CH 16 Pediatrics and Adolescents Flashcards
When does most brain maturation occur?
0-5; injury at this time may be most devastating b/c the skills haven’t developed yet.
What is effect of brain injury on development?
while the effects of trauma may not be immediately apparent, the injury may interfere with the establishment of new learning processes and more complex skills
What are 4 risk factors for developmental stall?
- higher severity levels
- injury location
- post-injury environmental factors
- genetic factors
List 3 diagnostic indicators for Shaken Baby Syndrome/Abusive Head Trauma
- Brain bleed
- Brain Swelling
- Bleeding in eyes (retinal hemorrhage)
What are 3 major domains around which the educational needs of children and adolescents with brain injury cluster?
- Cognitive
- Psychosocial
- Sensorimotor
What percentage of athletes who experience concussion have post concussion syndrome?
10%
What is second impact syndrome?
minutes, days or weeks after 1st concussion; may be fatal or result in severe disability. may occur due to diffuse swelling or SDH
What percentage of children 0-19 are referred for special edu services?
<2%
What percentage of AHT (?) experience long-term disability?
75-80%
Provide one example of how access to edu could be impacted by impairments in each of the following: motor, physical, feeding d/o, sensory, communication, cognitive.
motor=learning to write
physical=managing a medical condition while at school
feeding=requiring a feeding tube, socialization at meals
sensory=vision or hearing impairments
communication=pragmatic and comprehension
cognitive= attention, memory, splinter skills
…also fatigue, medical issues and socio-emotional or behavioral difficulties
What does section 504 of the rehabilitation act of 1973 require of schools receiving federal funding?
-must provide reasonable accommodation
-for students with presumed disability, may not require formal diagnosis
-range from basic classroom interventions to formal plan
List 5 accommodations that can be made under section 504 Accommodations plan
- preferential seating
- extra time for tests or assignments
- test in alternate setting
- rest breaks built into schedule
- shortened assignments
Of those who survive their injuries, what percent are mild, mod, and severe?
80% mild
10% each moderate and severe
The Individuals with Disabilities Act (IDEA) is a mandate to provide what?
public education thru special ed and support services to children with eligible disabilities
What is an IEP?
a written legal plan between the student’s family and the school system
