This intermediate-advanced course will focus on the cardiopulmonary implications for the premature or medically fragile infant as related to their transition from inpatient hospitalization (NICU, PICU) to an outpatient rehabilitation level of care. The course will focus on congenital cardiac conditions, medical/surgical management, and outpatient rehabilitation interventions to maximize the infants developmental and feeding skills. Discussion regarding primary heart repair and staged palliative surgical interventions with treatment considerations for each care plan. Clinical assessment and treatment skills will be presented that will assess the infant’s physiological stability, evolving motor control, sensory stability, and transition to oral motor skills that support feeding. This outpatient-focused course will advance the critical reasoning skills of the pediatric therapist to support the infant’s ability to obtain foundational motor and sensory skills. These skills include the ability of the infant to cough, produce audible phonation, oral motor skills, swallow skills, trunk facilitation, gestational age-appropriate positioning/handling to support the emergence of gross motor skills for postural stability. Learn movement analysis skills (via lab time and video presentations) to assess breathing patterns, facilitation techniques to support trunk development, positioning strategies to support maximal cardiac perfusion, and feeding techniques to optimize weight gain with energy conservation considerations. We will discuss current literature as relevant to this topic and apply a systems theory approach for case study treatment planning.
- Compare and contrast the anatomical and kinesiological developmental changes for the newborn chest wall as related to infants born with and without congenital heart defects
- Choose at least three influences of prematurity and cardiopulmonary co-morbidities on chest wall development and efficacy of movement development
- Identify the different classifications of congenital heart defects in infants
- Analyze the effects of surgical heart interventions on gross motor movement, trunk development, swallow, and feeding as related to infant development
- Incorporate postural support with positioning and handling of infants for improved chest wall mobility post heart repair during feeding and gross motor movement using the provided case study.
- Integrate a systems approach to an individualized care plan for the infant with cardiopulmonary compromise
Holly Schifsky, OTR/L, CNT, NTMTC, CBIS is an Occupational Therapist who has worked in pediatrics for the past 24 years with the past 16 years in a level IV NICU. She is a Certified Neonatal Therapist, Certified Neonatal Touch and Massage Therapist, Certified Brain Injury therapist, an active member of National Association of Neonatal Therapists, and has completed 6-month mentorship in infant/child NDT.
She has worked within the NICU and NICU follow-up clinic to maximize patient and family outcomes for the most complex premature and medically-fragile term infants. Holly received her Bachelor of Science degree in Occupational therapy from the University of North Dakota in 1997. She has dedicated her career to clinical care and advancing developmental care practice patterns for all multidisciplinary team members.
She has presented at many regional and national conferences including National Association of Neonatal Therapists, American Physical Therapy Combined Sections Meeting, Audrey Harris Vision NICU conference, and the University of Minnesota NICU conference. She provides Developmental Care, Feeding Intervention, and NICU education throughout the country.
She is a faculty member for the Neonatal Touch and Massage certification. She is the recipient of the National Association of Neonatal Therapists Clinical Excellence award in 2018, due to her clinical expertise and dedication to advancing the therapeutic interventions for NICU infants with cardiopulmonary conditions.
Once you purchase an online course you will have access to the course materials. If you have purchased this course, please ensure you have logged in to your account in order to take the exam.
Once you purhcase an online course, you will have the opportunity to take an exam to test your retention of the material. If you have purchased this course, please ensure you have logged in to your account in order to take the exam. The exam must be completed with a pass rate of 80% or more in order to receive your certificate of attendance.