Course Description:
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We will discuss neurodevelopmental assessment and intervention strategies, family-centered care, environmental modifications, infant massage, cue-based feeding, complex feeding problems, and therapeutic activities appropriate for premature and compromised term infants. In addition, trainees will be practicing positioning and handling techniques, swaddled bathing, and basic feeding skills in practice labs and in a Level III NICU. At the end of our week of lecture, practice labs, and mentoring of therapists in the NICU, Richard Rembecki, MD, PhD, pediatric pulmonologist/immunologist will be our guest lecturer. He will discuss the impact of neonatal therapy and premature infants with chronic lung disease and dysphagia and open up and Q & A session to discuss treatment strategies.
Key Learning Outcomes:
As a result of this presentation, the participant will be able to:
- Discuss the impact that the environment has on the preterm infant and identify 3 strategies to reduce stress in the NICU.
- Identify components of the neurodevelopmental assessment & intervention strategies addressing age-appropriate care for infants 32-38 weeks gestation.
- Identify strategies to support the development of feeding skills through identification of infant readiness, quality of feeding, and applicable techniques.
Duration:
44.5 hours.
Agenda:
Monday
9:30-11:00
Introductions of Medical Director, Director of WCS, Clinical Manager of WCS to NICU trainees
Get to know trainees
11-11:15
Break
11:15-12:30
Lecture begins
Roles of the neonatal therapist and the evolution of therapy in the NICU
CNT certification
NICU Levels/Designations and common diagnoses seen in the NICU
Treatment orders, therapy program goals
Theories and practice models in the NICU
12:30-1:00
Break for lunch
1:00-1:45
Neurodevelopmental Care, Family Occupations, and Environmental Interventions in the NICU
1:45-2:00
Scrub in and tour the NICU
2:30-300
Observation of gentle-caregiving skills, NNS, therapeutic touch/positioning
3:00-3:30
Observation of therapeutic feeding
3:30-3:45
Break
3:45-5:30
Positioning and handling with NICU equipment (Lab)
Tuesday
8:30-9:45
Neurobehavioral Assessments/Interventions,
Autonomic Assessments/Interventions,
Motor Assessments/Interventions,
State Assessments/Interventions,
Self-Regulation behaviors
Neurobehavioral goals
9:45-10:30
Sensory, Tactile, Vestibular, Olfactory, Gustatory, Auditory, and Visual Systems/Assessments
10:30-10:45
Sensory Goals/Activity
10:45-11:00
Break
11:00-12:30
Neuromotor, Musculoskeletal, Postural, Tone Assessments and Interventions
Primitive/Neuromotor Reflexes, Deviances and Interventions
12:30-1:00
Lunch
1:00-1:45
Neuromotor Interventions, Goals, and Considerations
1:45-2:00
Break/Head to NICU
2:00-3:30
Observations of Parent Education, Oral Stim, Positioning/Handling, and Feeding
3:45-5:30
Observation discussion and feeding equipment with bottle systems, nipples, and special feeding devices (Lab)
Wednesday
08:30-10:00
Infants 32-38 weeks post menstrual age (family, feeding, environment, neuromotor, neurobehavioral, and sensory)
Hammersmith Assessment
10:00-10:30
Musculoskeletal Maturation
10:30-10:45
Break
10:45-12:30
Common Musculoskeletal Conditions/Interventions
Postural Principals/Neurodevelopmental Handling and Positioning
12:30-1:00
Lunch
1:00-1:45
Positioning Equipment/Transition from Products
1:45-2:00
Break/Head to NICU
2:00-3:30
Mentoring Trainees (Parent Education, Oral Stim, Positioning/Handling, and Feeding)
3:30-4:00
Discussion
4:00-5:30
Cue Based Feeding
Thursday
8:00-9:30
Mentoring/Treatment in the NICU
9:30-10:00
Discussion
10:00-10:15
Break
10:15-10:45
Feeding the Preterm Infant
10:45-12:30
Mentoring/Treatment in the NICU
12:30-1:00
Lunch
1:00-2:30
