Flashcards in Team Care, Surgical Repair, and feeding Deck (23):
Who is typically on a team?
What is the minimum members for a cleft palate team?
At least one additional specialist
What are the advantages of Team Care? (4)
1. Multiple disciplines treating patient
2. Centralized services with centralized coordination/scheduling of appointment
3. Long-term treatment planning from birth to adulthood (same people)
4. Maximize communication between specialists
When does lip tapping usually happen?
birth, in hospital typically
When does lip repair usually happen?
3 mos, rule of 10's
When does a palate repair usually happen?
When does a speech follow-up usually happen?
every 6-12 months or sooner
When does lip revision usually happen?
after age 5-6, ideally early teenage years (9-12yrs); avoid midface growth deficiencies
When does maxillary expansion occur?
When does bone grafting happen?
What is the general timeline for surgical, speech and dental intervention for CLP?
1. Lip taping = birth, in hospital
2. Nasal-Alveolar molding
3. Lip repair = 3 mos., rule of 10's
4. Initial S&L Eval
5. Palate repair = 12 mos
6. Post-op speech eval
7. Speech follow-up every 6-12 months or sooner
8. Lip revision = after age 5-6, ideally early teenage years (9-12yrs); avoid midface growth deficiencies
9. Secondary surgical revision to palate if needed
10. Maxiallary expansion, 6-9 years
11. Bone grafting, 9-12 years
What is the job of the nurse? (3)
1. Assesses overall physical development, growth, nutrition
2. Often assists family in feeding techniques, w/ help and direction of the SLP
3. Counsels family re: surgeries, and answers specific questions
What is the job of the Geneticist/Dysmorphologist?
1. genetic evaluation
2. identify a known syndrome, if it exists
3. Long term follow-up
4. Genetic Counseling
What do Geneticist/Dysmorphologist do in genetic counseling?
2. Recurrent risk for additional offspring
4. Identify services that may be needed later
What is the job of the Neurosurgeon?
1. Evaluation and treatment of patients with craniofacial syndromes
2. Monitors intracranial pressure and brain anomalies
3. Surgery, when necessary
4. Often works w/plastic surgeon
What is the job of the Ophthalmologist?
1. Evaluates congenital eye anomalies and other ophthalmologic conditions
2. Evaluates and treats vision
3. Monitors effects of increased intracranial pressure on vision
4. Surgery, when needed
What is the job of the Otolaryngologist?
1. Monitors ME function and hearing
2. Treats ME disease
3. Assesses structural aspects of oral cavity, oropharynx, nasal cavity, upper airway.
What is the job of the Pediatrician?
1. Assesses overall medical health, growth, and development
2. Determines if other aspects of medical care should be done prior to surgeries
3. Often gets initial contact or referral
What is the job of the Social Worker?
1. Assists families w/ problems
2. Coordinates appointments
3. Assists in dealing with other agencies (e.g., insurance companies)
4. May help family manage stress and emotional reactions (e.g., psychiatric social worker)
What is the job of the Team Coordinator?
1. Team representative to parents, professionals, and community
2. Plans meetings, schedules patients, coordinates appts
3. Complies recommendations, prepares team report
4. Ensures follow-up on recommendations
What is the job of the Speech-Language Pathologist?
1. Counsels parents re: comm. skills & how to stimulate normal S/L dev. @ home
2. Evaluates feeding & swallowing
3. Feeding tx and/or parent training
4. Assesses and treats speech and language problems when appropriate
5. Community outreach to treating SLP with CFT SLP
What is the SLP's ongoing role?
1. Provide input to CF team
2. Provide ongoing support and direction to family/patient
3. Re-evaluates yearly to monitor progress
4. Assists in developing and implementing plan for service provision
5. Initiating referrals for further assessment with ENT, CF team, Dental, Genetics, Developmental Pediatrics
6. Resource to community