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Peds > Intro to Service Delivery and Development I > Flashcards

Intro to Service Delivery and Development I Flashcards

1
Q

Inter-professional

A

Improved communication and coordination

Services promote each other, may have internal overlap

Used with students who have IEPs in traditional inpatient settings

Communication at IEP meetings, parent/teacher conferences

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2
Q

Trans-disciplinary

A

Less disruptive to the family

Primary and consultant team members

A little bit of role release

Use for children with IFSPs

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3
Q

Proximal natural environment

A

Home
Childcare centers
Schools

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4
Q

Distal natural environment

A

Neighborhood

Community

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5
Q

IFSP

A

EI 0-3 years

Goals must be family centered

Primary team member is identified based on child’s needs

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6
Q

IEP

A

Atypical to not relate the goal to education

Pre-school and school-aged 3-18

Many service providers working together

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7
Q

Barriers to provision of family centered care

A

Economical level
Cultural or ethnic
Educational

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8
Q

Stress-Limiting Strategies

A

Listen sympathetically and with understanding of the family’s perception of the situation

Explain your perception of the situation

Acknowledge and discuss the similarities and differences between the two perceptions

Recommend interventions

Negotiate an agreement on the interventions

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9
Q

Organizations

A

Refers to the places or groups from which a child and family receive services and may include…

Community programs
School based programs
Early intervention
Hospitals
Rehabilitation centers
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10
Q

Service provider

A

Refers to the individuals who work directly with the child and family, and may include…

Physical, occupational, and speech therapists
Special educators, child life specialists
Service coordinators, social workers
Respite workers

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11
Q

Intervention

A

Refers to the services and supports provided to the child and family. Interventions may include…

Direct therapy
Meetings for established programs of interventions, monitoring progress, and problem solving
Advocacy, calls
Coordination between providers and families

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12
Q

Goal components

A

Specific
Measurable
Time sensitive
Functional

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13
Q

ABCDEF

A 
Actor
Behavior
Condition
Degree
Expected time period
Functional
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14
Q

Goal Attainment Scaling

A
  • 2 Least favorable
  • 1 Patient making minimal to low progress

0 Expected level of progress

+1 More progress than expected

+2 Most favorable outcome, patient is making extremely rapid progress

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15
Q

Pediatric SOAP

A

Subjective - patient presentation. Patient or parent reports on status, pain, function, disability

Objective - treatment performed, measurable outcomes achieved, equipment provided

Assessment - patient response to treatment and modifications needed, progress being made toward the goal, setting or modifying goals

Plan - what is to be done next visit, steps to achieve goals

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16
Q

Motor development

A

Dependent upon…

Individual genetic coding or predisposition

Child individual experiences

Environmental experiences

Maturation of the CNS

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17
Q

Term babies

A

Born between 38 and 42 weeks gestation

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18
Q

Age correction

A

Up to 18 months or 2 years

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19
Q

Delaying

A

Motor (and other skills) are developing in an appropriate manner/pattern but at a slower pace = developmental delay

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20
Q

Atypical

A

Child demonstrates motor patterns associated with a specific disorder usually neuromuscular or musculoskeletal = Abnormal muscle tone (low/high/mixed)

CP, club foot, etc.

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21
Q

Maturationist’s theory

A

Motor development is correlated with changes in the nervous system as it develops

22
Q

Dynamic Systems Theory

A

Applied DST to development

No one system is responsible or director of development; it is a confluence of many factors

Developmental biodynamics - used to explain the organization of motor behavior based on the interaction between perception, action, body morphology, and task

23
Q

Prenatal stages

A

Germinal (1-2 weeks gestation)

Embryonic (2-8 weeks gestation)

Fetal (9-38 weeks gestation)

24
Q

Infancy

A

Birth to 2 years

25
Q

Childhood

A

2-10 years female

2-12 years male

26
Q

Adolescence

A

10-18 years female

12-20 years male

27
Q

Young adulthood

A

18-40 years

28
Q

Maternal infections

A

STORCH

Syphilis
Toxoplasmosis
Rubella
Cytomegalic virus
Herpes
29
Q

Sub-clinical infection

A

May be a factor in development of CP

Not overtly sick, but it does affect fetal development

30
Q

Embryonic stage

A

Cell differentiation and layer formation

Lasts until the 8th week of gestation

Embryo most susceptible to environmental disruptions as moms may not be aware of pregnancy

Blastocyst into germinal layers into different tissues of the body

31
Q

Germinal layers

A

Ectoderm - skin, hair, nails, teeth, and nerves

Mesoderm - muscle, bone, heart, and blood vessels

Endoderm - major digestive organs, liver, alimentary tract and linings, and endocrine glands

32
Q

Fetal stage

A

Begins at 9th week of gestation

Times of growth, maturation, adding dimension and refinement of the system

33
Q

Seeing fetal movements

A

10 weeks

34
Q

Mother perceiving fetal movements

A

16-18 weeks of gestation

35
Q

Physiological flexion begins in…

A

3rd trimester

36
Q

Sleep/wake cycles

A

26-28 weeks

37
Q

Surfactant

A

28 weeks

38
Q

Considered premature…

A

Before 37 weeks

39
Q

CNS myelination

A

Continues through the first year

40
Q

Patterns of growth and development

A

Cephalocaudal direction

Proximally to distally

General to specific

Sagittal > Frontal > Transverse

Elongation precedes activation

Control is indicated by balance around a joint

All movement involves a weight shift

41
Q

Righting reactions

A

Function to keep the head oriented to the body and to the gravity and to keep eyes level with the horizon

42
Q

Equilibrium reactions

A

Adjust for changes of the body in space, to keep you balanced over a point

43
Q

Protective reactions

A

Help to protect ourselves from harm and falls

Propping responses in UE
Ankle strategies in LE

44
Q

Scarf sign in preterms

A

Arm passively moved across chest of child in supine with head in midline

No resistance to passive movement

45
Q

Ankle dorsiflexion in preterms

A

Preterm 60-90 degrees

46
Q

Slip-through in preterms

A

Completely slips through hands, does not set shoulders

47
Q

Rooting reflex in preterms

A

Absent

48
Q

Sucking reflex in preterms

A

Weak or absent

49
Q

Grasp reflex in preterms

A

Absent

50
Q

ATNR in preterms

A

Absent

51
Q

Multi-disciplinary

A

Many disciplines
Independent practice
Works within discipline boundaries

Most common in outpatient settings

Risks - duplication of services, different answers to the same question

Peds (25 decks)

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