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Baby Beats and Breaths: Therapeutic Interventions for the Premature Infant with Cardiopulmonary Compromise

Education Resources, Inc.

Format(s):   Live Seminars
Discipline(s):   Physical Therapy / Occupational Therapy / Speech-Language
Contact Hours:   13.5
Registration Fee:   $435.00

Upon completion of this course, participants will be able to do:
Discuss anatomical and kinesiological developmental changes for the newborn chest wall
Discuss affects of prematurity and cardiopulmonary co-morbidities on chest wall development
Integrate chest wall movement assessment and treatment strategies to maximize infant outcomes
Design developmental positioning and handling interventions to reduce chest wall deformities
Incorporate postural support with positioning and handling of infants for improved chest wall mobility during oral feeding
Integrate a systems approach to individualized care plan for the infant with cardiopulmonary compromise

Target Audience
This course is recommended for neonatal therapists, PTs, PTAs, OTs, OTAs, and SLPs, with experience working with infants in the Neonatal Intensive Care Unit.

Confirmation Notes
This course meets the criteria for 13.5 contact hours (1.45 CEU's).

The DC, DE and VA Boards of Physical Therapy recognize other Board's approvals. Application has been made to the MD Board of PT Examiners and the OH Pt Association. TX PT accredited provider.

This course meets the approval for Type 2 CEUs by the TX Board of OT Examiners. Approved provider of continuing education by the American Occupational Therapy Association #3043 for 14.5 contact hours (1.45 CEU's) Intermediate level. Occupational Therapy Process: Assessment, Intervention.The assignment of AOTA CEU's does not imply endorsement of specific course content, products or clinical procedures by AOTA. NBCOT professional development provider-14.5 PDU's

This course is offered for up to 1.45 ASHA CEUs (Advanced level, Professional area). This program has been submitted for approval for 14.5 Clock hours of continuing education credit by the TX Speech-Hearing-Association.

In order to maximize the learning experience during lab time, each participant needs to bring a soft body doll. The ideal size would be 10-15", but any soft body doll will work.

7:30-8:00 Registration/Continental Breakfast 8:00-9:00 Typical Development of the infant chest wall •Anatomy and kinesiology of the chest wall, ribcage, and spine •Developmental changes to the anatomical shape and function of these structures as related to gross motor development postural control, feeding, and maturation 9:00-10:00 Cardiopulmonary system of the premature or critically-ill term infant: anatomical differences, congenital heart defects, and vascularization. A therapists guide for critical reasoning. •Cardiopulmonary system and the unique changes required for the infant to have a successful in-utero to extra-utero transition Common congenital heart defects and effects on infant development •Post-surgical cardiac repair on the developing chest wall 10:00-10:15 Break 10:15-12:00 Critical reasoning to assess breathing patterns for the premature infant, effects of pulmonary co-morbidities, and chest wall development. •Premature infant anatomy, risk for pulmonary dysfunction •Common pulmonary co-morbidities •Types of pulmonary support: ventilator settings, non-invasive support 12:00-1:00 Lunch (on your own) 1:00-3:00 Assessment of breathing with movement analysis •Components of adaptive and maladaptive breathing patterns •Video presentation to analyze and assess breathing patterns for infants in the NICU 3:00-3:15 Break 3:15-4:30 Positioning and Handling of the 22-32 week premature infant with focus on chest wall development •Rationale for positioning strategies to support trunk development •Positioning and handling: Lab and lecture 4:30-5:00 Case Study: Positioning Strategies

7:30-8:00 Continental Breakfast 8:00-9:00 Lecture and Lab: Musculoskeletal positioning/handling for the 32 week infant and older •Facilitated tuck •Abdominal activation •Transition away from developmental positioning devices and back to sleep 9:00-10:30 Lecture and Lab: Musculoskeletal assessment and facilitation for infants 32 weeks and older •Spinal assessment for maladaptive breathing •Scapular and pelvic assessment and movement facilitation 10:30-10:45 Break 10:45-12:00 Lecture and Lab: ADL’s with consideration for the cardiopulmonary system •Diapering •Swaddling •Active prone for transition to Tummy Time 12:00-1:00 Lunch (on your own) 1:00-2:00 Lecture and Lab: Feeding Interventions •Postural support •Auditory assessment •Motor behaviors 2:00-3:00 Infants with tracheostomy tubes •Effects on postural control development •Modification to therapeutic interventions 3:00-3:15 Break 3:15-4:00 Advancing critical reasoning using a systems approach: consideration of scars, fascia limitations, edema, reflux (GERD) 4:00-4:30 Case Study: group discussion and collaboration

This course will focus on the cardiopulmonary implications for the premature or medically-complex infant as related to physiological stability, evolving motor control, sensory stability, and transition to oral motor skills that support feeding. It will focus on advancing the critical reasoning skills of the neonatal therapist to support the infant's ability to obtain foundational motor and sensory skills. These skills include the ability of the infant to cough, produce audible phonation, oral motor skills, swallow skills, trunk facilitation, gestational age appropriate positioning/handling to support the emergence of gross motor skills for postural stability. You will learn movement analysis skills (via lab time and video presentations) to assess breathing patterns, facilitation techniques to support trunk development, positioning strategies to support chest wall development, and feeding techniques to maximize postural control. We will discuss current literature as relevant to this topic and apply a systems theory approach for case study treatment planning.

Dates and Locations