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Rhinovirus, how to prevent it…#2

June 4, 2010 in Children's Health Education, Nurturing the Child, The Singing Nurse Music, Uncategorized

Handwashing, good health habits

Rhinovirus, another reason to wash hands, #2

I have gleaned some interesting tidbits about the rhinovirus from the American Academy of Pediatrics (AAP), WebMD, KidsHealth and the nanobugs website. The common cold also known as the Rhinovirus is probably the number one reason for frequent hand washing.  I hope you will be encouraged, educated and awed as I was by the more recent discoveries of the Rhinovirus (rhino means “nose”). Please share this information with your families, friends and classroom.

Interesting observances

The average child will catch a cold 8-10 times by the age of 2 and more so if they hang around with other kids. Chances just increase by association for children and adults who care for them. Most of us catch 3 to 4 colds a year.

The number one reason for visits to the pediatrician and missing school is the common cold.

Experts say autumn and spring are common times of year to catch colds, while others say winter is the prime time because we are inside and the viruses stay inside as well.

The time it takes to become ill from the time you were exposed (incubation period) to a rhinovirus, is about 2 to 3 days.

The researchers used to believe we had about 100 different rhinoviruses to contend with, but more recently cold expert Owen Hendley, MD, a professor of medicine at the University of Virginia in Charlottesville says “It’s beginning to look as if there may be as many as 200”. This is another reason colds are common.

Research has also shown that along with coughs and sneezes that send the virus droplets into the air, we are more likely to get the virus from things and surfaces. Think: phone, doorknob, remote control, shopping cart, desk and toys.  The virus can live up to 24 hours or more on a surface.

Droplets from coughs and sneezes can spread to a distance of 12 feet.

The entry points for the virus are the nose, eyes and mouth, less so by mouth as once thought, for Dr. Hendley says, “Substances in saliva quickly destroy the virus.”

Washing our hands is still the best practice; alcohol rinses are good for flu viruses but not as effective against the rhinovirus. Good old H20, soap and friction is best for preventing the spread of the cold virus.

Carnegie Mellon University researchers discovered those who were more rested (8 or more hrs of sleep) had less chances of catching a cold, while those with less than 7 hrs sleep were 3 times more likely to become ill from exposure to the rhinovirus.

The same research team discovered people who were happy, lively and calm fought off cold and flu viruses better than those who were anxious, hostile and depressed. I guess the proverb is still true, “a merry heart does good like a medicine”.

Being in a dry environment, being a smoker or being around a smoker increases our chances of catching colds and also resulting in more complications like bronchitis and pneumonia.

Signs and Symptoms in multiple combinations:

Runny nose, cough, sneezing, headache, sore throat, mild fever, fatigue, muscle aches or loss of appetite are the most common signs of a cold.

Things to Remember

Cover your cough or sneeze, do it into your elbow, shoulder or tissue.

If you cough or sneeze into your hands, or blow your nose, wash your hands.

Don’t share items with others: towels, toothbrushes, drinks, fork, spoon etc.

When in doubt as to which medicines or products can be used on children, always consult your pediatrician. Try and get your pediatricians advice about caring for a child with a cold before they get one.

Drink plenty of fluids, do not drink caffeinated drinks as they cause frequent urination and may cause dehydration especially in children.

If you observe any severe symptoms of: coughing, breathing difficulty, turning blue, high fevers, severe pain of any kind, the safest practice is to; “when in doubt, check it out,” with your health care professional of course or call 911.

Be an example by washing hands as mentioned, covering your cough and sneezes to be kind to your neighbor.  And remember, to not put your hands in your nose, eyes or mouth without washing them first.

Have a ongoing matter of fact conversation with your children throughout your day like; “oops, I coughed in my hands, I’m going to go and wash these germs down the drain” or ” wow, so glad I sneezed in my should (right after you have done it) because I don’t want you to get my germs.” Or “I’m going to wash my hands because we just went shopping and we are touching things that lots of people touched, they could be sick and this will help keep us healthy.”

Make hand washing fun, kids love to play in water, make it a teachable moment, make up a song about washing those germs down the drain or sing a song you know about hand washing.

The Singing Nurse uses “Rubba Dub Dub and Don’t Spread Your Germs Around” to teach families about hand washing, not spreading germs and health living.

