is met during our quiet snuggle time before nap, so that covers all the requirements except for outside play, active play (which can be the same) and potty/diapering times.

First, we wash hands before each meal and when we come in from outside play. Then we potty and change diapers before we go outside, when we get back in, before nap, and after nap and obviously whenever else it’s needed. If kids have mastered the potty, they just go whenever they need to and I change poopy diapers as soon as I know they have pooped.

Outside time is planned for right after breakfast if it’s hot out and right before lunch if it’s cold out and when the weather is nice for a few weeks in fall and spring, it’s usually from breakfast to lunch if possible. Our free time is spent outside as much as possible. Before breakfast and after nap we are watching for parents, so we don’t get to go outside then.

Each day, we have a planned activity in our daycare daily schedule. Those are different at different times, but during the school year, we do “school” on Mondays, science on Tuesdays, free art and music on Wednesdays, and planned art of Thursdays. Friday is fun day and we have more free play.

School activities are learning how to spell our names, phone numbers, practicing writing or using scissors and other skills we will need for school.

Science could be anything from looking at bugs, studying flowers, planting a seed, playing with magnets, learning anything that has to do with science.

Free art is just having paper and some art medium and letting the kids make whatever they want. Music is loud music of the kid’s choice with instruments to play.

Planned art could be color sheets if the kids choose, crafts, clay, whatever I come up with that goes with the theme we are doing. Don’t forget, when planning your schedule to allow for busy, loud times as well as quiet, relaxing times. All of one or the other isn’t good for anyone.

Daycare schedule template

Our daycare daily schedule, and it’s worked great for me with very few changes for 23 years is as follows:

  • 7:00 open, free play
  • 8:30 breakfast
  • 9:00 clean up, potty, during hot weather, we go outside at 9. During cool weather, we have activities at 9.
  • 10:00 clean up, potty, during hot weather, we have activities at 10. During cool weather, we go outside at 10.
  • 11:00 clean up, potty, watch part of a movie or play with special toys (each week they get to choose a tote of special toys we use all week) while I make lunch.
  • 11:30 lunch
  • 12:00 clean up, potty
  • 12:15 story time, singing, finger plays, snuggling
  • 12:45 get ready for bed
  • 1:00 nap
  • 3:00 snack
  • 3:30 clean up, potty
  • 3:45 free play until time to go home (sometimes we have activities such as playdough,         puzzles or coloring during this time as well, it depends on what the kids want to                do.)

For a free printable daycare schedule template, click below:

  • Printable version of my schedule: Home Daycare Schedule
  • Printable version of blank sample home daycare schedule template you can fill out: Schedule

The second reason schedules and routines help make family childcare a success is because it helps kids (and teachers) know what’s coming next. Knowing what’s coming in your day helps everyone feel confident and more secure.

If you or your children suffer from anxiety, this can help transition immensely. Once children get used to the rhythm of your day, it will go smoothly for the most part. Everyone has bad days on occasion, of course.

Home daycare schedule

Knowing what comes next helps kids develop their sense of self and confidence. They can help with the transition and will even begin reminding you what it’s time for. Kids will learn the ebbs and flows of the day from your daycare daily schedule.

A daily schedule for kids also helps them when they begin attending school. They will know there is an order to the day and it will help their transition go more smoothly.

Free Daycare Daily Schedule Samples, Templates & Guide

Need help creating a daycare daily schedule? You’re not the only one.

Keeping up with the demands of a daycare center can be tough. Juggling a hundred things at once, manning the phones, attending open houses, handling bills and keeping parents’ best interests in mind. On top of the multiple hats directors may wear, adding daycare daily schedules to the task list can seem daunting. But creating a daily schedule is important in running a successful daycare center. Our daily schedule templates make it easy to manage the kids’ time while keeping everyone happy. If they know they have time to play, they can focus on knowing their responsibilities.

Not to mention, creating a daily schedule will help the children in every daycare to know what they have to do every day and even get used to it. This helps them become responsible and disciplined individuals which they can use in their growing years or when pursuing higher education.
If you want to save some time on creating a schedule, download one of our free daycare templates. We have a variety of themes and templates available. You can choose which works best for your daycare business.
Table of Contents:

    • Why You Need a Daycare Daily Schedule
    • Why Use a Daycare Schedule Template
      • Download Our Free Daycare Schedule Templates
    • Maintaining Regulation with a Daycare Daily Schedule
    • Free Sample Daycare Schedules for Inspiration
      • Indoor Daily Schedule (For Rainy Days or Cold Weather)
      • Outdoor Daily Schedule
      • General Daily Schedule
      • Sample Daycare Schedule for Toddlers
      • Daily Schedule for Infants
      • Daily Schedule for Preschoolers
  • Tips for Creating Developmentally Appropriate Daily Schedules
  • A Simple Trick Daycare Directors Use to Free Up Time

Why You Need a Daycare Daily Schedule

In preschool classrooms, the relationships between children and their teachers are of great importance. By keeping to a schedule, there is organization and order. This helps the children feel secure and comfortable. Most schedules give children choices, balanced and planned activities (small vs. large groups, quiet times vs. active times, teacher-directed vs. Child-directed), individualized activities, and the opportunity to play with peers. Other important reasons to have schedules are:

Maximizes Learning

Studies show that children learn differently than adults and have different daily needs than adults have. They need a flexible, balanced routine to maximize their learning through play.

Provide Comfort

Establishing consistency in daily routines with your child will greatly aid in their upbringing. This is because it helps them stay on task and lets them know that rules and expectations are not arbitrary but are required for their benefit.

Children thrive in the structure and consistency of routine. While some disruptions are inevitable, we have an extensive schedule to ensure that daily routines are not interrupted and that children remain happy and healthy.

Why Use a Daycare Schedule Template

It may be tempting to wing your daycare lessons plans, but it can be incredibly beneficial to schedule them in advance. Daycare daily schedules help you keep track of your activities and stay organized, giving you more time to focus on the things that matter. Here are a few reasons why they can be useful:

Preparation: By organizing a daycare activity schedule, you will spend less time running to the store for supplies and more time playing fun games.

Incorporating Key Learning: One key to preserving your sanity is making a daily plan that incorporates activities that cover the essential skill areas. For example, dramatic play enhances social skills, while finger painting promotes fine motor skill development.

Establish Consistency: Alignment with the routines of a preschool classroom can make your child’s transition into your center easier. Naps and meals should be scheduled at the same time every day.

Happier Families: Families adore getting a sneak peek at the day of their child’s class. If you post what is going on, they can be more involved in their child’s education… and you can save yourself from fielding frustrating calls from angry and exhausted parents.

Lower Employee Turnover Rate: It’s simple. Having a daily schedule at your daycare center will reduce staff turnover, increase job satisfaction and make it easier to follow the daily routine.

Download Our Free Daycare Schedule Template

Planning, building and designing a daycare daily schedule takes time, which you and your staff are short on. Avoid the stress of starting from scratch. Check out these daycare schedule templates our team built to simplify the task for you.

Maintaining Regulation with a Daycare Daily Schedule

Daycare regulations and licensing are a bit of a mystery for most owners and the parents who depend on them. But whether your center runs on program hours or operates as a family daycare, staying in compliance is critical to creating a safe and stable learning environment for children. By using a daycare schedule, you’re ensuring your center stays up to date on codes and licensing depending on the age group. An example is making sure enough supervised potty breaks are planned for children under 3 and making sure you have enough staff to supervise. Here are examples of how to plan ahead to make sure you’re hitting childcare regulations:

  • Schedule 2 staff on site when 1 or more children are present
  • Schedule at least 1 staff member to be present with 1st aid/CPR training at all operating hours.
  • Schedule 1 staff member who is certified in administration of meds whenever a child is present who requires medicine
  • Staffing ratios must be maintained at all times, including nap time.
  • Maintain compliance with your local health department by planning snacks & meals ahead of time.
  • Plan physical outdoor & indoor activities daily.
  • Be sure to include emotional/social learning time.
  • And many more need to be included in your daily schedule to maintain regulation.

Free Sample Daycare Schedules for Inspiration

Brainstorming daily schedules is a process, especially when you need one for a variety of situations. But don’t worry. Our team has built a half-dozen daycare daily schedule samples that will simplify the process, including a sample daycare schedule for toddlers.

Indoor Daily Schedule (For Rainy Days or Cold Weather)

Stormy weather doesn’t have to stop the fun. Even if your outdoor plans have been canceled, you can still find plenty of fun rainy-day activities to do at home.

When creating your daycare schedule, keep this list of what to do on a rainy day in your pocket for the next drizzly (or snowy) afternoon—it has plenty of inspiration, from relaxing self-care ideas to games to play with the kids.

Here are fun ways to keep the kids active on rainy days to incorporate in your daycare daily schedule.

Obstacle Course:

It’s raining outside! The kids are getting antsy. What do you do? Create an indoor obstacle course and get the little ones moving! Clear the furniture from the center of the room and lay down a big, thick blanket. Practice physical activities like running, hopping, jumping, flipping and crawling. This is a fun way to work on gross motor skills.

Freeze Dance or Musical Chairs:

The Freeze is the only dance move where the steps are simple-just freeze when the music stops and wait for the next song. Play a variety of music to keep things interesting and encourage everyone to add their own flare.

Scavenger Hunt:

Get the kids’ blood flowing and your mind thinking by creating a scavenger hunt. Grab a clipboard, a pen and get up on your hands and knees! Look around your daycare for items that represent the theme and make notes. Hunt for color combos, shapes or pattern match ups. This is a fun activity for any age!

Arts & Crafts:

Add some arts and crafts to your daycare daily schedule to keep their minds occupied. Use materials like craft sticks and buttons to create geometric shapes and bold patterns, or let their creativity go wild and let them create self-portraits with mixed media. Here’s a sample daycare schedule for rainy or cold weather days to get your creativity flowing.

8:00 am Free Play
8:30 am Crafts
9:30 am Snacks
10:00 am Build
10:30 am Clean up
11:00 am Active Play
12:00 pm Lunch Time
12:30 pm Wind Down
1:00 pm Naptime
3:00 pm Wake Up
3:30 pm Snack
4:00 pm Independent Play & Pick up

Outdoor Daily Schedule

To provide optimal health for children, they should engage in physical activities for at least an hour a day. This should come from a combination of active play and organized sports. Playground time is also key for developing social skills like taking turns and conflict resolution.

