Professional Documents
Culture Documents
NICU
NICU
PHYSICAL THERAPY
-Author/s (Year)
COLLEGE OF
PHYSICAL THERAPY
-Author/s (Year)
Level II Specialty Neonatal Care COLLEGE OF
PHYSICAL THERAPY
-Author/s (Year)
Care
COLLEGE OF
PHYSICAL THERAPY
-Author/s (Year)
COLLEGE OF
PHYSICAL THERAPY
PRACTICE PATTERN
Dynamic System Theory COLLEGE OF
PHYSICAL THERAPY
-Author/s (Year)
Theory of Neuronal Group Selection COLLEGE OF
PHYSICAL THERAPY
-Author/s (Year)
ICF Model COLLEGE OF
PHYSICAL THERAPY
-Author/s (Year)
Family Center Model COLLEGE OF
PHYSICAL THERAPY
-Author/s (Year)
COLLEGE OF
PHYSICAL THERAPY
-Author/s (Year)
COLLEGE OF
PHYSICAL THERAPY
• Accumulation of excessive
amounts of bilirubin in the
blood.
• Kernicterus (Athetoid CP)
• Etiology:
• Immature hepatic function,
increased
• Hemolysis of red blood cells
from birth injuries
• Polycythemia
Gastroesophageal Reflux COLLEGE OF
PHYSICAL THERAPY
• Involuntary movement of
gastric contents in a
retrograde fashion into the
esophagus and above.
(Lowes espophageal
sphincter)
• Poor oral feeding patterns
• Oral aversion,
• Excessive crying due to pain
Necrotizing Enterocolitis COLLEGE OF
PHYSICAL THERAPY
• Vasoproliferative
disorder of the
developing retina
of premature
infants that can
potentially result
in visual
impairment and
blindness
COLLEGE OF
PHYSICAL THERAPY
-Author/s (Year)
Review of System COLLEGE OF
PHYSICAL THERAPY
-Author/s (Year)
Maternal History COLLEGE OF
PHYSICAL THERAPY
• Gravida (pregnancy)
• Parity (births) Full Term, Premature, Aborted, Living
• Example: G5P1223
• Five pregnancies
• 1 full term
• 2 premature
• 2 aborted
• 3 living
-Author/s (Year)
Corrected Age COLLEGE OF
PHYSICAL THERAPY
-Author/s (Year)
APGAR Scoring COLLEGE OF
PHYSICAL THERAPY
• 1st 1 minute
• 5 minutes
• Apnea or bradycardia <6
(resuscitation)
• 3 to 4 indicates the need for
bag and mask ventilation
• 5 to 7 requires blowby
oxygen
Observation (Stable Infant) COLLEGE OF
PHYSICAL THERAPY
Area Signs
Autonomics • Smooth, regular respirations
• Pink, stable coloring
• Stable digestion
Motor • Smooth, controlled posture and muscle tone
• Smooth movements of extremities and head
• Hand/foot clasp, leg brace, finger fold, hand to mouth, grasp, suck,
tuck, hand hold
State • Clear, well-defined sleep states
• Focused alertness with animated facial expression
-Author/s (Year)
Observation (Stress Infant) COLLEGE OF
PHYSICAL THERAPY
Area Signs
Autonomics • Respiratory pauses, tachypnea, gasping
• Paling, perioral duskiness, mottled, cyanotic, gray, flushed, ruddy
• Hiccups, gagging, grunting, emesis, tremors, startles, twitches, cough,
sneeze, yawn, sigh, gasp
Motor • Fluctuating muscle tone
• Flaccidity of trunk, extremities, and face
• Hypertonicity of trunk and extremities
• Frantic diffuse activity
State • Diffuse sleep with twitches, jerky movement, irregular
• breathing, whimpering sounds, grimacing, and fussing
• Diffuse wakeful periods with eye floating, glassy-eyed, strained
appearance, staring, gaze aversion, panicked, dull look, weak cry
-Author/s (Year)
Neuromotor Assessment COLLEGE OF
PHYSICAL THERAPY
• Primitive Reflex
• Sensorimotor
• Cranial Nerve
• Muscle tone
-Author/s (Year)
Management COLLEGE OF
PHYSICAL THERAPY
• Parent Education
• Expected progress
• probable complications
• Financial stability and assistance
• Social support
-Author/s (Year)
Kangaroo Care COLLEGE OF
PHYSICAL THERAPY
• Skin to skin
Benefits
• Increased maternal milk
production
• Improved breast-feeding
• Opportunities for more
positive interactions with their
infant
• An overall more positive view
of their infant
Positioning COLLEGE OF
PHYSICAL THERAPY
-Author/s (Year)
Therapeutic neuromotor handling. COLLEGE OF
PHYSICAL THERAPY
• Asymmetrical movements
• Atypical movements
• Provided after discharge from NCU
• NDT, Brunnstrum
-Author/s (Year)
Multimodal sensory stimulation COLLEGE OF
PHYSICAL THERAPY
-Author/s (Year)
References COLLEGE OF
PHYSICAL THERAPY
-Author/s (Year)