Other resources: Hand Washing Lesson Plan and Animated Handwashing Song, Music

For Healthy Families,

Ms. Dawn, The Singing Nurse

To contact The Singing Nurse: click contact

other articles about handwashing, H1N1 a reason to wash hands

 

 

 

 

Five Dollar Friday, Download TSN Songs

May 28, 2010 in Children's Health Education, News - Updates, Nurturing the Child, The Singing Nurse Music, Uncategorized

mom and baby

Five Dollar Friday with The Singing Nurse health songs for healthy living.

Hi,

Thanks for your curiosity about The Singing Nurse music. I’m trying to get the word out about my fun upbeat songs for kids, young children, preschoolers, teachers, health care workers and parents.

Twitter has follow fridays so I thought I would have a Five Dollar Friday to make my whole downloadable album available @ that price of course.

Most of my songs on this CD are health related but there are a couple inspirational songs.

Parents, children and professionals who work with children enjoy my songs and I hope you will take advantage of one of my occassion Five Dollar Friday.  If you like what you hear, please get the word out to your friends and contacts.

Most people don’t know this, but you can also embed my bandbox player on your website so all your visitors can check out and purchase TSN songs.

Appreciate You, Have a Great Week-End and Stay Healthy.

Healthy Living for the Whole Family,

Ms. Dawn, The Singing NurseThe-Singing-Nurse-Shadow.JPG

Go to Music

Only available as download @ that price

a lot more goes into the full CD production.

H1N1 Another Reason to Wash Hands

April 26, 2010 in Children's Health Education, The Singing Nurse Music

Germ to Color


Speaking of Germs: Does anyone know the name of the flu that is going around right now? It’s a lot like the seasonal influenza. H1N1, some call it Swine flu because it is a lot like the germ/virus that gets the pigs sick, but you cannot get it from a pig, you get it from people.

H1N1 is another good reason for washing our hands. Hand washing is the number one action we can take to help get rid of germs which also helps prevent contagious diseases.

Signs & Symptoms of H1N1-fever, cough, sore throat, runny nose, body aches, H/A, chills, fatigue, some diarrhea/vomiting.

How is it spread? Touching the germs, a cough, a sneeze (use a spray bottle to demonstrate germs flying around)

What should we do? Wash our hands often, or use hand sanitizer (alcohol based) stay home when sick & when you have a fever (24hr free), stay away from sick people, cough/sneeze in your shoulder or a tissue, don’t touch your eyes, mouth, nose, keep counters clean of germs in your bedroom, bathroom, kitchen and clean children’s toys (virus lives 2-8hrs on objects)

Call the Doctor if you have ?’s.

Bad for: frail people, diabetics, people w asthma, heart disease, people w kidney disease, real old people, real young children, pregnant women.

Vaccine is available to help prevent from getting H1N1 or lessens how bad it can get.

Medicine is available to those who are frail and may need to go to the hospital. Antiviral medication helps stop the virus.

Call the Doctor when you have questions:     

Call 911 if: short of breath and having a hard time breathing, color looks bad (bluish), not drinking fluid, fever w rash, bad pain, really sick

Teaching children and parents about good health habits is important, and learning with music is fun and effective. Try using “Rubba Dub Dub or Don’t Spread Your Germs Around” to present your good hygiene health habit lesson to your young children and their families.

Other resources: Hand Washing Lesson Plan, Music

Check with your local health department for current information pertaining to your geographic area.

For Healthy Families,

Ms. Dawn, The Singing Nurse

another article about handwashing, Rhinovirus interesting observances. The common cold.

 

 

 

 

Bamboo Pad Fun

April 10, 2010 in Children's Health Education, Creative Adventures, News - Updates, The Singing Nurse Music

April 10, 2010
Some side fun:
I bought a Bamboo Fun Pad(BFP)on Amazon. My daughter used one to created the kids on the Animated Children’s Hand Washing Song, “Rubba Dub Dub”.
Scroll to the bottom of the Hand Washing lesson plan to see animation.

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April 10, 2010

I decided if I was going to finish my lesson plan book, I better create my own pic props for the teachers, parents and health professionals who will use The Singing Nurse health lesson plan book. I want to avoid the copyright problems which would prolong finishing the health lesson book while waiting on granted permissions, so here I go.