For health and safety reasons, it’s also beneficial to take lessons outside. Outside time allows children to use what they’ve learned along with their natural curiosity, to explore their surroundings and make connections between what they are learning, how they feel and what they experience. Think about how you could do indoor activities outdoors and adding in an outdoor daily schedule. Check out our sample daycare schedule below for inspiration.

7:00 am Check-in
8:30 am Free Play Indoors Until Everyone Arrives
9:00 am Outside Painting
10:00 am Clean Up
10:30 am Snacks
10:50 am Scavenger Hunt for Prizes
11:45 am Clean Up
11:50 am Lunch
12:15 pm Story (While eating lunch)
12:50 pm Wind Down & Clean Up
1:00 am Nap Time (Inside)
3:00 pm Wake Up
3:15 pm Circle Time & Snack Outside
4:00 pm Free Play Outside

General Daily Schedule

This general daycare daily schedule template will help you create a routine that works best for your specific situation. A schedule is a great tool to help guide children through the day so they know what to expect and can prepare accordingly, helping them focus and remain calm.

7:00 – 8:00 am Parent Check-In
7:00 – 8:00 am Parent Check-In
8:00 – 9:00 am Breakfast & Cleanup
9:00 – 10:00 am Circle Time – Conversation, Sing-a-long, Concept Games
10 – 10:30 am Learning Time
10:30 – 11:00 am Outdoor Time
10:30 – 11:00 am Outdoor Time
11:00 – 12:00 am Lunch & Cleanup
12:00 – 1:00 pm Arts & Crafts
1:00 – 1:30 pm Outdoor Time
1:30 – 2:30 pm Free Choice of Activities
2:30 – 3:30 pm Nap Time
3:30 – 4:00 pm Snack & Clean up
4:00 – 4:30 pm Fine Motor Skill Activities
4:30 – 5:00 pm Story or Music Time
5:00 – 5:30 pm Prepare for Pickup
5:30 pm Checkout

Sample Daycare Schedule for Toddlers

During this time, the toddler is extremely outgoing and displays skills such as crawling, walking and climbing. The toddler is eager to share his or her newfound mobility with others.

It’s important to build a daycare daily schedule around giving the toddlers plenty of opportunities to build on their language and gross motor skills. Toddlers will benefit from more time to play with a group, rather than having individual activities. Your schedule should encourage interactions for the children to learn about cooperation. Here is a sample daycare schedule for toddlers that incorporates the activities you need for their development.

7:00 am Welcome Children + Breakfast
8:00 am Potty Time & Diaper Change
8:30 am Free Play
9:00 am Clean Up Time
9:15 am Outdoor Fun (Depending on Weather)
9:45 am Potty Time
10:00 am Circle Time
10:15 am Small Group Projects
10:45 am Potty Time + Wash Hands
10:55 am Snack!
11:10 am Diaper Changes
11:30 am Outdoor Play
12:00 pm Wash Up
12:10 pm Lunch!
12:55 pm Potty Time
1:00 pm Nap!
3:00 pm Wake + Potty Time
3:10 pm Snacks
3:30 pm Crafts or Story Telling
3:45 pm Small Group Play
4:15 pm Potty Time
4:25 pm Outdoor Play!
5:15 pm Diaper Change
5:15 pm Play Time or Movie
5:20 pm Clean Up & Get Ready to Go Home

Daily Schedule for Infants

Creating a daycare daily schedule for infants (6 weeks to 18 months) is an important task so that these little ones can enjoy the best and most effective educational development. Infants can never get enough interaction – they’re always exploring the world around them! Active infants need plenty of exercise and sleep to grow healthy and strong.

Infants, like toddlers and preschoolers, are still growing in their social, emotional and physical development as they grow from six to twelve months. Knowing this, a daily schedule for infants should include a lot of flexibility regarding activities and entertainment. This will aid in the infant’s development.

While some infant care centers do not share daily schedules, it is important to have a general guideline. Certain rituals, like feedings and changings or routine activities, ensure your baby is growing and learning the way he or she should. Use this sample daycare schedule to get started.

6:30 – 7:30 pm Greet Families
7:30 – 8:00 pm Bottle Feeding
8:00 – 9:00 pm Rocking & AM Nap
9:00 – 9:30 pm Learning Toys
9:30 – 10:00 pm Sensory Activity
10:00 – 10:30 pm Tummy Time
10:30 – 11:00 pm Reading
11:00 – 12:00 pm Lunch Bottle Feeding
12:00 pm – 2:30 pm Burp & Nap Time
2:30 pm – 3:00 pm Snack
3:00 pm – 3:30 pm Tummy Time
3:30 – 4:30 pm Music Exploration
4:30 – 5:30 pm Afternoon Nap
5:30 – 6:30 pm Bottle Feeding & Get Ready to Go Home

Daily Schedule for Preschoolers

Daycare daily schedules for preschoolers can seem like a tall order. But, with a little effort and creativity, you can easily build one that provides the variety and consistency your child needs to grow and learn. Integrating fine motor and language/cognition learning into your daily daycare schedule ensures that future kindergarten students are ready for school.
When planning preschool schedules, include blocks that help your little ones adjust to classroom life and imaginative play. A three-year-old needs table-based activities and task support more than ever before. Here is a sample daycare schedule to help you get started.

6:00 – 8:00 am Welcome Children
8:00 – 8:15 am Bathroom
8:15 – 8:45 am Breakfast
8:45 – 9:15 am Group Time
9:15 – 9:45 am Outside Activity
9:45 – 10:00 am Bathroom
10:00 – 10:30 am Creative Expression
10:30 – 11:00 am Language & Literacy Activity
11:00 – 11:30 am Social & Emotional Building Exercise
11:30 – 12:00 pm Lunch
12:30 – 2:00 pm Bathroom
2:00 – 2:30 pm Nap
2:30 – 3:00 pm Bathroom
3:00 – 3:30 pm Science/Math
3:30 – 4:00 pm Afternoon Snack
4:00 – 4:30 pm Outside Play
4:30 – 5:00 pm Fine Motor Skill Activity

Tips for Creating Developmentally Appropriate Daily Schedules

This daycare daily schedule is designed to allow each child to play and learn in their way. Every child’s schedule will be different, with nap times that might vary from day to day. You can create a schedule for any number of children in your care. The things you will need to create the schedule are a tape measure and the children’s names, ages, favorite toys and activities, and nap time preferences and locations. Below are tips on creating and implementing your daily director schedules.

Create a Consistent Routine

Daily routines help children know what to expect, which leads to fewer disruptive behaviors. Create a predictable everyday way that flows consistently. This lets your child focus on her play and learning.

Meet Individual Needs

We know that each child is unique and may have varying needs. In your daycare daily schedule, make all caregiving routines as natural and effortless as possible. Reserve regimented times or routine schedules for the big issues such as feeding and sleeping, not for every little thing.

Create Physical, Social, and Emotional Growth Experiences

You can support development in all areas during everyday interactions and activities. Consider an infant’s diaper change. A parent holding the child, talking to her gently, and making her smile, will help promote social-emotional growth and language development.

With a supportive and accepting environment such as this one, the child not only develops a sense of trust, but he will continue to flourish socially and emotionally.

Allow A lot of Freeplay

Young children thrive when they can direct their own play experiences. When left to their own devices, children can practice what they have observed and learned about their world, test new ideas, and build skills in all areas of development. A child’s play is unique because it is influenced by who she is as a person and her previous experiences.

For example, in a daycare with several toddlers, many like to be near the teacher while she sings. One child goes to the book corner while this happens, and she peeks over the shelves at the group. The child’s mother has said that, at home, her little girl sings all of the songs, but in daycare, she does not join the group until several months later, when she is ready.

Provide Time for Transitions

A schedule for infants and toddlers offers thoughtful transitions that support children’s development as they move from one area of focus to another. These transition times allow parents and caregivers to fit in quiet time, mealtime, outdoors, and talk time.

A Simple Trick Daycare Directors Use to Free Up Time

Building daycare daily schedules is just one of the many responsibilities directors and their staff own. With days packed to the brim, it helps to have a little assistance. That’s why hundreds of daycare directors have turned to Smartcare, the child care management software that simplifies all the tedious administration work to save you and your staff countless hours.

Take just a handful of minutes to see how easy it is to save time and reduce stress with Smartcare. Watch our online demo today!

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Child Care Daily Schedule

“We are so incredibly satisfied with the outstanding care. .. We would refer anyone looking for a loving place to send their child to Amy in a heartbeat!”
~Sarah

Our daily schedule is carefully designed to promote children’s learning and development through a balance of child-led free play and engaging teacher-planned learning activities.

A Child Care Daily Schedule Encourages Success

Studies show that children learn differently than adults and have different daily needs than adults have. Our daily child care schedule is designed to make the most of these differences and meet the needs of your child by providing a flexible, balanced routine that maximizes learning through play.

Daily Schedules Provide Routine

Children need consistency in their daily routines. They thrive on routine, it helps them make sense of the world and gives them a sense of security. An appropriately structured routine can help reinforce positive behaviors in children and minimize negative behaviors.

Young children, especially, have problems dealing with disruptions and disorganization throughout the day. When children cannot depend upon a routine or a routine is changed often, their behavior tends to reflect the routine – chaotic and inconsistent. Our daily child care schedule provides routine and structure for children so that they know what to expect from day to day.

Our Child Care Daily Schedule is Flexible

Our daily schedule provides a basic framework for our days, but is not rigid. Rigidity in a schedule offers its own set of problems. When children are especially engrossed in their play, or a daily activity demands a few additional minutes, it is beneficial to adjust the schedule to accomodate the activity.

Problems can result when children are regularly asked to stop engrossing work to engage in something less meaningful. This can promote negative or destructive behavior in the child. The child care schedule schedule may vary on a daily basis because it is based on the children’s interests and needs. It also varies according to the weather and the season; we spend much more time outside when it’s nice out and more time inside when it’s not.

Play-Based Child Care Daily Schedule

Young children are naturally curious and learn best by exploring and discovering for themselves through play. Play is essential for children’s learning and development; new concepts, improved skills and enhanced comprehension come to children through play. Children’s senses help them to experience the world around them, and their imaginations take them anywhere they want to go.

