NICU Flashcards
Describe levels of care in NICU
1: resuscitation and postnatal care >35wks
2: routine babies <32 wks, mechanical vent
3: continuous life support
4: same as 3 but higher support, facilitate transport
When working in the NICU what model of care would you typically use?
Universe of developmental care
Describe some OT interventions that you would consider completing with NICU pts
protected sleep, pain/stress, positioning, feeding, skin care, family centered care
Describe the Neonatal Integrative developmental care
healing enviornment, partner with family, positioning/handling, safeguard sleep, minimize stress, protect skin, nutrition
Describe some reasons why a baby may be referred to OT
gestitational age <32-34 automatic
small for gestitaional age <10%
VLBW- 3lbs 4oz
ELBW- 2lbs 3 oz
IVH
inutero stroke
When would we complete the APGAR? What does it look at
1min-5min-10min
pulse, grimace, appearance, respiration, muscle tone
What does the NIPS look at>
facial expression, cry, breathing patterns, arms/legs, arousal
When completing an evaluation what are things that we look at?
observation at rest, handling/touch, ROM/tone, arousal, fine motor, vision, positioning, feeding
Describe motor stress signal
stop/salute, finger splay, extend trunk, hypotonic, flailing, grimace
What are common autonomic stress signals
color change, vitals, hiccups/gag/gas, sneezing yawning
describe behavioral stress signals
poor sleep, limited visual attention, staring, panic, irritable
What are common self regulation techniques we may see/do with a NICU baby?
hand clasp, sucking, grasping, flexion of extremitities, sleeping, hands to mouth
What are some OT interventions we may complete with a parent?
edu about stress signals, calming strategies, positioning for development/head shape, tummy time, vision, splinting, referrals
