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Roadblocks to Natural Development: Part 1

presented by Lacy D. Morise, MS, CCC-SLP and Nicole M. Sergent, MPT

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Disclosure Statement:

Financial: Nicole Sergent is owner of Milestones & Miracles, LLC. She is also author of 1-2-3 Just Play With Me. She receives compensation from MedBridge for this course. There is no financial interest beyond the production of this course.

Nonfinancial: Nicole Sergent has no competing nonfinancial interests or relationships with regard to the content presented in this course.

Financial: Lacy Morise is owner of Milestones & Miracles, LLC. She is also author of 1-2-3 Just Play With Me. She receives compensation from MedBridge for this course. There is no financial interest beyond the production of this course.

Nonfinancial: Lacy Morise has no competing nonfinancial interests or relationships with regard to the content presented in this course.

Satisfactory completion requirements: All disciplines must complete learning assessments to be awarded credit, no minimum score required unless otherwise specified within the course.

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Video Runtime: 94 Minutes; Learning Assessment Time: 34 Minutes

As children grow and develop, there are often medical and environmental factors that can commonly become roadblocks to natural development if not detected and addressed. This includes lack of tummy time/container baby syndrome, prolonged sucking and bottle/pacifier use, missed hearing and vision diagnoses, media overuse, overparenting and a faulty sense of typical development, missed or late diagnoses, and nutrition/allergies. In the first of this two-part series, evidence surrounding lack of tummy time/container baby syndrome, prolonged sucking, and missed hearing and vision diagnoses are shared, along with signs and symptoms to watch for. In a problem-solution-based approach, strategies to prevent or support these challenges are shared for each roadblock.

Meet Your Instructors

Lacy D. Morise, MS, CCC-SLP

Lacy Morise is a pediatric speech-language pathologist working in the Eastern Panhandle of West Virginia. Lacy is an independent contractor for the West Virginia Birth to Three program (early intervention) working with children aged 0-3 and their families. The combination of skilled rehabilitation with the educational component of coaching families on shaping their children's development,…

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Nicole M. Sergent, MPT

Nicole Sergent is a pediatric physical therapist living and working in the Eastern Panhandle of West Virginia. With more than 20 years of experience working with children in a variety of settings, Nicole currently works primarily as an independent contractor for the West Virginia Birth to Three program (early intervention) working with children aged 0-3…

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Chapters & Learning Objectives

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1. Container Syndrome/Lack of Tummy Time

In this chapter, evidence-based benefits of prone position and symptoms and consequences of infant container overuse are shared. Education on consequences of lack of tummy time and extended time in infant containers, such as torticollis and plagiocephaly, are identified. Photo and video examples and comparisons are used to promote practical solutions and prevention.

2. Prolonged Sucking

In this chapter, we define the difference between nutritive and nonnutritive sucking and the ages at which babies should be weaned from both. Evidence-based research is presented to support changes observed when weaning recommendations are not followed. Strategies to assist families in weaning infants and toddlers from the bottle and pacifiers are outlined.

3. Undetected Vision Loss

Nineteen million children have impaired vision, and many are underdiagnosed. In this chapter, four common pediatric vision diagnoses (strabismus, amblyopia, refractive errors, and cerebral vision impairment) are presented along with prevalence, common signs and symptoms, and intervention suggestions. The role of the pediatric therapist as part of a comprehensive team treating children with vision impairments is detailed.

4. Undetected Hearing Loss

In this chapter, we learn the guidelines for recommended screening, diagnosis, and treatment of hearing loss in infants. Ear anatomy as well as the path of sound into the ear is explained. Hearing loss is defined by characteristics, and amplification options are presented. The impact on development resulting from hearing loss is shared.

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