Family Centered Care + Exam Flashcards

1
Q

What are the 4 major goals of family centered intervention?

A
  1. Support the family unit
  2. Enhance family competence
  3. Enhance the growth, development, and functional independence of the child through a partnership with the family and child
  4. Care directed towards goals that are important and relevant to the family and child
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2
Q

Describe family centered care

A
  • a lifespan approach
  • a process that respects the rights and roles of family members while providing intervention
  • fundamental premis
    • the child or person does not exist in isolation but functions within a family
  • the child is totally dependent on family members
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3
Q

what is the transactional model of development?

A
  1. reciprocal relationship between the child and the caregiving environment
  2. a supportive environment minimizes biological risk
    • like genetic disorders, premature birth, fetal exposure to narcotics, etc.
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4
Q

list common ID stressors for the parents of a child with special needs

A
  1. knowledge
  2. transitions
  3. future
  4. financial
  5. extended caregiving
  6. health care environment
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5
Q

list some general guidelines to remember with family centered care

A
  1. family is recognized as key members of the team
  2. family is the consumer of services and retains ultimate decision-making authority
  3. professionals must value the family’s knowledge of their child
  4. therapist’s role → empowering, communication, enabling, support child
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6
Q

list the 3 foundations of service delivery

A
  1. Knowing the child
    • child development
    • child roles in family, society
  2. Knowing the family
    • culture
    • stresses, supports
    • childrearing practices
  3. Knowing the environment
    • physical
    • social
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7
Q

parent-child interaction

A
  1. intimate transaction
  2. basis for subsequent relationships
  3. influeces skill acquisition
  4. predicated upon the notion that the child and caregiver have a dual responsibility to maintain the interaction
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8
Q

List Bernard’s 4 features of successful parent-child interactions

A
  1. Sufficient repertoire of behaviors, such as body movements and facial expressions
  2. Contingent responses to each other
  3. Rich interactive content in terms of play materials, positive affect, and verbal stimulation
  4. Adaptive response patterns that accomodate the child’s emerging developmental skills
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9
Q

what is the PT’s role in family centered care and early intervention?

A
  1. atypical motor behaviors may influence the quality of parent-child interactions
  2. children with motor difficulties often demonstrate slow responses to external stimulation
  3. share info w/parents about their child’s abilities and suggestions for optimizing interactions
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10
Q

list PT characteristics that promote positive interactions

A
  1. flexibility
  2. responsiveness
  3. contingency
  4. ability to allow disruption, to redirect in supportive manner, and allow the child to initiate action
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11
Q

what is the overarching goal for PT during the intervention encounter?

A

to optimize the child’s participation in the home, school, and community

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12
Q

what must be included in the intervention encounter?

A
  1. establishing a common ground for communication
  2. process of info gathering that involves methods acceptable to both parties
  3. working with family to create a good match among:
    • child’s functional abilities
    • family resources
    • amount of info necessary to level the playing field
    • various environments important to the child
  4. intervention that focuses on supporting the caregiving environment and the child’s participation regardless of the severity of disability
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13
Q

what is Munchausen Syndrome by Proxy?

A

specialized form of child abuse in which a physical or mental disorder of the child is either fabricated or induced by a parent or other adult caretaker

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14
Q

list the 3 models of service delivery

A
  1. Multidisciplinary
  2. Interdisciplinary
  3. Transdisciplinary
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15
Q

describe multidisciplinary service delivery

A

professionals work independently but recognize and value the contributions of other professionals

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16
Q

describe interdisciplinary service delivery

A
  • individuals from different disciplines work together cooperatively to evaluate and develop programs
  • emphasis is on teamwork
  • role definitions are relaxed
17
Q

describe transdisciplinary service delivery

A

there is teaching and ongoing work among professionals across traditional disciplinary boundaries

role release occurs when team members assumes responsibilities of other disciplines for service delivery

18
Q

Pediatric Outcome Meausres for Coordination

A
  1. Clinical Observation of Motor and Postural Skills (COMPS)
  2. Florida Apraxia Screening Test
  3. Gross Motor Performance Measure (GMPM)
  4. Selective Control Assessment of the LE
  5. Test of Ideational Praxis
19
Q

Pediatric Outcome Measures for Endurance/Energy Expenditure

A
  1. Early Activity Scale for Endurance (EASE)
  2. Energy Expenditure Index
  3. 6-minute walk test
  4. 30-second walk test
20
Q

Pedatric Outcome Measures for Fitness

A
  1. Fitness Gram
  2. Presidential Physical Fitness Test
21
Q

Pedatric Outcome Measures for Pain

A
  1. Children’s Hospital of Eastern Ontario Pain Scale (CHEOPS)
  2. CRIES Scale
    • Cries, require oxygen, increased vital signs, expression, sleep
  3. Faces Pain Scale
  4. FLACC
    • Faces, Legs, Activity, Crying, Consolability Behavioral Pain Scale
  5. Individualized Numeric Pain Scale (INRS)
  6. Numeric Scale
  7. Oucher Scale
  8. VAS
22
Q

Pediatric Outcome Measures for Posture/Balance

A
  1. Early Clinical Assessment of Balance (ECAB)
  2. Movement Assessment of Infants (MAI)
  3. Pediatric Balance Scale (PBS)
  4. Pediatric Clinical Test of Sensory Interaction for Balance (P-CTSIB)
  5. Pediatric Reach Test
  6. Timed Up and Down Stairs Test