While playing, children learn to originate and organize ideas, become more flexible in problem solving, and develop longer attention spans. Children also learn to communicate their thoughts, feelings, ideas and needs to others during play. Our daily child care schedule provides plenty of time for children to play in a rich learning environment.

Our Child Care Daily Schedule

Although our daily schedule is flexible, the same events occur in the same order every day, which helps the children feel secure. The vast majority of our day is spent in child-led free play or engaging teacher-planned learning opportunities

Program Opens promptly at 7:00 AM. Please don’t bring your child for care before 7:00 a.m. without making prior arrangements.

Arrival can be hard for children. Saying good-bye to people we love isn’t easy, but learning to be comfortable with separation is part of becoming independent. I will help ease the transition from home to school each morning.

Free Play in carefully planned learning centers with toys, activities, and materials that are interesting encourages exploration and learning. Children need plenty of free, unstructured play time to develop socially, emotionally and cognitively.

Clean Up is encouraged with songs and games; no child is made to clean up. Cleaning up helps develop pride in a job well done, pre-math sorting skills, large and small motor skills, self-esteem, and independence.

Breakfast is a natural learning opportunity! Children learn about nutrition, practice language, social, and table skills, develop positive attitudes towards food, strengthen their self-esteem, and develop independence.

Group Time helps children develop important skills to get them ready for school like listening, taking turns, and practicing patience. Group time also provides exposure to new songs, dances, and materials.

Learning Activities in art, music, math, science, social studies, literature, and large muscle movement deepen the children’s daily learning. These teacher-planned experiences correspond to a theme we’re exploring or a skill we’re learning.

Active/Outdoor Play helps develop a lifelong habit of physical activity for increased health, contributes to children’s growth and development, and lays a solid foundation for future learning. Children who regularly enjoy fresh air, sunshine, and exercise sleep better.

Free Play is vital for children’s learning because it forms the foundation of intellectual, social, physical and emotional skills necessary for success in school and in life. It also allows children to use their creativity, acquire and practice social skills, and solve problems.

Lunch is the perfect opportunity for children to slow down and enjoy each other’s company in a relaxed atmosphere. They serve themselves “family style,” which promotes self-help, motor, and decision-making skills. Good manners are promoted and children are encouraged to taste each food with a “practice bite.”

Story Time occurs every day. Reading to children promotes imagination and pre-reading skills, and helps develop a love of reading. Studies show a strong correlation between children who love to read and academic success.

Naps / Quiet Time is important for children. Their growing bodies need time to rest while their busy minds need time to catch up with all the information they absorb. According to a 2013 study, naps enhance memory and support learning in children of all ages.

Snack consists of two food groups with water to drink. Water makes up more than half of a child’s weight so a steady supply is necessary to keep children’s bodies working properly. General recommendations are 1/2 ounce of water per pound of body weight per day; more in warm weather or when children are active.

Departure can be as difficult as arrival; often a child who is reluctant to come in the morning won’t want to go home at night. Please take a minute to let your child reconnect with you before leaving. I realize this can be hard at the end of the day, but it makes the transition easier for your child.

Program Closes promptly at 5:00 PM; please be sure to pick up your child before closing time. As much as we love our jobs, we’re all tired and ready to unwind after a long day of work, and my family time is as precious to me as I’m sure your family time is precious to you.

Child Care Daily Schedule as Curriculum

The daily schedule plays an important role in our curriculum too! Visit our Child Care Curriculum page to see how the daily schedule, responsive relationships and a child-centered environment work together to promote children’s learning and development.

Copyright ©2007-2022 by Amy & Kids Co. Family Child Care. All Rights Reserved.



The Best Daycare Schedules for Infants, Toddlers, and Preschoolers

it’s important to establish a regular routine for babies and young children whether they’re at home or in a daycare setting. A regular schedule puts young children at ease and enables productive learning. A consistent schedule is also important for employees. The following shows detailed schedules for babies, toddlers, and preschoolers.

Baby Schedule

Babies are normally considered newborn to 18 months old. It’s important to note that babies often need to take naps and eat at individual times throughout the day. The following is a general schedule and adjustments will occur throughout the day to meet the needs of each child.

7 to 8 am – This is check-in for parents.

8 to 9 am – Many parents are still checking in. Feeding and diaper changing will occur during this time.

9 to 9:30 am – This would be the official start of the day and involve coming together for circle time. Circle time would include songs, stories and puppets.

9:30 to 10 am – This is time for sensory activities. According to Red Tricycle there are a variety of activities that can stimulate a baby’s senses and promote learning. A few items to use include jello, blocks, bubbles, Velcro and sponges.

10 to 10:30 am – Employees will serve mid-morning snacks and bottles.

10:30 to 12 pm – This will include nap time and individual play time for babies that don’t take morning naps.

12 to 12:30 pm – Lunch

12:30 to 1 pm – After lunch babies will come together for group time. This would include songs and story time. Sensory stimulation is also part of the activities. This may include songs, bright colors and interesting objects to touch and hold.

1 to 1:30 pm – Babies will go outside for stroller time and outdoor activities if the weather allows. Indoor activities might include swinging or floor play with blocks and other toys.

1:30 to 2 pm – Babies will engage in a variety of music and art activities. Kindermusik states that musical activities, even at a very young age, can help children develop listening skills, fine motor skills and social development.

2 to 4 pm – This is nap time.

3 to 4 pm – For babies that are awake, this time would include sensory activities and individual play time.

4 to 5 pm – This time includes feeding, changing and preparing for check out.

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Toddler Schedule

Toddlers are children between the ages of 18 months and 3 years.

7 to 8 am – This is check in time for parents. Children eat breakfast and use the restroom at this time. Diaper changing will occur when needed.

8 to 9 am – As check in continues, toddlers that are already checked in will engage in independent play or play with other children at centers.

9 to 9:30 am – Circle time normally starts with a read-aloud and a discussion of what will happen throughout the day. Other activities may include discussing the calendar, singing, learning colors, counting and alphabet games.

9:30 to 10:30 am – During this time children will play and learn at various centers. These could include coloring activities, water and sand centers, books, blocks and a variety of other educational activities.

10:30 to 11 am – This is morning snack time.

11 to 11:30 am – Children will engage in outdoor activities or active indoor play time. As a toddler learns to walk, balance and development of gross motor skills are extremely important. The Inspired Treehouse suggests several gross motor skill activities for indoor or outdoor play. These include creating obstacle courses and jumping and crawling activities.

11:30 to 12 pm – Children will come together for group. This may include stories, learning numbers and letters or working on fine motor skills.

12 to 12:30 pm – Lunch

12:30 to 2 pm – This is nap and quiet time. According to KidsHealth, how much nap time a toddler needs will vary considerably from child to child. Toddlers generally need one nap each day that lasts 1 to 3 hours.

2 to 3 pm – Some toddlers will need a longer nap. Those awake will engage in individual play time and free choice activities.

3 to 3:30 pm – This is afternoon snack time.

3:30 to 4 pm – This is music or arts and crafts time. Children will sing songs or work on various art projects.

4 to 5 pm – Late afternoon is individual play time and free choice of activities. Since parents will pick up their children at a variety of times throughout the late afternoon, it’s important to have several individual activities prepared for toddlers to work on while waiting.

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Preschooler Schedule

Preschoolers are generally considered children from age 3 to 5. Since there is usually a wide range of ability in this age group, it’s important to have activities that reflect these differences.

7 to 8 am – This is parent check in time.

8 to 9 am – While check in time continues those who arrive early will engage in free-choice activities These might include playing with toys, looking at books or working at various centers. It’s important for children to start their day working on activities that they choose and feel comfortable doing.

9 to 9:30 am – Circle time includes all children coming together to discuss the day. During this time a story is usually read. Children review the calendar regarding the day, week and month. They may also recite days, weeks and months. This time may also include counting, learning letters or a l
anguage or math lesson.

9:30 to 10:30 am – Children will play and learn at various centers. Centers consist of stations with different activities. These may include puzzles, books, art activities, handwriting practice, sand and water play, working with blocks and manipulatives and listening to music or stories.

10:30 to 11 am – This is bathroom break and snack time. During this time children use the restroom, wash their hands and help prepare and clean up after the morning snack.

11 to 11:30 am – This time will include table top activities that focus on fine motor skills. This may include holding a pencil and writing or working with manipulatives such as blocks or legos.

11:30 to 12 pm – This is story time, restroom and preparation for lunch.

12 to 12:30 pm – Lunch

12:30 to 1:30 pm – Children will use the restroom before taking naps.

1:30 to 2:30 pm – This is group time. During this time teachers will lead brief academic lessons followed by an activity. This might include a science lesson followed by a simple experiment or activity that children will complete at their seats. This time may also include music and craft activities.

2:30 to 3 pm – This time includes outdoor play, if the weather permits, or active indoor play. If playing inside, activities may include hula hoops, hopscotch, obstacle courses and dancing activities. Broom hockey and balloon volleyball are also fun activities children can play indoors.

3 to 3:30 pm – Children will have a snack, use the restroom and then engage in quiet time. This might include looking at books or putting together puzzles.

3:30 to 4:30 pm – This is free choice and individual time. North Shore Pediatric Therapy states that free time is good for children. It can reduce stress and encourage children to develop relationships with their peers.

4:30 to 5 pm – It’s important to have several different types of activities for preschoolers to work on while waiting for pick up. These could include simple art projects, puzzles or books to look at.

No matter what type of childcare facility or organization you have, Honest Buck can take care of all your accounting needs. They offer payroll processing, bank reconciliation and extensive tax expertise. Contact Honest Buck for more information.

Daycare Daily Schedule for Kids

At Kids Club, we have certain room routines that educators follow. The routine may vary depending on current events and activities. Having a daycare plan in each room allows for smoother transitions into new activities, meals and rest time. The routine is available to families, so you know what your child is doing at certain times.

7:30am – Kids Club Opens

When you and your child arrive at Kids Club we ask for you to sign in at the foyer.

You can then make your way to our family grouping sessions in the room, where breakfast is also being served. You can also fill out a Daily Information Sheet, with any general comments or concerns regarding your child.
After breakfast your child has time to play and learn at their own pace, with the many intriguing toys we provide. Our educators will encourage your child to explore and discover their surroundings.

