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Mum’s Good HealthA resource for teachers to help non-English-speaking
mothers care for themselves and their babies
Contents
Introduction 1
Acknowledgements 3
Teachers’manual 4
Unit1:Becomingaparent 13
Unit2:Breastfeeding 18
Unit3:Introducingsolids 23
Unit4:Childdevelopment 27
Unit5:Immunisation 32
Unit6:Mentalwellbeing 37
Unit7:Sleepandyourbaby 45
Unit8:Suddeninfantdeathsyndrome 50
Unit9:Healthyeating 55
Unit10:Backpain 59
Unit11:TheBlueBook 65
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Introduction
‘Child and family health nurses give a free service to help mothers and their families to look after their babies as they grow and develop and help mothers and their babies to be healthy and happy.’
Jeanette King, NurseUnitManager,ChildandFamilyHealthNursing,SLHD
InSLHD,over49%ofourresidentswerebornoverseasand7.1%arrivedinAustraliawithinthelastfiveyearsasimmigrantsorrefugeesfromanon-English-speakingcountry.
Almost43%ofresidentsreportedspeakingalanguageotherthanEnglishathome;almosttwicethelevelofNSWasawhole.Theproportionandnumbersofpeoplespeakinganotherlanguagerangedfrom64%inCanterburyLGAto15%inLeichhardtLGA.Some7.7%ofthepopulationborninanon-English-speakingcountryreportedpoorEnglishproficiency(approximately40,000residents).
CanterburyLGAisrichinculturaldiversity,with48.1%ofthepopulationbornoverseasand45%borninnon-English-speakingcountries.CanterburyLGAresidentsidentifytheirprimarylanguageasbeingArabic(13%,18,175),followedbyGreek(10%,13,411)andMandarin(6%,7,697).CanterburyLGAishometoalargenumberofhumanitarianentrants,themajoritybeingfromBurma,IraqandSyria.
Approximately57%ofCityofSydneyLGAresidentsspeakEnglishasaprimarylanguage,whilesmallerproportionsofresidentsidentifytheirprimarylanguageasbeingMandarin(15%,5,212),followedbyCantonese(9%,3,321)andGreek(5%,1,639).
In2013,therewere9,269babiesborntoSLHDmothers(9.2%ofallbabiesborninNSW).
Therearemorethan2,700CALDmotherswithchildrenunderfiveyearsoldwhomayrequireadditionaleducationandsupport.Itisvitaltosupportstrategiesthatwillenablefamiliestobuildresilience,promoteparentingconfidence,self-efficacyandsocialconnectedness.
ThereissomeevidencethatmanywomenfromCALDcommunitiesdonotengagelongtermwithunfamiliarhealthservices–withlanguagebarriersandculturalreasonsbeingonlytworeasonswhythishappens–butweknowwomenwillaccessGPservicesinparticularifthewomen’slanguageisspoken.
Parentingprogramsshouldaimtoaddresstheneedsofvulnerablefamilies,facilitateequityandaccessthroughwell-plannedhealthpromotionandparenteducationactivities.
In2012/13,immunisationcoverageforchildrenaged0–5years(90.5%)wasslightlylowerthanthenationalrate(91.7%).Acontinuedimmunisationpromotionstrategyisvitaltoprotectchildrenandcommunities.
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In2014,approximately3.1%ofwomenreportedsmokingduringpregnancyandhassteadilydecreasedsince2001(7.5%).Smokinginterventionprogramssupportedbygovernmentpolicywilldomuchtoensurethatthelongandshort-termhealthismaintainedbyhealthylifestylesandhealthyeating.
ParallelandcurrentconcernsabouthealthliteracylevelsinourEnglish-speakingpopulationspeaktotheneedforhealthliteracytobeaddressedamongourculturalandlinguisticallydiverseresidents.ThisresourcewillhelpCALDmothersofchildrenunderfive,peopleinthehealthserviceandteachersofEnglishasasecondlanguagetoincreasetheirEnglishcompetence,learntherelevantvocabulary,learnwheretheycanobtainfurtherinformationtocaremoreeffectivelyforthebabiesandthemselves.
Mum’s Good Health providesnon-English-speakingmothersofchildrenuptofiveyearsoldwithinformation,languageandskillstocommunicatewithnursesandotherhealthstaffandaccessservicesthatwillsupportthemincaringfortheirinfantsandsmallchildren.Itsgoalsaretogiveeverymotherthebestopportunitytogainconfidenceintheirparentingabilityandtostrengthentheirpositioninthecommunitythattheylivein.ThetopicsforMum’s Good Health werechosenbyrunningfocusgroupswithnon-English-speakingmothersandChildandFamilyHealthnurseswithinSydneyLocalHealthDistrict.
Jenni JonesChildandFamilyHealthNursingandFamilyPartnershipCoordinator,CommunityHealth,SLHD
AllstatisticsarefromSLHDCommunityHealthStrategicPlan2012–2017.
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Acknowledgements
Mum’s Good Health was researched, developed and written by:
Mary Johnston
Content was reviewed by:
Jenni Jones, ChildandFamilyHealthNursingandFamilyPartnershipCoordinator,SLHD
Donna Kelty,ChildandFamilyHealthCommunityHealthNurse,SLHD
ImagesforMum’s Good Health weresourcedfromwww.freedigitalphotos.net
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Teachers’ manualTheESLlessonsinMum’s Good Health havebeendevelopedasamethodtoreachCALDmothersthroughEnglishlessonstoprovidethemwithsupport,informationabouthealthservicesavailableandsomestrategiestocareforthemselvesandtheirbabieswithintheforumofanESLclass.ThehealthinformationinMum’s Good Health isnotexhaustive.ThelanguageissimplesothattheresourcecanbeusedwithCALDwomenwithlowliteracy.
NB:Itisrecommendedthattheparticipants’levelofEnglishisintermediateandtheyareabletoreadEnglish.
Unit 1: Becoming a parentObjectives
Participantswillbeinformedofstrategiestohelpmaintainagoodrelationshipwiththeirpartneraftertheyhavebecomeparentsandbeprovidedwiththecontactdetailsofrelevanthealthservices.
Health message
Thebirthofachildchangesrelationshipsbetweenparents.Itisimportanttotellyourpartneraboutyourworriesbecauseagoodrelationshipwillbringsupportandstrength.
Discussion
Familyrelationshipsvaryindifferentcultures.Becomingaparentmaychangerelationshipswithinafamilyagreatdeal.Thisisanopportunityforthemotherstotalktoeachotherabouttheirownsituation.
Source
FrameworkforParentInformationSession,ChildandFamilyHealthNursing,SydneyLocalHealthDistrict:ANewBeginningInformationSession,March2012(writtenbyClinicalNurseEducators,ChildandFamilyHealthService,CommunityHealth,SLHD).
More information
www.relationshipsnsw.org.au
www.parenting.sa.gov.au/pegs/peg50.pdf
www.raisingchildren.net.au
www.parentline.com.au
www.beyondblue.org.au
www.domesticviolence.nsw.gov.au/get-help/culturally-and-linguistically-diverse
www.dvrcv.org.au/immigrant-women%E2%80%99s-speakout-association
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Unit 2: BreastfeedingObjectives
Participantswillbeinformedofwaystocarefortheirbreastswhilebreastfeedingandbeprovidedwiththecontactdetailsofrelevanthealthservices.
Health message
•Humanbreastmilkgivesthebabyenergyandhelpsthebabytodevelopandgrowproperly.
•Breastmilkprotectsthebabyfrominfection.
•Effectivebreastfeedingtakestime,patientandpractice.
•Awomancanstillbecomepregnantevenwhenbreastfeeding.
Discussion
Mothersmayknowofothertechniquesforbreastcarewhichareusedwithintheirculture.Thisisanopportunityformotherstosharethesetechniqueswiththegroup.
Source
www.betterhealth.vic.gov.au/health/healthyliving/breastfeeding
More information
www.betterhealth.vic.gov.au/health/healthyliving/breastfeeding
Unit 3: Introducing solidsObjectives
Participantswillbeinformedofwhatsolidfoodtointroducetotheirbabieswhentheyaresixmonthsoldandbeprovidedwithrelevantcontactdetails.
Health message
Beforesixmonths,breastmilkorformulaistheonlyfoodanddrinkthebabyneeds.Aftersixmonths,solidsshouldbeintroducedtothebaby’sdietandwatercanbegiventothebabyfromthecup.
Discussion
Differentculturesmayintroducesolidstotheirbabiesindifferentwaysaccordingtotheircultureandlocalfood.Thisisanopportunityformotherstotelleachotheraboutthis.
Source
FrameworkforParentInformationSession,ChildandFamilyHealthNursing,SydneyLocalHealthDistrict:IntroducingSolidsInformationSession,March2012(writtenbyClinicalNurseEducators,ChildandFamilyHealthService,CommunityHealth,SLHD).
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More information
www.health.nsw.gov.au/heal/Pages/starting-family-foods.aspx
www.betterhealth.vic.gov.au/health/healthyliving/baby-care-weaning
Unit 4: Child developmentObjectives
Participantswillbeinformedaboutwaystointeractwiththeirbabiesandprovidedwiththecontactdetailsofrelevanthealthservices.
Health message
Newbabiescommunicateassoonastheyarebornandarelearningallthetime.Touchingthebabywillhelpthebabygrowproperly.Motherscandothingstomakethebabyhear,see,growandbehappier.
Discussion
Mothersfromdifferentculturesmayhavecreativeideasofwaystointeractwiththeirbabies,whichtheycansharewitheachother.
Source
FrameworkforParentInformationSession,ChildandFamilyHealthNursing,SydneyLocalHealthDistrict:DevelopmentPlayandLearningInformationSession(writtenbyClinicalNurseEducators,ChildandFamilyHealthService,CommunityHealth,SLHD).
More information
www.betterhealth.vic.gov.au/health/healthyliving
Unit 5: ImmunisationObjectives
Participantswilllearnthebenefitsofimmunisationandhowtobestcarefortheirbabiesatimmunisationtimeandbeprovidedwiththecontactdetailsofrelevanthealthservices.
Health message
ImmunisationisrecommendedfromanearlyageforallAustralianstoprotectthemagainstseriouschildhoodinfections.Serioussideeffectsorallergicreactionstoimmunisationarerare.
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Discussion
Thisisanopportunityformotherstotelleachotherwhetherthecountryfromwhichtheycomehasasimilarsystemforimmunisation.
Source
www.betterhealth.vic.gov.au/health/healthyliving/immunisation-childhood
More information
www.betterhealth.vic.gov.au/health/healthyliving/immunisation-childhood
Unit 6: Mental wellbeingObjectives
Participantswillbeinformedaboutstrategiestohelplookaftertheirmentalwell-beingandbeprovidedwiththecontactdetailsofrelevantservices.
Health message
Newmothersshouldeathealthyfood,organisebreaksforthemselves,tellpeoplehowtheyarefeelingandusethesupportservicesthatareavailable.
Discussion
Themotherscantelltherestofthegroupwhattheyliketodotoenjoythemselvesandhowtheyliketobesupported.
Source
FrameworkforParentInformationSession,ChildandFamilyHealthNursing,SydneyLocalHealthDistrict:AdjustmenttoParentInformationSession,5April2012(writtenbyClinicalNurseEducators,ChildandFamilyHealthService,CommunityHealth,SLHD).
More information
www.beyondblue.org.au
www.resourcingparents.nsw.gov.au
www.sjog.org.au
www.tresillian.net
www.karitane.com.au
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Unit 7: Sleep and your babyObjectives
Participantswillbeinformedaboutwaystosettletheirbabyandbeprovidedwiththecontactdetailsofrelevantservices.
Health message
Onethirdofbabieshavetroublesleepingbuttherearethingsthemothercandotohelptheirbabiesrelaxbeforesleeptime.
Discussion
Motherscantellthegroupofothertechniqueswhichmaybeusedintheircultureforrelaxingtheirbabyatsleeptime.
Source
FrameworkforParentInformationSession,ChildandFamilyHealthNursing,SydneyLocalHealthDistrict:SleepandSettlingInformationSession,March2012(writtenbyClinicalNurseEducators,ChildandFamilyHealthService,CommunityHealth,SLHD).
More information
www.parenting.sa.gov.au
www.betterhealth.vic.gov.au/health/healthyliving/sleep-and-your-baby
Unit 8: Sudden infant death syndromeObjectives
ParticipantswillbeinformedaboutstrategiestohelpavoidSIDSandbeprovidedwiththecontactdetailsofrelevantservices.