P.S. If you’d like to be notified when The Singing Nurse Lesson Plan book, which coincides with my health songs is complete, sign up @ my contact page and put Lesson Plan Book in the subject.

I will tell you what I learn from my Bamboo travels. Today I used the BFP with my simple Paint Program.

#1 don’t leave the pen on the drawing pad if you want to use your hands on you laptop cursor pad. They get mixed up and compete for control. Not good!

My carrot drawn w my BFP, to be used in the health lesson with the song, “I’m Gonna Brush My Teeth”.

Carrrots are good for my teeth!

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April 24, 2010

Today I learned how to crop my carrot, as you can see above I have a large amount of white surrounding my carrot. I added some eyes and a smiling mouth because carrots are good for our teeth and make them happy.

#2 I am still using a simple paint program. To crop your pic, right click on your picture, click on edit, click on crop, move the brackets to make the space around your subject close to the edges, click ok, and save. I’m so thankful for my kids who teach me a lot. They are my human computer GPS’. Smiling CarrotI also drew some broccoli and an apple today which are all good for our teeth. Check out the health songs on the music page, catchy and fun for the whole family.

Smiling AppleSmiling Broccoli

  I wrote a poem for the “good carrot” you may like.

 

Click on “Have An Apple” , a fun site that encourages us to live healthy active lives,  “do what you love and then ‘Have an Apple'”.

Tooth Brushing: Power vs. Manual

February 12, 2010 in Children's Health Education, News - Updates, The Singing Nurse Music

Tooth Brushing: Power vs. Manual

dental 008I was curious as to the effectiveness of power toothbrushes so I decided to inquire and try one. I purchased an Oral B battery powered one for 6.99 which has the Cross Action. I’ve decided as a newbie this was a good place to start. I’ve used it for a week or so and still adjusting to the extra drool that is running down on to my hand. Maybe the positive experience is making me brush longer so more is accumulating.

I remember working with a quadriplegic patient who was quite satisfied with his power toothbrush. He had great teeth and flossed regularly as well. We were reminded often to turn the brush off before removing it from his mouth, as you have guessed, to prevent the shower that was sure to occur.

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superior_imgDuring my inquiry, two power brushes seem to stand above all others, the Sonicare and the Braun. The Sonicare is made by Philips while the Braun is made by Oral B.

One of the reasons I have learned that the electric brushes are effective is because most people will brush longer with an electric toothbrush. It is recommended that we brush for 2 minutes.  Studies have shown manual brushers tend to brush less than 2 minutes.

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Dr. Neda who is a periodontist, prefers the sonicare power toothbrush because it makes her teeth feel clean. She feels that the battery operated toothbrush I purchased would be equal to a manual toothbrush.

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Lee, office manager for Dr. Lomangino and Dr. Soltis’ office preferred the Sonicare over the Braun, but felt the Braun was a better choice because of the ease of cleaning and the cost of toothbrush replacements.


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Tina, my Dental Hygienist who cleans my teeth, felt the battery powered toothbrush would do a better job than a manual toothbrush. She stated the Sonicare power brush was a great product but uses a manual toothbrush herself. Tina also says to let the power toothbrushes do the work and not press too hard.

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Dr. Soltis believes you should use “whatever makes you happy”. Brushing your teeth should be a positive experience and if you enjoy it you will do a better job. He stated that a power brush would be helpful for someone who has limited hand movement. Dr. Soltis prefers the good old fashion manual toothbrush.

All my dental health professional friends agree flossing should be equally important to our daily dental care routines.

♥ Points to remember:

♥ Brush your teeth for 2 minutes    ♥ Floss your teeth    ♥ Visit your dentist regularly

Please leave a comment: We’d love for you to join the conversation and let us know what method of brushing you use and why you like it. There are many great sites in cyberspace that provide a wealth of information for families and children. If you are a teacher of preschoolers or young children we’d like to learn about the resource you may have that teach good dental habits.

Below is a quote from Sonicare’s website, visit their site for more information and products.

“Sonicare’s patented sonic technology is proven to be powerfully effective, yet remarkably gentle. It generates high amplitude and high frequency bristle motion, creating dynamic cleaning action that drives fluid forces deep into interproximal spaces and along the gum line. The result is a superior clean that you can see and your patients can feel.
Sonicare believes in innovative technologies and products designed around the people who use them.”

Below are excerpts from the Oral B website, check their site for complete information and products.

