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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