Health message
ToreducethechanceofSIDS:
•Putthebabytosleeponhis/herback.•Donotputfluffytoyswiththebaby.•Donotcoverthebabyinthecot.•Breastfeedthebaby.•Donotletanyonesmokeinthehouse,orinthecar,ornearthebaby.
Source
FrameworkforParentInformationSession,ChildandFamilyHealthNursing,SydneyLocalHealthDistrict:SleepandSettlingInformationSession,March2012(writtenbyClinicalNurseEducators,ChildandFamilyHealthService,CommunityHealth,SLHD).
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More information
www.rednose.com.au
www.betterhealth.vic.gov.au/health/healthyliving/sleep-and-your-baby
Unit 9: Healthy eatingObjectives
Participantswillbeinformedaboutwhichfoodmakesupahealthydietandbeprovidedwithcontactdetailsofrelevantservices.
Health message
Eatmore:
•vegetablesandlegumes/beans
•fruits•wholegraincereals•reducedfatmilk,yoghurt,cheese
•fish,seafood,poultry,eggs,nutsandseeds•redmeat(youngfemalesonly)
Eatless:
•starchyvegetables(i.e.includeawidervarietyofdifferenttypesandcoloursofvegetables)•refinedcereals•highandmediumfatdairyfoods
•redmeats(adultmalesonly)
•foodanddrinkshighinsaturatedfat,addedsugar,addedsalt,oralcohol(e.g.friedfoods,mosttake-awayfoods,cakesandbiscuits,chocolateandconfectionery,sweeteneddrinks)
Discussion
Motherscanshareideasaboutfoodandrecipesfromtheirculturewhichfallwithinthedietaryguidelines.
Source
www.gethealthynsw.com.au/eat-healthy
More information
www.eatforhealth.gov.au/guidelines/about-australian-dietary-guidelines
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Unit 10: Back painObjectives
Participantswillbeinformedonstrategiestolookaftertheirbackandbeprovidedwithcontactdetailsofrelevantservices.
Health message
•Stayactive.•Bendyourkneesandhipstolift.•Carryyourbabyclosetoyourbody.•Donothunchyourshoulderswhensitting.
Discussion
Mothersmayhavedevelopedtechniquesforcaringfortheirbackwhichtheycanrecommendtoeachother.
Source
www.schn.health.nsw.gov.au/parents-and-carers/fact-sheets/back-care-looking-after-your-back
More information
www.schn.health.nsw.gov.au/parents-and-carers/fact-sheets/back-care-looking-after-your-back
Unit 11: The Blue BookObjectives
Participantswill knowtheroleoftheBlueBookand theinformationitcontains.
Discussion
Mothers cantelleachother their opinionoftheBlueBook, ifthereisanythingsimilarintheir countryoforigin, andof experiencestheymayhavehadwiththe BlueBook.
Source
www.health.nsw.gov.au/kidsfamilies/MCFhealth/Pages/child-blue-book.aspx
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Session guideSuggested
•Fourtosixsessions.•Upto12participantsineachgroup.•Twohourslong(15-minutebreakinthemiddle).
•Dependingonlevelofgroup,oneortwotopicscanbecoveredinonetwo-hoursession.•Negotiatewithgroupwhichtopicstolearnfrom.
Each unit has the same format (except Unit 11: The Blue Book)TheeducatormustpresenttheunitsasEnglishasaSecondLanguagelessonsandadaptthelanguageactivitiessotheyareattheappropriatelevelforthegroup.Thiswilldependonparticipants’levelofEnglishandliteracy.
Participantswhohavechildrenwiththemmaybedistractedsotheeducatormustbeflexibleandaccommodating.
1 Information
Revisethehealthmessagesfromthepreviousweekandaskifanyparticipantshavefollowedthem.Readtheinformationoftheunittobestudiedwiththeclassandensuretheclassunderstandsthehealthmessage.
2 Glossary
Thiscanbepresentedindifferentwaysdependingontheclass.Thiswilldependonparticipants’levelofEnglishandliteracy.Trytoensurethattheparticipantslearnatleastonenewhealth-relatedwordeachsession.
3 What’s the problem?
Matching–aswiththevocabulary-matchingexercisethiscanbepresentedindifferentways.Trainermustgaugewhatiseffectivewiththegroup.Thiswilldependonparticipants’levelofEnglishandliteracy.
4 Looking after your health
ItisImportantthattheparticipantslearnthehealthmessagesinthissection.Afterthelanguageactivitieshavebeencompleted,trainerwritesthehealthmessagesonthewhiteboardor(ifnowhiteboard)verbalisesthemclearlyandasksparticipantstorepeatthem.Thefollowingweek,trainercanrevisethesehealthmessagesandaskifanyparticipantshavefollowedthem.
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5 Talking to the health workerTheeducatorcanreadthedialoguesaloudwithparticipantswithgoodliteracyandclearpronunciation.Theparticipantscanthenreadthedialoguesinpairs.Theeducatormustadaptthistowhatisappropriateforthegroup.Thiswilldependonparticipants’levelofEnglishandliteracy.
Whenthedialogueincludesahealthmessage,thetrainermaywritethehealthmessagesonthewhiteboardor(ifnowhiteboard)verbalisethemclearlyandaskparticipantstorepeatthem.
6 DiscussionThisisanimportantpartofthesessionwhenthemothers cantell the otherparticipants,insimpleEnglish,practicestheymayknowofwithintheirownculturewhichhavebeensuccessfulincaringforbabiesandmothersforgenerations. Themotherscanlearnfromeachotherandshareandcompareculturalpractices.
7 Find out moreThetrainerpointsoutthehealthservicesandencouragestheparticipantstousethemifnecessaryandthephonenumberoftheinterpreter.Trainertellsthegroupitistheirrighttouseaninterpreter.
REMEMBER: If the participants ask you for advice on health issues, say that you are an educator not a doctor. If they have a health issue, they should go to a doctor.
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Unit 1: Becoming a parent
1 Information
Fornewparents,thebirthofachildchangestheirrelationship.Itisimportanttotellyourpartneraboutyourworries.Agoodrelationshipcanbringyoustrengthandsupport.
2 Glossary
2.1 Write the meanings of each word in your own language
relationship
extended family
your responsibilities
physical
emotion
worried
future
2.2 Now match the words to the meanings
relationship todowiththebody
extended family thewaytwoormorepeopleareconnectedemotionally
your responsibilities afamilygroupthatconsistsofparents,children,aunts,uncles,cousins
physical itisyourdutytodoorlookafter
emotion anxious
worried whatwillhappeninthetimeafterthepresent
future anyofthefeelingsofjoy,sorrow,fear,hate,love
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3 What’s the problem?
3.1 Match the problem with what you would say if you had that problem
expectations from extended family ‘Iammuchfatternow.’
relationships with friends ‘Idon’thavetimetogotothehairdresser.’
less time for yourself ‘Idon’thavetimetotalkproperlytomyfriends.’
family responsibilities ‘IworryaboutwhowilllookafterthebabyifIandmyhusbandarebothinacaraccident.’
physical changes ‘Mymother-in-lawwantstoseethenewbabyeveryday.’
emotional changes ‘Ineverhavetimeseemybestfriendanymore.’
worries about the future ‘Ihavetocook,shopandcleanformybaby,myhusband,mymumanddadandmybrother-in-law.’
difficult to see old friends ‘Ioftenfeellikecryingnow.’
4 Looking after your relationship
Remember:
•Sayclearlywhatyouthinkisimportantforyouandyourfamilytodo.
•Tellyourpartnerhowyoufeel–goodfeelingsandbadfeelings.•Helpeachother.•Goouttogetherwithoutthechildren.
say clearly what you think is important for you and your family to do
tell your partner how you feel – good feelings and bad feelings
help each other go out together without the children
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4.1 Put what you can say under the correct headings (some sayings fit under two headings)
1 ‘Mybabysleptallnightwithoutwakingup!Ifeelgreattoday.’
2 ‘Mybabysmiledatmeforthefirsttime.Itwaswonderful.’
3 ‘Babywouldnotstopcryingtoday.Itwasterrible.’
4 ‘Babyisreallyclingytoday–it’sdrivingmemad.’
5 ‘It’simportantthatweallgotoseemygrandfathereverySunday.’
6 ‘IwantmymumanddadtocometoluncheverySunday.’
7 ‘Onbirthdayslet’sallhavebreakfasttogether.’
8 ‘Let’sgotolunchonSaturdayorSundayandleavethebabywithyourmum.’
9 ‘Wemusthaveonenightouteveryweekwithoutthekids.’
10‘PleasetakethekidsoutonSaturdaymorningstogivemeabreak.’
11‘Pleasewillyoucookatweekends–Igetsotiredfromcookingallthetime.’
12‘PleasewashupwhileIputthekidstobed.Thenyoucanreadtothem.’
13‘Iwanttogoouttoamovietonight–willyoupleasegethomeearlytoputthekidstobed.’
14‘It’sgreatthewayyoutakethekidstotheparkonSundays.ThenIcancatchuponsleep.’
5 Talking with your partner
Listening 1: Writethedialoguenumbernexttothecorrecttopic
Topics:
goouttogetherwithoutthechildren
helpyourpartner
tellyourpartnerifyouhadabadnightandaretired
sayclearlywhatyouthinkisimportantforyouandyourfamilytodo
1Mum: Ithinkit’sveryimportantthatweallgotochurchonSundays–asafamily.Dad: OK,Iagree.AlsoI’dliketohavemymumanddadroundforamealafterwards.Mum: Yes,andmyfamilytoo.Dad: Yes,OK.
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2Mum: Thebabywokemeupfourtimeslastnight.Dad: Pooryou.Mum:Yes,Iamreallytired.Dad: Yes,youmustbeexhausted.
3Mum: Ineedtofinishthiscookingbeforeeveryonearrivesforlunch.Dad: OK,Iwilltakethebabyout.Mum: Thatwillhelpmealot.Dad: Iwillenjoyit.
4Mum: Let’sgooutforamealeveryThursdayevening.Dad: Goodidea–itwillgiveusatreat.Mum: Wecanleavethebabywithmysister.Dad: Oryoursistercancomeroundhere.
Listening 2: Listenagainandfillinthegapswiththemissingwords
1Mum: Ithinkit’sverythatweallgotochurchonSundays–asafamily.Dad: OK,Iagree.AlsoI’dliketohavemymumanddadforamealafterwards.Mum: Yes,andmyfamilytoo.Dad: ,OK.
2Mum: Thebabymeupfourtimeslastnight.Dad: Pooryou.Mum: Yes,Iamreallytired.Dad: Yes,youmustbe.
3Mum: Ineedtothiscookingbeforeeveryonearrivesforlunch.Dad: OK,Iwilltakethebabyout.Mum: Thatwillmealot.Dad: Iwillenjoy.
4Mum: Let’sgooutforaeveryThursdayevening.Dad: Good–itwillgiveusatreat.Mum: Wecanleavethebabywithmy.Dad: Oryoursistercancomehere.
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6 Discussion
Tellthegroupwaysyouhavecopedwith‘becomingaparent’,howyourfamilyrelationshipsmayhavechangedandhowmothersmaybesupportedinyourculture.
7 Find out more
ParentingSAwww.parenting.sa.gov.au
Tresillianwww.tresillian.netCall1300272736
RaisingChildrenNetworkwww.raisingchildren.net.au/your_relationship/grown-ups_your_relationship.htmlwww.raisingchildren.net.au/connecting _communicating/preschoolers_connecting.html
beyondblue(depression,anxietysupport)www.beyondblue.org.auCall1300224636
NSWMulticulturalHealthCommunicationServicewww.mhcs.health.nsw.gov.au/publicationsandresources/pdf/copy_of_topics/parenting#c5=eng&b_start=0
Domesticviolencewww.domesticviolence.nsw.gov.au/get-help/culturally-and-linguistically-diversewww.dvrcv.org.au/immigrant-women%E2%80%99s-speakout-association
1800Respectwww.1800respect.org.auCall1800737732
To speak in your own language, call a telephone interpreter on 131 450 (the cost of a local call).
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Unit 2: Breastfeeding
1 Information
•Humanbreastmilkgivesyourbabyenergyandhelpsyourbabytodevelopandgrowproperly.
•Breastmilkprotectsyourbabyfrominfection.
