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DEVELOPMENTAL CARE IN THE NICU
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Transcript
DEVELOPMENTAL CARE IN THE NICU
Tami Van Aswegen - Physiotherapist
31 January 2018
AIM
SUPPORT & EMPOWER PARENTS
AIM
EARLY INTERVENTION
DEVELOPMENTAL STIMULATION
Positioning
POSITIONING
Why is it important?
How should we do it?
When should we do it?
WHY?
- Third trimester: crowding in the uterus = physiological flexion & midline orientation
- Post term: gravity causes open, extended posture
- Babies job: to reach midline, develop active flexion and active extension
- Why: promotes self soothing, self feeding, sensorimotor experiences
- Every milestone in a babies life has a very particular reason
- I.e hands to mouth teach them about their hands/fingers, teaches them they have 2 sides to their bodies;
- feet to hand/mouth play lets them discover their feet and prepares their abs for sitting and lengthens their hamstrings
HOW
HOW?
NB – COMBINATION OF THE FOLLOWING ALLOWS FOR OVERALL DEVELOPMENT
Nesting/boundries – purpose = to give baby feeling of security, for feedback and body orientation and to promote midline orientation
Nesting/boundries – purpose = to give ba...
Minimise supine positioning
Minimise supine positioning
Position side lying – promotes midli...
Position side lying – promotes midline orientation
Swaddeling – proven to improve sleep, decrea...
Swaddeling – proven to improve sleep, decrease stress & improve self regulation
Prone – NB for active head control and shoulder gird...
Prone – NB for active head control and shoulder girdle strengthening = fine motor development
WHEN?
WHEN?
As soon as baby is stable
As soon as baby is stable
KMC -position with principles
KMC -position with principles
Position baby in flexion with midline when transferi...
Position baby in flexion with midline when transfering baby to mom or scale
PLAGIO-CEPHALY
Deformational Plagiocephaly
'flat head'
Plagiocephaly
Due to the babies soft skull the shape of the skull changes due to prolonged positioning.
What is it?
Pics
DEFORMATION OF THE SKULL
SHAPE OF THE SKULL
OTHER MALFORMATIONS
Side Lying
Supine with slight rotation
Supine
Prevention
Prevention
- Change position regularly
- Change orientation in incubator - beware of the babies head preference and where the light comes from
Consequences
Consequences
Cosmetic abnormalites
Visual defects
Otitis Media
Developmental delays
What's next
REFERRALS
Timeline
January
March
February
Keep in mind
Keep in mind
Changes
Changes
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