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APCP Neonatal Committee - Lacey Assessment of Pre-term Infants

This course will cover

File 202714This is a 3 day course, most of which is theoretical. The observation and handling of the fragile infant in the administration of the Lacey Assessment of the Preterm Infant (LAPI) assessment tool has evolved and been developed since 1980. It is an assessment tool specifically to document the motor development of the preterm infant at preterm age whilst in the intensive and special care nurseries. 

The LAPI course focuses on the importance and relevance of the early research findings of Joan Lacey et al on the neonatal nurseries of the Royal Prince Alfred Hospital, University of Sydney, Australia which has led to the development of the LAPI as it is performed today, within the constraints of the modern intensive care nurseries environment, and the tool’s adaptation to improve diagnostic accuracy over time, especially in the post surfactant era, with younger and smaller babes surviving in the NICU and discharged at younger age. 

The LAPI is used both to monitor the infant’s normal development over time, as well as to identify infants who are at high risk of motor impairment. 

The LAPI has been designed to ensure there is minimal handling of the very young infant, by focusing on the observation and analysis of spontaneous movements and resting postures. A small amount of handling is required to remove some clothing and change the infant’s position and to assess tone. The items included in the examination are those shown to have a maturational sequence at preterm age (Lacey et al, 1985, 1987, 1990, 1998, 2004), thereby differing from assessment methods formulated for term infants and documents why the immature infant requires an assessment method specific to the intensive care nursery and the utilisation of items with an unique maturational sequence at preterm age 

The course is intended for therapists working in the neonatal intensive care and /or special care nurseries, and can only be used in the Unit until term equivalent age. It is not suitable, nor can it be used, once the infant has been discharged. 

The tutors are very experienced neonatal specialist physiotherapists, who each have over 20 years’ experience working on neonatal intensive care units, assessing and handling extremely premature infants. 

Participants must hold a neonatal post or have regular access to a neonatal unit. 

The course will include a presentation and discussion on the recommendations and implications of the NICE Guideline on the developmental follow-up of children and young people born preterm, which is due to be published in August 2017. 

Clinical Assessment Sessions 

During the course participants will hopefully be able to observe clinical assessments being carried out in the nursery by experienced tutors. This, however, is dependent upon the number of babies fitting the criteria for the LAPI, whose parents have very kindly given their consent for them to be included and that the babies are medically and physiologically stable enough on the day. We must at all times respect the vulnerability of these high risk infants and it must be recognized that the health, well fare and safety of the babies is paramount. All participants will have the experience of discussion following the clinical sessions and immediately post assessment all participants will individually document his/her scores for the items on the assessment form. Interpretation of the documentation will be discussed thoroughly. It is hoped some assessments will be videoed for further analysis and feedback. If babies are unavailable on the days of the course analysis of assessment technique and scoring will be undertaken through videos.

To book your place

Register online and either:

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File 129488  


Delegate costs: 
£450.00 APCP members / £500.00 non-members



Where & When

2 May 2018 - 4 May 2018
9.00am - 5.00pm
Royal Infirmary of Edinburgh Old Dalkeith Road, Edinburgh, EH16 4SA.
51 Little France Crescent Old Dalkeith Road
Edinburgh EH16
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