{"id":30301,"date":"2020-02-17T11:36:06","date_gmt":"2020-02-17T16:36:06","guid":{"rendered":"https:\/\/blogarchive.utc.edu\/news\/?p=30301"},"modified":"2020-04-01T08:37:01","modified_gmt":"2020-04-01T12:37:01","slug":"helping-high-risk-infants-is-smiths-passion","status":"publish","type":"post","link":"https:\/\/blogarchive.utc.edu\/news\/2020\/02\/helping-high-risk-infants-is-smiths-passion\/","title":{"rendered":"Helping high-risk infants is Smith’s passion"},"content":{"rendered":"
\"\"

Cathie Smith joined the fledgling UTC physical therapy program 25 years ago.<\/p><\/div>\n

She\u2019s known as \u201cThe Baby Whisperer.\u201d<\/p>\n

For 25 years, Cathie Smith has been a valuable member of the physical therapy department at the University of Tennessee at Chattanooga. During her tenure at the university, Smith has become a recognized expert in pediatric physical therapy \u2014 particularly for her work in neonatal intensive care units \u2014 and she is well-known in the Chattanooga community for her work in children\u2019s therapy services.<\/p>\n

\u201cCathie has an amazing gift when handling fragile babies and children,\u201d said Debbie Ingram, Smith\u2019s longtime friend and colleague.<\/p>\n

Ingram, who began a yearlong transition as physical therapy\u2019s outgoing department head last May, was one of the first people hired to launch the fledgling UTC physical therapy program 30 years ago. Five years later, Smith joined the department.<\/p>\n

\u201cCathie can hold those teeny, tiny little babies that fit in the palm of your hand,\u201d Ingram says. \u201cAs a neonatal physical therapist, she assesses movement and provides interventions for preterm babies. These fragile babies are the size of a glass Coke bottle. The calmness that she portrays is not something I could have done.\u201d<\/p>\n

It takes a unique person to devote one\u2019s professional career to working with delicate tiny newborns. You must be an educator. You have to be a people person. You need to master the ability to navigate working with scared, confused parents; you\u2019re advising them, you\u2019re assuring them and reassuring them. And you\u2019re doing the same with students and staff members.<\/p>\n

What exactly does a neonatal physical therapist do? As a therapist working in the neonatal intensive care unit (NICU) with medically fragile newborns, Smith explained, \u201cthe primary role is to provide neuroprotective care to help reduce the extrinsic stressors that these very immature babies are experiencing because they are prematurely taken out of the protective environment of the maternal womb.\u201d<\/p>\n

Her work focuses on helping to support brain protection for babies as they grow, particularly those born prematurely or are extremely medically fragile because of some medical condition, congenital anomaly or other infectious disease process contracted as a newborn.<\/p>\n

\u201cAs a physical therapist, we work collaboratively with the staff to help identify strategies to deliver the care that needs to be done for the infant in a way that helps to reduce the stress to their immature body systems,\u201d she said.<\/p>\n

\u201cWe don’t direct the care prescription but, if a baby has a low handling threshold, for example, we will work with staff to help identify ways to make the caregiving procedures less difficult and easier to tolerate. We also provide direct services to support the infant\u2019s early movement experiences to help optimize development after being discharged from the NICU.\u201d<\/p>\n

Education is a big part of it. Smith works with parents to help them understand their infant and the limited capacities their baby has. She said it is imperative to help parents appreciate the baby\u2019s strengths but also understand the limitations. There is always uncertainty when it comes to the birth of a preterm baby.<\/p>\n

\u201cHelping parents understand what’s happening and teaching them how to protect and support their young infant to get off to the best start possible is how I ended up in the neonatal intensive care unit,\u201d Smith said.<\/p>\n

\u201cI found that the NICU is a compelling touchpoint for families. It provides an opportunity to help launch fragile families along a course that helps them better understand the strengths and challenges of their new baby as well as helping them learn how to access resources within the healthcare system that will support the infant after leaving the hospital. If follow-up is needed, they already know how to go about looking for resources for their children.\u201d<\/p>\n

Smith, who received her master\u2019s and one of her doctoral degrees from UTC, initially came to Chattanooga as a pre-med student. She was recruited to participate in a couple of survey research projects being conducted by the psychology department.<\/p>\n

