Flashcards in QUIZ 1-PS4OTAs - Chapter 3 Deck (41)
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A _________ __________ ______ system comprises a group of individuals (professional, paraprofessional, and nonprofessional) who form a complex and unified whole dedicated to caring for children who are ill
pediatric medical care system
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NICU
neonatal intensive care unit
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PICU
pediatric intensive care unit
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Comprehensive pediatric medical care occurs over a continuum of various settings, including:
- neonatal intensive care unit - NICU
- step-down nursery or pediatric intensive care unit - PICU
- subacute setting
- the home
- a residental (long-term care) facility
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The NICU is needed for ______.
infants after complicated births
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The goal of the NICU team
address the acute or extremely severe symptoms of infants until physiologically stable
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What does it mean to be physiologically stable?
- maintain stable body temp, heart rate, and respiratory rate
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The leader of the NICU team
Neonatologist
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What are the 5 conditions that an infant be admitted to NICU?
1. Cyanosis
2. Bradycardia
3. Low birth weight
4. Very low birth weight
5. Extremely low birth rate (is this getting repetitive?)
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Infant turns blue due to lack of oxygen
Cyanosis
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Heart rate of less than 100 bpm
Bradycardia
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a weight of less than 2500g
Low birth weight (LBW)
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a weight of less than 1500g
Very Low birth weigh (VLBW)
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a weight of less than 750g
Extremely Low birth weight (ELBW)
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Can you name what these medical team members specialize in?
1. pulmonologist
2. cardiologist
3. gastrenterologist
4. neurologist
1. lung specialist
2. heart specialist
3. digestive specialist
4. brain specialist
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Goals of PICU team
to wean infant from external sources of medical support and provide sensorimotor stimulation
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Infant's team leader in PICU
Pediatrician
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When infant is ready to leave the PICU, but not ready to be discharged home, they may be transferred to
subacute setting
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Goals of subacute team
provide appropriate medical treatment while weaning off medical supports, and carrying out development-based therapeutic interventions
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The ultimate goal of acute, step-down nursery, & subacute settings
to go home
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Practitioners must respect the families' _____, ______, and _____ while providing home-based OT svcs for kids
values, beliefs, and customs
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Goal of _____: To provide appropriate medical care and carry out appropriate therapeutic interventions
Long-Term Care
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PRIMARY medical care model
preventative
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SECONDARY medical care model
necessary when a child becomes ill and requires med. intervention
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TERTIARY medical care model
hospitalization
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The extent to which as child is involved in the medical system continuum changes as ______________.
the child's circumstances change
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Fundamental principle of OT in the Pediatric Med system is ___________.
to promote optimal performance in:
Play
ADLs/IADLs
Social Participation
Education
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OT Practitioners role after receiving a referral from a physician in peds:
- screening
-eval.
- Intervention Plan (short/long term goals)
-Implement the plan
-re-evaluate outcomes
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COTAs role in medical-based peds
- initial developmen screening
- collaborate with OTR on an eval
- planning interventions
- updating goals
- collaborating with others on the discharge plan
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WeeFIM
Standardized functional assessment. relating to a child's burden of care
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SOAP Notes
-Subjective
-Objective
-Assessment
-Plan
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_____ _________ is the single most important component of infection control.
Hand washing
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____ should be used by OT Practitioners when there is a possibility of coming into contact with infected material or exposure to body fluids.
Gloves
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T/F - it is good for a child's immune system to let them play with toys that haven't been cleaned.
F
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What are the major skills that an OT practitioner needs to have in order to be successful in this field?
Compassion
empathy
honesty
proper manners
ability to effectively communicate
active listening
high energy
actively pursuing knowledge
ETC, ETC, ETC - we get the hint
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The AOTA Code of Ethics provides guidelines for ethical practice that include (7)
1 Beneficence
2 Nonmaleficence
3 Autonomy and confidentiality
4 Social Justice
5 Procedural Justice
6 Veracity
7 Fidelity
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LBW, VLBW, ELBW
Low Birth Weight, Very Low Birth Weight, Extremely Low Birth Weight
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CPAP
continuous positive airway pressure
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Team members may use one of four types of collaborative style:
multidisciplinary, interdisciplinary, transdisciplinary, or individual-versus-group
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CHAMPUS
Civilian Health and Medical Program of the Uniformed Services
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