final part 2 Flashcards
Criterion Referenced Test
compare performance against a described criteria
–can compare before and after intervention
Norm Referenced Test
compare between child performance and norm or average
Scaled Score
level of proficiency in the subtest, convert raw score to a common scale
Raw Score
number of items correct
Percentile Rank
percentage of student peer group the student surpassed
Z score
number of SF from the mean
Premature Baby
adjusted age
only do this until age 2
so if 6 months old born 2 months early, adjusted age is 4 months
Measure strength by age
observed movement and palpate muscle contraction 3-4 years in normal until able to follow directions
can do real way at 2-5 years
When can children report pain and its intensity and how?
emerge at about age 2 years –and need language
3 years may be able to use a simple validated pain scale
3 years and older can rank pain with a validated scale
Wong baker pain scale
3-7 years
visual analog pain scale
10 years and up
Behavioral observational scales for pain
less than three years
and DEVELOPMENTALLY DISABLED PATIENTS
if nonverbal and cannot verbalize presence and severity of pain
Behavioral observational things in nonverbal children that indicate pain
reluctance to move
personality changes
self harming/aggression to others
–search for cause:
search for infection, injury, disease progression, surgical procedure
sleep disturbances, change in muscle tone, minimal movement, agitated/irritable, facial expression, limb withdrawal arch back, thrashing
Can physiological responses be used as predictor of pain or absence of pain?
physiological responses: increased HR, chnage in HR, change in resporations, decreased O2sat
No because they are modifiable
affected by:
–disease, medications, changes in physiological state
FLACC
Faces, Legs, Activity, Cry, Consolability
**scored 0-1-2 to provide a total pain score from 0-10
Face: expression
0: no particular expression or smile
1: occasional grimace or frown, withdrawn, disinterested
2: frequent to constant quivering chin, clenched jaw
Legs: how are they holding their legs
0: normal position or relaxed
1: uneasy, restless, tense
2: kicking or legs withdrawn
Activity
0: lying quietly, normal position, moves easily
1: squirming, shifting back and forth, tense
2: arched, rigid, or jerking
Cry
0: no cry
1: moans or whimpers, occasional complaint
2: crying steadily, screams or sobs, frequent complaints:
Consolability: how easy it is to comfort them
0: content, relaxed
1: reassured by occasional touching, hugging or being talked to, distractible
2: difficult to console or comfort
PIPPS
Premature Infant Paint Profile
HR, respiratory status, facial expression, body movement