New Born Medical Assessments
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Examine new born medical assessments and their functions.
There is the Apgar, the Brazelton Neonatal Behavioral Assessment Scale, and the
The Apgar Score is the sum of numerical results from tests performed on newborn infants. The tests were devised in 1953 by pediatrician Virginia Apgar (1909-1974). The primary purpose of the Apgar series of tests is to determine as soon as possible after birth whether an infant requires any medical attention, and to determine whether transfer to a neonatal (newborn infant) intensive care unit is necessary. The test is administered one minute after birth (Gross, 2011).
The most widely used instrument for helping the behavior of the newborn infant is Brazelton's Neonatal Behavioral Assessment Scale (NBAS). It has helped researchers understand newborns better.
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The solution provides information, assistance and advise by putting together a list of New Born Medical Assessments and providing a discussion of each that explains their application and purpose. Resources are listed for further exploration of the topic. A word document version is also provided.
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The NBAS
The NBAS, also known as the Brazelton Neonatal Behavioral Assessment Scale has been developed by the Brazelton institute in 1973 by Dr. T. Berry Brazelton, Professor Emeritus of Harvard Medical School and his then colleagues. This scale has become the basis for "parents, health care providers and researchers, "to "understand the newborn's language". It was considered a breakthrough scale at the time as prior to this scale, concern in understanding the needs of the infant via communication is high, yet measuring and coming to understand it methodologically has not been established. Brazelton himself explained (1973) - "The Scale gives us the chance to see what the baby's behavior will tell us...It gives us a window into what it will take to nurture the baby." What is unique about the scale is that it reveals a sense of infant individuality. The scale shows that infants are capable of communicating even if they are not yet well versed in rational language. The strengths of an infant, as well as weaknesses can be revealed via the scale. Motor behavior, response to light, response to all sorts of sensory (touch, feel, taste, sound) elements is also graded which allows a window into capabilities. This becomes the basis for a plan of nurture which can enhance infant capabilities and capacities to maximise development.NBAS is a qualitative approach. For more on NBAS, see:
http://www.brazelton-institute.com/intro.html
http://www.brazelton-institute.com/train.html
www.rip.org.uk/files/prompts/p6/Hawthorne_2005.pdf
The APIB
The APIB or Assessment of Preterm Infants' Behavior was authored by Dr. Heidelise Als, a researcher and clinician as well as the Director of Neurobehavioral Infant and Child Studies for the Children's Hospital Boston. Dr. Als intended her assessment scale to be utilized in measuring the effects of observable neurobehavioral and neurophysiological manifestations as previous research, according to them, has shown that, "it is clear that the preterm infant at school age emerges as significantly more at risk for attention deficit disorder, lower IQ, difficulties in social-emotional functioning and ...
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