6:30pm – Kids Club Closes

Your child will be engaged with their educator and free play until you arrive. When you arrive you can check your child’s daily information sheet for sleeps and food eaten.

Shortly after you return home a Daily Learning Story will be emailed to you for you to see all the experience your child was involved in throughout the day.

 

The Rainforest Room for our Babies (6 Weeks – 2 Year Room)

Creating interesting, inviting, and engaging learning settings for infants and toddlers is important, but this is sometimes easier said than done. Educators can find it hard to find the right balance between creating the right environment for the child’s age and stage of development and letting the child have the freedom to explore, test, and improve their new skills.

At Kids Club, we understand that when children can build stable, trustworthy connections with caring and responsive people, they can better adapt to and learn in surroundings where they always feel safe and at home. Children in the Nursery Room age range require close supervision, positive direction, and exciting experiences while they navigate a period of rapid growth and change.

Throughout the day you will receive reports on meals, nappy changes, sleep records and get glimpses of your child’s day via our Kids Club App.

8:00am – Transition

At this point in the morning family grouping will end and the older children in the room will transition into their own rooms. The Nursery room schedules their nappy changes accordingly every two hours, beginning from 8:00am. Kids Club provide nappies and wipes. The Nursery children continue free play and exploration with their educators. The educators also begin to implement any planned daily experiences.

9:00am – Morning Tea Time

Your child has their hands wiped by an educator to rid any germs as we are about to eat. Children who can eat solids will eat the morning tea from our menu. If your child requires a bottle the educator will confirm specific times for this.

9:45am – Group Time

Straight after morning tea your child will be involved in a group time, where all the children are gathered and an educator will do a planned experience. The group time allows for your child to experience group work and activities.

10:00am – Sleep Time

If your child requires a morning rest, the educators will confirm specific times. Our educators can pat and sing to your child if required.

11:00am – Lunch

Your child will enjoy a hot meal from the menu, if your child is not on solids, bottles can be given at specific times.

11:45am – Play and Learn

Educators will provide your child with planned and spontaneous experiences. If your child is not interested we allow them to free play.

1:30pm – Sleep

It is time now for your child to have a rest, if you do not want your child to rest at this time, our educators will confirm specific rest times with you.

2:00 – 3:00pm – Afternoon Tea

Depending on what time your child wakes up, we will provide them with afternoon tea from the menu. If your child requires a bottle the educator will confirm specific times for this.

3:30pm – Play and Learn

Educators can implement planned and spontaneous experiences at this time; however, if your child is not interested then we will let them continue their free play.

4:30pm – Late Snack

It is time for your child to have a small nutritious late snack. If your child requires a bottle the educator will confirm specific times for this.

The Ocean Room for our Toddlers (2 – 3 Years Room)

After the journey with through Kids Club babies in the Rainforest Room,  our toddlers transition into the Ocean Room.

Following our Education for Life program, your child will experience a wide range of play-based learning opportunities. Kids Club Early Learning Centre take a holistic approach to your child’s learning and development and provide learning opportunities based on the children’s interests.

8:00am – Transition

At this point in the morning family grouping will end and your child will begin their transition into the Toddler Room.

The Toddler room schedules their nappy changes accordingly every two hours,beginning from 8:00am. Kids Club provide nappies and wipes. If your child is toilet training, educators will assist throughout this process.

The Toddler children continue free play and exploration with their educators. The educators also begin to implement any planned daily experiences.

9:00am – Group Time

In this group time your child is apart of a roll call and a morning reading or group game. Once the group time is complete your child will then transition into washing their hands for morning tea.

9:15am – Morning Tea Time

After washing their hands your child will sit down where they choose, and be served morning tea from the menu. If your child has dietary requirements they will be served an alternate meal.

9:45am – Play and Learn

Depending on the weather, your child will be offered to play indoors/outdoors for free play time. This is where educators can make observations of what activities your child likes.

10:30am – Planned Experience

At this time each day your child will be involved in a planned experience that maps to our curriculum.

11:15am – Group Time

After we tidy up from our previous activity, your child will take part in a group time,where an intentional teaching activity will be held. After this your child will move into washing their hands and transition to lunch.

11:30pm – Lunch Time

Once your child’s hands are washed they will choose a seat where a hot lunch will be served to them. If your child has dietary requirements they will be served an alternate meal.

12:00 – Sleep Time

After lunch your child will have a rest in a peaceful tranquil room with educators patting if requested.

2:30pm – Afternoon Tea

Depending on what time your child wakes up, afternoon tea will be served. If your child has dietary requirements they will be served an alternate meal.

3:30pm – Play and Learn

Depending on the weather, your child will be offered to play indoors/outdoors for free play time. This is where educators can make observations of what your child likes to do.

4:30pm – Late Snack

It is time for your child to have a small nutritious late snack. If your child requires a bottle the educator will confirm specific times for this.

Preschool Class (3 – 5 Years Room)

After our journey with our Kids Club babies in the Rainforest Room, and with our toddlers in the Ocean Room, our kids transition routines into Preschoolers in the Outback Room.

Following our Education for Life program, your child will experience a wide range of learning opportunities with our preschool schedule.

Play is a means for exploration of the world for a child, children use play to make meaning and connections. Our play-based and interest-based learning approach means that your child will learn and develop an array of skills at their own pace and through their own interests that goes beyond Academic skills. At Kids Club, we believe that children learn and develop most effectively through play and social interactions.

8:00am – Transition

At this point in the morning family grouping will end and your child will begin their transition into the Preschool Room.

9:00am – Group Time

In this group time your child is apart of a roll call and a morning reading or group game. Once the group time is complete your child will then transition into washing their hands for morning tea.

9:15am – Morning Tea Time

After washing their hands your child will sit down where they choose, and be served morning tea from the menu. If your child has dietary requirements they will be served an alternate meal.

9:45am – Play and Learn

Depending on the weather, your child will be offered to play indoors/outdoors for free play time. This is where educators can make observations of what your child likes to do.

10:30am – Planned Experience

At this time each day your child will be involved in a planned experience that maps to our curriculum and our School Readiness Program.

11:15am – Group Time

After we tidy up from our previous activity, your child will take part in a group time, where an intentional teaching activity will be held. After this your child will move into washing their hands and transition to lunch.

11:30pm – Lunch Time

Once your child’s hands are washed they will choose a seat where a hot lunch will be served to them. If your child has dietary requirements they will be served an alternate meal.

12:00 – Sleep or Rest Time

After lunch your child will have a rest in a peaceful tranquil room with educators patting if requested. If your child does not require sleep, they will take part in quiet activities such as reading.

2:30pm – Afternoon Tea

Depending on what time your child wakes up, afternoon tea will be served. If your child has dietary requirements they will be served an alternate meal.

3:30pm – Play and Learn

Depending on the weather, your child will be offered to play indoors/outdoors for free play time. This is where educators can make observations of what your child likes to do.

4:30pm – Late Snack

It is time for your child to have a small nutritious late snack.

How is additional leave paid for caring for a disabled child with a summarized accounting of working hours (an employee works in shifts)?

Home \ Free consultations \ Remuneration and working conditions \ How is additional leave paid for caring for a disabled child with a summarized accounting of working hours (an employee works in shifts)?


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Consultation provided on 03/21/2017

The duration of an employee’s shift is 11 hours 42 minutes. All working hours from this shift are always within the same calendar day.

How is additional leave paid for caring for a disabled child in case of summarized accounting of working hours (an employee works in shifts)?

First of all, we note that according to the first part of Art. 262 of the Labor Code of the Russian Federation, one of the parents (guardian, trustee) for caring for disabled children, upon his written application, is granted not additional leave, but four additional paid days off per month, which can be used by one of these persons or divided by them among themselves according to their discretion. A similar rule is contained in clause 2 of the Rules for providing additional paid days off for caring for disabled children, approved by Decree of the Government of the Russian Federation of October 13, 2014 N 1048 (hereinafter referred to as the Rules).

Based on a literal reading of Art. 262 of the Labor Code of the Russian Federation, the employee is provided with additional paid days off, that is, a day completely free from work (from 0 to 24 hours), regardless of the working hours. The dates for using additional days off are determined by the employee independently (clause 2 of the Rules).

At the same time, when providing additional days off to employees who have a summarized record of working time, it must be taken into account that, in accordance with paragraph 11 of the Rules, additional days of rest are provided to such employees based on the total number of working hours per day with normal working hours increased by 4 times.

In accordance with Art. 91 of the Labor Code of the Russian Federation, the normal working time cannot exceed 40 hours per week. The procedure for calculating the norm of working time for certain calendar periods of time (month, quarter, year), depending on the established duration of working time per week, was approved by order of the Ministry of Health and Social Development of the Russian Federation dated August 13, 2009 N 588n. Clause 1 of this Procedure provides that the norm of working time for certain calendar periods of time is calculated according to the calculated schedule of a five-day working week with two days off on Saturday and Sunday based on the duration of daily work (shift): with a 40-hour working week – 8 hours. The norm of working time calculated in the above procedure applies to all modes of work and rest, including the regime of summarized accounting of working time.

Thus, an employee who has a summarized record of working time has the right to be granted four additional days off to care for disabled children, provided that the total number of working hours that fall on rest days does not exceed 32 working hours per month.

Therefore, if the employee’s working day is 11 hours 42 minutes, then the employee can be given 2 full working days (11 hours 42 minutes each) and one more day of rest, which accounts for no more than 8 hours 36 minutes of working time, as rest days .

However, as follows from the question, in this case, all working hours from the employee’s shift are always within one calendar day. The legislation does not contain any explanations as to how an additional day off should be provided if the rest of the rest hours calculated in accordance with clause 11 of the Rules is less than the duration of the work shift falling on the corresponding day. However, considering that, according to the literal interpretation of Art. 262 of the Labor Code of the Russian Federation, clause 2 and clause 11 of the Rules, the duration of additional rest is calculated in days, not hours, we believe that the employee in this situation should be given the third day off in full. This conclusion is also reflected in the explanations of Rostrud specialists (see the answer on the Rostrud information portal “Onlineinspektsiya.RF”)*(1).

In turn, according to clause 12 of the Rules, payment for each additional paid day off is made in the amount of the average earnings of the parent (guardian, custodian) who is granted such a day off.