•Effectivebreastfeedingtakestime,patienceandpractice.
•Youcanstillbecamepregnantevenifyouarefullybreastfeeding.
2 Glossary
2.1 Write the meanings of each word in your own language
mastitis
sore
fever
to massage
nipple
lump
colostrum
nutrients
infection
2.2 Now match the words to the meanings
mastitis thebabysucksmilkfromthispartofthebreast
sore veryhotandcoldandbonesache
fever tostrokeandrub
to massage apainfulplaceonyourskinbecauseofaninjuryorinfection
nipple breastinfection
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lump substanceneededtomakebabygrowproperly
colostrum germsenterthebody,multiplyandcausedisease
nutrients athickareaunderskin
infection thefluidyourbreastsmakeinthefirstfewdaysafterbirthandwhichhelpstoprotectyourbabyfrominfection
3 Looking after your health and your baby’s health
3.1 Match the good things about breastfeeding with the sentences that mean the same thing
breast feeding is good for your health
‘Womenwhobreastfeedbondbetterwiththeirbaby.’
breast feeding is easy ‘Breastmilkprotectsthebabyfromillness.’
breast feeding is good for your baby’s health
‘Breastmilkisfree.’
breast feeding is cheap ‘Itiseasiertobreastfeedthantofeedababyfromabottle.’
breast feeding makes you feel closer to your baby
‘Womenwhobreastfeedarelesslikelytogetbreastcancer,ovariancancerandosteoporosis.’
4 Symptoms of mastitis
4.1 Match the problem with what you would say to the doctor if you had the problem
a sore, hard part of the breast ‘Undermybreasttheskinisred.’
a patch of red skin on the breast ‘Ifeelveryhotandcoldandmyjointsache.’
feeling feverish and ill ‘Thereisasoreareaonmybreastwhichfeelshard.’
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5 Talking to the child and family nurse
Listening 1: Writethedialoguenumbernexttothecorrecttopic
Topics:
painkillersandbreastfeeding
howtohelpasorebreast
breastlump
sorebreastandmilkflow
sorebreastandfever
1Nurse: Goodmorning.Howiseverythinggoing?Mother:Nurse,mybreastisverysore.ShouldIgoonbreastfeeding?Nurse:Yes,goonbreastfeedingasnormalfromthesorebreast.Mother:Butthemilkdoesnotflowoutofiteasily.Nurse:Useheatpacksorhaveawarmshowerbeforeyoufeedtohelpwithmilkflow.Thenusecoldpacksafterthebreastfeeds.
2Nurse:Hi,howareyoutoday?Mother:Nurse,Icanfeelalumponmybreast.Nurse:Gentlymassagethelumptowardsthenipple.Mother:OK.Whenisagoodtimetodothis?Nurse:Agoodtimetodoitiswhenyouarefeedingthebabyorintheshower.Mother:OK,thanks.Iwilldothat.
3Nurse:Hi,howareyouandyourbabythismorning?Mother:Notgood.Mybreastishurtingalot.WhatcanIdo?Nurse:Useacoolpackonthebreastafteryoufeedyourbaby.Thismayhelpittohurtless.Mother:OK.WhatelsecanIdo?Nurse:Drinkplentyofwater.
4Nurse:Haveyouanyotherquestions?Mother:Yes,isitOKtotakepainkillerswhenyouarebreastfeeding?Orisitbadforthebaby?Nurse:Yesyoucan.Takeparacetamoloribuprofenforpainrelief.Mother:OK,good.Thatwillhelpmealot.
5Nurse:Howiseverythinggoing?AreyoufeelingOK?Mother:Ifeelterrible.Ihavehadsorebreastandfeverallday–isthisaworry?Nurse:Yes,seeyourdoctor.Youmayhavemastitis.
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Mother:Isitserious?Nurse:Mastitisiseasytotreatbutitcanbecomeseriousifyoudonottreatitquickly.Mother:OK.Whatwillthedoctordo?Nurse:Hemaygiveyouantibioticsthataresafetotakewhenyouarebreastfeeding.
Listening 2: Listenagainandfillinthegapswiththemissingwords
1Nurse: Good.Howiseverythinggoing?Mother:Nurse,mybreastisvery.ShouldIgoonbreastfeeding?Nurse:Yes,goonbreastfeedingasfromthesorebreast.Mother:Butthemilkdoesnotoutofiteasily.Nurse:Useheatpacksorhaveawarmbeforeyoufeedtohelpwithmilkflow.Thenusepacksafterthebreastfeeds.
2Nurse:Hi,howareyoutoday?Mother:Nurse,Icanfeelaonmybreast.Nurse:Gentlythelumptowardsthenipple.Mother:OK.Whenisagoodtodothis?Nurse:Agoodtimetodoitiswhenyouarethebabyorintheshower.Mother:OK,thanks.Iwilldothat.
3Nurse:Hi,howareyouandyourthismorning?Mother:Notgood.Mybreastisalot.WhatcanIdo?Nurse:Useacoolonthebreastafteryoufeedyourbaby.Thismayhelpittoless.Mother:OK.WhatelsecanIdo?Nurse:Drinkplentyof.
4Nurse:Haveyouanyother?Mother:Yes,isitOKtotakewhenyouarebreastfeeding?Orisitbadforthebaby?Nurse:Yesyoucan.Takeparacetamoloribuprofenforpain.Mother:OK,good.Thatwillmealot.
5Nurse:Howiseverythinggoing?Areyoufeeling?Mother:Ifeelterrible.Ihavehadsorebreastandallday–isthisaworry?Nurse:Yes,seeyourdoctor.Youmayhave.Mother:Isitserious?Nurse:Mastitisiseasytobutitcanbecomeseriousifyoudonottreatitquickly.Mother:OK.Whatwillthedoctordo?Nurse:Hemaygiveyouthataresafetotakewhenyouarebreastfeeding.
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6 Discussion
Tellthegroupotherwaysyouknowofcaringforyourbreastsduringbreastfeedingwhichmaybemethodswhichareusedsuccessfullyinyourculture.
7 Find out more
ChildandFamilyHealthNursingCall95625400
MotherSafewww.mothersafe.org.auCall93826539
RaisingChildrenNetworkwww.raisingchildren.net.au/nutrition/newborns_nutrition.html
AustralianBreastfeedingAssociationwww.breastfeeding.asn.auCall1800686268
NSWMulticulturalHealthCommunicationServicewww.mhcs.health.nsw.gov.au/publicationsandresources/pdf/copy _of _topics/breast-feeding#c5=eng&b_start=0
To speak in your own language, call a telephone interpreter on 131 450 (the cost of a local call).
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Unit 3: Introducing solids
1 Information
Beforesixmonths,breastmilkorformulaistheonlyfoodanddrinkthatyourbabyneeds.Ataboutsixmonthsofage,solidsshouldbeintroducedtoyourbaby’sdiet.Yourbabycanalsobegivenwaterfromacupfromsixmonthsofage.
2 Glossary
2.1 Write the meanings of each word in your own language
solids
spoon
minced
pureed
digest
diarrhoea
choke
run down
2.2 Now match the words to the meanings
solids cutorchoppedintoverysmallpieces
spoon foodsievedormashedintoasmooththickpaste
minced asmallshallowbowlonahandle,usedtoprepare,serveoreatfood
pureed foodthatisnotrunny
digest veryweakandtired
diarrhoea difficulttobreatheorswallowbecausethroatisblocked
choke loose,waterystools(poo)morethanthreetimesinoneday
run down foodischangedinthestomachsoitcanbesoakedupintothebody
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3 Signs
Howdoyouknowyourbabyisreadyforsolids?
3.1 Match the signs with what you say to the child and family nurse to tell her that your baby is ready to eat solid food
baby is about six months old ‘Mybabyputshishandsoutwhenheseesfood.’
baby can hold head up without help ‘WhenIgivemybabyaspoonsheopenshermouth.’
baby can reach out for food ‘Mybabywasbornsixmonthsago.’
baby can open mouth when a spoon is offered
‘Mybabycansitupbyhimselfnow.’
4 Looking after your baby
Thebestfirstfoodsforyourbabyatsixmonths.
4.1 Put the foods in the correct column
pumpkin–apple–potato–banana–sweetpotato–peach–carrot–cauliflower–broccoli–pear–fortifiedcereal
fruit vegetables
Aftereightmonthsyoucanalsoaddthefollowingfoodstoyourbaby’sdiet.
4.2 Put the foods in the correct column
mincedfish–custard–cheese–wheatcereal–mashedbakedbeans–mashedlentils–rice–pasta–oats–mincedleanbeef–mincedchicken–yoghurt
meat legumes dairy grains
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5 Talking to the child and family nurse
5.1 Things to remember
Listening 1: Writethedialoguenumbernexttothecorrecttopic
Topics:
whentointroducesolids
solidstofeedyourbabyateightmonths
breastfeeding
1Mother: Whatisthebestwaytofeedmybaby?Nurse: Breastfeedingisthebestwaytofeedyourbaby.Mother: Butbreastfeedingmakesmeverytired.Nurse: Yes,itistiring.Eatgoodfood.Itisveryimportanttokeephealthyandtostopyoufromgettingrundown,especiallywhenyouarebreastfeeding.
2Mother: WhencanIstartfeedingsolidfoodtomybabygirl?Nurse: Youstartgivingsolidfoodtoyourbabywhensheisaboutsixmonthsold.Mother: WhyshouldIstartatsixmonths?Nurse: Ifyoustartsolidstooearly,yourbabycan’tdigestthefoodandcouldgetdiarrhoeaorchoke.Mother: Whynotlaterthansixmonths?Nurse: Ifyoustartsolidstoolate,yourbabymaystopgrowingwellandwillnothaveenoughiron.
3Mother: WhatsolidsshouldIgivethebaby?Nurse: Feedyourbabyawidevarietyofdifferentfoodtogivehimallthenutrientsheneedstogrowanddevelop.Mother: Canyougivemesomeexamples?Nurse: Yes,mincedmeat,custard,mashedpotatopasta,orfoodlikethisthatyouareeatingwiththefamily.
Listening 2: Listenagainandfillinthegapswiththemissingwords
1Mother: Whatisthebesttofeedmybaby?Nurse: isthebestwaytofeedyourbaby.Mother: Butbreastfeedingmakesverytired.Nurse: Yes,itistiring.Eatgoodfood.Itisverytokeephealthyandtostopyoufromgettingrundown,especiallywhenyouarebreastfeeding.
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2Mother: WhencanIstartsolidfoodtomybabygirl?Nurse: Youstartgivingfoodtoyourbabywhensheisaboutsixmonthsold.Mother: WhyshouldIstartatsixmonths?Nurse: Ifyoustartsolidstooearly,yourbabycan’tthefoodandcouldgetdiarrhoeaorchoke.Mother: Whynotlaterthansixmonths?Nurse: Ifyoustartsolidstoo,yourbabymaystopgrowingwellandwillnothaveenoughiron.
3Mother: WhatsolidsshouldIgivethe?Nurse: Feedyourbabyawideofdifferentfoodtogivehimallthenutrientsheneedstogrowanddevelop.Mother: Canyougivemesomeexamples?Nurse: Yes,mincedmeat,,mashedpotatopasta,orfoodlikethisthatyouareeatingwiththefamily.
6 Discussion
Tellthegroupthewaymothersinyourculturemayintroducesolidfood,whichfoodtheyintroducetotheirbabiesandwhen.
7 Find out more
ParentingSAwww.parenting.sa.gov.au
NSWHealthwww.health.nsw.gov.au/heal/Publications/starting-family-foods.pdf
EatForHealthwww.eatforhealth.gov.au/sites/default/files/files/the_guidelines/n56b_infant_feeding_summary _130808.pdf
RaisingChildrenNetworkwww.raisingchildren.net.au/articles/when_to_introduce_solids.html/context/232
NSWMulticulturalHealthCommunicationServicewww.mhcs.health.nsw.gov.au/publicationsandresources#c3=eng&b_start=0&c1=Parenting
To speak in your own language, call a telephone interpreter on 131 450 (the cost of a local call).
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Unit 4: Child development
1 Information
Newbabiescommunicateassoonastheyarebornandarelearningallthetime.Touchyourbabiessotheygrowproperly.Youcandothingstohelpyourbabyhear,see,growandbehappier.
