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ECU Craniofacial Anomalies + Laryngeal Rehab > 2.1 - Team Care > Flashcards

2.1 - Team Care Flashcards

1
Q

Who is generally on a Cleft Palate treatment team?

15

A

Audiologist

Pediatric dentist

Geneticist

Neurosurgeon

Nurse

Oral surgeon

Orthodonitist

Otolaryngologist (ENT)

Pediatrician

Plastic/Craniofacial surgeon

Prosthodontist

Psychologist

Social worker

SLP

Team coordinator

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2
Q

Who are the minimum professionals required for Cleft Palate Team?

(4)

A

Surgeon

Orthodontist

SLP

At least one additional specialist

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3
Q

Who created the parameters of care for cleft teams?

4

A

H.K. Cooper

Surgeon General Report

American Cleft Palate Craniofacial Association

ACPA Consensus

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4
Q

Who created the first parameters for cleft teams?

A

H.K. Cooper

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5
Q

Management of patients with craniofacial anomalies is best provided by an __________.

A

Interdisciplinary team of

specialists

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6
Q

What are the advantages of team care for cleft patients?

4

A

Multiple disciplines treating patient

Centralized services with centralized coordination/
scheduling of appointments

Long-term treatment planning from birth to adulthood

Maximize communication between specialists

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7
Q

What is the general timeline for the treatment of cleft BEFORE 3 months?

(2)

A

Lip taping (at birth, in hospital typically)

Nasal-Alveolar molding

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8
Q

What is the general timeline for the treatment of cleft AT 3 months?

A

Lip repair (rule of 10’s)

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9
Q

What is the general timeline for the treatment of cleft BETWEEN 3-12 months?

A

Initial Speech-Language Eval

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10
Q

What is the general timeline for the treatment of cleft AT 12 months?

A

Palate repair

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11
Q

What is the general timeline for the treatment of cleft AFTER 3 months?

(2)

A

Post-op speech eval

Speech follow-up every 6-12 months or sooner

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12
Q

When is LIP REVISION typically performed according to the general timeline for the treatment of cleft?

(2)

A

After age 5-6

Ideally early teenage years (9-12yrs) to avoid midface growth deficiencies

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13
Q

When is MAXILLARY EXPANSION typically performed according to the general timeline for the treatment of cleft?

A

6-9 years

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14
Q

When is BONE GRAFTING typically performed according to the general timeline for the treatment of cleft?

A

9-12 years

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15
Q

What may also be performed during late childhood/teenage years according to the general timeline for the treatment of cleft?

(2)

A

Secondary surgical revision to palate if needed

Orthodontics

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16
Q

What does a NURSE typically do on a cleft treatment team?

3

A

Assesses overall physical development, growth, nutrition

Often assists family in feeding techniques, with help + direction of the SLP

Counsels family regarding surgeries, and answers specific questions

17
Q

What does a GENETICIST/DYSMORPHOLOGIST typically do on a cleft treatment team?

(3)

A

Genetic counseling

Identifying a known syndrome if it exists

Long term follow-up

18
Q

What kinds of genetic counseling is typically provided for families with children with cleft?

(4)

A

Diagnosis

Recurrence risk for additional offspring

Prognosis

Identify services that may be needed later

19
Q

What does a NEUROSURGEON typically do on a cleft treatment team?

(4)

A

Evaluation and treatment of patients with craniofacial syndromes

Monitors intracranial pressure + brain anomalies (Sutures of brain + Plagiocephaly, brachycephaly etc.)

Surgery, when necessary

Often works w/ plastic surgeon

20
Q

What does an OPHTHALMOLOGIST typically do on a cleft treatment team?

(4)

A

Evaluates congenital eye anomalies and other ophthalmologic conditions

Evaluates and treats vision

Monitors effects of increased intracranial pressure on vision

Surgery, when needed

21
Q

What does a OTOLARYNGOLOGIST typically do on a cleft treatment team?

(3)

A

Monitors ME function and hearing

Treats ME disease

Assesses structural aspects of oral cavity, oropharynx, nasal cavity, upper airway

22
Q

What does a PEDIATRICIAN typically do on a cleft treatment team?

(4)

A

Assesses overall medical health, growth, + development

Determines if other aspects of medical care should be done prior to surgeries

Often gets initial contact or referral

Is depository for all medical reports

23
Q

What does a SOCIAL WORKER typically do on a cleft treatment team?

(4)

A

Assists families w/ problems

Coordinates appointments

Assists in dealing w/ other agencies (e.g., insurance companies)

May help family manage stress and emotional reactions (e.g., psychiatric social worker)

24
Q

What does a TEAM COORDINATOR typically do on a cleft treatment team?

(4)

A

Team representative to parents, professionals, and community

Plans meetings, schedules patients, coordinates appts

Compiles recommendations, prepares team report (so there is one report)

Ensures follow-up on recommendations

25
Q

Who is often the team coordinator on a cleft treatment team?

A

Social worker or nurse

26
Q

What does an SLP typically do on a cleft treatment team?

5

A

Counsels parents re: comm. skills + how to stimulate normal S/L dev. @ home

Evaluates feeding + swallowing

Feeding tx and/or parent training

Assesses + treats speech and language problems when appropriate

Community outreach to treating SLP with CFT SLP

27
Q

What is the SLPs ongoing role on a cleft treatment team?

6

A

Provide input to CF team

Provide ongoing support and direction to family/patient

Re-evaluates yearly to monitor progress

Assists in developing and implementing plan for service provision

Initiating referrals for further assessment with ENT, CF team, Dental, Genetics, Developmental Pediatrics

Resource to community

28
Q

What is the role of an SLP during Craniofacial Team meetings?

(4)

A

Determine present level of performance related to speech/resonance

Prognosis for improvements w/ or w/o therapy

Potential influencing factors on progress

Assesses ability to tolerate further testing (ie. Fluoroscopy, endoscopy, post surgical recovery etc.)

ECU Craniofacial Anomalies + Laryngeal Rehab (35 decks)

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