The organization of developmental care in neonatal intensive care units
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Keywords

brain plasticity
butterfly effect
preterm infant
developmental care
neuroprotective strategy

How to Cite

Kurilina, T. (2015). The organization of developmental care in neonatal intensive care units. Medicine Today and Tomorrow, 68(3), 67–74. Retrieved from https://msz.knmu.edu.ua/article/view/536

Abstract

The conception of plasticity of sensor system during early ontogenesis is in base of strategy of developmental care. It is shown, that the butterfly effect or sensitive dependence from primary conditions always exists of preterm delivery. The violation of brain development on early stages which is called «trajectory of development under of influence of external condition» can lead to development of unfavorable short-term and long-term consequences in advance of child. The model of Universe of developmental care is proposed for organization of developmental care. Five core position of developmental care are defined: sleep protection, management of pain/stress, nursing activity, family-centered care, healthy environment. Neuroprotective interventions on modern stage are presented by kangaroo-mother method, NIDCAP (neonatal individualizing developmental care & assessment program) and program of early intervention which take advantages of neural plasticity more expressed before 24 month of corrected age. Organization of developmental care has huge potential for improvement of life quality and consequences for preterm infants.

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