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.