2 Glossary
2.1 Write the meanings of each word in your own language
mobile
stroke
copy
interaction
blow raspberries
alert
clingy
2.2 Now match the words to the meanings
mobile moveone’shandoverskinagainandagain
stroke todothesamething
copy actionthathappensbetweentwoormorepeople
interaction atoythathangsintheair
blow raspberries lively
alert wantstobewithyoualot
clingy placethetonguebetweenthelipsandblowtomakeasound
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3 Looking after your baby’s development
3.1 From one to three months old
Listening 1: Listentothingsyoucandotohelpyourbabydevelopandwritethenumbernexttotheoneyouhear
Babiesneedtoplaywithpeoplemorethantoys.
Talktoyourbaby.
Lookintoyourbaby’seyes.
Pointtobaby’snoseandsay‘Hereisyournose’.
Pointtoyournoseandsay‘Hereismummy’snose’.
Pickuphisdroppedtoysagainandagain.
Hidethencallbaby’snamewhenyoucomeout.
Listening 2: Listenagainandfillinthegapswiththemissingwords
Babiesneedtoplaywithmorethantoys.
Talktoyour.
Lookintoyourbaby’s.
Pointtobaby’sandsay‘Hereisyournose’.
Pointtoyournoseandsay‘Hereisnose’.
Pickuphisdroppedagainandagain.
Hidethencallbaby’swhenyoucomeout.
thencallbaby’snamewhenyoucomeout.
3.2 From three to six months old
Atthisage,yourbaby’ssocial,emotionalandphysicaldevelopmentisrapidandwillincludesmiling,laughing,kicking,rollingoverandliftingtheirhead.
Listening 1: Writethedialoguenumbernexttothecorrecttopic
Topics:
talktoyourbaby
makefacesatyourbaby
hangamobile
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blowraspberriesonyourbaby’stummy
putatoynearyourbaby
singtoyourbaby
putyourbabyonhertummy
1 Mum: HowcanIplaywithmybaby?Nurse: Talktoyourbabyallthetime.Mum: WhatwillIsay?Nurse: Tellhimwhatyouaredoing.
2Mum: HowcanIplaywithmybaby?Nurse: Makefacesathim.Mum: OK,hewilllikethat.Nurse: Yes,exactly.
3Mum: HowcanIplaywithmybaby?Nurse: Blowraspberriesonhertummy!Mum: Thatwillticklehim.Nurse: Yes,hewilllikeit.
4Mum: HowcanIplaywithmybaby?Nurse: Singasongtoher.Mum: OK.Mymumusedtodothattome.Nurse: Yes,it’sverysoothing.
5 Mum: HowcanIhelpmybabygrow?Nurse: Layhimonthefloorinasafeplace.Mum: Onhisbackorhistummy?Nurse: Onhistummy.
6Mum: HowcanIhelpmybabytobemoreactive?Nurse: Givehercolourfulthingstolookatandputthemnearher.Mum: WhyshouldIputthemnearher?Nurse: Sothenshecanlookatthem,touchthemandtrytohitthem.
7 Mum: ShouldIhangamobileovermybaby’scot?Nurse: Cotsareforsleepingnotplaying.Mum: OK.Nurse: Putthemobilewhereheplays.
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Listening 2: Listenagainandfillinthegapswiththemissingwords
1 Mum: HowcanIwithmybaby?Nurse: toyourbabyallthetime.Mum: WhatwillI?Nurse: Tellhimyouaredoing.
2Mum: HowcanIwithmybaby?Nurse: Makeathim.Mum: OK,hewilllikethat.Nurse: ,exactly.
3Mum: HowcanIwithmybaby?Nurse: Blowonhertummy!Mum: Thatwillticklehim.Nurse: Yes,hewillit.
4Mum: HowcanIwithmybaby?Nurse: Singatoher.Mum: OK.Mymumusedtodothattome.Nurse: Yes,it’ssoothing.
5 Mum: HowcanIhelpmybaby?Nurse: Layhimontheinasafeplace.Mum: Onhisorhistummy?Nurse: Onhis.
6Mum: HowcanImybabytobemoreactive?Nurse: Giveherthingstolookatandputthemnearher.Mum: WhyshouldIputthemher?Nurse: Sothenshecanlookatthem,themandtrytohitthem.
7 Mum: ShouldIhangaovermybaby’scot?Nurse: Cotsareforsleepingnot.Mum: OK.Nurse: Putthemobileheplays.
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6 Discussion
Sharewiththegroupotheractivitesthatmotherscanplaywiththeirbabywhichmaybecommoninyourculture.
7 Find out more
RaisingChildrenNetwork
•Developmenttracker www.raisingchildren.net.au/development_tracker/newborn_development_tracker.html
•Newborns www.raisingchildren.net.au/newborns/newborns.html
•Babies www.raisingchildren.net.au/babies/babies.html
•Toddlers www.raisingchildren.net.au/toddlers/toddlers.html
•Babycues www.raisingchildren.net.au/baby _cues/baby _cues.html
•Parentinginpictures–guide www.raisingchildren.net.au/parenting_in_pictures/pip_landing_page.html
ResourcingParentswww.resourcingparents.nsw.gov.au
LoveTalkSingReadPlay•Homepage http://ltsrp.resourcingparents.nsw.gov.au
•Programs http://ltsrp.resourcingparents.nsw.gov.au/program/agegroup/6/love
•PhoneappforAndroid(GooglePlay)oriPhone(Apple) http://ltsrp.resourcingparents.nsw.gov.au/home/resources
Bringingoutthebestinyourbaby–calendarwww.kidshealth.schn.health.nsw.gov.au/sites/default/files/kih1567-your-baby-calendar-2015final.pdf
NSWMulticulturalHealthCommunicationServicewww.mhcs.health.nsw.gov.au/publicationsandresources/resources#c3=eng&b_start=0&c1=Children+safety&c1=Early+childhood&c1=Parenting
To speak in your own language, call a telephone interpreter on 131 450 (the cost of a local call).
Page|32
Unit 5: Immunisation
1 Information
ImmunisationfromanearlyageishighlyrecommendedforallAustralianchildrentoprotectthemagainstseriouschildhoodinfections.Serioussideeffectsorallergicreactionstoimmunisationarerare.
InNSW,vaccinesaredueatbirth,six-to-eightweeks,fourmonths,sixmonths,12months,18monthsand3 ½-to-fouryears.Childhoodvaccinesareavailableatyourfamilydoctor,AboriginalMedicalServiceoratsomecouncilimmunisationclinics.Routinechildhoodvaccinesarefreewhereveryouchoosetotakeyourchild,butyourGPmaychargeaconsultationfee.
Thefollowingtableshowstheageatwhichimmunisationisdueandthediseasesconcerned.
birth |hepatitisB
6 weeks |diphtheria,tetanus,pertussis,haemophiliusinfluenzaetypeB,hepatitisB,polio|pneumococcal|rotavirus
4 months |diphtheria,tetanus,pertussis,haemophiliusinfluenzaetypeB,hepatitisB,polio|pneumococcal|rotavirus
6 months |diphtheria,tetanus,pertussis,haemophiliusinfluenzaetypeB,hepatitisB,polio|pneumococcal
12 months |haemophilusinfluenzaetypeB,meningococcalC|measles,mumpsandrubella
18 months |measles,mumpsandrubellavaricella|diphtheria,tetanus,pertussis
4 years |diphtheria,tetanus,pertussis,polio
At risk groups:6 months and over with medical risk conditionsAboriginal 6 months to less than 5 yearspregnant women
|influenza
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2 Glossary
2.1 Write the meanings of each word in your own language
immunisation
infection
temperature
injection
diarrhoea
vomit
swollen
salivary glands
side effect
allergic
vaccine
2.2 Now match the words to the meanings
immunisation yourbodyistoohot
infection healthworkerinjectsfluidintoyourbodytoprotectyoufromillness
temperature wayofputtingfluidintothebody,usuallywithasyringe
injection diseasecausedbygermsenteringbody
diarrhoea foodinyourstomachcomesbackoutofyourmouth
vomit enlarged
swollen organsthatproducewateryliquidinmouthtohelpchewingandswallowing
salivary glands frequentpassingofwateryfaeces(poo)
side effect whenyourbodyreactstosomethingthatmostotherpeopledonotreactto
allergic asmallweakdoseofliveviruseswhichthencausetheimmunesystemtomakeantibodiestofighttheseviruses
vaccine problemsthathappenaswellaswhatissupposedtohappen
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3 Facts
3.1 Match the fact about immunisation with the sentence that means the same thing
immunising your child is important ‘It’sfree.’
routinely provided free ‘Yourchildwillswallowtherotavirusvaccine.’
all parents must provide a school entry immunisation status certificate when they enrol their child in primary school
‘Thedoctorwillinjectalltheothervaccinationsintoyourchild’sarmorleg.’
rotavirus vaccine is administered by mouth ‘Itisimportantthatyourchildhastheirvaccinations(slang:jabs).’
most childhood immunisations are given as an injection in the arm or leg
‘Whenyouenrolyourchildinprimaryschoolyoumustgivetheschoolanotetosayyourchildisimmunised.’
4 Talking to the doctor after vaccination
Listening 1: Writethedialoguenumbernexttothecorrecttopic
Topics:
ifyourbaby’sarmhurts
ifyourbabyisverysick
afterthevaccination
1 Mother: WillmybabyfeelOKafterthisvaccination?Doctor: Yes–butifhehasafevergiveyourbabymoretodrinkanddonotlethimgettoohot.Mother: CanIgivehimpanadol?Doctor: Ifhehasafeveryoucangivehimpanadolbutalwaysreadthelabeltoseehowmuchtogivehimoraskyourchemist.Mother: Thanks,Ihavegotsome‘babypanadol’.
2Mother: Willmybaby’sarmhurtafterthevaccination?Doctor: Itmaybesore,red,itchy,swellorburnforonetotwodays.Mother: SohowcanIhelpher?Doctor: Ifithurtstoomuchgivehersomepanadol.Mother: OK.
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3Mother: Ihaveheardsomebabiesareverysickaftertheirvaccinations?Doctor: Thisisveryrare.Mother: ButwhatwillIdoifmybabyisverysick?Doctor: Ifyouthinkyourchildisverysickafterthevaccination,comebacktoseemeassoonaspossibleorgoimmediatelytoahospital.Mother: Thanks,doctor,Iwill.
Listening 2: Listenagainandfillinthegapswiththemissingwords
1 Mother: WillmybabyfeelOKafterthisvaccination?Doctor: Yes–butifhehasagiveyourbabymoretodrinkanddonotlethimgettoohot.Mother: CanIgivehimpanadol?Doctor: Ifhehasafeveryoucangivehimbutalwaysreadthelabeltoseehowmuchtogivehimoraskyourchemist.Mother: ,Ihavegotsome‘babypanadol’.
2Mother: Willmybaby’shurtafterthevaccination?Doctor: Itmaybesore,red,,swellorburnforonetotwodays.Mother: SohowcanIhelpher?Doctor: Ifithurtsmuchgivehersomepanadol.Mother: OK.
3Mother: Ihaveheardsomeareverysickaftertheirvaccinations?Doctor: Thisisveryrare.Mother: ButwhatwillIdoifmybabyisvery?Doctor: Ifyouthinkyourchildisverysickafterthe,comebacktoseemeassoonaspossibleorgoimmediatelytoahospital.Mother: Thanks,,Iwill.
5 Discussion
Tellthegroupifbabiesreceiveimmunisationsinyourcountryandifsowhichsicknessesarethebabiesimmunisedagainst.
Page|36
6 Find out more
NSWHealthwww.health.nsw.gov.au/immunisation
RaisingChildrenNetworkwww.raisingchildren.net.au/articles/immunisation.html
NSWMulticulturalHealthCommunicationServicewww.mhcs.health.nsw.gov.au/publicationsandresources/resources#c3=eng&b_start=0&c1=Children+safety&c1=Early+childhood&c1=Immunisation&c1=Parenting
To speak in your own language, call a telephone interpreter on 131 450 (the cost of a local call).
Page|37
Unit 6: Mental wellbeing
1 Information
Some13%ofwomenwhohavejustgivenbirthsufferfrommentalhealthissues,
usuallydepression.
