Liz Drake, RN-NIC, MN, NNP, CNS
Baby it's cold out there: Myths and Truths About Thermoregulation
No other factor is as important in newborn survival as its temperature control. A thorough understanding of thermoregulation is necessary to provide an optimal environment for the neonate to thrive. Hypothermia is an independent risk factor for morbidity and mortality and vital for bedside care-providers to understand and manage.
Neuro-protective supports have entered the NICU environment and with these changes come modifications to our processes and practices. The goal of this presentation is to dispel myths and offer the bedside provider with recommendations for creating a neutral thermal and developmentally supportive environment.
Marsha Campbell-Yeo, PhD, NNP-BC, RN
Integrating Parents in Newborn Pain Care - Evidence and Implementation
Hospital care and medical interventions are sources of separation and stress, leading to a diminished capacity for the infant to endure painful procedures and situations. Involvement of parents in newborn pain management is of increased interest in both research and clinical settings.
Recent research has focused on finding non-pharmacological interventions or sweet tasting solutions as a substitute to drugs; or at least to decrease the number of drug doses needed for optimal analgesia. There is a growing interest in interventions that involve parents, e.g. skin-to-skin care, breastfeeding, or facilitated tucking by parents.
Despite the growing knowledge base on non-pharmacological interventions, clinicians and parents often struggle with which strategy should be recommended as first line therapy or whether several should be given in combination. In this one-hour webinar presentation, Dr. Marsha Campbell-Yeo will describe the powerful benefits of integrating parents in to the neonatal pain management care plan as well as the effective ways to implement these interventions in clinical settings.
Kara Ann Waitzman, OTR/L, NTMTC
Shannon Usher, OTR/L, MOT, NTMTC
Evidenced Based Neonatal Caregiving Review
Evidenced based caregiving is the foundation for ensuring safe, nurturing and developmentally appropriate practices in the NICU. Therefore, Neonatal Caregivers are challenged to stay abreast with the latest literature in this highly specialized field, despite accessibility and time constraints. This presentation will focus on neurodevelopmental research and literature released within the last 4 years, providing a synopsis of individual studies, as well as their clinical application. Topics will focus on the environment of care such as positioning, feeding, skin to skin, swaddled bathing and the infant-parent relationship. This advanced level information will give neonatal caregivers the insight needed to make immediate practice changes reinforced by the most current literature. It will also support them in speaking confidently and succinctly with staff about their practice changes, caregiving recommendations and proposed unit-wide changes.
Mary Coughlin MS, NNP, RNC-E
Affective Capabilities & Vulnerabilities of the Hospitalized Infant
Normal development of an infant’s “sense-of-self,” and “sense-of-other,” depends in part on an optimally engaged and functional sensory system. Early exposure to trauma — extremely fearful events — and high levels of stress affect the developing brain, particularly in those areas involved with emotions and learning. The amygdala and the hippocampus are two brain structures involved in fear and traumatic stress. These two structures in concert with the insula cortex comprise the neural circuitry for neuroception, the mechanism by which we distinguish whether situations or people are safe, dangerous, or life threatening. This webinar will introduce the learner to the neuroscience underpinning the affective capabilities and vulnerabilities of the hospitalized infant and describe how translation of this information into clinical practice can transform the developmental potential of the hospitalized infant.
Bobbi Pineda PhD, OTR/L
Neurobehavioral Assessment of High-Risk Infants in the NICU
Neurobehavioral assessments can be used to evaluate the efficacy of therapeutic interventions, to define and communicate an individual infant’s strengths and weaknesses, and can empower parents to understand the developmental potential of their premature infant. When used to cover the span of a NICU stay, they offer powerful insights and clues to an infant’s brain development and potential challenges for the future.
In this presentation we will discuss the purpose of the neurobehavioral exam, define different assessments available for use with high risk infants in the NICU, and discuss how to administer and interpret assessment results.