{"id":109693,"date":"2024-03-27T13:25:39","date_gmt":"2024-03-27T18:25:39","guid":{"rendered":"https:\/\/www.unmc.edu\/newsroom\/?p=109693"},"modified":"2024-07-09T11:37:51","modified_gmt":"2024-07-09T16:37:51","slug":"tips-program-helps-keep-nicu-grads-on-track","status":"publish","type":"post","link":"https:\/\/www.unmc.edu\/newsroom\/2024\/03\/27\/tips-program-helps-keep-nicu-grads-on-track\/","title":{"rendered":"TIPS program helps keep NICU grads on track"},"content":{"rendered":"
\n

Elissa Becker sometimes finds herself grumbling about how rambunctious her 2-year-old son can be.<\/p>\n\n\n\n

But she\u2019s quick to remember that his feisty spirit is a good thing.<\/p>\n\n\n\n

It means Jackson\u2019s development is right on track.<\/p>\n\n\n\n

Born 10 weeks early \u2014 weighing just 3 pounds, 13 ounces \u2014 the Beckers were worried about possible developmental delays.<\/p>\n\n\n\n

Thanks to care providers near their Norfolk, Nebraska, home and to the Developmental Tracking Infants Progress Statewide, or TIPS, program facilitated by the Munroe-Meyer Institute, Jackson is right where he should be.<\/p>\n\n\n\n

The TIPS team is an interdisciplinary team that follows NICU graduates through a program that can identify delays in development.<\/p>\n\n\n

\n
\"\"
Jackson poses for a photo with his MMI care team at his final appointment in the TIPS program.<\/figcaption><\/figure>\n<\/div>\n\n\n

Last month, Jackson graduated from the program, which saw him at MMI at 6, 16 and 24 months.<\/p>\n\n\n\n

Despite making his debut so early, Jackson was born healthy, Becker said. But he struggled to master the skill of eating.<\/p>\n\n\n\n

He spent 96 days in the neonatal intensive care unit at the Nebraska Medical Center. He eventually went home with a nasogastric tube.<\/p>\n\n\n\n

\u201cWe felt like we were missing some of those milestones, like giving him a bath at home or being able to cuddle him or blow raspberries on his belly,\u201d Becker said. \u201cIt was hard to create those memories in the hospital.\u201d<\/p>\n\n\n\n

When he went home, hospital staff set up the Beckers with home health visits, early intervention and TIPS. Jackson still struggled with eating, often having negative associations around taking a bottle or baby food. Eventually, he got a gastrostomy tube.<\/p>\n\n\n\n

Because Jackson had reflux, tummy time proved tricky. Milestones like teething, cooing and blowing raspberries proved challenging, too, because he was slow to learn how to use muscles in his mouth.<\/p>\n\n\n\n

Initially, Becker said, she was nervous about the appointments at MMI. She was put at ease quickly. Members of Jackson\u2019s care team would often call to check in, answer questions and offer additional resources. <\/p>\n\n\n\n

\u201cWe had such a positive experience with them. The team was so kind and friendly,\u201d she said.<\/p>\n\n\n\n

At each appointment, providers laid out where they\u2019d like Jackson to be developmentally. They went into detail on how the Beckers could work with him at home.<\/p>\n\n\n\n

Some things they worked on included strengthening his core muscles. Becker sat behind Jackson and held his base while he reached for toys in front of him and to his sides.<\/p>\n\n\n\n

Jackson also tackled his pincer grasp, rolling over and activities like puzzles and memory games.<\/p>\n\n\n\n

\u201cIt was reassuring because I felt like all of the hard work he was putting in at home was keeping him on the right track,\u201d Becker said. \u201cI didn\u2019t want him to fall behind when he was already behind on eating. It was such a positive experience for us.\u201d<\/p>\n\n\n\n

Eating is still a work in progress, Becker said. Jackson\u2019s eating at about a 9- to 12-month-old level, tolerating things like broth, cereal milk, ice cream or gravy.<\/p>\n\n\n

\n
\"\"
Jackson Becker on the family farm. <\/figcaption><\/figure>\n<\/div>\n\n\n

Otherwise, Jackson is your typical 2-year-old. He loves trips to the park, the library and the YMCA. At home, he helps Mom wash dishes and make her morning coffee. He scoots down the stairs on his tummy and reads books in the living room. This spring, he\u2019ll help fetch eggs at his grandparents\u2019 farm.<\/p>\n\n\n\n

\u201cHe\u2019s adventurous and very clever. He\u2019s very busy, but if my biggest complaint is him being ornery, then I\u2019m blessed,\u201d Becker said. \u201cThat\u2019s what he should be doing at this age.\u201d<\/p>\n\n\n\n

Jackson is one of more than 36,000 babies to have enrolled in the TIPS program<\/a> since it started in 2000, said program director Kerry Miller, PhD.<\/p>\n\n\n\n

TIPS is one of the only statewide programs of its kind in the United States, Dr. Miller said. MMI collaborates with 12 hospitals across the state to provide data on the early development of babies like Jackson who graduate from the NICU.<\/p>\n\n\n\n

\u201cFamilies are at the center of all that we do,\u201d Dr. Miller said. \u201cThe Beckers viewed us as collaborators in Jackson\u2019s care, actively seeking guidance on how to optimize his development. It was a joy for our team to watch Jackson\u2019s progress during his first two years of life. His developmental strides stand as a testament to his resilience and the nurturing care and developmental support provided by his parents.\u201d<\/p>\n<\/a><\/div><\/div>","protected":false},"excerpt":{"rendered":"

The Developmental Tracking Infants Progress Statewide, facilitated by MMI, aims to identify developmental 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