Pediatric Environments Flashcards

1
Q

What are the 6 types of pediatric environments?

A
NICU
Early Intervention
School based: Public or specialized
Pediatric hospital: Acute of rehab units
Private practice
Home based
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2
Q

Less than ___ lbs to be in the NICU

A

2 lbs.

If born and leave the hospital, cannot go back to NICU

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3
Q

Early Intervention is age ____. Parents can _______ child, but need a _____ for treatment, not for _______

A

0-3
Self refer
Prescription
Assessment

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4
Q

Schools can be _____ or ______

A

Public or specialized

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5
Q

Pediatric hospitals can be _____ or ______

A

Acute care or rehab units

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6
Q

Private practice: Most contract with ______

A

School systems

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7
Q

Home based: Early intervention in _____or ______

A

Home

Daycare

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8
Q

An assessment that is independent of disability looks at what?

A

ROM, strength, functional skills

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9
Q

An assessment that is dependent on disabilities will look at what?

A

Constellation of problems

Scales specific to disability

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10
Q

A top down model is ______ based or _______ driven

A

Functionally based or outcome driven

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11
Q

A bottom up model is _____ based or _____ driven

A

Impairment based

Deficit driven

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12
Q

In a bottom up model, what are the three steps?

A

Bottom: ID strengths and weaknesses
Middle: Determine goal
Top: Intervention plan and strategies

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13
Q

In a top down model, what are the steps?

A

Top: Desired outcome
2nd level: ID obstacles….and…. ID strengths
3rd level: strategies to bypass obstacles
4th level: strategies to improve performance
5th level: intervention plan and strategies

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14
Q

What are the three parts of an assessment?

A

Screening
Service eligibility
Treatment efficacy

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15
Q

In screening, what are we looking at?

A

Walking
Stairs (conc/ecc)
Skipping (coordination)

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16
Q

In service eligibility what are we looking at?

A

Is there a delay?

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17
Q

In treatment efficacy, what are we looking at?

A

Is something working? Should child be seen?

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18
Q

The assessment takes into account factors such as _______, ________, and _________

A

Background information
Family/child concerns
Cultural considerations

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19
Q

What are the four parts of the disablement model

A

Pathology
Impairments
Functional limitations
Disability

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20
Q

What are the parts of the ICF model?

A

Body structure…Activity…Participation

Environmental factors….Personal factors

21
Q

What are the 8 steps of the HOAC model?

A
  1. Collect initial data
  2. Generate problem statement
  3. Establish goals
  4. Exam
  5. Generate working hypothesis of why goals aren’t being met
  6. Are goals viable?
  7. Plan re-eval
  8. Plan and implement Tx strategy
22
Q

What are the two delivery models?

A

Medical and educational

23
Q

In the education models, it can include…

A

Functionally based

Bullying

24
Q

There are five types of team interaction… what are they, and describe?

A
Unidisciplinary: solo
Intradisciplinary: PTs
Multidisciplinary: 2 or more disciplines
Interdisciplinary: cooperation
Transdisciplinary: role release
25
Q

What are the 5 delivery models?

A

Direct: 1 on 1
Integrated: classroom/home/daycare
Consultative: to the teacher —> adapt activities
Monitoring: slowly back out
Collaborative: need someone else that just PT

26
Q

What are some things that determine the type of delivery and intensity?

A
  1. Age: the young the better
  2. Dx: progressive disorders do not negative PT
  3. Child readiness: middle schooler may not be ready
  4. Hx of therapeutic intervention: may need increased frequency if never had PT before
  5. Education goals: if none, no PT in school system
  6. Other resources available in current setting (adaptive PE, aides)
27
Q

PL 94-142: Education for all ages (_______)

A

6-21 years old

Least restrictive, related services

28
Q

PL 99-457: Education for _____

A

0-3

29
Q

IDEA: PL 102-119: What does this cover?

