Essential Concepts Of Pediatric Practice

Question 1

Characteristics of pediatric practice

Answer 1

• family centered care (really working with the parents, especially in the ages of 0-3)
• strengths-based approach
• focus on inclusion and natural environment
• consideration of stages of child development

Question 2

“One of the best ways to help children succeed is to help parents succeed”

Answer 2

Essential to help support the parents

Question 3

Family centered care

Answer 3

• we need to know and understand the dynamics of the family and listen
• working with the family as key and equal part of the team
• open communication
• mutual trust NCD respect
• sharing of information with parents and families for shared decision making
• consideration of family needs
• culturally competent care

Question 4

What parents seek in a therapist

Answer 4

• partnership (they want to know that you’re working together with them to support their child)
• dependable source for specific information
• flexibility in service delivery and communication
• sensitivity and responsiveness to concerns (active listening)
• positive, optimistic attitudes (growth mindset things can be hard but here are some things that we can do along the way)
• effectiveness in outcomes

Question 5

A key point in family-centered care

Answer 5

• parents know their children best
• their input is critical regardless of if the child is being seen in the home, school, or clinic
• be sure you are constantly in communication with the families and their needs
• communicate with the parents (are they seeing the change in what their needs are?)

Question 6

Strengths-based approach

Answer 6

• health care model focuses on deficit-based approach
• recognize the strengths and interests of the child and use those to increase levels of participation
• gives the child meaningful choices (helps empower them
• collaborate with the child to set goals (What do you want to get better at? What do you want to work on?)
• with children, we have to look for their strengths and build from there to develop motivation

Question 7

Deficit-based (medical) background on Lujain (SPSK video)

Answer 7

• quadriplegic, spastic cerebral palsy
• non-ambulatory
• non-speaking
• decreased head control
• decreased oral control
• decreased upper extremity control

Question 8

What would a strength-based approach look like for Lujain?

Answer 8

Strengths:
- expressive with her eyes and hands
- good cognitive skills (humor requires cognitive skills to understand humor)
- able to track Chris (visual attention)
- family involvement

Question 9

Therapy should occur in the child’s natural environment

Answer 9

• home
• early childhood classroom
• classroom
• community

Question 10

OT’s advocate for inclusion

Answer 10

• occupational justice issue
• children with disabilities have the right to participate in all occupations with typically developing peers

Question 11

Consideration of developmental milestones

Answer 11

• reflexes
• gross motor
• fine motor
• self-care
• social
• play
• school tool use