Health, Education, & Service Delivery Issues Flashcards
What are the types of pediatric physical therapy settings?
Neonatal intensive care unit (NICU)
Pediatric Intensive care unit (PICU)
Acute Care Service
Rehabilitation Unit
Outpatient clinic
Early intervention home care
Educational settings
How does the educational model of delivery differ from the medical model?
The educational model is free of charge to the family because it is federally funded and need based, goals need to be family oriented and educationally based
Who is served in the NICU?
High risk infants with a variety of diagnoses
Family members
What is the role of a PT in the NICU?
Examination and evaluation
Intervention
Re-examination and discharge planning
Apgar score, feeding cycles, and sleeping cycles may be discussed during which part of the examination?
History
What elements of an examination are specific to infants?
Tolerance to handling
Behavioral state and alertness
Active movement and strength
Muscle tone and reflexes
Feeding
What are the three goals of PT in the NICU?
Do no harm
Education on handling and positioning for development
Promote sucking
During neonatal PT intervention, what aspects will you work on with the newborn and their family?
Positioning
PROM, AROM
Motor and sensory systems
Feeding
When can an infant transition out of the NICU?
They may transition once vitals are stable, the family has fully participated in care, and self-feeding is accomplished
What types of pediatric patients are served in acute care?
Trauma patients
Infections
Cancer patients
Allergic reactions
Post-surgical
Onset of new disease
etc.
What is the goal of PT in acute care?
Medical stabilization followed by mobility
What types of pediatric patients are served in a rehabilitation setting?
Patients with intensive need
When it is not safe to return to home/school
When patient has not reached their full potential
What are the goals of PT in rehabilitation?
Maximize functional independence in the least restrictive environment possible
Promote safe mobility
Patient/family education
Who is served in a pediatric outpatient setting?
Patients recently discharged from the hospital
To supplement or replace care at school
What is the role of a PT in a pediatric outpatient setting?
Creating home exercise programs
Teaching proper use of ADs
What are the goals of PT in a pediatric outpatient setting?
goals are aimed at specific activity limitations for a specified period of time, also take into account what the family and child wants to achieve
Which law is being described?
States that all handicapped children from ages 6 to 21 be provided with free appropriate education regardless of the severity of their condition
Education of All Handicapped Children Act of 1975
What did the Education of Handicapped Amendment of 1986 do?
- Expanded the Act of 1975 to infants, toddlers, and preschool aged children
- Provided services between public and private agencies
- Emphasizes strong family involvement in a natural setting
Which law is being described?
Ensures a least restrictive environment, family training/counseling/home visits, assistive technology, nutrition, and other services to children of ALL ages
Individuals with Disabilities Education Act Amendment of 1991 (IDEA)
What is Part A of the Individuals with Disabilities in Education Act (IDEA)?
General provisions on rights and opportunities of individuals with disabilities in education and society for equal opportunity
What is Part B of the Individuals with Disabilities in Education Act (IDEA)?
Outlining of the right to free and appropriate education and related services for eligible children from ages 3-21
What is Part C of the Individuals with Disabilities in Education Act (IDEA)?
Assists states to implement a comprehensive, coordinated, multidisciplinary that provides early intervention services to infants and toddlers with disabilities in natural environments (school, home, playground…)
What are some elements in Part C of the Individuals with Disabilities in Education Act (IDEA) implement early intervention to children?
- Coordinates payment from federal, state, and private sources
- Expands capacity and improves services
- Expand opportunities to children who are at risk of having substantial developmental delay
What makes a child eligible to receive services from the Individuals with Disabilities in Education Act (IDEA)?
- Child shows developmental delay: cognitive, physical, communication, adaptive/motor)
- Child has been diagnosed with a condition that is likely to cause a developmental delay (automatic qualifier)
- Child is at risk for developmental delay based on an examination using normal reference scores and criteria reference scores as criteria