2 Glossary
2.1 Write the meanings of each word in your own language
Depression
numb
guilty
tearful
angry
fear
interest
insomnia
appetite
unmotivated
withdrawn
exhausted
negative
Anxiety
on edge
panic
palpitations
relax
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overwhelmed
tense
worry
irritable
restless
2.2 Now match the words to the meanings
Depression
numb feelverycross
guilty cannotfeelhappyorsad
tearful feelyouhavedonesomethingwrong
angry feellikecrying
fear cannotsleep
interest wishtoeatfood
insomnia feelscaredofdanger,painorharm
appetite wanttoknoworlearnaboutsomethingorsomeone
unmotivated donotwanttomixwithotherpeople
withdrawn verytired
exhausted seebadineverything
negative donotwanttodoanything
Anxiety
on edge becomelesstenseorworried
panic fast,strongorirregularheartbeat
palpitations tense
relax feelafraidandcan’tthinkclearly
overwhelmed toomuchtodo
Page|39
tense angry
worry nervous
irritable notabletobestill
restless thinktoomuchaboutproblems
3 What’s the problem?
3.1 Put the following problems in the correct column below
‘Ifeelsad.’
‘Ifeellikeafailure.’
‘Igetsoangrywiththekids.’
‘Iamsuresomethingterriblewillhappentomybaby.’
‘Ican’tfacegoingouttotheshops.’
‘Iusedtolovetennis–Ihateitnow.’
‘Ican’tsleepevenwhenmybabyissleeping.’
‘Ican’tstopeatingjunkfood.’
‘Ican’tbebotheredtodothewashingupeveryday.’
‘Ihavenotwashedmyhairforweeks.’
‘SometimesIwishIwasdead.’
‘Ican’tconcentrateonthistelephonebill.’
‘Ijuststayinmypyjamasallday.’
what you feel what you do (or don’t do)
Page|40
4 Talking to the counsellor
Listening 1: Writethedialoguenumbernexttothecorrecttopic
Topics:
playgroups
supportedplaygroup
haveabreakfromkids
gooutwithyourpartner
cannotcope
doingsomethingnew
1 Counsellor: Howarethingsgoing?Mum: IfeelIcan’tcopewiththehousework,theshopping,thebaby,thekids,myhusband,myfather-in-law...everything.Counsellor: Yes,Icanseewhyyoufeeloverwhelmed.Youcangotothedoctorifyoufeelyouwanttotalktoahealthprofessional.Therearethingsyoucandothatwillhelpyoutocope.Mum: Yes,thanks,IthinkIwilldothat.
2Mum: Thekidsaredrivingmemad!Counsellor: Lotsofmumsfeellikethat.Therearegroupsyoucanjointosupporteachother.Mum: Whatdothegroupsdo?Counsellor: Mumsmeettogetherandoffereachothersupport,tipsandfriendship.Sometimesyoumakefriendsforlife.
3Mum: I’vegottohaveabreakfromthekidsscreaming.Counsellor: Itmustbeverytiring.Haveyougotfriendsorfamilywhocanlookafterthekidsoneafternoonaweekorsomething?Mum: Mypartner’smumsaysshewillhelplookafterthebaby.Counsellor: It’simportantyouhavebreaks.Askhertohelpyou.
4Mum: Everydayfeelstoomuchforme.Counsellor: Yes,sometimesitseemslikethat.Whatdoyoulovedoing?Mum: Ilovegoingtothemovieswithmyfriends.Counsellor: Getsomeonetolookafteryourkidsandgotothemoviesatleastonceaweekwithyourfriends.
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5Mum: Inevergetachancetotalktomypartneranymore.Counsellor: It’shardwiththekidsaroundallthetime.Trytogooutwithyourpartnerregularlyforamealorforcoffee.Mum: Butwhataboutthekids?Counsellor: Ifyoudon’thaveanyfamilytohelp,youcouldpayababysitter.It’sworthit.
6Mum: Mylittleboywon’tleavemetogoandplaywiththeotherkids.SometimesIthinkthereissomethingwrongwithhim.Counsellor: Thereisasupportedplaygroupyoucangoto.Mum: Whataresupportedplaygroups?Counsellor: Supportedplaygroupsaregroupsofmothersandchildrenwhomeetupinaplacewheretheirchildrencanplaytogetherandthemotherswatchandtalktoothermothers.Therearehealthprofessionalsthereaswellwhohelpyouandyoucantalktoifyouareworriedaboutyourchild.
Listening 2: Listenagainandfillinthegapswiththemissingwords
1 Counsellor: Howaregoing?Mum: IfeelIcan’tcopewiththehousework,the,thebaby,thekids,myhusband,myfather-in-law...everything.Counsellor: Yes,Icanseewhyyoufeel.Youcangotothedoctorifyoufeelyouwanttotalktoahealthprofessional.Therearethingsyoucandothatwillhelpyoutocope.Mum: Yes,,IthinkIwilldothat.
2Mum: Thekidsaredrivingmemad!Counsellor: Lotsofmumslikethat.Therearegroupsyoucanjointosupporteachother.Mum: Whatdothedo?Counsellor: Mumsmeettogetherandoffereachothersupport,andfriendship.Sometimesyoumakefriendsfor.
3Mum: I’vegottohaveabreakfromthekids.Counsellor: Itmustbeverytiring.Haveyougotfriendsorfamilywhocanlookafterthekidsoneaweekorsomething?Mum: Mypartner’smumsaysshewillhelplookafterthebaby.Counsellor: It’simportantyouhavebreaks.hertohelpyou.
4Mum: Everydayfeelstooforme.Counsellor: Yes,sometimesitseemslikethat.Whatdoyoulovedoing?Mum: Ilovetothemovieswithmyfriends.Counsellor: Getsomeonetoafteryourkidsandgotothemoviesatleastonceaweekwithyourfriends.
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5Mum: Inevergetachancetotalktomyanymore.Counsellor: It’shardwiththekidsaroundallthetime.Trytogooutwithyourpartnerregularlyforamealorfor.Mum: Butwhataboutthekids?Counsellor: Ifyoudon’thaveanyfamilytohelp,youcouldpaya.It’sworthit.
6Mum: Mylittleboywon’tleavemetogoandplaywiththeotherkids.SometimesIthinkthereissomethingwrongwithhim.Counsellor: Thereisaplaygroupyoucangoto.Mum: Whataresupportedplaygroups?Counsellor: Supportedplayaregroupsofmothersandchildrenwhomeetupinaplacewheretheirchildrencanplaytogetherandthewatchandtalktoothermothers.Therearehealthprofessionalsthereaswellwhoyouandyoucantalktoifyouareworriedaboutyour.
Listening 3: Writethedialoguenumbernexttothecorrecttopic
Topics:
eathealthily
organisebreaksforyourself
behonestabouthowyoufeel
takeonestepatatime
can’tcopewithguests
feelingjudgedbyfriends
1 Mum: Ithinkmyfriendisjudginghowbadlymykidsbehave.Counsellor: Friendswithquietkidsmaynotunderstand.Mum: Yes,Iagree.Counsellor: Makesureyouspendtimewithfriendswhoyoufeelcomfortablewith.Mum: Goodidea.
2 Mum: WehavealwayshadvisitorseverySundaylunchsinceweweremarried.Counsellor: IsthatstillOK?Mum: IfeelIhavetocleanthehouseforthemandcookforthem.Counsellor: Don’tinvitepeopleroundtoyourhousewhenyoufeeloverwhelmedortootired.Suggesttogooutorgotooneoftheirhouses.
3Mum: Hurray,mybabysleepsthroughthenightnow.Counsellor: Great!Mum: Buthestillwon’tsleepintheday.Counsellor: Takeonestepatatime!
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4Mum: EveryoneexpectsmetobeasactiveasIwasbeforeIhadkids.Counsellor: Thatisunfair.Mum: AndwhenI’mnottheythinkI’mbeingunfriendlytothem.Counsellor: Tellyourfriendsandfamilyhowtiredorstressedyoufeel.
5Mum: Ifeelsobloated.Counsellor: Whydoyouthinkyoufeelbloated?Mum: Ieatfastfood.Itseasyjusttohaveburgersandchipswiththekids.Counsellor: Eathealthyfood–itwillhelpyoufeelbetter.
6Mum: Iamsotired.Ijustdon’tgetenoughsleep.Counsellor: Alunchtimenapwillhelpifyoudidnotsleepenoughinthenight.Mum: ButIcan’tasmykidsdon’tsleepintheday.Counsellor: Canyouorganisewithsomeonetotakethemoutforanhourorsoeach?Sleepisveryimportant.
Listening 4: Listenagainandfillinthegapswiththemissingwords
1 Mum: Ithinkmyfriendisjudginghowbadlymykidsbehave.Counsellor: Friendswithkidsmaynotunderstand.Mum: Yes,Iagree.Counsellor: Makesureyouspendtimewithfriendswhoyoufeelwith.Mum: Goodidea.
2 Mum: WehavealwayshadvisitorseverySundaylunchsincewewere.Counsellor: IsthatstillOK?Mum: IfeelIhavetothehouseforthemandcookforthem.Counsellor: Don’tinvitepeopleroundtoyourhousewhenyoufeeloverwhelmedortoo.Suggesttogooutorgotooneoftheirhouses.
3Mum: Hurray,mybabythroughthenightnow.Counsellor: Great!Mum: Buthestillwon’tsleepintheday.Counsellor: Takeoneatatime!
4Mum: EveryoneexpectsmetobeasasIwasbeforeIhadkids.Counsellor: Thatisunfair.Mum: AndwhenI’mnottheyI’mbeingunfriendlytothem.Counsellor: Tellyourfriendsandfamilyhowtiredoryoufeel.
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5Mum: Ifeelsobloated.Counsellor: Whydoyouthinkyoubloated?Mum: Ieatfood.Itseasyjusttohaveburgersandchipswiththekids.Counsellor: Eatfood–itwillhelpyoufeelbetter.
6Mum: Iamsotired.Ijustdon’tgetsleep.Counsellor: Anapwillhelpifyoudidnotsleepenoughinthenight.Mum: ButIcan’tasmykidsdon’tsleepintheday.Counsellor: Canyouorganisewithtotakethemoutforanhourorsoeach?Sleepisveryimportant.
5 Discussion
Tellthegroupthingsyouenjoydoingwhichmaybethewaywomenenjoythemselvesinyourculture.
6 Find out more
beyondblue(pregnancyandearlyparenting)www.beyondblue.org.au/who-does-it-affect/pregnancy-and-early-parenthood
Karitanewww.karitane.com.au
RaisingChildrenNetwork(depressionandanxiety,lookingafteryourself)www.raisingchildren.net.au/articles/pnd_video.html
ResourcingParentswww.resourcingparents.nsw.gov.au
Tresillianwww.tresillian.netCall1300272736
NSWMulticulturalHealthCommunicationServicewww.mhcs.health.nsw.gov.au/publicationsandresources/resources#c3=eng&b_start=0&c1=Mental+health+and+illness&c1=Women+health
To speak in your own language, call a telephone interpreter on 131 450 (the cost of a local call).
Page|45
Unit 7: Sleep and your baby
1 Information
Things to remember:
•Aroundonethirdofbabieshavesleepproblems.
•Thesleeplessnightswilleventuallycometoanend.
•Ifyourbabyhasongoingsleepingproblemsyoumayneedtogotoahealthworker.
2 Glossary
2.1 Write the meanings of each word in your own language
to massage
to wrap
dummy
to rock
to pat
problems
thirsty
pain
2.2 Now match the words to the meanings
to massage tomovegentlyfromsidetoside
to wrap arubbernippleforbabiestosuckorbiteon
dummy tocoverorsurroundinsoftmaterial
to rock tostrokeandrub
to pat towanttodrink
problems unpleasantfeeling
thirsty totouchquicklyandgentlywiththeflatofthehand
pain difficulties
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3 What’s the problem?
Whatstopsyourbabyfromsleeping?
3.1 Match the problem with what the child and family nurse advises you to do
room is too bright or television is too noisy ‘Giveyourbabyacleannappybeforehegoestosleep.’
baby is in pain ‘Feedyourbabybeforeyouputhiminhiscottosleep.’
baby is cold ‘Giveyourbabyadrinkbeforeyouputhiminhiscottosleep.’
baby is too hot (particularly in winter when parents may add extra blankets to the cot)
‘Isyourbabytoohotinhiscot?’
baby is thirsty, particularly in warm weather ‘Isyourbabytoocoldinhercot?’
baby has a wet or dirty nappy ‘TurnthelightsandTVoffinthebaby’sbedroom.’
baby is hungry ‘Yourbabymayhaveear-ache.’
