Feeding the preterm infant: Assessment of early feeding skills to intervention | Friday 14 June 2019 08:30 a.m.
Feeding the preterm infant: Assessment of early feeding skills to intervention
Early Feeding Skills Assessment
Friday 14 June 2019 08:30 a.m.
IASO PAEDIATRIC HOSPITAL
37-39 Kifissias Av. Maroussi Athens Greece
Registration fees: 200€
More info: firstname.lastname@example.org
SUZANNE THOYRE, RN, PhD is a Professor in the School of Nursing at the University of N. Carolina at Chapel Hill. She has an extensive background as a neonatal nurse. Her research focuses on the development of early oral feeding of typically developing children, young children with Down syndrome, infants who have had surgery for complex cardiac conditions, and preterm infants. Her research methods focus on collecting bio behavioral data, including behavioral observation, coding of audible signs of increased work of breathing and swallowing disorganization, physiologic data (heart rate, breathing pattern, oxygen saturation), the integration of observational and physiologic data, qualitative interviews, and guidance of maternal and nurse feeding support practices. Suzanne Thoyre developed the Co-Regulated Feeding Intervention (CoReg), an individualized, contingently structured intervention for infants with physiologic instability. CoReg guides caregivers to use infant sucking and respiratory patterns and behavioral stress cues to dynamically select feeding strategies that support infants’ development of feeding skills. She co-developed and provide all training for a clinician-based assessment tool for early infant feeding skills (the Early Feeding Skills tool- EFS) this tool is used internationally to support the clinical care of infants who are vulnerable to developing chronic feeding disorders. She also co-founded the Feeding Flock, an interdisciplinary research team focused on management and prevention of feeding problems of infants and young children. She also co-founded the Feeding Flock, an inter disciplinary research team focused on management and prevention of feeding problems of infants and young children.
09:00 am Guiding Preterm Infants Toward Skill Development While Guarding Their Feeding Experience
This will be an introduction to the day laying out the argument for the importance of sensitive, gentle, and supportive feeding for preterm infants. Types of feeding problems infants have post-discharge will be identified.
09:45 Providing a Cue-Based, Co-Regulated Approach to Feeding
This session will be a discussion of the historical development of the culture of feeding infants in hospital settings and an examination of the state of the science guiding the practice of oral feeding the very preterm infant. Cue-based, co-regulated approaches to feeding will be described.
11:00 Oral Feeding Challenges for the Very Preterm Infant
Behavioral strategies infants adopt when they have immaturity and/or impaired pulmonary functioning will be demonstrated using videotaped feedings. The importance of assessment of these strategies will be emphasized.
13:30 Targeting the Problem with the Early Feeding Skills Assessment Tool
This session will provide critical information for a gently-delivered, cue-based and co-regulated approach to feeding, utilizing the Early Feeding Skills (EFS) checklist. The EFS is an evidence-based checklist for assessing infant readiness for and tolerance of feeding. It profiles the infant’s developmental stage regarding specific feeding skills: remaining engaged in feeding, organizing oral-motor functioning, coordinating swallowing with breathing, and maintaining physiologic stability. Videotapes with enhanced audio of infant breathing and swallowing will be used to sensitize the audience to the infant’s physiologic and behavioral stability during oral feeding and to explore treatment options based on assessment.
15:30 Partnering with Families as they Learn How to Support their Baby during Feeding
This session will wrap up the day with a focus on how to help families support their infants during feeding. Challenges families describe in breast or bottle feeding their very preterm infants will be identified and common behavioral patterns parents adopt to accomplish intake will be demonstrated. Guided participation as a model for working with families to develop an infant-guided, co-regulated feeding practice will be introduced.