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SIDELYING

SIDELYING. Facilitates flexion Facilitates symmetry and balance between flexion and extension Encourages hand to midline. SIDELYING. Hips and knees in flexion Arms in forward flexion Head in line with body or slightly flexed

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SIDELYING

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  1. SIDELYING • Facilitates flexion • Facilitates symmetry and balance between flexion and extension • Encourages hand to midline

  2. SIDELYING • Hips and knees in flexion • Arms in forward flexion • Head in line with body or slightly flexed • Head support with pad in between legs for neutral position of hips • Boundaries along back and neck

  3. Sidelying

  4. SWADDLING • Increases flexion • Decreases irritability • Improves attention to stimuli (Als, Lester, Brazelton 1979) • Assists with smooth state transition

  5. Abnormal positioning • Promotes extension • Inhibits flexion • Inhibits midline • Promotes poor developmental head control • Promotes increased difficulty with self calming

  6. Positioning • Proper positioning can promote stability and organization during times when the infant is not receiving intervention • Also proper positioning can assist with level of stress associated with interventions

  7. Feeding outcomes and infant driven feeding • Infant should be an active and willing participant in the feeding • Infant can move into and maintain a quiet alert state • Observe the infant’s suck-swallow-breathe pattern • Observe the infant’s cues throughout the feeding

  8. Feeding Support • Swaddle with arms up and hands by face • Hold securely with head slightly elevated • Use slow flow nipple if infant is spitting out or drooling formula

  9. So…….. • Developmental care makes a difference!!! • We are directly AND indirectly effecting who these infants become as grown people----don’t underestimate how influential you are

  10. There are two ways to live life: One is as is though nothing is a miracle,the other is as though everything is a miracle Albert Einstein

  11. To love what you do and feel that it matters----how could anything be more fun? -Katherine Graham

  12. CASE STUDYADDISON • DOB: JULY 13, 2009 • Gestational age: 27 weeks 4 days • Birth weight : 1125 grams (2 pounds 6 ounces) • Mom- 42 year old • Water broke • Umbilical cord not completely inserted

  13. ADDISON • Nasal cannula at birth • Transitioned to CPAP shortly after birth • Under bililights • PDA • MEDS: antibiotics, steroids • *****STABLE BEGINNING

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