Examination & Documentation Flashcards
The ICF model shifts the focus from _________ to _________
disability, ability
List the 2 parts of the ICF model
- Functioning and disability
- Contextual factors
List the 7 categories of the ICF model
- Heatlh Condition
- Body function: physiologic function, joint/bone/mm function, reflex, voluntary movement, gait
- Body structure: organs, limbs, trunk, and components
- Activity: performance of a task or action
- Participation: involvement in life situations (home, school, community, organization, social)
- Environmental: physical, social, environment in which ppl conduct their lives
- Personal: background of life/living that is not part of health condition (lifestyle, habits, coping)
List the 7 important components of a peds PT subjective exam
- Birth hx (including GA at birth)
- Medical hx
- Developmental hx
- Social hx
- Communication
- Cognition
- Environment
Describe the usefulness of ROM in assessing peds pts. (3)
- Normal for full term newbords to have limited hip/knee extension and increased DF
- Measurements can be reliable in healthy pts. but reliability varies w/pathology
- Change in measurement may not signify meaningful/functional change
Describe when difference types of strength assessments can be used in peds pts.
- MMT - child has to be able to follow directions (not reliable w/CP)
- Hand held dynamometer - reliable as young as 2 yo
- Isokinetics - reliable as 6 yo
- Functional strength testing based on milestones
Part of Exam: determine impairments, activity limitations, restrictions in participation
Evaulation or Assessment
Describe what a peds goal should look like (4)
- easily understood
- free from jargon
- focus on participation/activity
- related to functional skills
List the 5 factors that need to be stated in written goals
- Who
- What
- Under what conditions
- Criteria for success
- By when
Define SMART goals
Specific
Measurable
Attainable
Routine-based
Tied to functional priority
Describe ROUTINE goals
Routine-based
Outcome-based
Understandable
Transdisciplinary
Implemented by teacher/family
Non-judgemental
Evidence based
Define SCN
Special care nursery
Describe the difference between neonate and premature
Neonate = newborn
Premature = < 37 wk GA
List the cutoffs for
- Low Birth Weight (LBW)
- Very LBW (VLBW)
- Extremely LBW (ELBW)
- Small for GA (SGA)
- < 2500 g
- < 1500 g
- < 1000 g
- < 10th percentile
List the 3 reasons why a NICU pt. would have a referral for PT
- Signs of CNS impairment
- Specific NM or orthopedic problem
- Medical/Genetic problem
List the 5 complications of prematurity
- lungs underdeveloped
- feeding problems
- seizures
- spina bifida
- microcephaly
List the physiology behind the following signs of distress
- Gaze aversion
- Fingers splay
- Trunk extension
- Facial grimace
- Leg extension
- Drowsiness
- Hyper alterness
- Inc/Dec HR
- Dec RR
- Inc BP
- Dec O2 Sat
- Apnea
- Bradycardia
- Skin color change
Type of Coping: sucking, flex posture, hand/feet to midline, EC/gaze aversion, drowsy state
Self calming
Type of Coping: nesting, flex position, holding in flexion, rocking, swaddling, quiet voice
Assissted calming
List the 4 items to ID during the examination/evaluation
- body structure/function impairment
- participations restriction/activity limitation
- barriers to norm development
- methods of positioning/handling to optimize development
List the 4 parts of the Hx/Medical status at birth
- GA at birth
- Birth weight
- APGAR
- Medical complications
Describe what APGAR states for, list the measurements taken, and list a normal score
Activity, Pulse, Grimace, Appearance, Respiration
HR, RR, Mm tone, Grimance, Color
8-10 is normal by 1 min; 0-3 riskof death by 1 and 5 min
List the focus of NICU interventions (7)
- promote newborn flexion
- hand to mouth activity
- midline/symmetrical positioning
- calm state
- support posture/movement
- optimize skeletal development/alignment
- prevent head deformities/torticollis
List 2 types of developmental supportive care
- Decreased sensory stimulation
- Kangaroo care
