Health, Education & Service Delivery Issues Flashcards
What pediatric physical therapy settings are medically based?
NICU
PICU
Acute care service
Rehab Unit
Outpatient Clinic
Who is served in a NICU?
High risk infants w/ many diagnoses
- Family Members
What is the role of the PT in a NICU?
- Exam & Eval
- Intervention
- Reexamine & Discharge
What are the goals of PT in a NICU?
- Do no harm
- Education on handling & positioning & positioning for development
- Promote sucking
What position is it important to promote in NICU settings?
Flexion in sidelying and symmetry
What are the interventions focused on within the NICU?
-Positioning
- P/AROM
- Motor & Sensory
- Feeding
- Organization
- Pt/family Ed
When are patients able to leave the NICU?
- They can feed themselves
- Maintain homeostasis
- Family engagement
- 5-5 1/2 lbs
Once pt leave a NICU where are some places they can transition to?
- Step down nursery
- Transitional Facility
- Home
In an acute setting who is served?
It varies - usually depends, something medical happens and they won’t be here long
What are the goals of therapy once in an acute setting?
Medical stabilization followed by mobility
Who is served in a rehab setting?
Intensive need (1-2 hours a day of therapy)
- Not safe to return home/school
- Not reached full potential
What is the goals of therapy in a rehab setting?
- Maximize functional independence in least restrictive environment
- Promote safe mobility
Who is served in a pediatric outpatient setting?
- Post hospitalization
- Supplement or if child didn’t qualify for school based services
What is the role of the PT in a pediatric outpatient setting?
- Home exercise program
- Adaptive equipment
What is the goals of therapy in a pediatric outpatient setting?
Less intense
- Aimed at specific activity limitation for a specified period of time
What was the name of the law that was the first time children were protected under federal law?
Individuals with Disabilities Education Act Amendment of 1991
What did the Individuals with Disabilities Education Act Amendment of 1991 do?
Law for all children of all ages, least restrictive environment, transition, family training/ counseling/ home visits, and assistive technology, nutrition, and other related services
What did part A of the IDEA do?
General provisions on rights & opportunities of individuals with disabilities in education & society for equal opportunity
What did part B of IDEA do?
Outlines the right to free and appropriate education and related services for eligible children 3-21 y/o
What did part C of IDEA do?
- 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
What are the 3 ways a child can be eligible for educational based services according to Part C of IDEA?
- Shows developmental delay in cognitive, physical, communication or adaptive development
- Diagnosed condition that has high probability to result in developmental delay
- At risk for developmental delay at states discretion
What are the key elements of early intervention according to Part C of IDEA?
- Team collaboration
- Eval & Assessment: Non-discrmiatory
- Family centered for children & family in their natural environment
What does an IFSP consist of?
- Review of medical records
- Fam interview
- Observation
- Assessment of 5 areas of development (Physical & Adaptive PT falls under)
What are the key elements of Family Centered Care?
- 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
