Week 9 - OT in the NICU Flashcards
name 3 treatment approaches guiding the work of the OT in the NICU.
- NIDCAP (newborn individualized developmental care assessment program)
- sensory integration
- NDT
describe the requirements of definition of preterm.
definition of the preterm is by gestational week and not by weight at birth.
what is the definition of a preterm baby?
born before 37 weeks GA
what % of all babies born are premature?
10%-12%
preterm babies can survive at how many weeks?
24 weeks
there is more chance of lack of ____ in all systems, the younger the preterm is.
maturity
describe 2 common positions for preterm babies.
- extension
- abduction
describe the preterm brain.
develops in extra uterine settings at a time when their brains are growing more rapidly than at any other time in their life span.
how is EI adjusted for preterm babies?
according to developmental state and week of the preterm.
preterms are at high risk to develop what 3 things?
- developmental delays
- problems with sensory processing
- learning disabilities
name 10 intervention domains of the OT in the NICU.
- positioning and handling
- organizing the environment
- splints
- neuro-behavioral observation
- sensory regulation and processing
- balancing sleep awake cycles
- reduction of pain
- oral function
- staff guidance and training
- parent guidance
maintaining postures that promote and encourage normal development.
positioning and handling
adjustment and regulation of stimuli that the baby is exposed to and reducing the environmental stress.
organizing the environment
adjusting aids (hand)
splints
detecting and reducing stress signs and behaviors
neuro-behavioral observation
adjustment and regulation of stimuli with guidance to prepare the infant to self regulate.
sensory regulation and processing
reducing light and sound stimuli
balancing sleep awake cycles
during procedures using 4 hand techniques
reduction of pain
encouraging skills such as non-nutritive sucking and stimuli for feeding
oral function
working side by side with the multidisciplinary staff helping them learn to decipher the behavioral signs the baby is showing us
staff guidance and training
helping and guiding the parents in ADL activities helping with “skin to skin” care, holding, nesting, etc., plus guidance towards discharge from NICU.
parent guidance
what is the base position for normal motor developing and bilateral movement (nesting) that we want to promote?
adduction/flexion posture
what are behaviors called in the neuro-behavioral observation assessment?
approach-withdrawal reactions
hand to mouth
approach
airplane
withdrawal
hand to face
approach
arching
withdrawal
smile
approach
grimace
withdrawal
mouthing
approach
yawning
withdrawal
ooh face
approach
frown
withdrawal
looking
approach
looking
approach
averting
withdrawal
grasp
approach
finger splaying
withdrawal
what is the optimal stage we want to introduce stimuli?
quiet alert
describe the quiet alert stage.
- enables processing information
- baby is open for interaction and we can give tactile, visual, auditory, movement stimuli, etc.
___ ___ btwn the stages is a sign of normal neurological maturity and integration.
smooth transition
what is a painful procedure in the NICU?
heel prick
describe how the OT can decrease pain during painful procedures.
- calming the preemie
- positioning
- creating a non stress environment (swaddling, non-nutritive sucking, calming tactile stimuli, 4 hands treatment)
noise in the NICU should not exceed how many decibels?
45 decibels
t/f - auditory deficiencies are more common in preemies than term babies.
true
