Occupational Therapy Internal Medicine
The Role of Occupational Therapy in Neonatology:
- Neonatal Occupational Therapy provides individualised habilitation and developmental stimulation to infants based on their ongoing behavioural cues.
 - Special attention is paid to environmental influences and therapists strive to provide family centred care.
 - The underlying philosophies of Occupational Therapy are akin to that of NIDCAP i.e. individualised, relationship-based, family centred care.
 
So what services can the Neonatal Occupational Therapist offer?
- Perioral stimulation (to enhance feeding skills)
 - Therapeutic positioning (to prevent deformities, increase physiological flexion, provide comfort and containment)
 - Splinting (correct deformities)
 - Advice on environmental adaptations (to reduce infantile stress)
 - Sensory Stimulation (tactile, auditory, visual: to develop nerve mylination and reduce stress)
 - Brazelton Neonatal Behavioural Assessment Scale to identify infants strengths and weakness.
 - Facilitate self-regulatory capabilities.
 - Information group for parents which incorporates stress management and relaxation techniques.
 - Sibling play group.
 - Car seating assessments.
 - Develop individual home programmes for parents to follow at home.
 - Post discharge follow up assessments and interventions.
 
Who is likely to benefit from Occupational Therapy?
- Marked prematurity
 - Developmental concerns
 - Abnormal tone
 - Prolonged hospitalisation
 - Sensory impairments
 - Orthopaedic and neurological malformations
 - Feeding difficulties
 - Brachial plexus injuries
 - HIE
 - PVL
 - Parental anxiety
 
