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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

“I’m working with parents that are struggling with their kids’ behavioral outbursts when they take away their device. It’s almost like they have an addiction to their phone or tablet. I’ve heard of internet addiction, but is there device addiction?”

Amanda’s Answer:
This is a very good question and one that comes up often in discussions with parents and professionals.  For the most part, the object of dependence tends to be the cell phone. If you need a demonstration, all you need to do…

With every new challenge we take on in life, there is an expectation set before the venture begins. Elementary, middle, and high schools have a handbook to follow. There are expectations about attendance, academics, and behaviors. Often parents and students have to sign and return a form confirming that they reviewed the school handbook at the beginning of the year. College classes have a course outline. A new job has a job description that both the potential employee and employer understand and agree to before hiring. A marriage has wedding vows that are based in a lifetime commitment.  Society has laws that we must follow in order to maintain a safe and healthy community.