Developmental Interventions In Neonatal Care

DEVELOPMENTAL INTERVENTIONS IN NEONATAL CARE

Main Conference

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Thursday, October 2
7:00 a.m.	Main Conference Registration • Check-In • Exhibits
8:00	Acquiring an Emotionally Available Mind: The Challenge of Nurturing NICU Staff and Families Heidelise Als, PhD
9:00	Drug Treatment of Maternal Depression During Pregnancy: Should We Worry? Christine A. Gleason, MD ( = .75 hr.)
9:45	Refreshment Break • Exhibits
10:30	Postpartum Mood Disorders and Their Effects on Maternal-Infant Development Brian Stafford, MD, MPH ( = .25 hr.)
11:15	Questions and Discussion Faculty Panel ( = .25 hr.)
12:00 p.m.	Networking Lunch (Attendance optional and requires a reservation. Click here for details and free tuition drawing.)
1:30	Controversies in Neonatal Sucking and Swallowing: Dysphagia Versus Prematurity Marjorie Meyer Palmer, MA, LSP
2:15	Methamphetamine Use in Pregnancy: Maternal, Fetal and Neonatal Effects Kathryn Wells, MD (= .75 hr.)
3:00	Refreshment Break • Exhibits
3:45	The Link Between Prematurity and Autistic Spectrum Disorders Max Wiznitzer, MD
4:30	Questions and Discussion Faculty Panel (= .25 hr.)
5:00	Adjourn