4 Looking after your health and your baby’s health
Helpyourbabyrelaxbeforesleeptime.
4.1 Match the words and the pictures of what you can do to help your baby relax and sleep
wrap baby in cotton or muslin
give baby a warm bath
hold baby and gently talk to him or her
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massage baby
play soft music
5 Talking to the child and family nurse
Listening 1: Writethedialoguenumbernexttothecorrecttopic
Topics:
babywantstoplaywhenyouwanthimtosleep
babywon’tsleepintheday
babywon’tgotosleep
babywakesupofteninthenight
1Nurse: Hi,howiseverythinggoing?Mother: Terrible.Iamexhausted.Nurse: Areyougettingenoughsleep?Mother: No,mybabywon’tgotosleep.Nurse: That’sreallyhardforyou.Trytorelaxyourbabybeforebedwithmassage,bathing,dimlightsorsoftmusic.
2Nurse: Howareyoumanaging?Mother: Ican’tcope.Ifeellikecrying.Nurse: What’sbeenhappening?Mother: Ican’tgetmybabytosleepinthedaysoIdon’tgetabreakfromherallday.Nurse: Yes,it’stough.Trytogetyourbabytosleepatthesametimeseachday.
3Mother: Mybabywakeseverytwohoursinthenight.Iamsotired.Nurse: Isheeatingenoughfoodintheday?Mother: Whydoyouaskthat?Nurse: Ifheishungryhewillwakeupmoreoftenatnight.Mother: OK,Iwillmakesureheiseatingenoughintheday.
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4Mother: MybabysometimeswillnotsettlewhenIputhiminhiscot.Nurse: Sowhatdoyoudo?Mother: Hesometimeswantstoplay.Nurse: Rememberbedtimeisnotplaytime.
Listening 2: Listenagainandfillinthegapswiththemissingwords
1Nurse: Hi,howisgoing?Mother: Terrible.Iexhausted.Nurse: Areyougettingenoughsleep?Mother: No,mywon’tgotosleep.Nurse: That’sreallyhardforyou.Trytoyourbabybeforebedwithmassage,bathing,lightsorsoftmusic.
2Nurse: Howareyoumanaging?Mother: Ican’t.Ifeellikecrying.Nurse: What’sbeenhappening?Mother: Ican’tgetmybabytointhedaysoIdon’tgetabreakfromherallday.Nurse: Yes,it’stough.Trytogetyourbabytosleepatthesameeachday.
3Mother: Mybabywakeseverytwohoursinthenight.Iamsotired.Nurse: Isheeatingfoodintheday?Mother: Whydoyouaskthat?Nurse: Ifheishungryhewillwakeupmoreoftenatnight.Mother: OK,Iwillmakesureheisenoughintheday.
4Mother: MysometimeswillnotsettlewhenIputhiminhiscot.Nurse: Sowhatdoyoudo?Mother: Hesometimeswantstoplay.Nurse: Rememberbedisnotplaytime.
6 Discussion
Tellthegroupotherwaystosettlebabieswhichmaybeusedsuccessfullyinyourculture.
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7 Find out more
Karitanewww.karitane.com.auCareline1300227464
Tresillianwww.tresillian.netCall1300272736
RaisingChildrenNetworkwww.raisingchildren.net.au/sleep/newborns_sleep.html
NSWMulticulturalHealthCommunicationServicewww.mhcs.health.nsw.gov.au/publicationsandresources/resources#c3=eng&b_start=0&c1=Infant+health
To speak in your own language, call a telephone interpreter on 131 450 (the cost of a local call).
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Unit 8: Sudden infant death syndrome
1 Information
Manyparentsworryaboutsuddeninfantdeathsyndrome(SIDS)andfatalsleepaccidents.Researchhasshownthattherearesomesimplethingsyoucandotoreducetherisks.
2 Glossary
2.1 Write the meanings of each word in your own language
infant
fluffy toys
baby and doona
bumper in cot
syndrome
symptom
fatal
smother
unexpected
2.2 Now match the words to the pictures or meanings
infant
fluffy toys
baby and doona
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baby and bumper in cot
syndrome surprising
symptom causesdeath
fatal kill(someone)bycoveringnoseandmouth
smother signwhichshowsyouareill
unexpected setofsymptomswhichhappentogether
3 Looking after your sleeping baby
3.1 Indicate whether you think the pictures gives correct or incorrect advice for baby care
correct / incorrect correct advice
correct / incorrect correct advice
correct / incorrect correct advice
correct / incorrect correct advice
correct / incorrect correct advice
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correct / incorrect correct advice
3.2 Now put the correct advice with the correct picture of the baby
‘Donotputyourbabyonhisfronttosleep.’
‘Donotputfluffytoyswithbabies.’
‘Donotcoveryourbabyinthecot.’
‘Putyourbabytosleeponherback.’
‘Breastfeedyourbaby.’
‘Donotletanyonesmokeinthehouse,inthecaroraroundyourbaby.’
4 Talking to the doctor
Listening 1: Writethedialoguenumbernexttothecorrecttopic
Topics:
donotletyourbabysleepwithfluffytoysoradoona
nevercoveryourbaby’sheadwhensleeping
placeyourbaby’sfeetatthebottomofthecot
donotallowanyonetosmokenearyourbaby
breastfeedyoubaby
placebabiestosleepontheirback
1Mum:IworrythatmybabywilldieofSIDS.Doctor:Thenfollowmyadvice.Mum:OK,yes.Whatisyouradvice?Doctor:Putyourbabytosleeponhisback.
2Mum:IworrythatmybabywilldieofSIDS.Doctor:Thenbreastfeedyourbaby.Mum:Whyisitbettertobreastfeed?Doctor:Breastfedbabiesareeasiertowakeupwhentheyaretwoorthreemonthsold.Mum:So?Doctor:ThisistheagemostSIDShappen.
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3Mum:IworrythatmybabywilldieofSIDS.Doctor:Donothavefluffytoys,bumpersoradoonainyourbaby’scot.Mum:Whynot?Doctor:Theycancausebabiestogettoohotortheycansmotherababy.
4Mum:IworrythatmybabywilldieofSIDS.Doctor:Makeupthebottomofthecotwithblanketsandsheetslikeyouwouldanormalbed.Mum:OK.Anythingelse?Doctor:Yes,putyourbabywithhisfeetatthebottomofthecot.
5Mum:IworrythatmybabywilldieofSIDS.Doctor:Thenkeepyourbaby’sheaduncoveredwhilehesleeps.Mum:OK,Iwilldothat.
6Mum:IworrythatmybabywilldieofSIDS.Doctor:Thendonotletanyonesmokeinthehouse,inthecaroraroundyourbaby.Mum:Butmyhusbandsmokes.Doctor:Makesurehesmokesoutside.
Listening 2: Listenagainandfillinthegapswiththemissingwords
1Mum:IworrythatmywilldieofSIDS.Doctor:Thenfollowmy.Mum:OK,yes.Whatisyouradvice?Doctor:Putyourbabytoonhisback.
2Mum:IworrythatmybabywilldieofSIDS.Doctor:Thenyourbaby.Mum:Whyisitbettertobreastfeed?Doctor:Breastfedbabiesareeasiertoupwhentheyaretwoorthreemonthsold.Mum:So?Doctor:ThisisthemostSIDShappen.
3Mum:IworrythatmybabywilldieofSIDS.Doctor:Donothavetoys,bumpersoradoonainyourbaby’scot.Mum:Whynot?Doctor:Theycancausebabiestogettooortheycansmotherababy.
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4Mum:IworrythatmybabywilldieofSIDS.Doctor:Makeupthebottomofthecotwithblanketsandlikeyouwouldanormalbed.Mum:OK.Anything?Doctor:Yes,putyourbabywithhisatthebottomofthecot.
5Mum:IworrythatmybabywilldieofSIDS.Doctor:Thenkeepyourbaby’sheadwhilehesleeps.Mum:OK,Iwilldothat.
6Mum:IworrythatmybabywilldieofSIDS.Doctor:Thendonotletanyoneinthehouse,inthecaroraroundyourbaby.Mum:Butmysmokes.Doctor:Makesurehesmokes.
5 Find out more
SIDSandKidswww.sidsandkids.org/safe-sleepingCall1300308307
RaisingChildrenNetwork(safesleep)www.raisingchildren.net.au/sleep/newborns_sleep.html
NSWMulticulturalHealthCommunicationServicewww.mhcs.health.nsw.gov.au/publicationsandresources/resources#c3=eng&b_start=0&c1=Infant+health
To speak in your own language, call a telephone interpreter on 131 450 (the cost of a local call).
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Unit 9: Healthy eating
1 Information
Eatinghealthyfoodinabalanceddietisveryimportanttohelpyougettheenergyyouneed,maintaingoodhealthandhavestrongbonesandmuscles.
2 Glossary
2.1 Write the meanings of each word in your own language
calcium
vitamin
dehydration
energy
muscles
balanced
dizzy
2.2 Now match the words to the meanings
calcium havingafeelingofspinningandatendencytofall
vitamin ‘fuel’forworkorvigorousactivity–itisusedupbyexerciseorgiventothebodybyfood
dehydration evenlyspread
energy whenthebodydoesnothaveasmuchwaterasitshould
muscles amineralfoundnaturallyinfoodthatisessentialfordevelopingstrongbonesandteeth
balanced substancesfoundinfoodthatyourbodyneedstogrowanddevelopnormally
dizzy bodytissuemadeofcellsthatcausesmovement
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3 Healthy foods
3.1 Put the foods in the correct column –i.e.ifthefoodcontainsvitaminDputitinthevitaminDcolumnandifthefoodcontainscalciumputitinthecalciumcolumn(somehavebothcalciumandvitaminD)
milk–greenvegetables–yoghurt–custard–bokchoy–cheese–cannedsardines–bread–salmon–tahina–figs–almonds–brazilnuts–cereals–fruit–broccoli–eggs
calcium vitamin D
4 What’s the problem?
Listening 1: Writethedialoguenumbernexttothecorrecttopic
Topics:
eatingbetweenmeals
dizzyandweak
1Nutritionist: Goodmorning.Howiseverythinggoingforyou?Mum: Iamabitworried–Ifeeldizzyandweak.Nutritionist: Areyoudrinkingenoughfluids?Mum: Howmuchisenoughfluid?Nutritionist: Youshoulddrinkatleasteightglassesoffluidaday,preferablywater.Otherwiseyouwillgetdehydratedanddizzy.Mum: OK,-IwillmakesureIdrinkmore.
2Nutritionist: Howareyou?Mum: IamwellbutalwayshungryandIdon’twanttoeatbiscuitsandcakesbetweenmealsasIwillgetfat–thoughIknowIneedcertainfoods.WhatshouldIeat?Nutritionist: Eatfreshordriedfruit,cheeseandnutsifyouarehungrybetweenmeals–thesegiveyouthecalciumyouneedandaglassofmilkorsoymilkeachdaywillmakeuptherest.Mum: OK,doctor.WhydoIneedcalcium?Nutritionist: Tokeepyourbonesandteethhealthy.
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Listening 2: Listenagainandfillinthegapswiththemissingwords
1Nutritionist: Goodmorning.Howisgoingforyou?Mum: Iamabitworried–Ifeelandweak.Nutritionist: Areyouenoughfluids?Mum: Howmuchisenoughfluid?Nutritionist: Youshoulddrinkatleasteightoffluidaday,preferablywater.Otherwiseyouwillgetdehydratedanddizzy.Mum: OK,IwillmakesureIdrink.
2Nutritionist: Howareyou?Mum: IamwellbutalwaysandIdon’twanttoeatbiscuitsandcakesbetweenmealsasIwillgetfat–thoughIknowIcertainfoods.WhatshouldIeat?Nutritionist: Eatfreshordried,cheeseandnutsifyouarehungrybetweenmeals–thesegiveyoutheyouneedandaglassoforsoymilkeachdaywillmakeuptherest.Mum: OK,doctor.ButwhydoIneedcalcium?Nutritionist: Tokeepyourandteethhealthy.
5 Looking after your health
Listening 1:
1Mum: Doctor,canyoupleasetellmewhatisagooddiet?Nutritionist: Forbreakfasthaveporridgeormuesliplusatubofyoghurtandperhapsaglassofmilk.Mum: OK,andwhataboutlunch?Nutritionist: Forlunchhaveawholemealsandwichwithcheese,chickenandsaladoreggandsalad.Mum: Andfordinner?Nutritionist: Fordinnerperhapshavepastaorricewithtinnedsalmonortunaandvegetablessuchaspeas,broccoliandcarrotsandsomefruit.Mum: OK,thanks,doctor.
