Pediatric Environments Flashcards by Jessica Deak

What are the 6 types of pediatric environments?

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

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Less than ___ lbs to be in the NICU

2 lbs.

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

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

0-3
Self refer
Prescription
Assessment

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Schools can be _____ or ______

Public or specialized

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Pediatric hospitals can be _____ or ______

Acute care or rehab units

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Private practice: Most contract with ______

School systems

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Home based: Early intervention in _____or ______

Home

Daycare

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An assessment that is independent of disability looks at what?

ROM, strength, functional skills

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

Constellation of problems

Scales specific to disability

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A top down model is ______ based or _______ driven

Functionally based or outcome driven

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A bottom up model is _____ based or _____ driven

Impairment based

Deficit driven

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

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

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In a top down model, what are the steps?

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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What are the three parts of an assessment?

Screening
Service eligibility
Treatment efficacy

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In screening, what are we looking at?

Walking
Stairs (conc/ecc)
Skipping (coordination)

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In service eligibility what are we looking at?

Is there a delay?

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In treatment efficacy, what are we looking at?

Is something working? Should child be seen?

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

Background information
Family/child concerns
Cultural considerations

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What are the four parts of the disablement model

Pathology
Impairments
Functional limitations
Disability

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What are the parts of the ICF model?

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Body structure…Activity…Participation

Environmental factors….Personal factors

What are the 8 steps of the HOAC model?

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Collect initial data
Generate problem statement
Establish goals
Exam
Generate working hypothesis of why goals aren’t being met
Are goals viable?
Plan re-eval
Plan and implement Tx strategy

What are the two delivery models?

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Medical and educational

In the education models, it can include…

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Functionally based

Bullying

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

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

What are the 5 delivery models?

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

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

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)

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

6-21 years old Least restrictive, related services

PL 99-457: Education for _____

0-3

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

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

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

New schools | Accessible

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

``` 0-3 Family Parent Naturalistic Needs Family ```

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

Individualized family service plan Child School

____% delay in 2 areas | ___% delay in 1 area or Dx that results in risk

25% in 2 areas | 33% in 1 area

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 _______

``` Family Development Resources, priorities, concerns Outcomes, criteria, procedures, timelines Services Initiation and duration ```

IDEA stands for what?

Individuals with disabilities educational act

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

educational School

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

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

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

3-9 Developmental delays Labeling

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

``` Physical Cognitive Communication Social/emotional Adaptive ```

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

504 Physical or mental Life activities

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

Limited walking | Closer classroom, elevator

Child with no educational needs, but needs therapy.... | Examples?

JRA/hemophilia Early progressive muscle diseases Asthma/CF

Child with no educational needs, but needs therapy.... Or considered a ________ need, there not provided in school

Medical

``` School based therapy: More _____ driven _____ _____ services Qualify if _____ will _____ on their education Therapy must be _______ relevant Trend toward full ________ ```

``` Child IEP Related Delays, impact Educationally Inclusion ```

Related services are what?

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

What do related services included?

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

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

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

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

``` 32% Twice Twice 35% 33% ```

Pediatric Environments Flashcards

(48 cards)