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Neonatal Therapy - 🧠 ANSWER ✔✔The art and science of integrating
typical development of the infant and family into the environment of the
NICU. In incorporates theories and scopes of practice from the respective
disciplines of occupational therapy, physical therapy and speech language
pathology. It requires advance knowledge of the diagnoses and medical
interventions inherent to the NICU setting in order to provide safe and
effective assessment, planning and treatment. At this early point in the
lifespan, Neonatal Therapy promotes optimal long-term developmental
,outcomes and nurtures infant-parent relationships by addressing the
following synergistic neurodevelopmental systems: Neurobehavioral,
neuromotor, neuroendocrine, musculoskeletal, sensory and psychosocial.
These systems provide the foundation for the development of functional
skills.
Neonatal therapist - 🧠 ANSWER ✔✔Essential to the NICU team, a NT is an
occupational therapist, physical therapist, or speech language pathologist
who delivers holistic direct patient care and consultative services to
premature and medically complex infants in a Neonatal Intensive Care Unit
. Using an integrated, neuroprotective, family-centered model,NTs provide
highly specialized and individualized therapeutic interventions in the NICU.
These interventions support optimal long-term development, prevent
adverse sequelae, and nurture the infant-family dyad. Neonatal Therapists
provide education to the family and NICU Team.
Synactive Theory of Development - Heidi Als - 🧠 ANSWER ✔✔Describes
the relationship among the infant's subsystems of development.
The infant is in continuous interaction with the environment.
Behavior is specific and has meaning.
,The infant strives for integration (just to be alive). They want to be able to
master the environment . At the core is autonomic which each higher level
being as follows: motor, state, attention/interaction and at the highest self
regulatory.
Autonomic System - 🧠 ANSWER ✔✔The core neurobehavioral system
(part of synactive theory of development) - the core need - respiratory, GI,
cardiac has to be ok before the other systems can be ok.
If something is wrong in this system, infant will not be able to achieve
higher levels.
We want homeostasis in the autonomic systems which is seen in these
areas:
color
respirations
heart rate
blood pressure
oxygen saturations
temperature regulation
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, visceral signals
Immature or Unstable Autonomic Behaviors - 🧠 ANSWER ✔✔Bradycardia
or tachycardia
Apnea or Tachypnea
Decreased O2 Saturations
Skin color changes
Visceral responses - gagging/emesis/bearing down
Tremors or startles
Vitals Norms - 🧠 ANSWER ✔✔Heart Rate - norm 140-160, high - 200+,
Low - <80
Respiratory Rate - norm 20-30, high 60+, low 0
O2 Saturation - norm 88-92%, high 99-100, low - below parameter
(O2 sats of 99-100 can contribute to retinopathy of prematurity. )
Mature or Stable Autonomic Behaviors - 🧠 ANSWER ✔✔Stable Heart Rate
Smooth or regular respirations
Pink, stable color