2Mum: IsthereanythingelseIshouldknow?Nutritionist: Yes,drinkatleasteightglassesoffluideveryday.Mum: Doesitallhavetobewater?Nutritionist: Waterisbestbutitcanbetea,coffee,fruitjuiceormilk.Mum: OK,thatsoundslikehowmuchIhaveanyway.Thanks,doctor.
3Nutritionist: Goodmorning,howcanIhelpyoutoday?Mum: Someonetoldmethatifyoueattoomuchspinachyourbodydoesnotabsorbcalcium–isthiscorrect?Nutritionist: Yes,alsoifyoueatalotofmeatthesamethinghappens.Mum: OK,IwillchoosecarefullywhatIeatanddrink.
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Listening 2: Listenagainandfillinthegapswiththemissingwords
1Mum: Doctor,canyoupleasetellmewhatisadiet?Nutritionist: Forbreakfasthaveormuesliplusatubofyoghurtandperhapsaglassofmilk.Mum: OK,andwhataboutlunch?Nutritionist: Forhaveawholemealsandwichwithcheese,andsaladoreggandsalad.Mum: Andfordinner?Nutritionist: Forperhapshavepastaorricewithtinnedortunaandvegetablessuchaspeas,broccoliandcarrotsandsome.Mum: OK,thanks,doctor.
2Mum: IsthereanythingIshouldknow?Nutritionist: Yes,drinkatleasteightoffluideveryday.Mum: Doesitallhavetobewater?Nutritionist: Waterisbutitcanbetea,coffee,fruitormilk.Mum: OK,thatlikehowmuchIhaveanyway.Thanks,doctor.
3Nutritionist: Goodmorning,howcanIhelpyoutoday?Mum: Someonetoldmethatifyoueattoomuchyourbodydoesnotabsorbcalcium–isthiscorrect?Nutritionist: Yes,alsoifyoueatalotofthesamethinghappens.Mum: OK,IwillchoosewhatIeatanddrink.
6 Discussion
Tellthegroupwhichfreshfoodyouenjoyeatinginyourcultureandsharerecipes.
7 Find out moreGetHealthywww.gethealthynsw.com.au/professionals-resourcesCall1300806258
GoodFoodForNewArrivals(sections‘Nutrition/Health’,‘Resources’)http://goodfood.asetts.org.au
NSWMulticulturalHealthCommunicationServicewww.mhcs.health.nsw.gov.au/publicationsandresources/resources#c3=eng&b_start=0&c1=Nutrition
To speak in your own language, call a telephone interpreter on 131 450 (the cost of a local call).
HealthTranslationsDirectorywww.healthtranslations.vic.gov.au
FlindersUniversity(search‘WorkingwithCALDcommunities’)www.flinders.edu.au
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Unit 10: Back pain
1 Information
Backpainisacommonproblem–80%ofadultswillcomplainofbackpainatleastonceintheirliveswithmanysayingithappensseveraltimes.
Backpainmostoftencomesfrommuscles,ligaments,jointsanddiscs.Itmaybecausedbypoorposture,injury,inflammation,tensionandspasmormuscleimbalance.
2 Glossary
2.1 Write the meanings of each word in your own language
muscles
hunch
ligaments
joints
injury
inflammation
tension
spasm
2.2 Now match the words to the meanings
muscles theseconnectbonesorholdorgansinplace
hunch bodytissuemadeofcellsthatcausesmovement
ligaments wheretwobonesmeet
joints tostandsitorwalkinbentposture
injury strainorstress
inflammation suddenmovementofmuscleswhichyouhavenocontrolover
tension damageorhurttothebody
spasm redness,swellingandfeverinpartofthebody,oftenwithpain
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3 Lifestyle factors that contribute to back pain
Mostcasesofbackpainaremadeworsebylifestylefactors.
3.1 Match the reason for back pain with what you can do to prevent it
lack of exercise ‘Iwillloseweight.’
being overweight or obese ‘Iwillnotsithunchedovermymobilephone.’
sitting for long periods ‘IamgoingtostartmeditationsoIcanfeelmorerelaxedbecausemymusclesaretenseallthetime.’
poor posture ‘IwillnotliftthemilkcratealonebutIwillgethelp.’
stress ‘Iwillstandupandwalkaroundtheofficeeveryhalfanhouranddostretches.’
bad work practices ‘Iwillexerciseforhalfanhoureveryday.’
4 Talking to the physiotherapist
Listening 1: Writethedialoguenumbernexttothecorrecttopic
Topics:
stopsmoking
loseweight
strengthenback
takeabreakfromsitting
goodlifting
bendingandtwisting
carryingbaby
donothunch
chooseagoodmattress
1Physiotherapist: Goodmorning.HowcanIhelpyoutoday?Mum: Goodmorning–Ihaveaquestionforyou.HowcanIstrengthenmyback?IhavetoliftmybabyalotandIwanttoensureIlookaftermyselforIwillnotbeabletolookafterherproperly.Physiotherapist: Tostrengthenyourbackyoumustexerciseitregularly.Mum: OK.Whatexerciseisgoodformybackmuscles?
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Physiotherapist: Swimmingavarietyofstrokes–especiallybackstroke–isgoodforyourbackandalsousingexercisebikesandwalking.Mum: OK,thanks,doctor.
2Physiotherapist: Goodday.Howareyou?Mum: Goodday–actuallyIamworriedbecauseIliftmysonalotandithurtsmyback.Physiotherapist: Yes,takecarewhenyouliftyourson–alwaysbendyourkneesandhipswhenyoulifthimup.Mum: OK.Physiotherapist: Andremember,neverbendyourbackwhenliftinghim.Mum: OK,Iwillbendmykneesandtakecarenottobendmyback.
3Mum: IsthereanythingelseIshoulddoorshouldnotdowhenIamliftingthebaby?Physiotherapist: Yes,nevertwistandbendatthesametime.Thisisveryimportant.Mum: Why?Physiotherapist: Thatisverybadforyourbackandwilldamageit.
4Physiotherapist: Goodmorning.Howareyou?Mum: Goodmorning,doctor–notgood.Ihaveasorebackfromcarryingmybaby.WhatcanIdoasIhavetocarryher?Physiotherapist: Alwaysliftandcarryyourbabyclosetoyourbody.Infact,alwayscarryeverythingclosetoyourbodywhenpossible.Mum: OK.Doyouhaveanyotheradviceaboutcarrying?Physiotherapist: Yes,whenyoucarryyourshopping,forexample,trytocarryitinarucksackonyourbackandavoidsling-bagsoveryourshoulder.
5Physiotherapist: Hi,howareyoutoday?Mum: Hi,doctor.Notgood–Ihaveveryasoreback.Physiotherapist: Ohdear.Doyousitalotatwork?Mum: Yes,Isitallthetimeatmydesk.Physiotherapist: OK,trynottoslumpinyourchairorhunchoveryourdesk.Tryandgetupfromthechairregularlyforashortwalkatleastonceanhour.Mum: OK,Iwilltry.Anythingelse?Physiotherapist: Yes,alsowhenyouwalktrynottohunchyourshoulders.
6Mum: HowshouldIsitatmydeskwhenIamatworkthen,doctor?Physiotherapist: Useachairwithaback-rest.Sitwithyourfeetflatonthefloororonafoot-rest.Mum: OK.Anythingelse?Physiotherapist: Getupregularlyfromthechair–every15minutesifyourbackfeelsbad.Mum: OK,Iwilltrytodothat.
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7Physiotherapist: Howareyouthismorning?Mum: Doctor,Ihaveasoreback.WhatcanIdo?Physiotherapist: First,pleasetellme,doyousmoke?Mum: Yes.Physiotherapist: Thenyoumustquitsmoking.Mum: Quitsmoking?Howcanquittingsmokinghelpmyback?Physiotherapist: Smokingreducesthebloodsupplytothediscsbetweenthevertebraeintheback,andthismayleadtothesediscsdegeneratingtheback.Mum: Ididn’tknowthat.
8Physiotherapist: Goodmorning.HowcanIhelpyoutoday?Mum: Hi,doctor.Ihaveaverysoreback.Physiotherapist: Irecommendthatyouloseweight.Mum: Loseweight?Willthathelpmyback?Physiotherapist: Yes,beingoverweightputsextrastrainonyourback.
9Physiotherapist: Howareyoutoday?Mum: Notgood–whenIwakeupIcanhardlygetoutofbedmybackissosore!Physiotherapist: OK,youmustchooseagoodmattress.Mum: Whatisagoodmattress?Physiotherapist: Amattressthatsuitsyourheight,weight,ageandsleepingposition.Thiswillhelpyourback.
Listening 2: Listenagainandfillinthegapswiththemissingwords
1Physiotherapist: Goodmorning.HowcanIyoutoday?Mum: Goodmorning–Ihaveaquestionforyou.HowcanIstrengthenmyback?IhavetomybabyalotandIwanttoensureIlookaftermyselforIwillnotbeabletolookherproperly.Physiotherapist: Tostrengthenyourbackyoumustitregularly.Mum: OK.Whatexerciseisgoodformybackmuscles?Physiotherapist: Swimmingavarietyofstrokes–especiallybackstroke–isgoodforyourbackandalsousingexerciseandwalking.Mum: OK,thanks,doctor.
2Physiotherapist: Goodday.Howareyou?Mum: Goodday–actuallyIamworriedbecauseImysonalotandithurtsmyback.Physiotherapist: Yes,takecarewhenyouliftyourson–alwaysyourkneesandhipswhenyoulifthimup.Mum: OK.Physiotherapist: Andremember,neveryourbackwhenliftinghim.Mum: OK,Iwillbendmyandtakecarenottobendmyback.
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3Mum: IsthereanythingelseIshoulddoorshouldnotdowhenIamthebaby?Physiotherapist: Yes,neverandbendatthesametime.Thisisveryimportant.Mum: Why?Physiotherapist: Thatisveryforyourbackandwilldamageit.
4Physiotherapist: Goodmorning.Howareyou?Mum: Goodmorning,doctor–notgood.Ihaveabackfromcarryingmybaby.WhatcanIdoasIhavetocarryher?Physiotherapist: Alwaysliftandcarryyourbabytoyourbody.Infact,alwayscarryeverythingclosetoyourbodywhenpossible.Mum: OK.Doyouhaveanyotheraboutcarrying?Physiotherapist: Yes,whenyoucarryyour,forexample,trytocarryitinarucksackonyourbackandavoidsling-bagsoveryourshoulder.
5Physiotherapist: Hi,howareyoutoday?Mum: Hi,doctor.Notgood–Ihaveveryaback.Physiotherapist: Ohdear.Doyousitalotatwork?Mum: Yes,Isitallthetimeatmy.Physiotherapist: OK,trynottoslumpinyourchairoroveryourdesk.Tryandgetupfromthechairregularlyforawalkatleastonceanhour.Mum: OK,Iwilltry.Anythingelse?Physiotherapist: Yes,alsowhenyoutrynottohunchyourshoulders.
6Mum: HowshouldIatmydeskwhenIamatworkthen,doctor?Physiotherapist: Useachairwithaback-rest.Sitwithyourfeetflatontheoronafoot-rest.Mum: OK.Anythingelse?Physiotherapist: Getupregularlyfromthechair–every15ifyourbackfeelsbad.Mum: OK,Iwilltrytodothat.
7Physiotherapist: Howareyouthis?Mum: Doctor,Ihaveasoreback.WhatcanIdo?Physiotherapist: First,pleasetellme,doyousmoke?Mum: Yes.Physiotherapist: Thenyoumustsmoking.Mum: Quitsmoking?Howcanquittingsmokingmyback?Physiotherapist: Smokingreducesthebloodtothediscsbetweenthevertebraeintheback,andthismayleadtothesediscsdegeneratingtheback.Mum: Ididn’tknowthat.
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8Physiotherapist: Goodmorning.HowcanIhelpyoutoday?Mum: Hi,doctor.Ihaveaverysoreback.Physiotherapist: Irecommendthatyouweight.Mum: Loseweight?Willthathelpmyback?Physiotherapist: Yes,beingoverweightputsstrainonyourback.
