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Let’s Get Medical: Salt & Ice Challenge

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A critical adolescent developmental task involves developing a stable sense of self.  During these vulnerable years, tweens and teens are strongly influenced by their peers and the actions of their peers take on a heightened sense of importance. We have known for many years the grave pull of peer pressure and how it influences teen behavior. In the age of social media, adolescents are able to utilize digital peer pressure to influence behavior of vulnerable teens and tweens. The recent internet phenomena circulating social media sites is the Salt and Ice Challenge (SIC).

By placing salt on the skin and then ice on top of the salt, the teen feels a “burning” sensation and is challenged to see how long they can withstand this sensation. This is a very serious medical concern as the mixture causes the temperature to become 0 degrees F and can cause second and third degree burn injuries. It is similar to frostbite and numbness associated with the cold interferes with the teen’s awareness that an injury has occurred. Nerve damage and permanent scars to the skin at varying depths are possible.

It is critical for parents to be aware of their adolescent’s use of social media and monitor for sites they visit and content on their network pages. Parents are not always aware of the nuances of social media and feel uneducated about how to monitor the social media sites their teens use. It is extremely important for parents to be informed about access to the internet and social media sites available to their adolescent. If they find something that they do not understand or are alarmed by, they can use their pediatric primary care provider to assist them.

As a pediatric nurse practitioner for 20 years, I always discuss social media and the internet with teens and their parents. Although many parents are involved, too many parents will tell me that their older sibling checks on the younger teen’s sites and many are unaware of the vast array of web pages, links and social media sites accessible to their teens. One study reported adolescent use of social media and the internet at 7-11 hours/day with 25% of it being unsupervised as it is accessed on their cell phones. Please click here and here for articles from the American Academy of Pediatrics and Centers for Disease Control. They have excellent resources for parents to stay informed.

Nursing Faculty portraits

Brenda Cassidy, DNP, MSN,CPNP-PC
Pediatric Nurse Practitioner, over 20 years experience

Facebook “Dislike” Button Update

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As we thought, Facebook has made a decision about the “Dislike’ button. Rather than one button, Facebook is planning on launching a group of “Reaction” emojis which will express “love”, “haha”, “wow”, ”yay”, “sad” and “angry”. These emojis will have motion much like a gif.

emoji

Currently, they will pilot the new buttons in Spain and Ireland. After data is collected, then plan will be to release more globally. For a video of how it will be used and additional information, click here.

As with all changes, keeping up to date and talking with our kids about usage will continue to be important. The potential for “laughing” at something serious or being “angry” about something positive still exist. But the choice to show an empathetic response is certainly needed in today’s world. I look forward to the roll out in the U.S.

–Amanda Cooper, LCSW

 

Facebook’s “Dislike” Button

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In the last week, there has been a lot of talk about Mark Zuckerberg creating a new button to allow users to express “dislike”. This request has been going on for several years as users would like to show empathy for a FB friend who may be going thru something that is negative in their lives. As a clinician, my natural assumption, given the prevalence of cyberbullying, is that it could turn into another weapon in the cyber arsenal of those who wish to bully a peer.  Because we live in a world where we look for validation – we want to know that we are liked and that people are interested in what we have to say. A dislike button could add fuel to the fire and further the need for digital validation. After talking with my in-house expert, my daughter, who is a high school senior about this, her comment was, “That’s a horrible idea. All it will do is create more hate!”   As I contemplate this, I agree with her. From her perspective, a “Dislike” button will just allow peers to give a negative comment to each other and continue the issue of on-line bullying. Imagine a teen posting a new relationship status and a group of “friends” click on “Dislike” or posting a college acceptance letter, a prom photo, new pet and having a group of negative responses. This could have social and emotional consequences for youth. I then decided to challenge her. “How do you “like” a friend’s post that mentions that their grandmother died?” Her response was that she would post an emoticon showing a sad face or tears. Interesting.

So, let’s think about the flip side, why would Facebook create a button that could potentially be used for negative purposes? You could argue that having friends commiserate and offer support by “disliking” a post can feel therapeutic in the same way that venting about a tough day over a latte or a walk with a friend. And for those doing the “disliking”, it is known that expressing, rather than avoiding, negative emotions can prove helpful to well-being.  Also, if a teen posts an inappropriate comment and receives 89 “dislikes,” would this be feedback to the teen to recognize that the post was negative and allow the teen to edit or delete the post and learn from the experience? Interpretation of words without facial expressions, voice tone and other non verbal cues is difficult in this media world. This could allow for a discussion about sarcasm and “meaning what you say and saying what you mean.” Especially when it is posted for the world to see.

So where does that leave us? As with most apps and platforms, it’s how we use it and teach and monitor how our children use it. Zuckerberg has been quoted to say that “we didn’t want to build a “dislike” button because we didn’t want to turn Facebook into a forum where people are voting up or down on people’s posts.” Click here to read the full article.

The intention is for people to be able to express sympathy or support for personal or world issues that are around us. The company has not determined what the button will actually be labeled or what graphic will be used we will keep you posted. More importantly, this is a time to have a conversation with our kids about how to show support, both online and in the real world.

–Amanda Cooper, LCSW

Man Accused of ‘Digitally Kidnapping’ 4-Year-Old on Facebook

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This is a story of a mom who discovered her daughters picture being used by a random man on Facebook claiming that it was his daughter. It’s a interesting read that may make you think twice before posting your child’s picture on social media. In reality, trying to avoid positing your child’s picture on social media is a daunting and unrealistic task. You might be able to control what you post on social media, but chances are, if you are like me, you have family and friends who spend time with your child and take pictures with them and post on social media. Besides, you are proud of your child(ren) and you want to brag to your friends about their accomplishments and achievements.
My guidance on this is, use the settings available on social media to control who can see your posts. Talk to your friends and ask them not to post pictures of your child(ren) on social media and give them a reason for your request. Link them to this article. Educate yourself about wise posting because in a few short years, you will be entering the phase of your teen(s) running rampant with selfie’s and helping them with their own self-posting learning curve.
– Ryan

Parental Support on Social Media

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During my trainings, I encourage parents to sign up for Facebook and Instagram at minimum to learn how they work. I discuss the parental benefits of understanding the platforms, so they can articulate to their children how to make safe and wise decisions when using them. Social media can also be a useful tool for parents who needs support being parents. Check out this article by the folks at Connect Safely.
– Ryan

Two Minutes Wiser – Take This Lollipop

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“This site was brought to me by a 12 year old boy who is a friend of the family. He and his family know about my work and they help out when they see something I could use for educating parents, professionals and youth. I have used this site for several years working with parents and students. Basically it is a two minute video that pulls you in as an interactive participant using your Facebook data. It will ask you to log in using your Facebook username and password so the application can access your Facebook content. It will then show you a video of someone creeping on your Facebook page. I have had students tell me that they have tightened up their Facebook privacy settings just because they saw this video. I tell parents all the time that it’s a simple and youth appealing way to teach them about privacy on Facebook. ~ Ryan”
+ Two Minutes Wiser- Take This Lollipop