Rechargeable Electric Toothbrush: Generally rich in technology and features, electric toothbrushes provide the many oral health benefits. Some can even enable you to improve your brushing habits. Hi-tech features include:
  • Numerous brushing modes specialized for sensitive teeth, whitening benefits or gum-massaging action
  • Pressure sensors to signal when you’re brushing too hard
  • Timers to help you keep track of how long you’re brushing each quadrant of your mouth
  • Digital reminders to replace your brush head
  • Oscillating-rotating or sonic technology
  • Multiple brush head compatibility so you can choose which kind of bristle design you prefer
Most electric toothbrushes also come with features for added convenience, like a brush head or toothbrush holder, bathroom-counter storage units and travel toothbrush chargers.
 
Regular Manual Toothbrush: While ordinary toothbrushes don’t nearly provide the benefits and features of rechargeable electric toothbrushes, the technology featured in their brush heads, bristles and handle designs can be quite advanced, for example:
  • Crisscrossed, extra-long or multi-level bristles
  • Polished or rounded bristle tips
  • Textured bristles
  • Cupped-bristle design for whitening benefits
  • Ergonomically designed handles with special grips
  • Tapered or angled brush head
  • Gum stimulators
  • Tongue cleaner pads
Battery Power Toothbrush: While similar in features to regular manual toothbrushes, these kinds of toothbrushes also vibrate to provide additional cleaning action. In addition to those of manual toothbrushes, features include:
  • Built-in AA battery that can be replaced in some models
  • “On/Off” or “+/-“ button located on the handle
  • Bristles or split brush heads specially designed to pulsate along with the vibrations
Modifying Brushing Technique
Proper brushing technique varies when using different kinds of toothbrushes. Both regular manual toothbrushes and battery power toothbrushes require you to provide all or most of the brushing action, moving the brush back and forth along all sides of your teeth and gums. In contrast, rechargeable electric toothbrushes provide the cleaning action while you need only guide it along all surfaces. Once they get the hang of it, many people find this method of brushing easier.

Remember to leave a comment: We’d love for you to join the conversation a let us know what method of brushing you use and why you like it.

Happy Dental Health Month!

For Healthy Teeth and Gums

Dawn Ginese, R.N.

The Singing Nurse

Listen or Download:  “I’m Gonna Brush My Teeth” “The Dentist is a Good Guy

 


Rubba Dub Dub: Preschool Hand Washing Song, Lesson Plan and Animation

January 10, 2010 in Children's Health Education, News - Updates, The Singing Nurse Music, Uncategorized

Hand washing for good health, how many interesting and enticing ways can we share, show and encourage each other to “just do it”, and teach our highly observant and ever emerging preschoolers to follow in our footsteps.

Doing what is takes to teach the point!

Doing what is takes to teach the point!

This handwashing post is dedicated to those feisty energetic preschool teachers, who I happen to believe are some of the most creative bunch of gals on the planet. Most of us are women who work in early childhood because, who else has the patience, and delights in hanging out with a gang of wiggly equally energetic three and four year olds.

My experience working with preschoolers developed while being a mother of three, teaching Sunday school, being a teacher assistant for emotionally disturbed children, and then later, as a nurse and then “the singing nurse”.

The task of hand washing became necessary not only as a mother washing off mud pie and finger paints, but also as a Head Start Nurse. You might be familiar with this program that helps low income families learn all they can about parenting, raising healthy children, leadership and setting goals for themselves. The staff’s job was to discover anything that may hinder the child’s growth in all aspects, be it emotional or health issues, hearing or vision difficulties or the spotting of a potential learning disability.

We worked as a team and were privileged to be part of their developing lives, to give them a “Head Start” before Kindergarten. We worked not only with the children, but with the whole family unit. We take for granted the skills we’ve learned from our parents like, being encouraging, sitting and reading a book with our child, cooking a meal together and gathering as a family to eat it. It was part of the Head Start program to teach and model these family values.

Hand washing song by The Singing Nurse, Dawn Ginese

The Rubba Dub Dub Baby

Oh yes, hand washing, just a slight sidetrack and bit of knowledge about the path I’ve been on. So, how does this all tie together? I am a musician as well as a nurse, so I decided to write some health songs while I was working in early childhood development. Who can vouch for the fact that we all write and sing little songs for every purpose while working with preschool children? The common adventures and sometimes scary situations preschoolers encounter in school and with medical professionals gave me the spark to write songs like; I’m Gonna Brush My Teeth, The Dentist is a Good Guy, Don’t Spread Your Germs Around, The Audiologist, The Tick Song, and Babies Are Beautiful.

