Tuesday, March 15, 2011

Using the Stabilization Method

Now that you know your patient...
-Take time to support this behavior when they begin to decompensate.
-Signs of decompensation may include:
    * Hiccoughs
    * Agitated or fantic movements
    * Hyperextensions or Arching
    * Duskiness and Respiratory Pauses
    * Finger Splaying
    * Gaze Aversion
- With your expert attention, you will note fewer episodes during (and after) cares!
What else can you do?
- Take your time!
- Whenever possible, allow the baby to wake up before beginning care.  Look for these cues:
    *Attempted Eye Opening
    * Increased, Irregular Respiratory Pattern
    * Increased Activity
    * Fussiness
    * Increased Heart Rate
-  If you need to do cares and the baby is still sleeping,w hat can you do to rouse them?

Research shows that babies who are awake are more prepared to self-regulate and may be better able to tolerate care.
Even though it seems counter-intuitive, supporting self-stabilization will allow for fewer swings in sats/pressure.  By going slowly enough to follow the baby's cues, you will actually help them.  Just be sure to provide for adequate thermoregulation!
Turn the lights on for a few minutes, provide quiet containment, etc.

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