The procedure for calculating average earnings for all cases provided for by the Labor Code of the Russian Federation is established by Art. 139 of the Labor Code of the Russian Federation and the Regulation on the peculiarities of the procedure for calculating the average wage, approved by Decree of the Government of the Russian Federation of December 24, 2007 N 922 (hereinafter referred to as the Regulation). The calculation of the average earnings of an employee, regardless of the mode of his work, is based on the wages actually accrued to him and the time actually worked by him for the 12 calendar months preceding the period during which the employee retains the average wage. In this case, the calendar month is the period from the 1st to the 30th (31st) day of the corresponding month inclusive (in February – to the 28th (29th)-f) number inclusive). Such rules are provided for in Art. 139 of the Labor Code of the Russian Federation and clause 4 of the Regulation.

For employees with a summarized account of working time, when determining average earnings, average hourly earnings are used, except for cases when determining average earnings for vacation pay and payment of compensation for unused vacations (clause 13 of the Regulations). The average hourly earnings are calculated by dividing the amount of wages actually accrued for the hours worked in the billing period, including bonuses and remuneration, taken into account in accordance with clause 15 of the Regulations, by the number of hours actually worked during this period. Average earnings are determined by multiplying the average hourly earnings by the number of hours worked on the employee’s schedule in the period payable*(2).

Based on clause 8 of the Regulations on the Social Insurance Fund of the Russian Federation, approved by Decree of the Government of the Russian Federation of February 12, 1994 N 101, the funds of this fund are used to pay for additional days off to care for a disabled child or disabled from childhood until he reaches the age of 18 years .

Taking into account these norms, as well as the provisions of paragraph 11 of the Rules, already mentioned above, the regional bodies of the FSS come to the conclusion that when paying for additional days off provided to an employee with a summarized account of working time to care for a disabled child, payment all working hours of such an employee that would fall on these days, but not more than 32 hours per month, are subject (see, for example, the answer to the question posted on the website of the Perm regional branch of the FSS of the Russian Federation, which can be found by clicking on the link : http://fss. perm.ru/answers6.php). This position of the FSS bodies is also reflected in judicial practice (see, for example, the decision of the Arbitration Court of the Volga District dated February 17, 2015 N F06-19842/13, decision of the Arbitration Court of the Republic of Tatarstan dated November 9, 2015 in case N A65-14509/2015, decision of the Syktyvkar City Court of the Komi Republic dated March 31, 2016 in case N 2-1359/2016).

Following the above position, in the case under consideration, an employee who, in accordance with the above interpretation of clause 11 of the Rules, should be given 3 additional days off on the days on which his shifts fall, must be paid not 35 hours and 6 minutes of working time, but only 32 hours.

At the same time, another point of view is also supported in law enforcement practice, according to which the legislation does not contain restrictions on the number of hours payable on additional days off provided to an employee with a summarized account of working hours to care for a disabled child. Therefore, the reference of the FSS authorities to the fact that only 32 working hours falling on the indicated days off can be paid from the funds of this fund is not based on the law (see, for example, the decision of the Arbitration Court of the Chelyabinsk Region dated November 18, 2016 in case N A76-15439/ 2016, decision of the Arbitration Court of the Orenburg Region dated May 26, 2015 in case N A47-1791/2015, decision of the Arbitration Court of the Omsk Region dated September 2, 2014 in case N A46-9518/2014).

However, the analysis of the above decisions shows that the conclusions made by the courts are due only to the time of entry into force of the provisions of paragraph 11 of the Rules. The fact is that these Rules came into force only on October 24, 2014, and the disputes related to the payment of additional days off provided before this date were the subject of consideration in the courts. In other words, in the period in which the specified days were provided, the determination of their number for employees with a summarized account of working time did not depend on the number of working hours falling on such days – such employees, regardless of the duration of their work shift, were provided with 4 days of rest.

Taking into account the above, we can conclude that in the situation described in the question, the employee can be given three days off on the condition that she will be paid only 32 hours out of 35 hours and 6 minutes of working time that would fall on these days based on the duration of her work shift of 11 hours 42 minutes.

In conclusion, we draw your attention to the fact that, in itself, payment in the amount of the average earnings of all working hours that would fall on additional days off provided to the employee in accordance with Art. 262 of the Labor Code of the Russian Federation and the Rules, does not contradict the law. After all, the position of the employee does not worsen in any way, and the employer in any case has the right to provide the employee with a larger guarantee than that provided by law (see, for example, part four of article 57 of the Labor Code of the Russian Federation). However, it should be remembered that only payments for the number of hours not exceeding 32 hours per month will be subject to reimbursement from the FSS.

Response prepared by:

Legal Consulting Service Expert GARANT

Candidate of Law Sergey Shirokov

Response passed quality control


*(1) In fairness, we note that some authors adhere to the position that in this case the employee should be given only part of his shift as a day of rest, corresponding to the remaining number of hours of rest calculated in accordance with clause 11 of the Rules (see for example, the answer to the question given in the journal “Payment: Accounting and Taxation” – 2015. – N 5).

*(2) Letter N 02-02-01/08-2082 of May 5, 2010 of the FSS of the Russian Federation specifically emphasizes that in order to calculate the average earnings payable for additional days off provided in accordance with Art. 262 of the Labor Code of the Russian Federation, the norms of clause 10 The provisions establishing the rules for calculating average earnings for the payment of vacation pay and compensation for unused vacation do not apply, since these additional days off are not a type of vacation.

Body care – Natural cosmetics Dr. Hauschka produced under careful control – from nature for man.

  • Holistic care
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  • Body Care

Body care plan

LOOSE

9000 9000 9000 9000 9000 9000 9000 9000 9000 9000 9000 9000 9000 9000 9000 9000 9000EV0010 Refreshing
Body oils 1
BUNNE TRACTION BOOD FORSY
Lemon & Lemongrass Body Butter, Birch & Arnica Body Butter Lemon & Lemongrass Body Balm, Quince Body Balm Lemon & Lemongrass Bath Cosmetic, Sage Bath Cosmetic Lemon & Lemongrass Shower Balm Cream

Firming connective tissue

Lemon & Lemongrass Body Butter Lemon & Lemongrass Body Balm, Regenerating Body Lotion Lemon and Lemongrass Bath Cosmetic Lemon & Lemongrass Shower Balm Cream

Toning, activating, stimulating

Lemon & Lemongrass Body Butter, Birch & Arnica Body Butter, Thorn Flower Body Butter Lemon & Lemongrass Body Balm, Quince Body Balm Lemon & Lemongrass Bath Cosmetic, Sage Bath Cosmetic Lemon & Lemongrass Shower Balm Cream
Warm Thorn Flower Body Butter, Birch and Arnica Body Butter

Body balm “Rose”, Body balm “Almond”

Bath cosmetic “Salvia”, Bath cosmetic with peat and lavender, Bath cosmetic “Fir”

Cream shower balm “Rose”, Cream shower balm “Almond”

Balancing, soothing, e. g. for dry skin

Almond & St. John’s Wort Body Butter, Rose Body Butter Almond Body Balm, Rose Body Balm Bath cosmetic “Sage”, Bath cosmetic “Almond”, Bath cosmetic with peat and lavender Rose Shower Balm Cream, Almond Shower Balm Cream, Lavender & Sandal Shower Balm Cream
Relaxing Body butter with peat extract and lavender, Rose body butter Almond Body Balm, Rose Body Balm Cosmetic bath “Rose”, Cosmetic bath with peat and lavender, Cosmetic bath “Fir” Shower Cream-Balm “Rose”, Shower Cream-Balm “Lavender and Sandalwood”

1 After showering or bathing, apply to damp skin. Caring oils Dr. Hauschka can also be used to massage dry skin.

Hand care
Hand cream cares and protects; absorbs quickly, does not require additional application

Neem Nail Oil 2

strengthens and cares for nails and nail bed

Neem nail oil in pencil 2

on the road; strengthens and cares for nails and nail beds

2 Dr. Neem Nail Oil Hauschka completes the range of hand and foot care products. Neem, Ulcer, Chamomile and Apricot Kernel Oil strengthen the nail plates on the hands and feet. Neem Nail Oil by Dr. Hauschka in a handy pencil with a practical applicator is your little companion outside the home.

Deodorants

Rose deodorant works reliably, gently cares for the skin

Mint and Sage Deodorant

long-acting fresh care
Silk body powder 1 light deodorizing effect and mild care, maintains healthy skin microflora; balancing foot care

1 Natural silk body powder is a versatile product. It is suitable for skin care, can be used as a deodorant and baby powder, while the powder exudes an extraordinary scent of fresh forest and moss swamp.

Foot care products

Moisturizing foot cream

care for tired feet with dry skin

Deodorizing foot balm

care for feet that are getting heavy and sweaty

Toning foot lotion

revitalizing treatment for tired, strained legs
Hair Care 3

Neem Hair Oil

cares for and protects irritated scalp; intensive care for unruly hair

Neem Hair Fluid

strengthens and revitalizes hair and scalp; prevents dandruff and hair loss

Hair conditioner “Jojoba and Marshmallow”

and intensive care for all hair types; smoothes and protects the hair, gives it volume and elasticity

3 Dr. Jojoba & Marshmallow Hair Conditioner Hauschka – a favorite hair care product after every shampoo, evens out the structure of the hair and gives it elasticity. Neem Hair Liquid and Neem Hair Oil, energize and revitalize dry and frizzy hair.

Maternal care plan

Products Application

Lavender and Sandalwood Body Balm, Rose Body Balm, Almond Body Balm

relieves stress and harmonizes

Peat & Lavender Body Butter, Peat & Lavender Bath Cosmetic

for restful sleep

Thorn Flower Body Butter

prevents stretch marks on the body during pregnancy

Toning foot lotion

for tired and swollen legs
Lemon & Lemongrass Body Balm, Lemon & Lemongrass Bath Cosmetic smoothing and refreshing effect p after b pregnancy and

Child Care Plan

Products Application

Peat and lavender bath cosmetic

soothes and promotes good sleep

Rose Body Butter harmonizes, the best massage for babies
Rose face cream for delicate baby skin

Peculiarities of caring for premature babies at home

Each premature baby is purely individual, it differs from a full-term baby not only in appearance, its internal organs and systems are imperfect and not ready for extrauterine life.

