Flashcards in Peds Deck (34):
OT treatment for kids w/congenital heart defects are
-education of family in health maintenance (diet, exercise)
Chronic - Bronchopulmonary dysplasia
due to prolonged use of a mechanical ventilation-airways thicken, formation of excess mucus and restricted alveolar-greater risk of respiratory infections
Chronic - Asthma
airway constriction in the lower respiratory tract-appear around age 5
-inhalation of irritants trigger attacks
OT treatment of Asthma
-Educate on exposure to irritants
-self-management strategies like pacing/stress management-peer-group activities to reduce social isolation
-breathing exercises, stretching, and controlled breathing to manage attacks
Chronic - Cystic Fibrosis (CF)
-due to gene on chromosome 7
-affects multiple systems (pancreatic duct, bronchial tree, digestive tract) due to thick secretions
-chronic pulmonary disease can occur
-May cause right side of the heart to be enlarged
OT Treatment - Cystic Fibrosis
-Educate the client on the disease's progression
-Educate on energy conservation
-Teach techniques to promote efficient breathing
Osteogenesis imperfecta (OI)
-educate in handling and positioning to prevent fractures
-wb monitoring activities
excessive growth at the ephipyseal plates
-walking may be delayed
stunting of ephiphyseal plate growth the person may be 4 ft or less
-back and leg pain are common
Arthrogryposis multiplex congenital
incomplete contracture of many or all of the client's joints
-have still extremities and thickened knee/elbow joints
-muscles are underdeveloped
-increase/maintain ROM and strength for ADLs, splinting and serial casting
Uni/bilateral forefoot adduction/supination
-taping, casting, splinting
Congential club hand
partial or full absence of the radius
-Cashing, static/dynamic splinting
Juvenile Rheumatoid Arthritis (JRA)
Persistent arthritis in one or more joints
-inflammation, stiffness, contractures, and change in growth patterns.
-monitor joint function to prevent deformity
-AE to lessen the stress of joints
Children seeking vestibular input may appear to be? (fail to orient to the stimuli/hyporesponsivity)
Reckless or risk takers; they may need a lot to get going.
Children seeking proprioceptive input may try to get their needs by? (Fail to orient to stimuli/hyporesponsivitiy)
Engaging in rough housing and other activities that provide them with deep-pressure input or muscle resistance. The kids may seek this type of input may be trying to regulate their experiences of touch or movement.
Tactile Defensiveness (overorient to stimuli/hyperresponsivity)
extreme reaction to tactile input, light touch may be noxious, may be extrasensitive on their face, abdomen, and palmar surfaces of their hands.
Gravitational insecurity (overorient to the stimuli/hyperresponsivity)
vestibular input, scared of movement and may move carefully and need their feet always on the ground.
What is sensory discrimination problems?
-Difficulty making sense of, or interpreting, tactile input. Difficulty with visual-motor tasks and motor planning.
-fine motor manipulation skills may be delayed.
What is proprioception problems?
Not getting the information the kids need from their muscles and joints.
-Cognitive strategies can be used to help them compensate.
What is vestibular-proprioceptive probems?
Poor bilateral coordination and difficulty sequencing actions. (a child responding to a ball being kicked to them)
Duchenne's Muscular Dystrophy (DMD)
-only boys get this!-difficulty going up/down stairs and getting up from lying down
-Work on strength and ROM
Congential Muscular Dystrophy (CMD)
generalized muscle weakness and contractures (floppy)
-Increase mobility and prevent contractures
-Use AE and orthotics
Congential defect of the vertebral arches and spinal column.
-Cognitive learning issues
-Educate on skin care, urology and diet
-AE for mobility
Peripheral Nerve Injury
Caused during birth as a result of the infant's shoulders becoming impacted and stretching/tearing in the birth canal.
-weakness of the small muscles of the hands and sensory discrimination in the hand/arm
-Fabricating a sling around the humerus to prevent subluxation
-WB if strength improves
-Massage for edema
Traumatic Brain Injury (TBI) - Peds
Injury to the headOT Intervention (Acute)
-ROM to maintain joint mobility
-Positioning can prevent skin breakdown
-Splinting for hand function
A behavioral disorder w/unknown causes
-Difficulty with: paying attention to details, keeping attention, listening to instructions, organization, tasks w/sustained attention, fidgeting or excessive talking.
-Cognitive behavioral therapy
-Social skills training
-Enhance sensory modulation
Involuntary purposeless movements, tics and incoherent grunts
Cri du chat Syndrome
Weak and catlike cry in infancy
-hypotonia, feeding and respiratory problems
Boys have an extra X chromosome
-learning disabilities, emotional/behavioral disabilities
Moderate intellectual disabilities, food-seeking behaviors, hypotonia
Cerebral and cardiovascular abnormalities, intellectual disabilities
Individualized Education Program (IEP)
-OT intervention and goals in the school system setting should relate to the child's functional abilities to perform school-related tasks