Domain | Behavior |
---|---|
Sleep | Interrupted sleep/restlessness |
 | Excessive sleepiness |
 | Sustained active or quiet sleep |
Arousal/transition | Transitions well between states |
 | Arouses easily, but to agitation |
 | Arouses with difficulty |
Awake state: General state during care time | Mainly quiet alert or active alert |
 | Wiped out, persistent drowsiness |
 | Restless, agitated |
Awake state: Calming during care time | Calms, but with some difficulty |
 | Irritable, not easily calmed |
 | Calms with containment, voice soothing |
Awake state: Eye appearance during care time | Eyes intermittently opened and closed |
 | Eyes tightly closed |
 | Engaged/alert |
 | Panicked/wide-eyed |
 | Glazed/blank |
Awake state: Eyebrow appearance during care time | Raised |
 | Relaxed/neutral |
 | Furrowed |
Awake state: Color change during care time | Mottled |
 | Pale |
 | Dusky |
 | None |
Awake state: Tone during care time | Arched/shoulders elevated or retracted |
 | Floppy |
 | Mainly flexed/hands loosely flexed or opened and closed |
 | Some increased extensor tone, fingers splayed |
Feeding mechanics: Rooting/feeding cues | Roots and initiates feeding cues independently |
 | Minimal cues/rooting |
Feeding mechanics: Mouth/tongue position during first 5 minutes of feeding | Opened and rounded/seals on nipple spontaneously or with prompting |
 | Turns head away/hesitant to open mouth |
 | Refuses to eat |
 | Open mouth posture/tongue and chin positioned to open airway |
Feeding mechanics: Tone during first 5 minutes of feeding | Floppy |
 | Mainly flexed/hands loosely flexed or opened and closed |
 | Arched/shoulders elevated or retracted |
 | Some increased extensor tone, fingers splayed |
Feeding mechanics: Desaturation during first 5 minutes of feeding | Not able to accept nipple without desats |
 | Frequent breaks required for pacing |
 | Desats with sustained sucking; recovers with intervention |
Feeding mechanics: Respiratory rate (RR) with feeding | RR above baseline during sucking pause periods/recovers slowly |
 | Tachypnea at onset of feeding only |
 | RR above baseline during sucking pause periods/recovers quickly |
Respiratory: desaturation during care time | Severe or frequent |
 | Mild or intermittent or occasional |
 | Moderate or somewhat common |
Respiratory: tachypnea during care time | Constant |
 | No tachypnea |
 | Occasional or intermittent |