Health & Wellness at TCW

TCW Healthcare Consultants

The Children’s Workshop has a dedicated staff of registered nurses who have specialized training in the field of Child Care Health Consultation.

Mary Jane Cote has been with TCW for 13 years and is the Regional Health Consultant. Mary is CPR Instructor certified and teaches CPR and First Aid to all new staff members. Our Health and Safety policies have been developed from Caring for Our Children, National Health and Safety Performance Standards, Guidelines for Early Care and Education Programs, 3rd edition. Caring for Our Children is a collection of national standards that represent best evidence, expertise, and experience in the country on quality health and safety practices and policies that should be followed in today’s early care and education settings. Mary is available to support our families, staff, and children with questions or concerns related to illness, infection and other health and safety related issues. For more information, please contact our Healthcare Consultants .


10 Reasons Why Adults Need Vaccines


The vaccines you need as an adult depend on everything from your age and lifestyle to high-risk medical conditions, travel plans, and which shots you’ve had in the past.

  1. You may no longer be protected. You may have received a vaccine as a child. But some vaccines require a booster if you want to remain protected. Protection may not be life-long for diseases like pertussis (whooping cough) or tetanus, which is usually given with the diphtheria vaccine. The CDC recommends a booster for tetanus every 10 years after the initial childhood series.
  2. Getting vaccines helps protect your kids—especially babies too young for vaccines. Whooping cough vaccines are recommended for pregnant women (preferably between 27 and 36 weeks) and people who have contact with young babies. The same is true for the flu vaccine.
  3. Some vaccines are just for adults. The shingles vaccine is a good example.
  4. You may need them when you travel.
  5. Everyone needs a flu vaccine, every year. The CDC recommends that everyone 6 months of age and older get the flu shot annually if they do not have a medical reason not to receive the vaccine. Each year’s vaccination is designed to protect against the three or four strains of influenza anticipated to be the most commonly circulated in the upcoming flu season.
  6. Your kids have set an example. Children do not have a choice about getting vaccinated as a child.
  7. You didn’t get fully vaccinated as a child. Not everyone was, or is, fully vaccinated as a child.
  8. Newer vaccines have been developed. 
  9. You are going back to college.

All About the Heart (Rate)

What should you know about your heart rate?

Even if you’re not an athlete, knowledge about your heart rate can help you monitor your fitness level—and it might even help you spot developing health problems.

Your heart rate, or pulse, is the number of times your heart beats per minute. Normal heart rate varies from person to person. Knowing yours can be an important heart-health gauge.

As you age, changes in the rate and regularity of your pulse can change and may signify a heart condition or other condition that needs to be addressed.

The best places to find your pulse are the:

  • Wrists
  • Inside of your elbow
  • Side of your neck
  • Top of your foot

To get the most accurate reading, put your finger over your pulse and count the number of beats in 60 seconds, or count for 15 seconds and multiply by 4.

Your resting heart rate is the heart pumping the lowest amount of blood you need because you’re not exercising. If you’re sitting or lying and you’re calm, relaxed and aren’t ill, your heart rate is normally between 60 (beats per minute) and 100 (beats per minute). But a heart rate lower than 60 doesn’t usually signal a medical problem. It is common for people who get a lot of physical activity or are very athletic. Active people often have lower heart rates because their heart muscle is in better condition and doesn’t need to work as hard to maintain a steady beat.

Moderate physical activity doesn’t usually change the resting pulse much. If you’re very fit, it could change to 40. A less active person might have a heart rate between 60 and 100. That’s because the heart muscle has to work harder to maintain bodily functions, making it higher.

If your pulse is very low or if you have frequent episodes of unexplained fast heart rates, especially if they cause you to feel weak or dizzy or faint, tell your doctor, who can decide if it’s an emergency. Your pulse is one tool to help get a picture of your health.

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TCW Healthcare Consulting

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