Cues to look for:
Overwhelmed and not ready to interact:
- increased heart and breathing rate.
- closing eyes and avoiding eye contact.
- facial grimace.
- irritability
- frowning
- stiffening and extending limbs as well as arching back.
- showing signs of fatigue by yawning, hiccuping, or coughing.
Ready to interact:
- Steady breathing and heart rate.
- Holding eye contact with people and alert
Treatment:
- Positioning and Handling: educate family on appropriate positions to reduce stress, improve self regulation, and to normalise muscle tone.
- Stimulation/Adaptation: Educating parents on appropriate stimulation, monitoring, background noise, and lighting. Also adapting the environment to modify sensory input and minimise stress.
- Developing Feeding Skills: Using Sensory Stimulation to prepare the child for feeding and handling and positioning during feeding.
- Interaction with others: Help Parents/Caregivers understand behavioural cues. Provide techniques such as massage that facilitate parent-child interaction.
- Caregiver Support: Provide appropriate support for parents. This could be in terms of education, information, reassurance, encouragement, and referring them to other services if needed.
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