This session is part of two comprehensive series:
Birth to Three Annual Conference PROGRAM B – ON-DEMAND
and
Birth to Three Annual Conference – ON-DEMAND
COURSE DESCRIPTON:
The opioid crisis has continued to grow, affecting infants and families across our birth to three programs. Infants exposed during pregnancy pose a high risk for developmental delay. This session will review recent evidence regarding Neonatal Abstinence Syndrome and the impact of NAS on our infants and their families.
LEARNING OBJECTIVES:
- Differentiate between substance use and misuse
- Identify common opioids and substances a neonate may be exposed to in-utero
- Recognize long term outcomes from Neonatal Abstinence Syndrome or Substance Exposure
- Select an assessment tool to identify signs and symptoms of infants experiencing Neonatal Abstinence Syndrome or Substance Exposure
- Determine interventional strategies to assist the neonate through withdrawal
- Choose the dosing for interventional strategies for children B-3
AUDIENCE:
Birth to three therapists including OTs, PTs, SLPs, and Special Educators.
COURSE OUTLINE:
- Substance Use vs. Substance Misuse
- What is considered an Opioid?
- Recommendation by the American College of Obstetrics and Gynecology during pregnancy
- What is NAS?
- Child/family services involvement
- Medical complications associated with NAS
- What is the future for children born with NAS?
- What does the evidence say?
- Common disabilities associated with NAS
- Evaluating the child with NAS exposure
- Where do I start? Utilizing a systems approach
- Systems affected by NAS exposure
- Tools to evaluate systems
- Finnegan NAS Scoring Form
- Standardizing care across neonates
- CASE STUDY: Assessment
- Choosing the right tool(s)
- Video
- Identifying signs/symptoms of NAS and how these are similar/different from other diagnosis (that may be commonly seen with children with NAS such as prematurity).
- Withdrawal symptoms
- Why is it important to understand withdrawal symptoms
- Evaluating withdrawal symptoms
- What does the research say about the future for children with symptoms?
- Does the severity of symptoms indicate future delays?
- Treatment of NAS
- What does the evidence say?
- Therapist (OT, PT, SLP) roles with the NAS population in different settings (hospital vs outpatient vs early intervention/homecare)
- What interventions (non-pharmacological) are effective and for what systems?
- Cooling treatment?
- Other treatments?
- Family education
- CASE STUDY: Interventions
- Clinical decision making, prioritizing interventions
Roberta “Bertie” Gatlin, PT, DSPT. Is currently providing services in the early intervention setting specifically assessing the transition of infants and families from the NICU to EI. She completed her career as an Associate Professor and Director of Admission for South College Department of Physical Therapy in July 2023. She graduated from University of Memphis in 1986 with a BS in Special Education and from the University of Tennessee Health Science Center Department of Physical Therapy in 1989 with a BS in Physical Therapy and in 2013 with her Doctor of Science with an emphasis in Neurological and Pediatric Physical Therapy. She has been a Board Certified Pediatric Clinical Specialist from 2001 thru 2021.
Her experience draws from over 30 years in the field of pediatric physical therapy. She is an adjunct professor in the Physical Therapy Department at Emory & Henry College, Marion, Virginia. She provides post-professional education for Educational Resources Inc. and Medbridge Education. Bertie provides programming instruction for Brooks Institute of Higher Learning Pediatric Physical Therapy Residency. Bertie’s experience encompasses physical therapy within the NICU, developmental follow-up clinic and outpatient pediatrics, servicing all age levels. She has been a department director for an acute care hospital and an outpatient pediatric rehabilitation center. Her research has focused on the infant with Neonatal Abstinence Syndrome and the outcome measurements used to identify their developmental needs. Bertie currently holds the Treasure Position for the APTA Academy of Pediatric Physical Therapy Executive Board and is Past Chair of the Neonatology Specialty Interest Group.
DISCLOSURE:
Roberta Gatlin receives an honorarium from Education Resources, Inc.
Her non-financial disclosures are: committee member for the Neonatal Special Interest Group and Finance Committee of APPT.
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.
This course meets the criteria for 3 contact hours (0.3 CEUs) Intermediate Level. License #_________.
Education Resources Inc. is an AOTA Approved Provider of professional development. Course approval ID#09073. This Distance Learning-Independent course is offered at 3 contact hours 0.3 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 3 units. Approved Provider for the FL Occupational Therapy Association CE Broker for 3.5 CE Hours - CE Broker #20-1214890. This course meets the approval of the TX Board of OT Examiners. ASHA CE Provider (Intermediate level)This session applies 0.3 ASHA CEUs toward approval but must be combined with all Part B 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. ASHA credits are accepted by the TX Department of License and Renewal. This course has been approved by the MD State Board of Physical Therapy Examiners for __ Continuing Education 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 3.5 contact hours. Application has been made to IL EI Training Program. Approved provider by the NY State Board of Physical Therapy for 3.5 contact hours (0.35 CEUs). Education Resources Inc. is an Approved Agency by the Physical Therapy Board of CA, PTs will receive 3 CEUs. Approved by the Kentucky Physical Therapy Association for 3 Category 1 contact hours, expiration Date: 3/6/25, approval # CS61-2023-APTAKY. Approved Provider for OK State Board of Medical Licensure & Supervision #BAP202310003.This activity provided by the Texas Board of PT Examiners accredited provider Approval #2210017TX for 3 CCU's and meets continuing competence requirements for PT's and PTA's licensure renewal in Texas. 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. 3 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.
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