Neonatal Lectureship - Trauma-Informed Care: A New Paradigm for the NICU
Section: Academy of Pediatric PT
Session Code: PD-3A-5046
Date: Saturday, February 24, 2018
Time: 8:00 AM - 10:00 AM
Location: Hilton Riverside
Room: Chart B
Speaker(s): Mary Coughlin McNeil, BSN, MS, NNP, RNC-E
Session Type: Educational Sessions
Session Level: Intermediate
The brain responds to experiences and environmental stimuli through activation of the stress response system (hypothalamic-pituitary-adrenal [HPA] axis) or allostasis, which means to achieve stability through change. Stress mediators promote adaptation to both acute events as well as day-to-day occurrences such as waking up, moving, and experiences with novel stimuli.
The developmental trajectory of this mechanism hinges on early life experiences with stress and, in the case of infants and young children, whether or not a caring adult has mediated the stress event. Healthy stress responses promote adaptation through activation of the HPA axis, releasing cortisol, which increases cardiovascular tone and serves to enhance the availability and distribution of energy substrates to meet the metabolic demands of the stress situation.
Traumatic events are mediated by the stress response system. When activation of the stress response in early life is prolonged and there is a lack of support from a caring adult, the infant is exposed to toxic stress, which can lead to long-lasting epigenetic changes in the brain effecting how the body responds to adversity across the life continuum.
Learning Objectives: Upon completion of this course, you will be able to:
1. Describe 3 consequences of early life adversity and toxic stress on the hospitalized infant.
2. List 3 traumatic experiences for the hospitalized newborn.
3. Identify at least 3 evidence-based care strategies that mitigate and minimize toxic stress in the NICU.