One health song in particular is a hand washing song for preschoolers called “Rubba Dub Dub”. The tune is an echo song, it is easy to sing, the hand motions are simple, it’s tested and true and the kids love the lively beat. I was blessed by my daughter Hannah who created an animation of my song as a Christmas gift.

We have our favorite fun filled hand washing animation and lesson plan with activities and discussion points that integrates my hand washing song. The simple to use health lesson is complete with a germ game and several project options, lyrics with hand motions and more.

“Rubba Dub, Dub”, as well as other health tunes can be downloaded at the Music for Children page. Check it all out, sign up via my contact page to receive news when my animated dental song is complete.

Thanks to a new friend Deborah Stewart who encouraged me to reach out to her circle of early childhood educators with my educational health songs. I found her and her website, Teach Preschool via twitter.

Cheers to competent, innovative preschool teachers. Lead by example and they will follow!

For Healthy Kids, Dawn Ginese, The Singing Nurse

Choose to educate your little ones it’s fun, easy and saves you time. Less than a coffee and bagel from your favorite coffee shop.

**To order just the “Rubba Dub Dub” song with Hand washing lesson and animation click Here, or to order the 1 & 4 combo of “Rubba Dub Dub” and “Don’t Spread Your Germs Around” songs and lessons click Here.

 

 

www.TheSingingNurse.com  

The Singing Nurse, Dawn Ginese, RN © 2010

 

 

 

 

 

Don’t Spread Your Germs Around, Health Song for Preschoolers

December 26, 2009 in Children's Health Education, News - Updates, The Singing Nurse Music, Uncategorized

scan0004The winter is upon us, so we need to teach our children to protect themselves from the lurking germs about us. We need to enthusiastically model to them; washing our hands often, educate our children to not touch their eyes, mouth and nose and remind them to cough and sneeze in their shoulder. The Singing Nurse has a special song available to download that makes your job fun and easy.

Your kids will think you are amazing as you dance and incorporate hand motions and a conga line while waving your tissue. Read on to learn more, to read the lyrics, and to learn the history and inspiration behind the health song, “Don’t Spread Your Germs Around”.

PreschoolRadio.com has included the song, “Don’t Spread Your Germs Around” on their most recent Radio Show. PreschoolRadio is a fun podcast formatted show who plays music for children 6 and under and those who love them. You will meet new artist and have access to their websites to purchase their music. My hat is off to Lyn Michaels-Carden, the producer.

Drawing by April Matula, special ed. preschool teacher, artist and illustrator.

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#4 on the TSN CD, To purchase click on Music. Can be used with the hand washing health lesson.

Don’t Spread Your Germs Around

Dawn Ginese, RN  2004

If you think you need to cough

You think you need to cough

If you think you need to cough

(Cough sound into your shoulder) in your shoulder

If you think you need to cough

You think you need to cough

Show me what you’re going to do.

(Cough sound into your shoulder) in your shoulder

Chorus:

Don’t spread, don’t spread, don’t spread your germs around x3

Oh no, don’t spread your germs around

If you think you need to sneeze

You think you need to sneeze

If you think you need to sneeze

(Sneeze sound into your shoulder) in your shoulder

If you think you need to sneeze

You think you need to sneeze

Show me what you’re going to do.

(Sneeze sound into your shoulder) in your shoulder

Chorus:

Inspiration

“Don’t Spread Your Germs Around” has a Latin beat so I had my Puerto Rican friend, Jackie Rosado  sing it. The song helps children learn to cough or sneeze in their shoulder rather than in their hands or in the air. If they happen to forget and do it in their hands Jackie asks the children “what are you going to do?”, and they jubilantly reply “wash your hands”. It’s amazing how kids pick up concepts when you use music and motions. We’ve dressed up in Latin attire for this song and towards the end of the song formed a conga line while someone handed a tissue to each child as they passed by. If you have a smaller group, have them pass by a second time for another tissue so they will have one in each hand. One time we had a child dress up in my Nurses dress and cap and had her hand out the tissues.

