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PTRS 833 Midterm > Examination & Documentation > Flashcards

Examination & Documentation Flashcards

1
Q

The ICF model shifts the focus from _________ to _________

A

disability, ability

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2
Q

List the 2 parts of the ICF model

A
  1. Functioning and disability
  2. Contextual factors
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3
Q

List the 7 categories of the ICF model

A
  1. Heatlh Condition
  2. Body function: physiologic function, joint/bone/mm function, reflex, voluntary movement, gait
  3. Body structure: organs, limbs, trunk, and components
  4. Activity: performance of a task or action
  5. Participation: involvement in life situations (home, school, community, organization, social)
  6. Environmental: physical, social, environment in which ppl conduct their lives
  7. Personal: background of life/living that is not part of health condition (lifestyle, habits, coping)
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4
Q

List the 7 important components of a peds PT subjective exam

A
  1. Birth hx (including GA at birth)
  2. Medical hx
  3. Developmental hx
  4. Social hx
  5. Communication
  6. Cognition
  7. Environment
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5
Q

Describe the usefulness of ROM in assessing peds pts. (3)

A
  1. Normal for full term newbords to have limited hip/knee extension and increased DF
  2. Measurements can be reliable in healthy pts. but reliability varies w/pathology
  3. Change in measurement may not signify meaningful/functional change
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6
Q

Describe when difference types of strength assessments can be used in peds pts.

A
  1. MMT - child has to be able to follow directions (not reliable w/CP)
  2. Hand held dynamometer - reliable as young as 2 yo
  3. Isokinetics - reliable as 6 yo
  4. Functional strength testing based on milestones
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7
Q

Part of Exam: determine impairments, activity limitations, restrictions in participation

A

Evaulation or Assessment

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8
Q

Describe what a peds goal should look like (4)

A
  1. easily understood
  2. free from jargon
  3. focus on participation/activity
  4. related to functional skills
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9
Q

List the 5 factors that need to be stated in written goals

A
  1. Who
  2. What
  3. Under what conditions
  4. Criteria for success
  5. By when
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10
Q

Define SMART goals

A

Specific

Measurable

Attainable

Routine-based

Tied to functional priority

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11
Q

Describe ROUTINE goals

A

Routine-based

Outcome-based

Understandable

Transdisciplinary

Implemented by teacher/family

Non-judgemental

Evidence based

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12
Q

Define SCN

A

Special care nursery

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13
Q

Describe the difference between neonate and premature

A

Neonate = newborn

Premature = < 37 wk GA

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14
Q

List the cutoffs for

  1. Low Birth Weight (LBW)
  2. Very LBW (VLBW)
  3. Extremely LBW (ELBW)
  4. Small for GA (SGA)
A
  1. < 2500 g
  2. < 1500 g
  3. < 1000 g
  4. < 10th percentile
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15
Q

List the 3 reasons why a NICU pt. would have a referral for PT

A
  1. Signs of CNS impairment
  2. Specific NM or orthopedic problem
  3. Medical/Genetic problem
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16
Q

List the 5 complications of prematurity

A
  1. lungs underdeveloped
  2. feeding problems
  3. seizures
  4. spina bifida
  5. microcephaly
17
Q

List the physiology behind the following signs of distress

  1. Gaze aversion
  2. Fingers splay
  3. Trunk extension
  4. Facial grimace
  5. Leg extension
  6. Drowsiness
  7. Hyper alterness
A
  1. Inc/Dec HR
  2. Dec RR
  3. Inc BP
  4. Dec O2 Sat
  5. Apnea
  6. Bradycardia
  7. Skin color change
18
Q

Type of Coping: sucking, flex posture, hand/feet to midline, EC/gaze aversion, drowsy state

A

Self calming

19
Q

Type of Coping: nesting, flex position, holding in flexion, rocking, swaddling, quiet voice

A

Assissted calming

20
Q

List the 4 items to ID during the examination/evaluation

A
  • body structure/function impairment
  • participations restriction/activity limitation
  • barriers to norm development
  • methods of positioning/handling to optimize development
21
Q

List the 4 parts of the Hx/Medical status at birth

A
  1. GA at birth
  2. Birth weight
  3. APGAR
  4. Medical complications
22
Q

Describe what APGAR states for, list the measurements taken, and list a normal score

A

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

23
Q

List the focus of NICU interventions (7)

A
  1. promote newborn flexion
  2. hand to mouth activity
  3. midline/symmetrical positioning
  4. calm state
  5. support posture/movement
  6. optimize skeletal development/alignment
  7. prevent head deformities/torticollis
24
Q

List 2 types of developmental supportive care

A
  1. Decreased sensory stimulation
  2. Kangaroo care

PTRS 833 Midterm (10 decks)

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