Friday, October 3 During each Concurrent Session, 6 topics are presented simultaneously in separate rooms. Sessions are limited in size and choices are assigned in the order received.
8:00 a.m.	CONCURRENT SESSIONS #1
#11	Evaluation of Neonatal Sucking Patterns Based on the NOMAS® (Neonatal Oral- Motor Assessment Scale) Marjorie Meyer Palmer, MA, LSP Characteristics of jaw and tongue movement, examples of normal, disorganized and dysfunctional sucking patterns, difference between breast and bottle feedings, sensory aspects of sucking, associated feeding problems, developmental outcomes.
#12	Assessing Preterm Infants’ Behavior and Providing Individualized Developmental Care: Introduction to APIB and NIDCAP® Heidelise Als, PhD What are Developmental Care, ABIP and NIDCAP? Synactive theory of development, research findings, developing observation and assessment skills, moving from task-oriented to relationship-based care, implementing individualized developmental care.
#13	Fetal Brain Development and Neuroplasticity: Impact of Premature Birth Max Wiznitzer, MD Contributions of environment, early experiences, genetics and cellular effects; “re-wiring” the brain and other mechanisms; high-tech tools; diffusion tensor imaging and functional neuroimaging studies.
#14	Outcome Issues of High Risk Infants: What are the Life Long Consequences? Andrew M. Morgan, MD Outcomes of infants with increased risk of developmental disabilities due to prematurity and conditions affecting the neurologic function of the newborn, mortality and morbidity, minor and major developmental disabilities.
#15	Pain in the Developing Newborn gretchen Lawhon, PhD, RN ( = .5 hr.) Behavioral and physiologic assessment, pain versus irritability and disorganization, strategies to prevent and manage pain, long-term and neurological effects of stress and pain.
#16	Enhancing Neuromotor Competencies in NICU Infants Catherine R. Smith, PhD, PT, PCS Respecting threshold limits of high demand infants reinforces resilience, interventions targeting impairments of the neuromotor system associated with prematurity, practical techniques including positioning and holding designed to enhance self-regulatory motor responses, reduce stress reactivity and reinforce resilience in low-threshold infants.
9:30	Refreshment Break
10:00	CONCURRENT SESSIONS #2
#21	Feeding the Low Birth Weight Infant: Factors that Influence Outcome Linda Lefrak, MSN, RN ( = .25 hr.) Maximizing growth, energy preservation, interventions to support oral feedings in infants with chronic lung disease and/or digestive problems (NEC, GER).
#22	Parenting Perspectives in the NICU: What’s Helpful, What’s Not! Joy Voyles Browne, PhD, RN, CNS Edward J. Goldson, MD Emotional intensity of the NICU experience for parents; strategies for supporting parental strength and coping; helping bedside caregivers to communicate effectively with families under stress.
#23	Self Regulation: Preparation for the Next Step Heidelise Als, PhD Concept and development, adapting to development stress, systems integration, balancing motor/state/ attention systems, parent life in and after the NICU.
#24	Early Identification of Neurological Abnormalities in the NICU Infant Max Wiznitzer, MD Early clinical, radiographic and physiologic findings that may indicate later neurologic problems, IVH, asphyxia, transient issues, head cooling, hydrocephalus, talking to parents and staff about prognosis.
#25	Sensory System Development and Capacities in Preterm Infants: Implications for Care Susan Blackburn, PhD, RN, FAAN Taste, smell, hearing and vision development; capacities of preterm infants at different gestations; differences between intra-uterine and extra-uterine sensory environment; implications for NICU care.
#26	The 24-25 Week Premature Infant Kathleen A. VandenBerg, PhD Vulnerabilities, behavioral cues, integrating physiologic and behavioral needs, specific intervention strategies, supporting parental competence and involvement.
11:30	Lunch Break
1:00 p.m.	CONCURRENT SESSIONS #3
#31	Feeding the NICU Infant: Individualizing Choices to Support Success Erin Sundseth Ross, PhD, CCC-SLP Considerations for selecting bottles, nipples and supplemental feeding methods; flow rate considerations; specialized bottle systems; pros and cons of nasalgastric indwelling vs. oral-gastric intermittently placed tubes; effect of tube choice on transitioning to oral feedings.
#32	NICU Infections: The Impact on Neonatal Caregiving and Parental Involvement Linda Lefrak, MSN, RN ( = .5 hr.) Modes of transmission for bacterial and viral infections including MRSA, infections that warrant isolation, breastfeeding and Kangaroo holding with infants in isolation.
#33	Stages of CNS Development and Vulnerability: Creating Healthy Brains Susan Blackburn, PhD, RN, FAAN Neurodevelopmental physiology, vulnerabilities and implications (risk of IVH, PVL); blood brain barrier and cerebral autoregulation; hypoglycemia and the brain; why seizures are different in infants; role of free radicals; influence of extra-uterine environment on CNS development.
#34	Becoming a Certified Developmental Nursery: How Do We Get There from Here? Karen M. Smith, MEd, BSN, RNC Implementing developmental care with goal of becoming a Developmental Nursery; practical suggestions for optimizing care for infants and families; requirements for Developmental Nursery Certification; nursery environment, caregiver competencies, and creating and utilizing the developmental team.
#35	Subtle Behavioral Cues and Responses in Infants ... Are You Noticing Them? gretchen Lawhon, PhD, RN Looking carefully at infant behavior, recognizing infant’s developing competence, understanding caregiver interactive competence, creating and strategizing steps of support for infant and caregiver.
#36	Techniques for Positioning: Bedside Caregiving for Fragile Infants John Chappel, MA, RPT Positioning and handling techniques to improve inherent stabilizing mechanisms and environment of care to promote optimal motor system development, strategies for establishing neuromotor intervention priorities, identifying pathologic handling precautions.
2:30	Refreshment Break
3:00	CONCURRENT SESSIONS #4
#41	Breastfeeding the Medically Fragile Infant: Maternal Issues to Consider Lisbeth Gabrielski, MSN, RN, IBCLC Variables that impact the initiation and establishment of lactation in NICU mothers, including physical and psychological factors.
#42	Ventilated Infants: Behavioral Issues and Developmental Care Karen M. Smith, MEd, BSN, RNC Providing developmental support during challenging respiratory events; intubation, extubation, nursing care giving, position changes and transfers, suctioning and oral care; enhancing infant self regulation, energy conservation strategies, supporting parental participation; care of the infant with lung disease and acquired behavioral responses.
#43	The Late Preterm Infant: Neurodevelopmental Characteristics Joy Voyles Browne, PhD, RN, CNS Developmental differences, challenges with organization of feeding, sleep, interaction and autonomic organization; outcomes you wish you didn’t know about.
#44	Identifying Emerging Disabilities in the Infant After NICU Discharge Andrew M. Morgan, MD Critical ages and landmarks in assessment, evaluating worrisome early signs, meaning of early tone abnormalities including cerebral palsy.
#45	Ethical Issues in Neonatal Care Linda Lefrak, MSN, RN Dilemmas with infants at the edge of viability, when intensive care becomes comfort care.
#46	Structural Integrity of the Infant’s Head and Neck and Its Influence on Neurodevelopment John Chappel, MA, RPT Role of posture and positioning in achieving sensorymotor integration of physiology and movement; clinical considerations of cranial shape in the neurodevelopment of the NICU infant.
4:30	Adjourn


Saturday, October 4
8:00 a.m.	Physiological and Behavioral Communication of the Fetus and Newborn Joy Voyles Browne, PhD, RN, CNS
8:45	Bronchopulmonary Dysplasia: Changing Disease and Practice Steven H. Abman, MD (= .25 hr.)
9:30	Refreshment Break
10:00	Neonatal Head and Total Body Cooling: Weighing Medical Risks versus Rewards Jan E. Paisley, MD
10:45	Early Identification of Cerebral Palsy Andrew M. Morgan, MD
11:30	Questions and Discussion Faculty Panel (= .25 hr.)
12:15 p.m.	Conference Summary and Evaluation
12:30	Adjourn

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