 

To purchase click on Music.

3 Free Christmas songs are available until the end of 2009, add them to your library today ready for next Christmas!(update: The Christmas songs will be back again@ the end of 2010)

 

 

 

 

 

 

 

 

 

 

 

 

Preschool Radio, The Singing Nurse Health Songs and Free Christmas Music

December 18, 2009 in God - Faith - Hope - Love, News - Updates, The Singing Nurse Music

Christmas tree painted 09I found Preschool Radio via twitter, a great music listening site for the family, who caters to children six years old and under.  Lyn, the host, was searching for a radio program for her young daughter and felt what was offered on the radio waves was not appropriate for her. Lyn’s background in radio broadcasting gave her the nudge to create Preschool Radio. The show plays many undiscovered children’s artist and is quite delightful and refreshing. I contacted Lyn at Preschool Radio and asked if she would give my songs a listen, and she quickly replied back that we were a perfect match. Preschool Radio is in the midst of the Christmas season and played “The First Time” a Christmas song I wrote, recorded and gave to friends and family as a gift one Christmas. You can download 3 FREE Christmas songs I have written by going to the music page. I look forward to the future shows where Preschool Radio will be playing my sing along health songs.

 

rockwellHave a Wonderful Merry Christmas !

Ms. Dawn, The Singing Nurse

ESL Family Night: Family, Food, & Educational Fun

November 26, 2009 in Children's Health Education, News - Updates, The Singing Nurse Music, TSN outreach Projects

SDC12417The Singing Nurse was part of this event and brought her songs for healthy living to the ESL (English as a Second Language) Family Night. The evening was hosted by the Pawling Central School District, and held at the Dover Elementary Cafeteria. The night was set aside to celebrate learning and family friendships. The principal of the Dover Elementary school as well as the ESL teachers organized the event. To kick off the evening, the grateful parents prepared and brought in delicious food to share with one another, yummy ethnic foods like, homemade tamales, salad, desserts and other Latin American dishes.

My take on the evening: Eating together and getting acquainted was a highlight for me as I observed firsthand the hard work and success of the P.C.S.D. ESL classes and its participants. The parents and children were friendly and enjoyed a little chit chat while using their English skills.

ESL Night 1A family health workshop was my contribution to the event, and of course I used songs with hand motions as my arsenal of tools to share the information. We started out with a couple of familiar songs like The Hokey Pokey, to help break the ice. As we entered into the interactive lesson and asked questions, I was very impressed, especially by the knowledge the children possessed of the H1N1 influenza, and the schools preparation for the prevention of spreading germs.

ESL Night 3We sang Rubba Dub Dub, a song from TSN CD, as we reviewed proper hand washing techniques and the best way to get rid of germs. We sang another TSN song, I’m Gonna Brush My Teeth, while reviewing tooth decay prevention. Pictures were also shown as we talked about Lice and how to prevent from getting them.

A few drawings were taken to receive free CDs and one teenage boy was one of the grateful winners.  One special moment of the evening was when I sprayed water from a spray bottle and explained that the vapors floating down were like our germs if we were to cough or sneeze in the air, so I explained that we needed to cough or sneeze into our shoulder. All the families enthusiastically took part in the last educational song, Don’t Spread Your Germs Around, which coincided with the lesson. One of the children donned a doctor’s lab coat and handed out tissues as the conga line passed by, with all singing, “don’t spread, don’t spread, don’t spread your germs around”. I was confident they were enjoying themselves as I observed many of the parents, teens and children grinning.


ESL Night 4

ESL night 5ESL 2

One of the young boys won the grand prize which wrapped up the evening, consisted of a basket filled with family health items, a nurse’s kit and one of The Singing Nurse CDs. He proudly posed for a picture to display the basket of gifts.

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Rice University Students take TSN Global Health Songs to Nicaragua!

October 30, 2009 in Children's Health Education, News - Updates, The Singing Nurse Music, TSN outreach Projects

08/19/2009

Beth and kate

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kate and Beth on a missions trip to El Transito, Nicaragua to teach english, donate sports equipment and share The Singing Nurse Global Health Songs.

While there, they worked with and made friends with the local families and children. To see and read their blog go to http://katebethnicaragua.blogspot.com

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Global Health Song Nicaragua 2 Global Health Song Nicaragua 3