1. CACHE Level 3 Early Years Educator CACHE LEVEL 3 CHILDCARE & EDUCATION Unit 4 Child health © Hodder & Stoughton Limited

2. CACHE Level 3 Early Years Educator LO4 Understand care routines when a child is ill. AC 4.1 Explain the needs of a child who is ill in relation to: food and drink personal care rest and sleep emotional well-being dignity and respect observation and monitoring. AC 4.2 Describe procedures for: storage of medication administration of medication reporting and record keeping with regard to medication. AC 4.3 Discuss policy and procedure in relation to the role of the early years practitioner when a child becomes ill in an early years setting. © Hodder & Stoughton Limited

3. CACHE Level 3 Early Years Educator Food and drink needs When children are ill it is very important to ensure that they have plenty to drink, to keep them hydrated. They should drink frequently, especially drinks high in vitamin C. Illness can reduce appetite, food can taste different, but it is important for children to eat as they need the nutrients. Personal care needs A child who is unwell will need to be kept warm, they will be reassured by familiar routines. They will need to follow normal hygiene routines, but also wash their hands regularly. Rest and sleep Children will need to sleep in order to be given time to recover. However, they may not want to go to bed, but prefer to sleep on a sofa. Their sleep may be restless and they may need to feel you near. LO4 Understand care routines when a child is ill [AC 4.1] Physical needs of a child who is ill © Hodder & Stoughton Limited

4. CACHE Level 3 Early Years Educator Starter activity Time: 15 mins You have a child in your setting who is showing signs of ill health. They are uninterested in food and drink, and seem a bit listless. How can you encourage them to eat? What can you do to make drinking seem fun? © Hodder & Stoughton Limited LO4 Understand care routines when a child is ill [AC 4.1]

5. CACHE Level 3 Early Years Educator Emotional well-being Children who are unwell will need to feel safe, they will feel happier with people they know and trust around them – parents/carers/key person. They will need the reassurance that they are going to get better, they will need someone to listen to their fears and worries. Dignity and respect It is important for the practitioner to maintain the privacy and dignity of children who are unwell. They should be aware of the child’s feelings and respond appropriately. Observation and monitoring It is important to observe children who are displaying signs of being unwell, in order to see if their symptoms deteriorate. It will be important to monitor the child’s temperature, any medication given and any changes such as the onset of a rash. Emotional care needs of a child who is unwell © Hodder & Stoughton Limited LO4 Understand care routines when a child is ill [AC 4.1]

6. CACHE Level 3 Early Years Educator Pairs activity Time: 15 mins 1. Consider the emotional care needs of children who are unwell. How can practitioners meet children’s emotional well-being needs? What might the practitioner need to do? List three methods that you might use. 2. Discuss what situations a practitioner might find themselves in when having to maintain the privacy and dignity of children. For example, when carrying out children's intimate personal care such as toileting, dressing, giving medication, etc. 3. Explain how the practitioner should observe and monitor a child. List the actions that she should take. © Hodder & Stoughton Limited LO4 Understand care routines when a child is ill [AC 4.1]

7. CACHE Level 3 Early Years Educator Storage of medicine Medicines should be kept in their original container, clearly labelled with the name of the child and the dosage. They should be locked securely away, although such things as asthma inhalers should be easily accessible. Administration of medication Ensure that you have read the setting’s appropriate policy and that you know who is responsible for administering medicines. Parental consent must be given and you should only give medicines provided by the parents. Record keeping with regard to medication Again, there should be a setting policy on the recording of medicines. Settings should have a medication record book in which you should record the time and the dosage that you gave the child. Procedures to follow © Hodder & Stoughton Limited LO4 Understand care routines when a child is ill [AC 4.2]

8. CACHE Level 3 Early Years Educator Independent research activity Time: 15 mins Research the legislation on the storage of medicines and the reporting of illnesses. Refer back to the notes that you made in Lesson 2 on the reporting of notifiable diseases. Make notes and log your sources. © Hodder & Stoughton Limited LO4 Understand care routines when a child is ill [AC 4.1]

9. CACHE Level 3 Early Years Educator When a child is taken ill at a setting the practitioner should firstly assess the situation and inform their supervisor. The child should be monitored and, if necessary, made to feel comfortable. They may want to lie down in a separate ‘quiet’ area – most settings have a medical room which contains a bed. It is helpful to have a cuddly toy to hand. It is important not to ‘fuss’ around the child too much as they may start to enjoy the attention. The practitioner should also ensure that all the other children are being adequately supervised. The child’s temperature could be taken. If there is no sign of improvement, the child’s parents should be contacted. Procedures to be followed when a child is taken ill in a setting © Hodder & Stoughton Limited LO4 Understand care routines when a child is ill [AC 4.3]

10. CACHE Level 3 Early Years Educator Classroom discussion activity Time: 15 mins Consider the following scenario: Georgie was fine when she was dropped off at the nursery first thing in the morning. She started off playing and joining in the activities, painting and playing outside. She is normally a chatty and lively child. However, by mid-morning, she was observed rubbing her eyes and yawning. She complained of feeling hot. She did not eat anything at snack time. She went over to the ‘quiet’ corner and curled up on a cushion. A practitioner noticed that she had fallen asleep. What would you do in this situation? © Hodder & Stoughton Limited LO4 Understand care routines when a child is ill [AC 4.3]

11. CACHE Level 3 Early Years Educator Group activity Time: 15 mins You have been asked to review the policies and procedures in your setting and update them. Write a policy for the storage and administration of medication. Design a leaflet to inform staff of the procedure to be followed if a child falls ill at the setting. © Hodder & Stoughton Limited LO4 Understand care routines when a child is ill [AC 4.2, 4.3]

12. CACHE Level 3 Early Years Educator Reflection activity Time: 15 mins Reflect on your practice at placement. Have you ever had to comfort a child who was feeling unwell? How did you try to cheer them up? Were you successful? How would you improve your response next time? Do you know what the procedures are for a child who falls ill while at your setting? © Hodder & Stoughton Limited LO4 Understand care routines when a child is ill [AC 4.1]

13. CACHE Level 3 Early Years Educator Extension activity Time: 15 mins Devise an activity that can help children to explain how they are feeling – for example, the level of pain that they are feeling. How can you distract children and help them to forget the pain? Consider what sort of activities you could do with a child. © Hodder & Stoughton Limited LO4 Understand care routines when a child is ill [AC 4.1]

14. CACHE Level 3 Early Years Educator In this lesson we: Have learnt about the physical needs of a child who is ill. Have learnt about the emotional needs of a child who is unwell. Have considered the importance of maintaining dignity for a child who is ill. Have learnt about the procedures for storage, administration and record keeping with regard to medication. Have researched the legislation on the storage of medicines and the reporting of illnesses. Have considered the procedures to be followed if a child is taken ill at placement and discussed a case study. Have reflected on our own practice. © Hodder & Stoughton Limited

15. CACHE Level 3 Early Years Educator 1.Use a paper plate and design a plate of food to encourage a child to eat. 2.Design a form to compete when observing a child who is unwell – what would you need to record? © Hodder & Stoughton Limited