A

Covers both laws for education 6-21 and 0-3; initial version 1986, reauth in 1997

30
Q

ADA: PL 101-336- Applies to _________; must be _______

A

New schools

Accessible

31
Q

Early intervention:
Age ______ y.o.
________ centered
Goals are _______ driven
Trend toward ________ environments (1st law in 1991)
Appropriate to _____ of child
_______ choice of not using natural environments is not adequate justification

A
0-3
Family
Parent
Naturalistic
Needs
Family
32
Q

Early Intervention: What does IFSP stand for?
How does _____ fit in family unit?
IEP in ______ district

A

Individualized family service plan
Child
School

33
Q

____% delay in 2 areas

___% delay in 1 area or Dx that results in risk

A

25% in 2 areas

33% in 1 area

34
Q

Components of IFSP:
Revolves around _______
Child’s level of _________
Assessment of _____, _______, and ______ of family
Major ______, _____, _______, and ________
Statement of specific _______ (frequency, intensity, location, and method)
Dates for _____ and _______

A
Family
Development
Resources, priorities, concerns
Outcomes, criteria, procedures, timelines
Services
Initiation and duration
35
Q

IDEA stands for what?

A

Individuals with disabilities educational act

36
Q

IDEA:

Must have _______ needs — delays impact on performance in ______ environment

A

educational

School

37
Q

Idea: Must meet criteria for __ category out of 13… what are they?

A

1

  1. Autism
  2. Deaf/blind
  3. Deaf
  4. Hearing impairment
  5. Visual impairment
  6. Mental retardation
  7. Serious emotional disturbance
  8. Multiple disabilities (CP)
  9. Orthopedic disabilities
  10. Other health disabilities (ADD, ADHD)
  11. Specific learning disabilities
  12. Speech/language impairment
  13. TBI
38
Q

IDEA:

OR can be for children _____ y.o. category of ___________ _____ may be used to avoid “________” a child

A

3-9
Developmental delays
Labeling

39
Q

IDEA: must have delay in one or more areas, including:

A
Physical
Cognitive
Communication
Social/emotional
Adaptive
40
Q

Child with no educational needs, but needs therapy….
Section ____
Qualify if they have ______ or ______ disability that substantially limits one or more ____ _________

A

504
Physical or mental
Life activities

41
Q

Child with no educational needs, but needs therapy….
May involve accommodations:
_______ _______
______ _______ _______

A

Limited walking

Closer classroom, elevator

42
Q

Child with no educational needs, but needs therapy….

Examples?

A

JRA/hemophilia
Early progressive muscle diseases
Asthma/CF

43
Q

Child with no educational needs, but needs therapy….

Or considered a ________ need, there not provided in school

A

Medical

44
Q
School based therapy:
More \_\_\_\_\_ driven
\_\_\_\_\_
\_\_\_\_\_ services
Qualify if \_\_\_\_\_ will \_\_\_\_\_ on their education
Therapy must be \_\_\_\_\_\_\_ relevant
Trend toward full \_\_\_\_\_\_\_\_
A
Child
IEP
Related
Delays, impact
Educationally
Inclusion
45
Q

Related services are what?

A

Supportive services to provide assistance to a child with a disability to benefit from regular or special education (for example, school buying equipment)

46
Q

What do related services included?

A
SLP
Audiology
Psychological
PT/OT
Recreation
Counseling
Orientation and mobility services
Medical services for Dx or eval purposes
Parent counseling and training
47
Q

What are the components of an IEP?
______ level of educational performance
______ goals with ______ _____ instructional objectives
(Revolves around ______)
____ = 1 year, _____= components
Specific ______ ____and _____ ____
_____ and _____ of services
_____ and _____ for achievement of objectives and goals
_______ services (law says must be a plan post-grad to be a functional member of society

A
Present
Annual, with short term
Birthday
LTG, STG
Special education and related services
Initiation and duration
Criteria and eval
Transition
48
Q

Long term stats:
____ of all Americans with disabilities are employed
More than _____ as likely to delay needed health care b/c they cannot afford it
More than _____ as likely to drop out of HS
___% not involved at all in communities
____% say they are satisfied with life

A
32%
Twice
Twice
35%
33%