The first days of life are of particular importance for premature babies. The first week of life of premature babies is allocated in a special period – the period of adaptation (adaptation) to new environmental conditions. The process of adaptation to extrauterine life in premature babies is longer and more difficult than in full-term babies. In very premature babies, it is 1.5-2 months.


Prematurity today is not a critical diagnosis for a baby. Modern equipment and qualified specialists are able to organize an effective process of caring for premature babies in the first days of life. In the future, the care of the child falls entirely on the shoulders of the parents.

First of all, it is the creation of a favorable environment for the child, it is also necessary to protect him from external risk factors, such as infection and stress.

The first days after the birth of a premature baby

Pregnancy is almost always a joy. And happy parents begin to calculate the timing of childbirth in order to have time to prepare. But it often happens that the baby, contrary to the expectations of parents and doctors, is born ahead of schedule. Babies born before 37 weeks are called preterm.

As a rule, these children have a body weight and height that is much less than the established standards. The modern equipment available in the arsenal of doctors today, used in the care of premature babies, gives them a better chance of survival. But even 15-20 years ago, such kids had practically no chance.

The first days are the most critical and decisive. After all, his lungs have not yet fully developed, and it is difficult to breathe on his own. At this time, the child needs specialized care, which should be provided by doctors in the maternity hospital. They put him in a special box – a couvez, where a special microclimate is organized for him.

The microclimate in the incubator is comparable to the climate in the mother’s womb, where the baby has been in the last months. The air mixture supplied there has a high percentage of oxygen content. All organs of the baby are still immature and he needs specialized care of medical personnel and constant monitoring.

But now the time has come for discharge, after which the child completely passes under the care of the parents. And if there are no particular problems with hospital provision of the necessary conditions, then parents need to be taught the rules for caring for premature babies, because at home it is rather difficult to protect him from various infections.

Features of caring for a premature baby at home

The main problem of is the underweight of the newborn. It is in the last weeks of pregnancy that the weight of the child increases and a protective fatty layer is formed, which provides sufficient skin nutrition. In this regard, parents have to pay great attention to the moments of newborn skin care, the fight against diaper rash and irritation.

It is necessary to look through the delicate skin of the child at each swaddle. Careful attention should be paid to the choice of diapers. Preference should be given to soft natural fabrics, as well as carefully choose detergents and powders for washing baby clothes.

It is strictly contraindicated to swaddle a child in an elastic manner. This will avoid chafing on the skin. But the main reason lies in the fact that the bones of the child and the respiratory organs are still weak, it can simply be difficult for him to breathe, moreover, the blood circulation does not yet function properly.

The next important point is to ensure optimal and comfortable temperature conditions in the house and in the baby’s room in particular. The absence of subcutaneous fat makes the baby vulnerable to the surrounding climate, which makes the risk of infectious diseases many times higher. For this reason, the temperature regime should be monitored with a thermometer. The room temperature should be 22-24 o C.

Change your baby’s clothes as soon as possible, using warm underwear and diapers. It should also be kept in closed spaces where it is easiest to provide the desired temperature: strollers, cradles. Overheating the baby is also dangerous, for this reason it is important to check the temperature around the baby regularly.

Feeding

Caring for a premature baby at home has a number of rules during feeding. This applies not only to compliance with the frequency of feeding procedures, but also to the features of the process. First of all, it is important to consider that the process of sucking for a premature baby is a lot of hard work. The lungs are still weak, and the process of sucking milk requires holding the breath. As an alternative to breastfeeding, expressing milk is often recommended. Then feed them to the baby through the nipple. After feeding, immediately put the child in the cradle or crib should not be. The fact is that premature babies spit up more often and more abundantly than healthy children. You should hold the child in your arms in an almost vertical position or laying on your shoulder.

Bathing

Bathing procedures should be daily. The water temperature should be 37 degrees, closer to six months, and as the baby gets stronger, you can lower it to 35 degrees in order to harden.

Walks

You should be more careful with walks. In summer, they can be started already on the third day after discharge, and in winter – no earlier than 7 or even 10 days later. The duration of the walk is up to 15 minutes. The first exit can be limited to a 5-minute walk, and then gradually increase the time of walking with the baby on the street.

Anesthesiologist-resuscitator Ivashevich A.S.

How to work from home when children are around?

Working from home was becoming more and more popular long before the pandemic. But it has already become commonplace, now many professionals have to combine work from home and babysitting.

In this article, we’ll show you how to organize work from home when your kids are around, how to create a workspace at home, and how to create a comfortable work schedule that will benefit the whole family.

Why are more and more parents working from home?

According to a study by Stanford University, 42% of US employees continue to work from home full-time.

According to Nicholas Bloom, professor of economics and senior fellow at the Stanford Institute for Economic Policy Research, “The pre-pandemic bias against working from home has disappeared.” What’s more, Bloom argues that a large number of large companies are planning to give employees more options to work from home once the pandemic is over. A separate study found that “the proportion of working days spent at home is projected to quadruple from pre-epidemic levels, from 5% to 20%.”

Naturally, many employees who have switched to remote work have children. Moreover, many of these children are now also studying remotely. It turns out that parents who are forced to work from home have to not only adapt to new conditions, but also combine work with parental responsibilities, looking after their children and helping them with their studies.

Common problems of parents working from home

The severity of the problems associated with working from home with children depends largely on how many children you have, how old they are, and whether they need any special care.

Some of the most common problems parents face include:

The need to manage work time effectively

Keeping a work schedule can be incredibly difficult when you’re sitting at a computer with children nearby. In addition, you need not only to distribute your time, but also to look after the children, and also help them with their homework if they are already in school.

It’s even more difficult to organize your time and keep a busy work schedule if your child or children are under five years old. In this case, you should be even more careful in scheduling and think in advance about how to make your life easier.

Distractions

Probably the biggest problem with working from home is that your kids are constantly distracting you. And this happens at the most inopportune time – for example, when you have a Zoom meeting with colleagues, clients or superiors. Even if you don’t communicate with anyone, but just put your head into work, distractions reduce your productivity. According to one study, it takes the average professional 23 minutes and 15 seconds to return to full-time work on a task after being interrupted.

Switching from “work mode” to “parent mode”

Another common problem for parents working from home is switching from “work mode” to “parent mode”. This can be difficult, especially after 5:00 pm, when most people end their work day.

When you work from home, it is very difficult for you to separate work from family life. Work and parenthood flow seamlessly from one to the other without the natural physical separation that occurs when you live at home and work in an office. Therefore, creating a special workspace in your apartment can be of great benefit.


(Source: Picsea, Unsplash)

How do I create a workspace at home?

The importance of creating a workspace exclusively for yourself is due not only to the psychological need to bring your brain, not used to working from home, into working condition. Setting firm rules about when you can be distracted will help you win some time for focused work. You can give your child a task – let him make a sign for you on the door with the inscription “In a meeting” or “Do not disturb until 14-00”.

If physical isolation is not possible (for example, your children are too small, you are the only adult in the house, etc.), you can settle in with the children in the same room, but away from each other. You are in one corner, they are in the other. Many schools now conduct lessons remotely. Perhaps if you give half your office for a classroom, you can safely go about your business while the children are busy studying.

Use noise reduction devices for yourself and your colleagues

Everyone has experienced situations when, during an online meeting, someone outside the window suddenly started to howl a siren or heard a loud noise. Considering that it takes us about 16 minutes after reading a regular email to fully focus on work, reducing distractions should be your top priority. Now that you and your children are locked in the same room, be sure to use noise-canceling headphones and the mute button on the microphone during work communication. If there is no one else to look after your children but you, having a baby monitor will allow you to look after them even if you cannot hear them. If it is impossible to disperse to different rooms, you can put noise-canceling headphones on the child as well. Perhaps this will help him focus on his homework or game, and he won’t try to get your attention during an online meeting.

Video conferencing tools such as Zoom have a handy feature called push-to-talk (PTT). Using these features helps to reduce background noise, and at the same time, you do not have to turn the microphone on and off as often.

How to work from home with a baby in your arms?

Working from home when you have a baby can be especially difficult because it takes so much time and effort to care for a baby. But we can give you a couple of tips to help you balance working from home and caring for your little one.

Work while baby sleeps

Many babies sleep most of the day. If you have a baby, you can use this to work. You may even be able to complete the most laborious of tasks during these periods, because once the baby falls asleep, you will have a little time during which he will definitely not distract you.

Work when the child is full and happy with life

Of course, not all children sleep all day, and usually you have so much work that you cannot do it all during the child’s sleep. Therefore, catch moments when the child is calm. This usually happens when he has just woken up or after he has eaten.

Use a sling or baby carrier

Another effective method is to carry your baby. A high standing desk and a baby carrier or sling will keep you busy while your little one is literally hanging on to you.

Communicate more often with colleagues

Probably the most dangerous situation for your colleagues is when you disappear from the horizon and do not respond to messages. If they cannot contact you to get an answer to a question, discuss a working moment, or get the information they need, the likelihood of making some kind of mistake increases significantly. If you use chat statuses and let everyone know what hours you’re available, your co-workers will know what you’re up to and when they can talk to you.

To strengthen collaboration, consider implementing an online project management platform such as Wrike. It will allow you to create a single source of trusted information for all your teams. By centrally storing all data and discussions, your employees will always know how the work on the project is progressing and what is the status of the reports being created.

Do not push yourself to exhaustion

In fact, the combination of work and childcare, especially when it comes to a baby, is a huge job. Try to improve communication with colleagues and superiors, make a reasonable schedule and work as productively as you can. But do not demand the impossible from yourself and do not succumb to guilt.

How can I create a work schedule that will benefit the whole family?

Parents know that young children are not able to concentrate their attention for a long time. Whatever task or entertainment you give them, they will not do it for a long time. However, you can use this feature when scheduling work tasks. Research shows that multitasking leads to decreased productivity, so you may find it convenient to break down a large project into smaller tasks. If you perform tasks sequentially, one after the other, and plan for this in your schedule, you can both increase efficiency and alternate work with caring for children.

In addition to completing individual tasks and creating daily schedules, creating a public calendar with dates and project milestones will help you and your colleagues stay on top of deadlines.