Complex Feeding Issues (Advanced Therapists)
2:30-2:45
Break
2:45:4:00
Developmental Progression of Feeding
Immature, Disorganized, and Dysfunctional Sucking Patterns
Airway Issues and Respiratory Compromise
4:00-5:00
Break/ Swaddling Bathing and Massage Demonstration (Lab)
Friday
8:00-9:30
Mentoring/Treatment in the NICU
9:30-10:00
Discussion
10:00-10:15
Break
10:15-10:45
Common Feeding Interventions in the NICU
10:45-12:30
Mentoring/Treatment in the NICU
12:30-1:00
Lunch
1:00-1:45
Common Feeding Problems in the NICU
1:45-2:00
Break/Head to NICU
2:00-3:30
Mentoring/Treatment in the NICU
3:30-4:30
Lecture/ Rick Rembecki, MD, PhD
4:30-5:30
NICU Exam
Q & A
About the Presenter:
My career in pediatrics began as a special education teacher working with children birth through 5 years. I received my B.S. from the University of Texas at Austin in 1989 and then spent 5 years teaching in both Irving I.S.D. and Plano I.S.D. as an Infant Intervention Coordinator. I provided school and home-based programming for multiply- disabled and sensory impaired infants. I also taught children ages 3-5 years in self- contained generic special education programs serving developmentally delayed, autistic, multi-handicapped, sensory impaired, and behavior disordered students as a Pre-School Program for Children with Disabilities (PPCD) teacher.
After ending my teaching career, I became an Applied Behavioral Analysis (ABA) Consultant while working on my master’s degree in occupational therapy. I provided therapy to former students and new autism spectrum patients through home-based programming using discrete trials to help teach children skills for independence. I received my master’s in occupational therapy from Texas Woman’s University in 1996 and was hired out of my clinical rotation at Texas Health Resources Presbyterian Plano to start up a pediatric outpatient rehabilitation department. I also started up the Developmental Care program in our Level IV NICU and assisted Jennifer Meyer, M.A. CCC-SLP with starting our MBS study and Oral Motor Feeding Programs.
I am now a Neonatal Therapy Coordinator and a Board-Certified Neonatal Therapist at Presbyterian Hospital of Plano where I have been practicing for 24 years. My certifications include Neonatal Oral-Motor Assessment Scale (NOMAS), VitalStim electrical stimulation for swallowing disorders, and I am a Certified Kinesio Taping Practitioner. In addition, I am a Certified Educator of International Infant Massage. I have consulted in several Level II, Level III, and Level IV NICU’s in the Dallas/Ft. Worth area in addition to NICU’s in different states. I have provided contract work as a feeding therapist at Windhaven Pediatrics. I have also consulted online as the OT in the “Ask the Experts” message board at www.infantrefluxdisease.com and at resqwedge@gmail.com. I am the co-inventor of the RES-Q Infant Wedge and Sling with Craig Troop, M.D., and Rozlyn Troop, R.D.L.D. I have enjoyed lecturing to therapists and medical professionals about developmental care and neonatal therapy.
I have been married to Richard Rembecki, MD, PhD, a pediatric pulmonologist/immunologist, for 2 years. I have 2 wonderful kids currently in college. Alyssa, 21 years old. Drew is my 19-year-old miracle and the reason the RES-Q Wedge was invented. He has Tyrosinemia Type 1, a rare metabolic disease.
Disclosures:
Presenter Disclosures:
Financial: Compensation from NorthBay Medical Center for development and delivery of NICU therapy training and mentoring.
Non-financial: Robynne is the co-inventor of the RES-Q Infant Wedge, which is no longer for sale/retired.
Sponsor Disclosure:
This course is presented by CEU-Espresso, Inc.
Content Disclosure:
This learning event does not focus exclusively on any specific product or service.
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