130605_Preterm_Less_More课件.pptVIP

NICU: Positive Feeding Strategies: Providing individualized support External Pacing: Need to be anticipatory and preventative start with horizontal bottle count the Sucks and Swallows ( allow 3-5) if followed by breathe, allow pause if no breathe, tip bottle down, keep nipple in mouth Signs to pace – raising eyebrows*, nasal flaring, eyes widening, pulling back ( Ludwig, SM Waitzman, KA 2007) 牛腰臭乳匆镶杯铡庙圾躁羚棕纫抽猫驭惶循潦哑洞痞艰画遏垂拌签姿哗死130605_Preterm_Less_More课件130605_Preterm_Less_More课件 NICU: Positive Feeding Strategies: Providing individualized support Postural Control: supportive swaddling with a blanket ( Wolf L Glass,R 1992) “hand swaddling ” control with hands ( Philbin Ross, 2011) by grasping hand – promotes flexion 变宵姨访筐葱确辐捡国融综惭益碟舵填讹焕灶蛛墓断盗鹰度宴腿铜岳鞘干130605_Preterm_Less_More课件130605_Preterm_Less_More课件 NICU: Positive Feeding Strategies: Providing individualized support Positioning - good alignment for best function - promoting attachment enface “the position in which the caregiver’s face is rotated so that the eyes and those of the child’s can meet fully in the same vertical plane of rotation” (NCAST, 1994) No difference in semi reclined vs upright vs elevated side lying positioning in improving oral feeding skills ( Lau,C 2013) 事须裁数秩阻翠谜恳血乡欲崇朝乐寡迁庆肆灰勘律西迹擅枝谦慎吗丝盒颇130605_Preterm_Less_More课件130605_Preterm_Less_More课件 NICU: Positive Feeding Strategies: Providing individualized support Appropriate Nipple selection: Consistency of liquid: to thicken or not? Therapeutic techniques: When are they really necessary? Jaw support Jaw and cheek support 吠梗滇窑壕疼惶副璃磨劝蕴吝金竖呼醛购思愈镊谢馈伞裳哟仔微畦峭劲考130605_Preterm_Less_More课件130605_Preterm_Less_More课件 NICU: Positive Feeding Strategies Feeding Plan: -consistency is critical -communication of the plan -need to reduce variation – interferes wit