COURSE DESCRIPTION:
This on-demand course will provide in-depth knowledge of the general prenatal and postnatal physiologic processes of common neonatal cardiac, respiratory, and neurologic diagnoses along with the developmental consequences and physiologic obstacles faced by pre-term and full-term infants born with these diagnoses. Recent research will be reviewed to bring the neonatal therapist up to date on long-term outcomes as well as current and possible future medical management and developmental interventions. Identification and synthesis of medical, caregiving, family/social, and diagnostic information will be a strong focus to ensure therapists can immediately apply advanced critical thinking skills and strategies to their caseloads. Topics approached from an integrated neuroprotective NICU team framework will include handling, positioning, oral care, feeding/swallowing and sensory processing. Infant directed intervention with implications for frequency and intensity will be discussed. A strong focus will be placed on developmental appropriateness, research efficacy, and both professional and family caregiver education. The use of videos and real-life experience will make this course engaging, interactive and functional to any clinician looking to make an impact for the infants on their caseload with complex medical issues.
LEARNING OBJECTIVES:
- Identify the in-depth anatomy and physiology of disordered functions of the cardiac, respiratory, and neurologic systems of the complex neonate
- Relate the possible positive and negative impacts of various medical interventions used with disordered functions of the cardiac, respiratory, and neurologic systems
- Correlate how each comorbidity impacts neurodevelopment and the attainment of typical milestones in pre-term and full-term infants
- Compare long-term outcomes for infants with complex medical histories as presented in recent evidenced-based research
- Apply appropriate therapeutic strategies across all therapy domains to facilitate improved short-term and long-term outcomes in medically complex infants.
- Apply a multidisciplinary team approach for all infants, with the main focus being strong collaboration with parents and other medical professionals
AUDIENCE:
Neonatal therapists, PTs, OTs, SLPs with experience working with infants in the Neonatal Intensive Care Unit.
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ON-DEMAND SCHEDULE
3 Hours 30 Minutes:
Typical Development of the Respiratory System & Application for the Neonatal Therapist
• Anatomy and Physiology
• The Pump & The Load • Rib cage, accessory muscles, diaphragm development
• Fetal – Newborn – 3 Months
Neonatal Respiratory Conditions
Each condition to include discussion of disordered physiology and expected bedside presentation, diagnostic assessments and medical interventions, clinical reasoning, developmental impact, and long-term developmental outcomes
• Full-term pathology – Meconium Aspiration Syndrome, Persistent Pulmonary Hypertension
• Pre-term pathology – Bronchopulmonary Dysplasia/Chronic Lung Disease
• Term/Preterm pathology – Pneumothorax, Pleural Effusion
• Congenital anomalies – Diaphragmatic Hernia, Choanal Atresia, Laryngeal Cleft
Neonatal Respiratory Conditions (cont’d)
• Other Respiratory Considerations – Tracheostomy, Neuromuscular Disorders
Habilitative Strategies – Part 1
Respiratory Devices, Neurodevelopmental
Impact, and Developmental Outcomes
• Mechanical Ventilation – Conventional, Jet, Oscillatory • Nasal CPAP – Conventional, Bubble, Variable Flow • Hi Flow Nasal Cannula
Habilitative Strategies – Part 2
3 Hours 15 Minutes:
Respiratory Therapy: Roles and Interprofessional Collaboration
• Breathing as a team sport • Sharing neuroprotective knowledge to support optimal respiratory function
Typical Development of the Cardiac System and Application for the Neonatal Therapist
• Anatomy and physiology • Fetal – Newborn – 3 Months
Physiology of Heart Failure
Neonatal Cardiac Conditions
Each condition to include discussion of disordered physiology and expected bedside presentation, diagnostic assessments and medical interventions, clinical reasoning, developmental impact, and long term developmental outcomes
• Acyanotic Defects – Patent Ductus Arteriosus, Ventricular Septal Defect, Atrial Septal Defect, Atrioventricular Septal Defect, Aortic Stenosis, Coarctation of the Aorta
• Cyanotic Defects – Transposition of the Great Arteries
• Cyanotic Defects – Tetralogy of Fallot, Tricuspid Atresia, Pulmonary Atresia, Hypoplastic Left
Heart Syndrome
Habilitative Considerations and Strategies
3 hours 45 minutes:
Typical Development of the Neurologic System and Application for the Neonatal Therapist
• Anatomy and physiology • Fetal – Newborn – 3 Months
Neonatal Neurologic Conditions
Each condition to include discussion of disordered physiology and expected bedside presentation, diagnostic assessments and medical interventions, clinical reasoning, developmental impact, and long-term developmental outcomes
• Congenital Conditions – Neural Tube Defects, Neuromuscular Disorders
• Acquired Conditions – Hypoxic Ischemic Encephalopathy, Intraventricular Hemorrhage, Periventricular Leukomalacia, Posthemorrhagic Hydrocephalus
Physiology of Seizures
Physiology of Abnormal Tone
Prematurity: Impact on Postnatal Brain Development
• Neural plasticity • Basic science of neural enrichment and deprivation
