Intro to pediatric intervention

Question 1

What are the four main considerations in ethical testing?

Answer 1

examiner competency, communication of test results, client privacy, cultural bias

Question 2

four elements that go into examiner competency?

Answer 2

• Choosing appropriate test
• Testing Environment
• Familiarity with the test
• Interpretation of results

Question 3

What are the 3 elements of Communication of Test Results

Answer 3

• Language of written report - family friendly
• Communication with families - do we need an interpretor
• Consider families response -

Question 4

What are the elements of client privacy

Answer 4

• The Privacy Rule of the Health Insurance Portability and Accountability Act (HIPAA)
• Company policies
• Informed consent
  ——In writing
  ——Reason for testing
  ——Types of test
  ——Intended use of the tests
  ——Consequences of testing

Question 5

What are the factors involved in informal consent

Answer 5

——In writing
——Reason for testing
——Types of test
——Intended use of the tests
——Consequences of testing

Question 6

Factors that may influence the testing

Answer 6

Unfamiliar with testing
Cultural Considerations

Question 7

General standards for Ethical Considerations When Providing Services

Answer 7

COMPLY WITH HEALTH AND SAFETY STANDARDS

ANNUAL PHYSICAL- UP TO DATE ON IMMUNIZATIONS ETC

POLICY AND PROCEDURES IN PLACE TO ADDRESS SAFE HOME ENVIRONMENT

Mandated reporting

Question 8

Mandated reporters

Answer 8

are required to report suspected child abuse or maltreatment when they are presented with a reasonable cause to suspect child abuse or maltreatment in a situation where a child, parent, or other person legally responsible for the child is before the mandated reporter when the mandated reporter is acting in his or her official or professional capacity

Question 9

When creating sessions what do we have to have

Answer 9

occupational appeal

Question 10

What is occupational appeal?

Answer 10

empathy, developmental fit (just right challenge) motivational value (fun but hard, motivating but not overwhelming)

Question 11

Information from evaluation

Answer 11

List of needs
Develop outcomes
Mini-goals for the session (what do I want to do that day?)

Question 12

layout of a session

Answer 12

5-10 minutes
Preparation
Intervention Implementation
Session wrap up
Generalization

Question 13

Preparation for intervention

Answer 13

Preparing the child and their systems for the session.
Biomechanical Approaches
Sensory Integration
Cognitive-Behavioral

Question 14

Intervention Implementation

Answer 14

Try and think of 2 that target intervention.

Select and carry out intervention
- -Therapeutic use of occupations
- - Intervention to support occupation
- - Education/training/advocacy
- - Self-advocacy
Monitor response

Question 15

Intervention Design Considerations

Answer 15

• Influenced by practice setting policies
• Insurance mandates
• State Acts

Question 16

Generalization

Answer 16

What instructions will you leave the family with?
How can the skills you addressed, be carried on throughout the week?

Question 17

Bagless Therapy

Answer 17

only using what is in the family environment so that they can carry over the treatment throughout the week.

Grounded in family centered practice

USING TOYS, ITEMS AND THE ROUTINES SPECIFIC TO THAT CHILD

INCREASE CAREGIVER INVOLVEMENT

IMPROVES CAREGIVER COMPETENCE AND PROBLEM SOLVING

HOUSEHOLD ACTIVITY CARDS

Question 18

Coaching-

Answer 18

“an interactive process of observation and reflection in which the coach promotes the learner’s ability to support the child in being and doing” (Rush, Shelden & Hanft, 2003, pg. 34)

Question 19

6 guiding priciples for coaching model

Answer 19

Ensure that coaching is a voluntary process based on collaborative relationships

Ensure the learner’s success by taking small steps toward positive change

Create opportunities for the learner to master new competencies before moving on

Provide ongoing encouragement and support as new skills are learned

Mutually analyze situations and problem-solve solutions to facilitate self-discovery.

Reflect on results together in order to promote self-discovery options for ongoing improvement.

Question 20

What are the elements of the coaching model?

Answer 20

Initiation, observation, action, reflection, - evaluation, continuation and resolution

Question 21

Coaching in what kind of care

Answer 21

family centered care

Question 22

Coaching allows the parents to

Answer 22

be an essential part of their child’s development and therapy.

Question 23

Self efficacy is heightened by what kind of approach

Answer 23

Coaching.

Question 24

Preschool information from evaluation

Answer 24

List of strengths/needs

Develop goals
From goals, develop objectives

Mini-goals for the session

Question 25

RULES For writing goals

Answer 25

Know who you are writing for

They would look a little different at the following:

Private Pay

School system

Insurance

Question 26

Preschooler 5 years old, poor grasp, poor bilateral motor control, handwriting is illegible, sensory profile: over responsive, easily overwhelemed. preschool teacher reports poor use of hands for all self care and ADL tasks - What are the needs

Answer 26

Pre-handwriting and writing tasks with proper grasp

manipulate clothing fasteners using bilateral integration skills

To use strategies in order to function within their classroom environment

Question 27

Preschooler 5 years old, poor grasp, poor bilateral motor control, handwriting is illegible, sensory profile: over responsive, easily overwhelemed. preschool teacher reports poor use of hands for all self care and ADL tasks - What are the needs

Write a goal for fine motor

Answer 27

Jessica will complete fine motor, table top activities independently with 80% accuracy in order to stay on pace with peers

Condition - After sensory preparation activities
Behavior - Jessica will maintain tripod grasp on writing utensil

Performance - In order to write her name accurately 4/5 times as observed by the therapist through work samples

Question 28

If your therapy session was on a swing, what could be prep and what could be intervention

Answer 28

therapist pushing the child is prep, asking child to use their hands and legs to push the swing on their own. Later we put that into action doing something occupation based.

Question 29

Documentation Requirements

Answer 29

“Show our skilled service as OT practitioners”

Statement from parent/caregiver/teacher about how things have gone.

Think about developmental aspects of IFSP outcomes

Question 30

Focused documentation on:

Answer 30

What did the child do this session which was different?
How did the child respond to certain strategy?
How was the environment or task modified?

Question 31

Documentation must include

Answer 31

• Child’s name
• Date of service
• Type of Service Provided (OT)
• Duration of session (length)
• Brief description of progress made during session as it related to outcome in IFSP or the goals/objectives in the IEP
• Name, title and signature of professional

Question 32

In early intervention in preschool we always want a statement from the

Answer 32

parent’s or teachers

Question 33

In documentation, We always want data to show

Answer 33

progress

Question 34

Session Notes - Medicaid Criteria

Answer 34

• Services must be provided with student present
• Must bill for a group if student is seen in a group
• Date and time must be documented
• Interventions must be related to student’s medical condition or disability
• Location of service, the skilled interventions used, information about the student and any medical documentation.

Question 35

Good terms to be used when writing notes

Answer 35

Accomplished, assessed, assisted with, competed, created, cued, decreased, developed, discussed, educated, elicited, encouraged, engaged, explained, explored,