This is Casper College Occupational Therapy Assistant Program. This video tutorial is going to be undressing the low tone hypotonic infant. Where also going to do right side effected on this one as well. Key points that your gonna want look at is make sure that the baby is going to have all joints stabilized. Your really gonna what to keep them tucked in and safe and very secure. The other thing that you want to look at is make sure they're not they're not over extending those joints, and really keeping them secure. Another thing that we are going to try is today to use this wedge on its very helpful for any infant with any kind of breathing or respiratory issue.
So we are going to keep that in play and also we are going to have a boppy to use as well. So I am going to exit and have the mom come in and we will start. Come in. Hi Cassidy. Hi, I'm Emily your Occupational Therapy Assistant today. What is Occupational Therapy? Occupational Therapy especially as far as little Johnny is concerned, is kinda anything that occupies your time throughout the day. So with Johnny it's going to be you know; his dressing, his bathing, his feeding, anything that concerns you as a parent.
That is effecting his everyday life. So I know you got evaluated last week and had some concerns with the dressing. What are the things that you want us to look at. He's just really floppy. Okay. I know that he was premature.
And his doctors also are discussing and concerned with how low tone he is. So I just want to make sure I'm not hurting him. How have you been dressing him? I just lay him on his back. Okay. He's actually really easy to dress, so it's not that he is a hard by any means but when the Doctors kinda said that I have to watch he joints it kinda freaked me out because I just kinda move him around. Okay. Now I am really guarding him. I want to make sure and do the right thing.
Find the in between. Well that's good that you wanna be cautious like you said earlier. You don't want to be whipping around those little arms and legs because you cant effect those joints and we want to make sure that they we're protecting those. Is is okay if I hold him? Yes. I'm just going to try and show you few ideas that we can use.
If anything is not going to work for you let me know. You know you have any ideas absolutely speak up so that we can find good solution together. Okay now you mentioned to that he had some breathing issues being a preemie. He did. I know that he sleeps on a little bit of a elevation.
Okay. Which as been helping and makes it not as scary. And also as a binky at night also. Okay. To help with his breathing.
You have that wedge right there we are actually going to use this if that's okay with you. Kinda to help us with some of the dressing. I am also going to use this boppy. You can also use it. Like we have mentioned, we want to make sure that his joints are being really protected, and very secure.
Another good thing about this is that you can get in nice and close with him. Make sure you, get in you can do any kinds of games and anything you want to do with him. Really use it as a bonding time.
Alright we're just start by undressing him actually making it a little easier. Like we said is make sure those shoulders and pelvis is very stable and very secure. Its good at this point. So we are going to do.
Do you dress one side before the other? Yes, with him being right side effected side we are gonna want to undress his good side versus you know his unaffected side. That we have more material working with the right okay. When you redress him your gonna want to dress the affected side first, so its just kinda the opposite. And that's why you have more material to work with. Okay so you take the left side of first. Then just go over his head again being really careful with those joints, making sure the baby is supported. Then off the other side.
And then with the pants the same thing. Make sure that pelvis is being supported. You can even tuck this in a little more just to make sure he is nice and secure.
When I travel I don't always take my boppy with me, Is there something else I can use to. Absolutely, let me just pick him up and I can show you. What you can also use, which works just as well sometimesIs just your body. So I'm just gonna kinda put him over here I'm really going to tuck him in here, closest to you as possible. So really make sure you are tucking him in. It looks very close to what you did here? Same concept your protecting the joints, making sure he is nice and secure. So it can take off his little pants, just like that make sure his pelvis is nice and supported. Here you go! So when you are redressing like we have said we want to dress affected side first.
So we are going to go right on his right arm, be really careful, supportive. Over the head, then his left side. Then his pants. Can I put him over my leg? Tummy down? You absolutely can. Again though you just want to be careful with his joints. So we are just kinda going to keep him in nice and close to me.
So if you put him face down like that, you want to make sure his airway is clear. That he is not right into your leg. Okay. And a you're just keeping nice support pelvis and shoulders. Can I try that? Absolutely. Come here sweetie. So you said laying him right here, making sure he can breathe.
Absolutely. Does it matter what side of the legs I dress first? It is little easier if you do the effected side. First Again But with legs you know just and it would work best for you, I would try the right side first. Good work.
I think what I'm understanding they told me then is making sure the shoulders are safe his hips are safe and by tucking him in but I'm leaving his face out I can use a boppy similar to this, actually my legs are serving like a wedge to It is. It's creating a little bit of elevation that you can need and use. Cool alright, we will try these this week and see how it goes.
Perfect. Thank you and good job.
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