Stay flexible

We all know that nothing ever goes exactly according to plan. Careful planning helps identify obstacles and potential problems that may arise over the coming weeks, but planning alone is not enough. Leave some wiggle room when allocating your time.

Whatever tool you use to collaborate with colleagues, you should be able to make changes quickly. The tool should allow you to dynamically change the deadlines for the submission of reporting materials and accurately extrapolate these changes to dependent tasks. This will help make things easier when plans change.

Wrike helps parents keep track of work progress

Processes that have worked well in the office may not work well when working remotely. It’s time to rethink your workflow management approaches and find opportunities to change for the better. If you do this now, you can smooth out the potential hassles associated with the abrupt transition to working from home, better prepare for future business growth, and minimize distractions in the home office.

Wrike’s telecommuting experts shared their experience and tips for working from home. In addition, you can take advantage of a free trial of Wrike to learn more about how work will be managed in the future.

How to create a care plan for a patient with Parkinson’s disease – Pro Palliative

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Contents

First block – general hygiene

Second block – risk prevention

Third block – specific problems of patients with Parkinson’s disease who cares for a seriously ill person in the hospital and at home.

Irina Prokopenko , senior lecturer at the care workshop “Care Workshop”, told what must be included in the care plan for a person with Parkinson’s disease.

The article was prepared based on the materials of the webinar.

First block – general hygiene

General hygiene includes washing, brushing teeth, morning toilet, feeding, defecation and positioning. If the patient can walk, wash and do other things independently, it should be noted whether he needs help. Be sure to indicate in which one: for example, to hold a mug or help stand or sit while he brushes his teeth.

  • Be sure to indicate whether a person needs partial or full help – one patient lies in bed all the time and all procedures need to be done for him, and the other person is able to go to the sink and wash himself: he only needs to be monitored.
  • Sometimes patients with Parkinson’s disease refuse to practice hygiene. Then our task is to talk to them, explain, support, offer help.
  • Keep a thesis plan: how often do I wash my head and body, how often do I wash my intimate parts, brush my teeth. It is not necessary to specify the entire algorithm of actions.
  • If a person does not have problems with swallowing, you only need to help him – for example, feed him from a spoon, help him use adaptive utensils, teach him to eat with his other hand. The main thing is to describe the problem and the help needed.
  • A person often needs help with a bowel movement.
  • It is important to monitor the position of the human body. In the 3rd and 4th stages of Parkinson’s disease, a person cannot move on his own. Our task is to prevent the occurrence of bedsores and contractures.

Diaper rash and pressure ulcers: how to treat them at different stages Where do pressure ulcers develop and where do they develop, how to treat them depending on the stage

Care plans are an important part of the nurse’s job. This allows you to keep all the information in one place, plan the situation and observe the dynamics.

  • Be sure to carefully examine and question the patient before making a plan of care, but be brief when writing the plan.
  • Plan your care for every patient, not just the worst ones.
  • Analyze and discuss difficult moments with colleagues.

The second block — Prevention of risks

  • Prevention of contractures. It is important to deal with the patient every day – 10 movements in each joint, passive gymnastics. If a person is already with contractures and cannot control his movements – positioning.
  • Prevention of dehydration. People often forget to drink water! Help the patient: give him a “non-spill”, other means convenient for him. Make sure the person drinks at least a liter of water a day.
  • Prevention of thrombosis and bedsores: this includes daily hygiene, examinations, physiological posture and change of position. Be sure to briefly describe in what positions you put the person and what is important specifically for him: suddenly he is uncomfortable in some position or he has drainage. To prevent thrombosis, you need to monitor how much a person drinks, ask relatives to buy compression underwear, and bandage the patient’s legs.

Third block – specific problems of patients with Parkinson’s disease

Respiratory problems

Nose crusts, nasal congestion, infection, discharge that cannot be coughed up – all of these occur in people with Parkinson’s disease. It is difficult for them to breathe deeply, breathing becomes superficial, because of this – poor ventilation of the lungs, shortness of breath. What to do with it?

  • Assess the depth of breathing, observe when a person does not have enough strength to breathe deeply.
  • Often such patients take levodopa and carbidopa – 20 minutes after taking the condition improves, strength appears. Then the effect of the drugs wears off and the strength becomes less. Therefore, it is important that all activities coincide with the intake of drugs.
  • Check for pale skin, cyanosis around the mouth or on nails turning bluish blue.
  • Control cough, help the patient to assume a position in which it is easier for him to cough.
  • Assist the patient in the high Fowler or half-Fowler position.
  • If the person walks, try motivating them to walk more when the drug is working. Encourage deep breathing, turns that “massage” the lungs.
  • If the person is unable to cough on their own, use an aspirator and remove the mucus so that the person can breathe normally.

Practical recommendations for the treatment of shortness of breath About methods for eliminating reversible causes of shortness of breath, including in the last days and hours of the patient’s life, and also about what needs to be explained to relatives of a patient suffering from shortness of breath

The problem of impaired thought process

A person with Parkinson’s disease can be easily distracted, say something inappropriate, think for a long time, be indifferent or focused only on himself. Naturally, his memory deteriorates. What can be done?

  • Rate how depressed the person is, whether they have suicidal thoughts;
  • Be interested in what a person feels, what emotions he experiences;
  • Carefully check the list of medications the person is taking – some medications can cause drowsiness and immobility, which makes the person even more frustrated;
  • If the person is constantly in bed, check their condition every 4 hours.

Speech problems

Patients with Parkinson’s disease may have speech problems: they have difficulty speaking (or cannot speak at all), they may stutter, and it is difficult for them to smile because their muscles become stiff. Because of this, articulation changes, it is difficult for people to control emotions on their faces. Speech becomes monotonous, slow (it is difficult for the patient to remember the name of the object, his attention is scattered). A person may not separate words or syllables, or, conversely, speak too quickly.

What should we do?

  • Check if the patient understands us and can nod in response.
  • If the person can talk, talk to him. Even if he slowly pronounces the words, syllable by syllable and with pauses.
  • Speak in short sentences yourself, with pauses, see how the person reacts to it.
  • If the patient speaks quickly, cries, his face is distorted, he may be anxious, worried, in pain. Ask him if something hurts? If there is pain, discuss it with your doctor.
  • Make eye contact, remove other sources of noise so that the person can focus on the conversation.
  • Don’t rush him, give him time to think and focus, stay calm and be at the same pace with the patient.

Impaired mobility

The patient is unable to stand up quickly, his gait is disturbed, he lacks balance and coordination, slow reaction, he may fall, movements become small and jerky, gait is “shallow”, shuffling.

  • Help the person learn to get up from the one, two, three swing;
  • Explain that before standing up, you must first move to the edge of the seat;
  • Ask the person to stand up slowly so that the pressure does not drop and they do not pass out;
  • Teach the person to concentrate on the gait – teach him to march, to make a sweeping gait, to raise his arms to the sides;
  • To prevent a person from touching his leg with his leg, teach him to step his foot a little to the side;
  • Do exercises with the person so that the muscles do not shackle, it will not take much time, just 10-15 minutes.
  • Talk to your doctor about relaxing treatments such as warm baths. We sometimes put a hot rolled towel on the back of the head and on the forehead, this makes the person feel better, he relaxes a little.

Swallowing disorders

People with Parkinson’s disease sometimes cannot swallow, chew, often choke. Therefore:

  • Pay close attention to how the person swallows and remember to do a three-swallow test. Here you can watch a video on how to do it;
  • Monitor the position of the person’s head and help him so that it does not tip back when he eats;
  • Feed the person only while sitting, otherwise he may choke. This is dangerous!
  • Before eating, ask the patient to chew gum or suck on a lollipop to produce saliva – have him chew first on one side, then on the other;
  • Give him food he can eat! Ask relatives to bring something tasty to the patient.
  • When the patient is eating, be sure to speak with him every movement: tilt your head a little forward, put food on your tongue, close your mouth, lips, teeth – start chewing, first on one side, then on the other. Remind him of the effort it takes to swallow.
  • Give the patient a neck massage before meals to make the muscles more mobile.

Methods for assessing dysphagia and prevention of aspiration in palliative patients What are the nuances to consider when conducting a “three-sip test” in palliative patients, what are the predictors of dysphagia, how to assess and prevent the risk of aspiration

Risk of falls

08 how a person walks and where, what routes he uses (for example, when he goes to the toilet). Look at what is on his feet, under his feet – evaluate the safety!

  • When a person goes to bed, he should know that when he wakes up, he must call the nurse, remember where he has the call button. Turn on a small night light at night, remove slippers and rugs from under your feet.
  • Remind the person that he must contact you when he wakes up (for example, he wants to go to the toilet), because he may forget how to get up and fall out of bed because of this.
  • Checklist: how to reduce the risk of falling patientsA brief note on how to arrange space in a hospital or hospice

    A problem with the emotional state

    It is difficult for a person to get used to his diagnosis: he does not understand what is happening, especially in the early stages of the disease. Believe me, it’s very hard. And at the same time, he retains a critical attitude towards his condition, he realizes that he cannot cope, that he has no control over his life. What to do?

    • Try to ensure that those who care for the person do not change. Ideal to replace each other for 12 hours. It will be difficult for a person to perceive if every day he had a new nurse.
    • Try to spend at least 10-15 minutes with the person every day. You may be the only person who communicates with him, so this is very important.
    • Help a person only when necessary, do not do everything for him! Encourage his independence – this will raise his self-esteem and add a sense of control over life, confidence.
    • Do not carry out any manipulations without explaining and coordinating them with the person. Give him a sense of control over his life because being dependent on someone is very frustrating.
    • If a person tells about some wishes, take them to work. Do not consider this manipulation, for him this is a moment of communication.
    • Determine the patient’s strengths and good qualities, skills – and boldly focus on this. This will increase his self-esteem of the patient. But praise sincerely, so that it does not look like flattery.
    • Use community resources – there are forums, communities on the Internet dedicated to Parkinson’s disease. Invite your relatives to study them and show them to your loved one – let him look, recharge with positive, realize that he is not alone. There are many stories on YouTube when people talk about themselves: how they were sick or are sick now. It inspires people.