9Physiotherapist: Howareyoutoday?Mum: Notgood–whenIwakeupIcanhardlygetoutofmybackissosore!Physiotherapist: OK,youmustchooseagood.Mum: Whatisagoodmattress?Physiotherapist: Amattressthatsuitsyourheight,weight,ageandposition.Thiswillhelpyourback.
•Remember, staying active plays an important role in management and prevention of back problems.
•Remember, your back is designed to move.
•Go to the doctor if any warning signs exist.
5 Discussion
Sharewiththegroupyourtipsfor‘backcare’whichyoumayhavelearnedfromyourculture.
6 Find out more
SafeWorkAustraliawww.safeworkaustralia.gov.au
NSWMulticulturalHealthCommunicationServicewww.mhcs.health.nsw.gov.au/publicationsandresources/resources#c3=eng&b_start=0&c1=Back+pain
To speak in your own language, call a telephone interpreter on 131 450 (the cost of a local call).
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Unit 11: The Blue Book
1 Information
TheBlueBookisgiventoallparentsinNewSouthWalesaftertheirbabyisborn.IntheBlueBook,theparentwritesdownthechild’shealth,illnesses,injuries,growth,developmentandimmunisations.TheparentalsoshowstheBlueBooktoeveryhealthprofessionalwhoseesthechild.
2 Glossary
2.1 Write the meanings of these words in your own language
to record
immunisation
to register
development
thriving
obese
2.2 Now match the words to the meanings
to record fluidisinjectedintothebodytoprotectfromillness
immunisation torecordofficially
to register towritedown
development veryfat
thriving growth
obese growingwell,flourishing
My personal health record
Make sure the whole family is up to date
with their immunisations
This is the personal health record of:
please take this book with you when you attend any health service, doctor or hospital
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3 Health and development checks for your baby
3.1 Match the Blue Book content with the correct page from the book
growth chart
family health history
CPR chart
register of baby’s birth
record of injury or illness
contact websites
immunisation record
Birth details and newborn check
Immunisation
Useful contacts and websites
My information and family history
me and my family
CPR chart Cardio Pulmonary Resuscitation
Check for danger e.g. electrical cords, petrol or other hazards D Check for danger
R Response Check for response If no signs of life: > Unconscious > Unresponsive > Not breathing normally
SEND FOR HELP! > Get someone to dial Triple Zero (000) immediately > Ask for AMBULANCE
A Clear airway
B Check breathing
> Tilt head back (not for infants)
> Remove foreign matter from mouth (and nose of baby)
> Place on side if there is a lot of foreign matter
C Circulation (at 100 compressions/min)
> Look, listen and feel for breathing
> If normal breathing is present leave or place patient on their side
> If normal breathing is absent, commence CPR 30 compressions to 2 breaths at 100 compressions/min – Place patient on their back – Tilt head back (not for infants) – Lift jaw and pinch nostrils
CHILD & ADULT: > Place hands over the centre of the chest
(sternum). > Compress sternum one third the depth of the
chest 30 times > Continue with 30 compressions to 2 breaths
conds > Do not interrupt compressions for more than 10 se
INFANT: > Position 2 fingers on lower half of the sternum > Depress sternum approximately one third
the depth of the chest > Continue with 30 compressions to 2 breaths
If Automated External Defibrillator (AED) is available D Defibrillation
CONTINUE CPR UNTIL PARAMEDICS ARRIVE OR SIGNS OF LIFE RETURN Beware of rescuer fatigue, if help is available swap rescuers every few minutes
This chart is not a substitute for attending a first aid course. LEARN CPR NOW!
This chart conforms to the Australian Resuscitation Council’s guidelines on effective CPR as at September 2015. For more information visit: www.resus.org.au
This CPR chart is provided free of charge and must not be sold. The chart is available to download from the Ambulance website at: www.ambulance.nsw.gov.au.
For enquiries about this chart: NSW Ambulance Locked Bag 105 Rozelle, NSW 2039 Tel: (02) 9320 7796
Records
Growth charts
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3.1 Now match the content of the family health record with the section where you will find it
register of baby’s birth recordofbaby’sheightashe/shegrows
immunisation record servicesyoucancontactforayourbaby’shealthneeds
contact websites detailsofyourfamily’shealthandillnesses
family health history datesanddescriptionofbaby’sillnessandinjuries
CPR chart detailsofbaby’sbirth
record of injury or illness datesofbaby’simmunisations
growth chart howtogivefirstaid
4 Talking to the health worker
Listening 1: Writethedialoguenumbernexttothecorrecttopic
Topics:
immunisationrecord
baby’sgrowth
helptounderstandroleofhealthservice
questionsaboutbaby
bloodgroup
1Mother: WhatistheBlueBook?Nurse: Itisinformationaboutyourbaby’shealth.Mother: OK,Icanseethatthereisinformationaboutthebirth.Nurse: Yes,whenthebabyisborn,thebloodgroup,howthebabywasborn,theweightandthelengthofthebabyiswrittenintheBlueBookbythehealthworkers.
2Mother: WhatelsedoestheBlueBookhave?Nurse: TipstohelpyouknowyourbabyisOKandisgrowingproperly.Mother: OK,andanythingelse?Nurse: Yes,questionstoasktheChildandFamilyNurseifyouareworried.
3Mother: WhatistheisotherinformationintheBlueBook?Nurse: Thereisaplacetowriteaboutthebaby’sgrowthandillnessesandinjuries.Mother: OK.Nurse: Also,thedateswhenyourchildwasimmunised–thisisveryimportantforwhenyouenrolyourchildinschool.Someschoolswillnotenrolachildwhohasnotbeenimmunised.
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Mother: Whatisthepocketatthebackfor?Nurse: Itisforimportantdocuments!Suchasreferralletters,informationleaflets–anythingtodowithyourbaby’shealth.
4Mother: WhydoIhavetoanswerthequestionsfortheparentbeforeIvisityouorthedoctor?Nurse: TheChildandFamilyNursecantalktoyouaboutwhatyouhavewritten–tomakesureyouandyourbabyareOK.Ateachvisitshewillaskyouthequestionsinthebook.Mother: Whatarethequestionsabout?Nurse: ThequestionswillhelpthemothertoknowwhattonoticeasherbabygrowsanditwillhelpthenurseknowifthemotherisOK.Mother: Howwillsheknow?Nurse: Thequestionswillhelpyounoticechangesasyourbabygrowsandwillhelpyounoticehowyouarelookingafteryourselfandyourbaby.
5Mother: WhydowehavetheBlueBook?Nurse: Thenursecanuseittoguidethemothertolookafterherbaby’shealthsothemotherwillbelessworriedaboutherbaby.Mother: Whywillthemotherfeellessworried?Nurse: TheBlueBookwillhelpthemumunderstandandtrustwhatthehealthworkerisdoingandthiswillmakeherfeelmorerelaxed.Mother: OK.Nurse: Also,theBlueBookhelpsthemotherunderstandtheroleofthehealthservicessotheywilltrustthem.Thisalsosupportsthemother.
Listening 2: Listenagainandfillinthegapswiththemissingwords
1Mother: WhatistheBook?Nurse: Itisinformationaboutyourhealth.Mother: OK,Icanseethatthereisinformationaboutthebirth.Nurse: Yes,whenthebabyisborn,thegroup,howthebabywasborn,theweightandtheofthebabyiswrittenintheBlueBookbythehealthworkers.
2Mother: WhatelsedoestheBluehave?Nurse: TipstoyouknowyourbabyisOKandisgrowingproperly.Mother: OK,andanythingelse?Nurse: Yes,questionstoasktheChildandFamilyifyouareworried.
3Mother: WhatistheisinformationintheBlueBook?Nurse: Thereisaplacetoaboutthebaby’sgrowthandillnessesandinjuries.Mother: OK.Nurse: Also,thedateswhenyourchildwas–thisisveryimportantforwhenyouenrolyourchildinschool.Somewillnotenrolachildwhohasnotbeenimmunised.
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Mother: Whatisthepocketatthebackfor?Nurse: Itisforimportantdocuments!Suchasreferral,informationleaflets–anythingtodowithyourbaby’shealth.
4Mother: WhydoIhavetoanswerthequestionsforthebeforeIvisityouorthedoctor?Nurse: TheChildandFamilyNursecantalktoyouaboutwhatyouhavewritten–tomakesureyouandyourbabyareOK.Ateachshewillaskyouthequestionsinthebook.Mother: Whatarethequestionsabout?Nurse: ThequestionswillhelpthemothertoknowwhattonoticeasherbabyanditwillhelpthenurseknowifthemotherisOK.Mother: Howwillsheknow?Nurse: Thequestionswillhelpyouchangesasyourbabygrowsandwillhelpyounoticehowyouarelookingafterandyourbaby.
5Mother: WhydowehavetheBlueBook?Nurse: Thenursecanuseittoguidethemothertolookafterherbaby’shealthsothemotherwillbelessaboutherbaby.Mother: Whywillthemotherfeellessworried?Nurse: TheBlueBookwillhelpthemumunderstandandtrustwhattheworkerisdoingandthiswillmakeherfeelmorerelaxed.Mother: OK.Nurse: Also,theBlueBookhelpsthemotherunderstandtheroleofthehealthsotheywilltrustthem.Thisalsothemother.
Listening 3
1Nurse: Ifwewritedownyourbaby’shealthandhisheightanddevelopmentintheBlueBook,weknowhowhealthyyourchildwillprobablybeinthefuture.Mother: Howcanyouknowthat?Nurse: Welookathowyourbabygrowsanddevelopsandcompareittootherbabiestoseeifheisnormal.Mother: Whatproblemscoulditshow?Nurse: Itwillshowifyourbabyisobeseornotdevelopingproperlyorifheisnotthriving.
2Mother: Idon’tspeakEnglishwell.IstheBlueBookavailableinotherlanguages?Nurse: Yes,theBlueBookisavailableinArabic,simplifiedChinese,traditionalChinese,Dinka,Hindi,Indonesian,Khmer,Korean,Lao,Somali,Tamil,Thai,TurkishandVietnamese!Mother: That’sgreat!Thanks.
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Listening 4: Listenagainandfillinthegapswiththemissingwords
1Nurse: Ifwewritedownyourbaby’sandhisheightanddevelopmentintheBlueBook,weknowhowhealthyyourchildwillprobablybeinthe.Mother: Howcanyouknowthat?Nurse: Welookathowyourbabyanddevelopsandcompareittootherbabiestoseeifheis.Mother: Whatcoulditshow?Nurse: Itwillshowifyourbabyisorisnotdevelopingproperlyorifheisnotthriving.
2Mother: Idon’tspeakEnglishwell.IstheBookavailableinotherlanguages?Nurse: Yes,theBlueBookisavailableinArabic,simplifiedChinese,traditional,Dinka,,Indonesian,Khmer,Korean,Lao,Somali,,Thai,TurkishandVietnamese!Mother: That’sgreat!Thanks.
5 Discussion
TelleachotherwhatyouthinkabouttheBlueBook.Isthereasimilarbookinyourcountryoforigin?Ifso,tellthegroupabouttheexperiencesyouhavehadwithit.
6 Find out more
TheBlueBookindifferentlanguageswww.health.nsw.gov.au/kidsfamilies/MCFhealth/Pages/child-blue-book.aspx
Emergency (Ambulance, Fire or Police)...............................................000 For emergency phone using a mobile phone please check with your mobile service provider
Poisons Information...............................................................................13 11 26 Family and Community Services Child Protection Helpline......................................................................13 21 11 healthdirect Australia .................................................. 1800 022 222 Karitane................................................................................1300 CARING
(1300 227 464)
Tresillian Family Care Centres .........................1300 2 PARENT (1300 272 736)
Australian Breastfeeding Association.... 1800 mum2mum Free call from landlines ...............................................................(1800 686 268)
Translating and Interpreting Service ........................................13 14 50
This health record was compiled with the assistance of parents, child and family health nurses, general practitioners, other health professionals and professional
and consumer organisations. It is an update of previous versions of the Personal Health Record which has been used in NSW since 1988.
NSW Health acknowledges and appreciates the permission to use some material from ‘My Health and Development Record’, Maternal and
Child Health Service, Department of Education and Early Childhood Development, Victoria within this publication.
© N
SW
Health 20
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HP
N (O
KF
) 150577
ISB
N 978 1 76
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0 322 7 (p
rint) 978 1 760
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323 4 (o
nline) P
rinted F
ebruary 20
16.
