In-Person Event

The Impact of Prematurity on Early Infant Development

Progressing Infants to NICU Graduation & Beyond: The impact of Prematurity on Early Infant Development DateApril 19 | 3:00 - 7:00 pmApril 20 | 8:0

Progressing Infants to NICU Graduation & Beyond: The impact of Prematurity on Early Infant Development


Date

April 19 | 3:00 - 7:00 pm

April 20 | 8:00 am - 12:00 pm


Location

Heffernan Conference Room

Iowa Lutheran Hospital

700 E. University Ave

Des Moines, IA 50319


Intended Audience

Therapists, nurses and other interested healthcare professionals who participate in the care of premature infants.


Purpose

To enable the learner to apply evidence-based information to the care of the premature infant.


Course Description

The incidence and age of viability for premature infants continues to increase with advances in maternal/fetal medicine, neonatology, and pediatric pulmonary care. These infants present with unique sequelae of their prematurity that can impact motor, sensory, and oral feeding developmental skills. Ongoing support, assessment, and treatment interventions reduce the risk of severe developmental delays but require an understanding of NICU care practices and careful assessment of the infant’s skill performance to mitigate atypical movement patterns. During this course participants will learn about the co-morbidities of prematurity including bronchopulmonary dysplasia, necrotizing enterocolitis, interventricular hemorrhage, metabolic bone disease, and retinopathy of prematurity. Information will be provided on term infants admitted to the NICU with the diagnosis of hypoxic-ischemic encephalopathy (HIE), neonatal abstinence syndrome (NAS), and neonatal opioid withdrawal syndrome (NOWS). Participants will review medical pathology of these conditions and be provided with education on assessment/treatment interventions to reduce atypical sensory/motor skills that impact long-term developmental skill attainment. This course will be focused on skill development for infants term corrected (37 weeks) to 3 months (corrected or chronological age).


Objectives

· Identify three co-morbidities of prematurity and their impact on feeding/motor/sensory development for the infant

· Assess infant alignment and musculoskeletal maturation to promote typical motor control for functional tasks

· Apply two treatment strategies with positioning and handling using the provided case study


Equipment Needed

Participants are asked to bring a soft body doll, ideally 12-15” long, but any size would be appropriate.


Agenda

Friday, April 19:


2:30 – 3:00 | Registration

3:00 – 4:00 | LECTURE: Neonatal Intensive Care Unit Practices

  • Classifications of prematurity
  • Medical practices
  • Neurodevelopmental care
  • Co-morbidities of prematurity including musculoskeletal vulnerability and low tone progression
  • Outcomes
  • Term infant admissions and outcomes

4:00 – 5:00 | LECTURE: Bronchopulmonary Dysplasia

  • Pathophysiology
  • Impact on musculoskeletal alignment
  • Chest wall development
  • Airway stabilization
  • Weaning off o2, medications, fluid management

5:00 – 5:15 | BREAK

5:15 – 6:00 | LAB: Bronchopulmonary Dysplasia

  • Segmental spinal control
  • Abdominal facilitation
  • Pectoralis facilitation
  • Diaphragmatic facilitation
  • Adjunct treatment: abdominal support devices, diapers

6:00 – 6:20 | LECTURE: Necrotizing Enterocolitis (NEC)

  • Pathophysiology
  • Impact on development
  • Assessment

6:20 – 6:55 | LAB: NEC

  • Scar assessment
  • Stool facilitation
  • Pelvic alignment

6:55 – 7:00 | Questions/Closing



Saturday, April 20:


7:30 – 8:00 | Registration

8:00 – 8:30 | Literature Review

8:30 – 8:45 | Musculoskeletal Impact of Prematurity

  • Muscle maturation
  • Metabolic bone disease

8:45 – 9:15 | LECTURE: Neurological System

  • IVH, PVL, post-hemorrhagic encephalopathy
  • HIE

10:15 – 10:30 | BREAK

10:30 – 11:00 | LAB

  • Upper extremity weigh bearing
  • Rolling facilitation
  • Lower extremity weight shifting
  • Head righting facilitation (cervical segmental control)

11:00 – 11:50 | LECTURE & LAB: NAS & NOWS

  • Pathophysiology
  • Assessment: sensory, motor, tone, state regulation, state transitions

11:50 – 12:00 | Questions/Course Evaluation


Continuing Education TBD


Registration

Deadline to register is Friday, March 29.


Questions

Please contact Talia Greve at talia.greve@unitypoint.org or 515-241-3537 with any questions or concerns.

Event Location