This session is part of two comprehensive series:
Birth to Three 2nd Annual Conference PROGRAM A – ON-DEMAND 2
and
Birth to Three 2nd Annual Conference – ON-DEMAND 2
COURSE DESCRIPTON:
The incidence and edge of viability for premature infants continues to increase with advances in maternal/fetal medicine, neonatology, and pediatric pulmonary care. These infants present with unique sequala of their prematurity that can impact motor, sensory, and oral feeding developmental skills. Ongoing support, assessment, and treatment interventions reduce the risk of severe developmental delays but require an understanding of NICU care practices and careful assessment of the infant’s skill performance to mitigate atypical movement patterns. During this course, learn about the co-morbidities of prematurity including bronchopulmonary dysplasia, necrotizing enterocolitis, and interventricular hemorrhage. Information will also be provided on term infants admitted to the NICU with the diagnosis of hypoxic-ischemic encephalopathy (HIE), neonatal abstinence syndrome (NAS), and neonatal opioid withdrawal syndrome (NOWS). Medical pathology of these conditions will be provided with education on assessment/treatment interventions to reduce atypical sensory/motor skills that impact long-term developmental skill attainment. This course will be focused on skill development for infants term corrected (37 weeks) to 3 months (corrected or chronological age).
LEARNING OBJECTIVES:
- Identify three co-morbidities of prematurity and their impact on feeding/motor/sensory development for the infant.
- Assess infant alignment and musculoskeletal maturation to promote typical motor control for functional tasks.
- Apply two treatment strategies with positioning and handling using the provided case study.
AUDIENCE:
Birth to three therapists including OTs, PTs, SLPs, and Special Educators working in these settings Acute/inpatient care, Outpatient – hospital, Outpatient – private practice, Rehab, Early intervention/home care
COURSE OUTLINE:
- Neonatal Intensive Care Unit Practices (10 minutes)
- Classifications of prematurity
- Term infant admissions
- Medical practices
- Outcomes and risk factors for infant development after discharge from NICU
- Typical and Atypical Infant Alignment Impacting Motor Development (10 minutes)
- Neurodevelopmental care
- Core concepts
- Positioning/handling
- Physiological flexion
- musculoskeletal vulnerability
- Muscle maturation
- Skeletal maturation
- Environmental Modifications
- Co-morbidities of prematurity (50 minutes total)
- Bronchopulmonary dysplasia
- Pathophysiology
- Impact on development
- Assessment:
- Necrotizing Enterocolitis
- Pathophysiology: surgical verse non-surgical management
- Impact on development
- Assessment/Treatment
- Abdominal wall development
- Spinal/pelvic alignment
- GI motility
- Neurological System: Preterm infant: Intraventricular Hemorrhage, Periventricular Leukomalacia, Post-hemorrhagic encephalopathy
- Pathophysiology: focused injury
- Impact on Development
- Assessment/Treatment
- Reflex assessment
- Motor/tone assessment, movement monitoring
- Oral feeding skills
- Neurological System: Term Infant: Hypoxic Ischemic Encephalopathy
- Pathophysiology: Global injury
- Impact on Development
- Assessment/Treatment
- Reflexes
- tone management
- oral feeding
- Neonatal Opioid Withdrawal Syndrome (NOWS)
- Pathophysiology
- Impact on Development
- Assessment/Treatment
- Sensory regulation
- State regulation
- State transitions
- Motor skills, tone, and oral feeding
- Case Study & Pulling it All Together (20 minutes)
Holly Schifsky, OTR/L, CNT, NTMTC, CBIS, has worked in pediatrics for the past 28 years with the past 17 years in a level IV NICU. She is a Certified Neonatal Therapist, Certified Neonatal Touch and Massage Therapist, Certified Brain Injury therapist, a member of National Association of Neonatal Therapists, and has completed 6-month mentorship in infant/child NDT.
She has worked within the NICU and NICU follow-up clinic to maximize patient and family outcomes for the most complex premature and medically-fragile term infants. Holly received her BS in OT from the University of North Dakota. She is a faculty member for the Neonatal Touch and Massage certification; and Manuel Edema Mobilization training. She is the recipient of the National Association of Neonatal Therapists Clinical Excellence award in 2018, due to her clinical expertise and dedication to advancing the therapeutic interventions for NICU infants with cardiopulmonary conditions.
Financial Disclosures: Holly Schifsky receives a speaking fee when she teaches for ERI.
Non-Financial Disclosures: Holly Schifsky has no relevant nonfinancial relationships to disclose.
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: 1.5 contact hours (0.15 CEUs). Intermediate level. License #______________.
Education Resources Inc. is an AOTA Approved Provider of professional development. Course approval ID# 11368. This Distance Learning-Independent Course is offered at 1.5 contact hours 0.15 CEUs (Intermediate Level, OT Service Delivery & Foundational Knowledge). AOTA does not endorse specific course content, products or clinical procedures. This course can be used toward your NBCOT renewal requirements for 1.5 units. Provider for the FL Occupational Therapy Association CE Broker for 1.5 CE Hours - approval #____. ASHA CE Provider (Intermediate level). This session applies 0.15 ASHA CEUs toward approval but must be combined with all Part A Sessions to receive ASHA CEUS. ASHA CE Provider approval and use of the Brand Block does not imply endorsement of course content, specific products, or clinical procedures. Approved by the FL Physical Therapy Association for 1.5 CE Hours - approval #_______. This course has been approved by the MD State Board of Physical Therapy Examiners for 1.5 Continuing Education Hours. This session applies 1.5 hours toward approval but must be combined with entire course to receive approval by the MN Board of PT for 1.5 CE Hours, #______. Approval #____ by the NJ State Board of Physical Therapy Examiners for ___ CEC's. Approved sponsor by the State of IL Department of Financial and Professional Regulation for Physical Therapy for 1.5 contact hours. The Illinois Early Intervention Training Program has approved this event for ____ hours of EI credential credit in the area of Intervention. Approved provider by the NY State Board of PT for 1.5 contact hours (0.15 CEUs). This session applies 1.5 toward approval but must be combined with entire course to receive approval by the OH PT Association for 1.5 Hours - Approval #___. Education Resources is an approved agency by the PT Board of CA for 1.5 contact hours. This activity is provided by the TX Board of PT Examiners accredited provider #2210017TX for 1.5 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. 1.5 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.
Education Resources Inc., 266 Main Street, Suite 12, Medfield, MA 02052 508-359-6533
