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Questions and Answers
Why are neonates super vulnerable to intrusive lighting?
What is a primary concern for OTs in the NICU?
What is a risk associated with prematurity?
What is the term for a birthweight of less than 1000g?
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What is a key component of the sensory environment in the NICU?
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What is a potential complication of prematurity?
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What is an OT's role in the NICU?
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What is a common adaptation for individuals with limited range of motion?
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During the initial stage of OT intervention in a hospital, what is the primary focus?
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What is the primary goal of OT intervention in the acute care setting?
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What is the primary focus of OT intervention in the pediatric rehab setting?
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What is the primary reason for OT intervention in the outpatient setting?
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What is the primary focus of OT intervention in the ICU acute care setting?
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What is the primary focus of OT intervention in the general acute care setting?
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What is a primary intervention priority in the acute care setting?
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What is a primary reason for OT intervention in the outpatient setting?
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What is a major concern in the neonatal intensive care unit (NICU) related to the visual system?
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Why is it essential to maintain appropriate noise levels in the NICU?
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What is a crucial aspect of the sensory environment in the NICU?
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What is an occupational therapist's primary role in the NICU?
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What is a potential complication associated with retinopathy of prematurity?
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How is a birthweight of 1000-1500g classified?
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What is a primary concern for preterm infants with immature lung development?
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What is an adaptation for individuals with perceptual and cognitive limitations?
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What is a primary goal of occupational therapy intervention in the hospital setting?
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What is an occupational therapy intervention for preterm infants?
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What is the initial focus of OTs working in hospitals?
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What is the primary focus of OT intervention in the ICU acute care setting?
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What is the primary focus of OT intervention in the pediatric rehab setting?
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What is a primary intervention priority in the acute care setting?
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What is the primary reason for OT intervention in the outpatient setting?
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What is the primary focus of OT intervention in the general acute care setting?
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What is the primary goal of OT intervention in the acute care setting?
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What is the focus of OT intervention in the pediatric rehab setting?
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What is the primary focus of OT intervention in the outpatient setting?
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Which setting is focused on providing occupational therapy intervention for individuals with disabilities not requiring hospitalization?
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Study Notes
Neonatal Overstimulation
- Visual system of an infant is incomplete before birth, making them super vulnerable to intrusive lighting
- Underdeveloped iris cannot constrict and block out light
- Noise levels should be maintained to prevent stress; NICU workers are desensitized to these sounds
- Strategies to reduce noise levels include using blankets, silencers, and controlling voice levels
Sensory Environment
- Caregiver interactions, bed, temperature, humidity, odors, lighting, and sound levels are all important aspects of the sensory environment
- Type and amount of sensory stimuli, conditions of intervention, and infant's gestational age and ability to process are all crucial considerations
OT's Role
- Evaluating the infant is an ongoing process, with observation being key
- Modifying assessments and collaborating with others is essential
- Interventions include minimizing avoidable stress, preventing fragile skin and cold stress, and supporting touch and handling
- Caregiver education, positioning, NDT, and breast and bottle feeding are also important interventions
Risks of Premature Birth
- Lung underdevelopment and cardiopulmonary issues are common risks
- IVH increases the likelihood of CP and developmental disorders
- Premature birth also increases the risk of learning difficulties, necrotizing enterocolitis, and retinopathy of prematurity, which can lead to blindness
Low Birth Weight
- Birthweight is a significant factor in survival and outcome
- Low birth weight (1500-2000g), very low birth weight (1000-1500g), extremely low birth weight (less than 1000g), and incredibly low birth weight (less than 750g) are all categories of low birth weight
- Immature lung development requires immediate positive pressure support after birth
OT's in Hospitals
- Initially, OTs focus on lifesaving and sustaining procedures, preventing complications, and promoting ADL training
- OTs also work on age-appropriate participation in play
Acute Care
- ICU acute care involves evaluating and treating the child bedside due to critical illness or injury
- General acute care focuses on promoting homeostasis and preventing secondary complications of immobility
Intervention Priorities
- Maintaining skin integrity is a top priority
- OTs also focus on vitals and monitors, pain management, pharmacologicals, coping mechanisms, trunk and postural control, and prevention of clotting and DVT
Pediatric Rehab
- Pediatric rehab provides care for children who are too medically fragile or dependent to be cared for at home
- Acute rehab involves organizing and implementing a planned approach for recovery and rehabilitation
- Outpatient care provides monitoring and interventions, as well as follow-up attention post-hospitalization, focusing on health status and development.
Neonatal Overstimulation
- Visual system of an infant is incomplete before birth, making them super vulnerable to intrusive lighting
- Underdeveloped iris cannot constrict and block out light
- Noise levels should be maintained to prevent stress; NICU workers are desensitized to these sounds
- Strategies to reduce noise levels include using blankets, silencers, and controlling voice levels
Sensory Environment
- Caregiver interactions, bed, temperature, humidity, odors, lighting, and sound levels are all important aspects of the sensory environment
- Type and amount of sensory stimuli, conditions of intervention, and infant's gestational age and ability to process are all crucial considerations
OT's Role
- Evaluating the infant is an ongoing process, with observation being key
- Modifying assessments and collaborating with others is essential
- Interventions include minimizing avoidable stress, preventing fragile skin and cold stress, and supporting touch and handling
- Caregiver education, positioning, NDT, and breast and bottle feeding are also important interventions
Risks of Premature Birth
- Lung underdevelopment and cardiopulmonary issues are common risks
- IVH increases the likelihood of CP and developmental disorders
- Premature birth also increases the risk of learning difficulties, necrotizing enterocolitis, and retinopathy of prematurity, which can lead to blindness
Low Birth Weight
- Birthweight is a significant factor in survival and outcome
- Low birth weight (1500-2000g), very low birth weight (1000-1500g), extremely low birth weight (less than 1000g), and incredibly low birth weight (less than 750g) are all categories of low birth weight
- Immature lung development requires immediate positive pressure support after birth
OT's in Hospitals
- Initially, OTs focus on lifesaving and sustaining procedures, preventing complications, and promoting ADL training
- OTs also work on age-appropriate participation in play
Acute Care
- ICU acute care involves evaluating and treating the child bedside due to critical illness or injury
- General acute care focuses on promoting homeostasis and preventing secondary complications of immobility
Intervention Priorities
- Maintaining skin integrity is a top priority
- OTs also focus on vitals and monitors, pain management, pharmacologicals, coping mechanisms, trunk and postural control, and prevention of clotting and DVT
Pediatric Rehab
- Pediatric rehab provides care for children who are too medically fragile or dependent to be cared for at home
- Acute rehab involves organizing and implementing a planned approach for recovery and rehabilitation
- Outpatient care provides monitoring and interventions, as well as follow-up attention post-hospitalization, focusing on health status and development.
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Description
This quiz assesses your understanding of creating a suitable sensory environment for newborns in the Neonatal Intensive Care Unit (NICU). It covers topics such as neonatal overstimulation, visual and auditory systems, and caregiver interactions.