\u201cIt was a profession\/vocation preference survey,\u201d she recalled, \u201cand I said, \u2018Sure, I’ll do it.\u2019 It pointed to two occupations that would be well-suited to my temperament and personality\u2014being an auto mechanic or a physical therapist.<\/p>\n

\u201cIt prompted my interest because I didn’t know much about physical therapy, so I decided to find out more about it. I investigated the field, did some volunteering, was intrigued by what physical therapists did and ended up going into PT. I never looked back.\u201d<\/p>\n

With over 40 years\u2019 experience in the field of physical therapy, including the last 25 in the educational arena, Smith can speak to the growth of the profession.<\/p>\n

\u201cParticularly in the area of pediatrics, there’s been a phenomenal amount of growth,\u201d she said. \u201cIt has been interesting to watch how the profession of physical therapy and the practice of managing young children with mobility challenges has changed through the decades. Perhaps the most remarkable change has been the way technology has supported our understanding of what happens with the movement system as children mature.<\/p>\n

\u201cSince I\u2019ve been at UTC, I have always maintained an active role in clinic practice by providing PRN services at the Children’s Hospital at Erlanger in the neonatal intensive care unit. As I have continued to watch the clinical side of our profession grow, as well as the academic side, it has become more evidence-based in the way we do things. There is so much physical therapy can do to enhance the movement experiences of children to enrich their life outcomes.\u201d<\/p>\n

Smith has earned many honors for her work along the way, including being one of the National Association of Neonatal Therapist\u2019s inaugural Pioneer Award winners.<\/p>\n

\u201cThat made me feel kind of old when I won that award,\u201d she joked. \u201cIt’s always reassuring to be recognized by your peers as having made a significant contribution.\u201d<\/p>\n

But even more significant has been helping prepare new clinicians to carry on the work of physical therapy, calling it a privilege for which she will always be grateful.<\/p>\n

\u201cThe thing that makes the most difference to me,\u201d Smith said, \u201cis when students contact me and say, \u2018You may or may not remember me. I graduated five years ago, but I would like to ask your advice about a patient. Can you help me?\u2019\u201d<\/p>\n

Smith and Ingram will be retiring from UTC later this spring, and the physical therapy department has created endowments for both. The fund for Smith is called \u201cExpanding Horizons Fund in honor of Dr. Cathie Smith,\u201d and it will support students as they participate in service-learning and community engagement.<\/p>\n

It will be a lasting tribute to help future generations of UTC physical therapy students learn about the work of a forerunner in the field.<\/p>\n

\u201cCathie has always had a gentle spirit about her,\u201d Ingram said. \u201cShe’s a gifted professor and a cherished colleague, and we call her \u2018The Baby Whisperer.\u2019 She can cradle a baby, and that baby will quit crying, quit wrestling. She truly has a gift.\u201d<\/p>\n

 <\/p>\n","protected":false},"excerpt":{"rendered":"

She\u2019s known as \u201cThe Baby Whisperer.\u201d For 25 years, Cathie Smith has been a valuable member of the physical therapy department at the University of Tennessee at Chattanooga. During her tenure at the university, Smith has become a recognized expert in pediatric physical therapy \u2014 particularly for her work in neonatal intensive care units \u2014… <\/p>\n

Continue Reading <\/span><\/a><\/span><\/p>\n","protected":false},"author":1493,"featured_media":30305,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_genesis_hide_title":false,"_genesis_hide_breadcrumbs":false,"_genesis_hide_singular_image":false,"_genesis_hide_footer_widgets":false,"_genesis_custom_body_class":"","_genesis_custom_post_class":"","_genesis_layout":"","_ef_editorial_meta_date_first-draft-date":"","_ef_editorial_meta_paragraph_assignment":"","_ef_editorial_meta_checkbox_needs-photo":"","_ef_editorial_meta_number_word-count":"","_ef_editorial_meta_checkbox_slider":"","_ef_editorial_meta_checkbox_featurette":"","_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[12760,3,7712,64],"tags":[95878,12719],"class_list":{"0":"post-30301","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-community","8":"category-faculty-and-staff","9":"category-news","10":"category-physical-therapy","11":"tag-cathie-smith","12":"tag-dr-debbie-ingram","13":"entry"},"yoast_head":"\nHelping high-risk infants is Smith's passion | UTC News Archive: Jul 2007 - 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