• Early relational trauma and neurobiological alterations
3 Hours:
Neuroprotective Care Guiding Concepts and Appropriate Intervention Strategies
• Healing environment • Safeguarding sleep • Optimizing nutrition
Neuroprotective Care Guiding Concepts and Appropriate Intervention Strategies (cont’d)
• Minimizing stress and pain • Protecting skin • Positioning and handling
• Partnering with families Intervention Strategies • Handling and positioning
• Sensory processing • Oral feeding
Parent and Staff Education Considerations for Optimizing Family-Centered Care and Neuroprotection
• Educator attitudes, knowledge, and skills • Disparities in NICU quality of care
Neonatal Therapy Practice Paradigm Shift
• Advanced practice • Integrative model • Transdisciplinary model
Putting It All Together
• Case studies • Working a differential diagnosis • Seeing all the parts to the puzzle
30 Minutes Post Test
Anjanette Lee, MS, CCC/SLP, CNT, NTMTC has over 25 years’ experience in the NICU. She received her NIDCAP certification in 1999 and then became a “NICU owned” therapist. She has helped her NICU’s quality improvement team incorporate family centered, neuroprotective, and neuropromotive care practices as standards of care. As an imbedded NICU therapist, she is passionate about sharing knowledge with and utilizing all members of the neonate’s care team to support best neurodevelopmental outcomes. As a result, Anjanette provides ongoing education and mentorship for other Neonatal Therapists and NICU staff both within her hospital system and across the nation. Anjanette is certified in Neonatal Touch & Massage and was one of the first Certified Neonatal Therapists in the nation.
She has co- authored chapters in Kenner & McGrath’s 1st edition of Developmental Care of Newborns & Infants, and Case-Smith & O’Brien’s 7th edition of Occupational Therapy for Children. She serves as co- leader of the National Association of Neonatal Therapists Professional Collaborative and has co-authored NANT’s Neonatal Therapy Core Scope of Practice and Practice Competencies for the Neonatal Therapist. Anjanette also serves on the NANT national conference planning committee and is part of the teaching faculty for the NANT Ignite program.
Once you purchase an online course you will have access to the course materials. If you have purchased this course, please ensure you have logged in to your account in order to take the exam.
Once you purchase an online course, you will have the opportunity to take an exam to test your retention of the material. If you have purchased this course, please ensure you have logged in to your account in order to take the exam. The exam must be completed with a pass rate of 80% or more in order to receive your certificate of attendance.
Continuing Education Hours for disciplines not listed below: 14 contact hours (1.4 CEUs). Intermediate level. License #______________.
Education Resources Inc. is an AOTA Approved Provider of professional development. Course approval ID #04712. This Distance Learning-Independent Course is offered at 14 contact hours 1.4 CEUs. (Intermediate level, OT service delivery & Foundational Knowledge). AOTA does not endorse specific course content, products or clinical procedures. ASHA CE Provider (Intermediate level) 1.35 ASHA CEUs. ASHA CE Provider approval and use of the Brand Block does not imply endorsement of course content, specific products or clinical procedures. This course can be used toward your NBCOT renewal requirements for 14 units. Provider for the FL Occupational Therapy Association CE Broker for 16.5 CE Hours, #20-976014.This course has been approved by the MD State Board of Physical Therapy Examiners for 14 Continuing Education Hours. Approval #2212-71 by the NJ State Board of Physical Therapy Examiners for 14 CEC's. Approved sponsor by the State of IL Department of Financial and Professional Regulation for Physical Therapy for 16.5 contact hours. The Illinois Early Intervention Training Program has approved this event for 14 hours of EI credential credit in the area of Intervention. Approved provider by the NY State Board of Physical Therapy for 16.5 contact hours (1.65 CEUs). Education Resources is an approved agency by the PT Board of CA for 14 contact hours. Approved by the APTA Kentucky, A Chapter of the American Physical Therapy Association, for 14 Category 1 contact hour(s). Expiration Date: 3/6/25, approval #CS61-2023-APTAKY. This activity is provided by the TX Board of PT Examiners accredited provider #2210017TX for 14 CCUs and meets continuing competence requirements for PTs and PTAs licensure renewal in TX. Approved Provider for OK State Board of Medical Licensure & Supervision #BAP202310003.This course meets the criteria for 14 hours that can be applied toward the Neonatal Therapy National Certification.12 hours of this course qualify towards the discipline-specific hours for the 20-hour requirement for NDTA re-certification. They do NOT qualify towards the 8-hour NDTA Instructor requirement for re-certification. The following state boards of physical therapy accept other states’ approval: AK, AR, AZ, DC, DE, GA, HI, ID, IN, KS, MA, MI, MO, MS, NC, OR, PA, RI, SC, UT, VA, VT, WI, WY. The following state boards of physical therapy either do not require course pre-approval or do not require CEUs for re-licensure: AL, CO, CT, IA, ME, MT, NE, ND, NH, SD, WA.
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