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Pediatrics - Documentation Flashcards

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1
Q

What are the 3 team models?

A
  • Transdisciplinary
  • Interdisciplinary
  • Multidisciplinary
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2
Q

Which team model has health professionals work independently, but be aware of the value of other professions?

A

Multidisciplinary

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3
Q

Which team model is focused on functioning as a team or unit?

A

Interdisciplinary

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4
Q

Which team model is focused on transcending disciplines?

A

Transdisciplinary

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5
Q

What organization is driving the increased need for documentation?

A

Medicare

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6
Q

Why does documentation lead to better care?

A
  • Includes evidence
  • Communicates with other individuals
  • Reflects thoughts and decision making of therapist
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7
Q

What is performed during the examination?

A
  • History
  • Systems review
  • Various tests and measures
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8
Q

What is performed during the history?

A
  • Chart review of past and current medical and social information
  • Confirmation of correct information
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9
Q

What 2 identifiers should be used when interview a child?

A
  • DOB

- Child’s name

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10
Q

How can information be collected non-verbally during an interview?

A

Through care observation

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11
Q

What are important items of a pediatric history?

A
  • Mother’s pregnancy and complications
  • Birth history
  • Neonatal history
  • Current health
  • Age at different developmental milestones
  • Social information on child and family
  • Understanding of family’s knowledge/ attitude related to the child’s diagnosis
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12
Q

What are the 4 main categories of a systems review?

A
  • Cariopulmonary
  • Integumentary
  • Musculoskeletal
  • Communication (verbal/ non-verbal)1
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13
Q

What system review items are unique to pediatric cases?

A
  • Consideration of child’s safety, well being, nutrition, behavior, attention, self determination
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14
Q

What is the purpose of a system review?

A
  • Determine need for referral

- Determine complicating factors

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15
Q

What are the 2 categories of tests and measures?

A
  • Body structure

- Participation and Activity

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16
Q

What are normal pediatric tests and measures?

A
  • Developmental milestones
  • Transitional movements
  • ROM
  • Reflexes (affect movement? protective reflexes?)
  • Strength (usually a functional test)
  • Tone
  • Posture
  • Extremity alignment
  • Gait
  • Sensory
  • Balance
  • Fitness Level- Endurance
  • Adaptive equipment/ assistive technology
  • Pain (determined at mid and end of treatment)
  • Mobility
  • Oral motor skills & feeding
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17
Q

What are especially important pediatric tests and measures?

A
  • Sensory (autistic)
  • Reflexes
  • Developmental milestones
  • Tone
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18
Q

Are children more varus or valgus at birth? As the child weightbears?

A

Birth: Varus
WB: Valgus

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19
Q

What 3 scales help determine muscle tone?

Study These Flashcards
A
  • Ashworth scale
  • Tardieu scale
  • Selective motor control scale
20
Q 
What is the normal RR of children:
0 - 1 month?
Upto 6 years?
6 - 10 years?
10 - 16 years?
Study These Flashcards
A

0 - 1M: 35 - 55
upto 6M: 20 - 30
6 - 10Y: 15 - 25
10 - 16Y: 12 - 30

21
Q

What is the normal HR of children:
0 - 1M?
3Y?

Study These Flashcards
A

0 - 1M: 120 - 200

3 Y: 70 - 150

22
Q

What is the normal SBP of children:
0 - 1M?
3Y?

Study These Flashcards
A

0 - 1M: 60 - 90

3Y: 45 - 90

23
Q

What is the normal DBP of children:
0 - 1M?
3Y?

Study These Flashcards
A

0 - 1M: 30 - 60

3Y: 50 - 80

24
Q

At what age do children approximate adult vital signs?

25
What does FLACC measure? Who does it assess?
FLACC measures pain in infants and older non-verbal children
26
What are the 0 - 2 values of the F portion of the FLACC scale?
Face 0: No particular expression or smile 1: Occasional grimace or frown; withdrawn or disinterested 2: Frequent to constant quivering chin/ clenched jaw
27
What are the 0 - 2 values of the L portion of the FLACC scale?
Leg 0: Normal position or relaxed 1: Uneasy, restless, tense 2: kicking or legs drawn up
28
What are the 0 - 2 values of the A portion of the FLACC scale?
Activity 0: Lying quietly, normal position, moves easily 1: Squirming, shifting, back and forth, tense 2: Kicking, or legs drawn up
29
What are the 0 - 2 values of the C portion of the FLACC scale?
Cry 0: No cry (awake or asleep) 1: Moans or whimpers; occasional complaint 2: Crying steadily, screams or sobs, frequent complaints
30
What are the 0 - 2 values of the 2nd C portion of the FLACC scale?
Consolability 0: Content, relaxed 1: Reassured by occasional touching, hugging, or being talked to, distractible 2: Difficult to console or comfort
31
What is the name of the pediatric 0 - 5 pain scale using faces?
Wong-baker faces rating scale
32
What are the 3 numerical pain intensity scales?
- 0 - 10 (numbers or along visual contiuum) - VAS - Ladder scale
33
What are 8 pediatric assessment tools (outcome measures)?
- Gross motor function classification system - GMFM (gross motor functional measure) - Peabody developmental motor scales-2 - Bruininks-oseretsky test of motor proficiency 2 (higher functioning; long; developmental coordination disorder) - Movement ABC 2 (fine & gross motor) - Alberta infant motor scales - Pediatric berg balance scale - Six minute walk test
34
What does the ICF model emphasize as opposed to "consequences of disease"?
Components of health
35
What does the ICF model emphasize instead of disability?
Participation
36
What are the 2 parts of the ICF model?
1: body functions & structures, activities and participation 2: Environmental and Personal factors
37
What are the 6 components of the ICF (internation classification of functioning) model?
- Condition - Body function and structures - Activities - Participation - Environmental factors - Personal factors
38
What is the objective of a diagnosis?
Identify discrepancies between patient/ client's desired level of function and capacity of the patient to achieve the desired level of function
39
At what levels are diagnoses made?
- Impairment - Activity - Participation
40
What are the billing codes for diagnoses?
ICD codes
41
What 5 elements are included in a plan of care?
- Goals - Statement of interventions/ treatments to be provided during the episode of care - Duration and frequency of service required to reach goals - Anticipate discharge plan - Birth to 3 can be embedded in their IFSP and school age (3 to 21) child in IEP
42
What are 7 foci for pediatric goals?
- Promote independence - Increase participation - Facilitate motor development & function - Improve strength - Enhance learning opportunities - Ease caregiving - Promote health & wellness
43
What are 20 common therapeutic interventions for children? (just name a few)
- Developmental activities - Strengthening - Movement and mobility - Tone management - Motor learning - Balance and coordination - Aquatic therapy - Serial casting - Burn and wound care - Adaptive equipment/ assistive technology - Safety awareness training and prevention programs - Caregiver assistance training - Cardiopulmonary/Endurance training - Wheelchair mobility - Transfers - Gait - Orthotics/Prosthetics - ADLs-Dressing and Hygiene - Feeding - Recreation, play and leisure
44
What are some guidelines when using play as treatment?
- Plan well - Be flexible - Use the environment - Let child take the lead (as appropriate) - Use music - Be aware of goals of other disciplines and incorporate
45
What additional discharge planning is needed in pediatric populations?
- Transition planning from one school to another
46
When is discharge planned?
At the beginning of the evaluation

Pediatrics (3 decks)

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