Examination and Documentation of the Pediatric Client Flashcards
Whats the difference between evaluation and assessment?
eval: diagnosis, education, determines eligibility
assessment: determines family or educational priorities, needs, concerns, resources
what is a motor assessment for?
program planning
what is APGAR?
activity, pulse, grimace, appearance, respirations
what questions do u ask during the history interview?
birth weight, APGAR, current pma, medical complications?, ongoing medical concerns?developmental history?, social history, functional status, activity level, self-care?, behavior?, cognition, environment–>home/school/daycare, complaints?
items included in the tests and measures portions
AD orthotics gait balance locomotion motor fxn posture ROM self care respiration? home/school play? pain Developmental inventory-->arousal, attn, cognition and neuro development specific tests-->MMT, standardized tests, ROM, reflexes
HR APGAR scores
0=absent
1=< 100 bpm
2= >100 bpm
Respiration APGAR scores
0= absent 1= slow, irregular 2= good, crying
mm tone APGAR scores
0= limp 1= some flxn 2= active movement
grimace APGAR score
0= no response 1= grimace 2= cough or sneeze
Color APGAR score
0= blue, pale 1= body pink but extremities blue 2= completely pink
When do u do APGAR scoring
1 min and 5 min
what does a score of 8-10 @ one min mean?
normal
what does a score of 0-3 @ 1 min and @ 5 min indicate?
risk of neonatal death
when should a PT exam be stopped in the NICU?
if there are any signs of physiological instability, change in RR, HR, BP or O2 stats
how to correct for prematurity…
1) calculate age in months and days (note*if the child is 24 months of age or older, stop here, no need to correct for prematurity)
2) determine the weeks gestational age that the child was born. If the child was born before 37 weeks GA, u must correct for prematurity.
3) subtract the weeks (GA) at birth from 40
4) multiply by 7 to get the number of days premature
5) divide that number by 30. the whole number of this equation is months, the remainder is days.
6) subtract the months and days of prematurity from the chronological age found in step 1.
what does an infant’s hip and knee ROM look like?
both hips and knees limited in extension
what does an infant’s DF look like?
greater than that of an adult’s
is strength testing reliable or valid in kids with CP? Down’s syndrome? DMD?
Not in CP, yes in down’s and DMD
What is an arena assessment?
clinicians use play to elicit behavior and tap family for feedback
what 5 areas does an arena assessment cover?
cognitive, motor, social, self-help and speech-language, all in the child’s natural environment
what do u do with examination findings? 5 things
identify strengths vs. concerns
identify barriers to movement/fxn
prioritize movement problems
find the relationship of each factor to the activity limitation
develop goals/intervention plan accordingly
what does IDEA do?
governs how states and public agencies provide EI, special ed., and related services to eligible infants, toddlers, children and youth with disabilities (founded by US dept. of education)
IDEA part C
infants and toddlers with disabilities get EI services
IDEA part B
children and youth (ages 3-21) recieve special education and related services (PT, OT, etc.)
in general IDEA ensures that individuals with disabilities receive free and public education in the _______ _______ __________
least restrictive environment
NIDCAP
neonatal individualized devlopmental care and assessment program