    How to communicate with patients. Advice for Nurses Irina Prokopenko, Nurse, Senior Lecturer at Care Workshop, tells how to communicate with patients and their relatives

    Lack of knowledge about the disease

    Very often people with Parkinson’s disease do not know the features of their disease, do not understand what happens to them and why. Please tell the patient about Parkinson’s – what kind of disease is it, how is it different from others, what are his symptoms, what will you do about it.

    • Tell the person what he needs to do every day: gymnastics, hygiene. Remind him of this, he may forget;
    • Plan the patient’s day by the hour: taking drugs, procedures, physical education. Adjust the schedule if necessary. Try to make sure that the activity is at the peak of the action of the drugs;
    • Be sure to explain to the patient why his daily routine is structured the way he is, what drugs he takes and what they are for.

    Problems with stool

    Patients with Parkinson’s disease are usually constipated – they eat little, drink little water. Some drugs can also slow down peristalsis, anal fissures, hemorrhoids may appear. The person himself is afraid to push, afraid of pain. To avoid such problems:

    • Regulate the issue of nutrition to problems with defecation;
    • Control bowel movements, note when and how many times a person went to the toilet;
    • Discuss with your doctor the possibility of microenemas to induce a bowel movement.

    Trouble sleeping

    • If a person falls or slides out of bed while sleeping, place a mattress next to the bed;
    • If the patient has insomnia, increase the amount of wakefulness during the day;
    • Darken the patient’s room;
    • Make it so that the person does not hear extraneous noise – for example, offer him earplugs.

    Practical Guidelines for the Management of Painful Symptoms To help medical professionals, we have prepared practical guidelines for the management of the most common distressing symptoms and conditions in palliative care: nausea and vomiting, dyspnea, constipation, pruritus, hiccups, anorexia, and cachexia.

    Reprinting of material on the Internet is possible only if there is an active hyperlink to the original material on the site pro-palliativ.ru

    The material was prepared using a grant from the President of the Russian Federation provided by the Presidential Grants Fund.

    Used stock image from Depositphotos.

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    Baby’s first days after discharge from the hospital.

    Features of newborn care

    When a baby comes home after the maternity hospital, the first day makes new mothers panic, especially if this is their first birth. What you need to know after discharge from the hospital and what to do? How to properly plan your schedule? Such questions seem to fall like an avalanche on newly-made mothers. But lack of experience is not a problem. We will tell you in detail what every mother needs to know after childbirth, and how the first days of the baby pass at this time.

    On the first day after discharge from the maternity hospital, you first need to have a good rest and, if possible, entrust most of the household duties to your loved ones. And then you yourself get involved in a “not boring” new life. Where do you need to start?

    First meeting

    Newborn babies on postcards and pictures look like angels: rosy-cheeked, plump, with folds. Maybe because of this stereotype, new mothers are surprised by the appearance of their own newborn crumbs: the skin is wrinkled, uneven in color, which is covered with something white, the head is disproportionately large, the arms and legs are thin, twisted . .. Such a sight is not at all for the faint of heart. Therefore, every mommy immediately has a question: is everything all right with her baby? The fact is that the appearance of newborn babies is always so strange. It’s quite normal. Appearance has its own characteristics, which disappear some time after birth (several days, months). Most often it is:

    • Head oblong, egg-shaped. The bones of the skull, passing through the narrow birth canal, adapt to them, so the head immediately after childbirth is of this shape. It will become round in a few days.
    • The presence of fontanelles – depressions on the head of the child, which are tightened by the skin. Their overgrowth occurs by the age of one.
    • Swelling of the face. Sometimes because of this, the eyes may not even open. This phenomenon disappears after a few days.
    • Physiological hypertonicity is a normal condition in the first days of the neonatal period. By about three months of age, the legs and arms cease to shrink strongly. If this does not happen, be sure to consult a doctor.
    • It happens that in boys the testicles (both or one) do not descend into the groin area. You can not focus on this for up to a year. But if the situation does not change by this age, the baby needs the help of a surgeon.
    • Swelling of the nipples, sometimes milk can even be released from them (regardless of the sex of the child), redness and enlargement of the genitals, bloody discharge from the vagina in girls is considered as a variant of the norm. This condition is due to a hormonal crisis. It can occur 3-5 days after birth and lasts about a week.

    How are the first days of a newborn at home?

    After being discharged from the maternity hospital, the mother herself begins to take care of the baby. After all, almost all hygiene procedures were performed by nurses. Extremely trivial procedures, which will become a routine in the near future, will cause anxiety among parents at first. When caring for a newborn, the following actions are performed:

    • Washing, which includes the treatment of the eyes, nose, ears.
    • Treatment of the umbilical wound.
    • Nail clipping.

    A child needs to be washed from the first days of his life. This procedure is performed with cotton pads, which are moistened with boiled water. A separate disc must be taken for each eye. The eye is rubbed from the outer to the inner corner. Be sure to wipe the moistened cotton pad behind the baby’s ears. In this case, do not touch the inside of the ears, but only the auricle. The nose is cleaned with cotton swabs.

    The navel should be treated twice a day, for example in the morning and in the evening. For this purpose, first put a few drops (2-3) of hydrogen peroxide on the umbilical wound. It will foam and so the dirt is much easier to remove. Perform this procedure with a cotton swab. After that, the navel is treated with brilliant green.

    The child’s nails need to be cut very often (about once every 3 days), because they grow very quickly. The most convenient time for this is during sleep (deep phase). Nails on the legs are cut in a straight line, and on the hands – in a semicircle. So that in the first days of life the newborn does not scratch his face, you need to put on special mittens on the handles or use undershirts with sewn sleeves.

    Peculiarities of newborn care

    An important point is hygiene measures after discharge from the maternity hospital. What do you need to know about this?

    First, from the moment of birth, babies need to be bathed every day. Even the first day after discharge should not be an exception. Soap is used no more than once a week. For a child, you need to buy a separate bath. Do not forget that until the baby’s umbilical wound has healed, bathe in water with the addition of a small amount of manganese (its color should be slightly pink) to disinfect the wound or boiled water. In the first days after the maternity hospital, it is undesirable to add herbs to the water in order to avoid the possibility of developing allergic reactions.

    The temperature of the bathing water must be within 36.6 C, and then it can be “adjusted” at the request of the child. How to understand that the water for the baby is too hot or vice versa, cold? The child shrinks into a ball if he is cold. In general, babies are extremely sensitive, therefore, as soon as they are cold, the blue of the nasolabial triangle first appears, and after a while the baby begins to tremble. If the baby is very hot or the bathing temperature is too high, reddening of the skin begins, he becomes lethargic and starts to cry. There is no need to worry too much if the water temperature is above 36.6C. The water temperature is easy to correct and make it comfortable for the baby, and after a few baths you will accurately pour water at a temperature that the child will like.

    ATTENTION! The first days of a child’s life are the most important, they are called the neonatal period. Its duration is 28 days. It is at this time that the child adapts to life in a new world, parents try to learn to understand his needs and desires. During this difficult time, it is important to take care of your baby.

    Check your baby’s skin every day. Parents may find different rashes. When you see whiteheads on your face, you don’t need to worry – this is a hormonal rash. Rashes of red color may be evidence of a possible allergy. This must be reported to the pediatrician. A nursing mother needs to reconsider her diet and exclude allergenic foods. Skin care products can also provoke an allergic reaction.

    Care in the first days of a baby’s life includes maintaining the environment in a comfortable state: humidity and temperature. Within the normal range, humidity should be at least 50%, and the temperature should be within 21-22 ° C. In winter, this is more difficult to achieve, because the housing is heated by batteries. For this purpose, many mothers buy special humidifiers. Normal humidity levels will also help maintain open aquaria.

    Baby stool

    Immediately after birth, the newborn poops and pees little. During the first two days of life, he passes out meconium – the original feces of a dark color. Then, from about the 4th day of life, the feces become golden yellow in color. The frequency of bowel movements is 3-4 times a day. A newborn can urinate up to 25 times a day.

    Sometimes it happens that a newborn may have constipation or stool retention. Rare bowel movements are not yet evidence of constipation. With artificial nutrition, bowel movements occur every other day, but the feces remain soft. In case of persistent constipation in the baby, be sure to consult a doctor. If this case is a single one, additional drinking will come to the rescue.

    Baby’s body weight and nutrition calculation

    A newborn loses weight in the first days of his life. This figure should normally be no more than 6% of birth weight. In this case, this is a physiological weight loss, which in no way can affect the health of the crumbs. If the weight loss exceeds 10%, then the child needs an additional examination by a neonatologist.

    Weight loss can be explained by the fact that a newborn baby has a very small stomach volume – only 7 cm. But by the 4th day it increases to 40 ml, and on the 10th day – up to 80-90 ml It is because of this that the daily amount of feeding in the first days of life is calculated according to one formula, and after 10 days another is used.

    What are these formulas? So, until the 10th day of a child’s life, the calculation is carried out in two ways, which depend on the weight of the child and his age (days):

    1. With a newborn weighing up to 3200 grams, the daily amount of food is calculated: multiply the age in days by a factor of 70. For example, a baby is 6 days old, its weight is 3100 grams. Daily amount of food = 6X70 = 420 ml.
    2. If the weight of the child is more than 3200 grams, the daily amount of food is calculated: age in days multiplied by a factor of 80. If, for example, a child of 6 days has a weight of 3500 grams, then the daily amount of food is calculated by the formula 6X80 = 480 ml.
    3. For children who are not yet 10 days old, a single amount of food is calculated using the following formula: age in days is multiplied by 10. For example, for a child on the 3rd day of life, a single amount of food is calculated 3 × 10 = 30 ml.
    4. For children after 10 days of life, its weight is multiplied by a factor:
    • 10 days-1.5 months – 1/5;
    • 1.5-4 months – 1/6;
    • 4-6 months – 1/7;
    • 6-8 months – 1/8;
    • 8-12 months – 1/9.

    For example, for a child weighing 4500 grams per day, the following volume is needed: 4500 × 1/6 = 750 ml.

    Calculations are easy to follow if the baby is bottle fed. After calculating the required volume, it is easily measured with a scale on the bottle. For children who are breastfed, the amount of food eaten is measured in fact, and then compared with the calculated one. For this, the child is weighed before feeding, and then after it, and the difference in indicators is calculated (at this time, clothes and a diaper are not changed to prevent the possibility of measurement errors).