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Developmental Care  & Research
Early Experience Alters Brain Structure and Function Heidelise Als, et. Al. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
The Effect of Developmental Care on Preterm Infant Outcome Brown and Heermann ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Preschool Outcome in Children Born Very Prematurely and Cared for According to NIDCAP Westrup et al ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
The NIDCAP is Not Supported by Meta-Analysis Jacobs et al ,[object Object],[object Object],[object Object]
Benefits of Developmental Care - Overview Sehgal, Stack ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Why is there a PT in our NICU?
Synactive Theory of Development A clue into the connect or disconnect between the premature infant’s world and our world
The infant’s response to the environment is our only insight to whether the environment is appropriate and supportive for the infant.
Synactive Theory of Development
Behaviors of Premature Infants in a NICU ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
According to the Synactive Theory: ,[object Object],[object Object]
Autonomic System ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
State System ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
Motor System ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
I know the baby is stressed, what can I do about it . . . .
Supporting the motor system assists to support all other systems . . . .
Preterm vs. Full Term Infant
Why is positioning SO important? ,[object Object],[object Object],[object Object],[object Object],[object Object]
Why is a flexed posture so important? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
What postures can premature infants attain on their own ,[object Object],[object Object],[object Object],[object Object]
How do infants learn to move?
How do infants learn to move? ,[object Object],[object Object],[object Object],[object Object]
Why do former preemies extend so much? ,[object Object],[object Object],[object Object],[object Object]
Why do former preemies extend so much? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Maladaptive Postures that premature infants demonstrate . . .  A case for better positioning ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Maladaptive Postures that premature infants demonstrate . . .  A case for better positioning ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Maladaptive Postures that premature infants demonstrate . . .  A case for better positioning ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Maladaptive Postures that premature infants demonstrate . . .  A case for better positioning ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Maladaptive Postures that premature infants demonstrate . . .  A case for better positioning ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
 
 
 
Positioning Principles ,[object Object],[object Object],[object Object],[object Object],[object Object]
Positioning Principles ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Problems with Supine Positioning
Positioning Essentials ,[object Object]
Positioning Essentials ,[object Object]
Any Questions?

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Developmental Care Lecture April 2008