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Neuromuscular Rehab 1 > Health, Education & Service Delivery Issues > Flashcards

Health, Education & Service Delivery Issues Flashcards

1
Q

What pediatric physical therapy settings are medically based?

A

NICU
PICU
Acute care service
Rehab Unit
Outpatient Clinic

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2
Q

Who is served in a NICU?

A

High risk infants w/ many diagnoses
- Family Members

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3
Q

What is the role of the PT in a NICU?

A
  • Exam & Eval
  • Intervention
  • Reexamine & Discharge
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4
Q

What are the goals of PT in a NICU?

A
  • Do no harm
  • Education on handling & positioning & positioning for development
  • Promote sucking
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5
Q

What position is it important to promote in NICU settings?

A

Flexion in sidelying and symmetry

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6
Q

What are the interventions focused on within the NICU?

A

-Positioning
- P/AROM
- Motor & Sensory
- Feeding
- Organization
- Pt/family Ed

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7
Q

When are patients able to leave the NICU?

A
  • They can feed themselves
  • Maintain homeostasis
  • Family engagement
  • 5-5 1/2 lbs
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8
Q

Once pt leave a NICU where are some places they can transition to?

A
  • Step down nursery
  • Transitional Facility
  • Home
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9
Q

In an acute setting who is served?

A

It varies - usually depends, something medical happens and they won’t be here long

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10
Q

What are the goals of therapy once in an acute setting?

A

Medical stabilization followed by mobility

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11
Q

Who is served in a rehab setting?

A

Intensive need (1-2 hours a day of therapy)
- Not safe to return home/school
- Not reached full potential

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12
Q

What is the goals of therapy in a rehab setting?

A
  • Maximize functional independence in least restrictive environment
  • Promote safe mobility
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13
Q

Who is served in a pediatric outpatient setting?

A
  • Post hospitalization
  • Supplement or if child didn’t qualify for school based services
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14
Q

What is the role of the PT in a pediatric outpatient setting?

A
  • Home exercise program
  • Adaptive equipment
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15
Q

What is the goals of therapy in a pediatric outpatient setting?

A

Less intense
- Aimed at specific activity limitation for a specified period of time

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16
Q

What was the name of the law that was the first time children were protected under federal law?

A

Individuals with Disabilities Education Act Amendment of 1991

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17
Q

What did the Individuals with Disabilities Education Act Amendment of 1991 do?

A

Law for all children of all ages, least restrictive environment, transition, family training/ counseling/ home visits, and assistive technology, nutrition, and other related services

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18
Q

What did part A of the IDEA do?

A

General provisions on rights & opportunities of individuals with disabilities in education & society for equal opportunity

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19
Q

What did part B of IDEA do?

A

Outlines the right to free and appropriate education and related services for eligible children 3-21 y/o

20
Q

What did part C of IDEA do?

A
  • Coordinates payment from federal, state, local & private sources
  • Expand capacity & expand/improve early intervention services
  • Expand opportunities for services to children who are risk of having substantial developmental delay if they did not receive services
21
Q

What are the 3 ways a child can be eligible for educational based services according to Part C of IDEA?

A
  1. Shows developmental delay in cognitive, physical, communication or adaptive development
  2. Diagnosed condition that has high probability to result in developmental delay
  3. At risk for developmental delay at states discretion
22
Q

What are the key elements of early intervention according to Part C of IDEA?

A
  • Team collaboration
  • Eval & Assessment: Non-discrmiatory
  • Family centered for children & family in their natural environment
23
Q

What does an IFSP consist of?

A
  • Review of medical records
  • Fam interview
  • Observation
  • Assessment of 5 areas of development (Physical & Adaptive PT falls under)
24
Q

What are the key elements of Family Centered Care?

A
  • Parents as solution & experts
  • Parents in active roles
  • Expand definition of family
  • Individual needs of family
  • Legal mandates include families
  • Cultural sensitivity & competency
  • Challenges & stresses to fam
25
Q

What is within an individual Family Service Plan?

A
  • Diverse needs of child & family drives plan
  • Families are active participants
  • Outcomes focus on activity & participation within child’s routines
26
Q

In IDEA part B what is the zero reject policy?

A

No matter the severity/type of condition education is free and appropriate

27
Q

In IDEA part B what is the definition of Least Restrictive Environment?

A
  • Schools provide education with non-disabled children to as maximal extent as possible
28
Q

In IDEA part B what is due process?

A
  • Conflict/complaints regarding placement or provision of services discussed at impartial hearing
  • Parents can have counsel, call experts witness, get transcript, appeal, & seek out independent evals
29
Q

IDEA part B includes parental participation which entails?

A
  • Consent is required prior to eval for services & to release info
  • Participation for continuity of care
  • Access to all education records & can request due process hearing
30
Q

IDEA part B related services are provided for?

A

To assist the child in benefiting from special education

31
Q

According to IDEA part B what must be documented on an IEP in regards to transition?

A

Transition from Early Intervention to preschool, preschool to school age at critical points during school & from age 14 and to exit school

32
Q

According to IDEA part B what must assistive technology be used for?

A

To allow the child to benefit fully from educational environment

33
Q

According to part B the IEP must include?

A

Document of service plan with specific services child receives and goals/objectives that are educationally relevant

34
Q

What ages does the committee on preschool education work with?

A

3-5 y/o

35
Q

What ages does committee on special education work on?

A

5-21 y/o

36
Q

What does the law Section 504 of Rehabilitation Act of 1973 and Amendment of 1992 do?

A
  • Anti discrimination statue/civil right protection for individuals with disabilities
  • Ensures federally funded receipts treat individual with dailies the same as people without disabilities
37
Q

What is the case law: related services di?

A

Medical services and provides must be provided within the school

38
Q

What is the case law: best possible education do?

A

Doesn’t say education has to be the best it just needs to be free and appropriate

39
Q

What did the case law: extend school year do?

A

School year will be extended for those who qualify

40
Q

What did the case law: least restrictive environment do?

A

Children must be evaluated, it can not be assumed that they need to be placed in different environments

41
Q

what is multidisciplinary model of team interaction?

A

Independent work of team members

42
Q

What is interdisciplinary model of team interaction?

A

Interaction among team members

43
Q

What is collaborative model of team interaction?

A

equal participation in collaborative teamwork process by family members and service providers
- Consensus decision making

44
Q

What protection does the Americans with Disabilities Act of 1990 provide?

A
  • For all persons in areas of employment, transportation, public services, public accommodations, & telecommunications regardless of how services are funded
  • Parents of child with disability from discrimination
45
Q

What does the ADA act assist children with?

A

In day care centers & those transitioning to employment; schools & public transportation must be accessible

Neuromuscular Rehab 1 (3 decks)

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