lecture 1: intro to peds (part 1 : foundation of ped care) Flashcards
are children small adults?
no
what age range is pediatrics considered
0-18
when treating peds you are not just treating the client but also who?
the fam
what are the 8 stages of chronological development
- infancy (neonatal and infant)
- toddlerhood
- early childhood (preschool and elementary school)
- adolescence
- young adulthood
- adulthood
- middle age
- late adulthood
what age is considered infancy
birth to a year or 12 month
what age is considered neonatal
birth to 2 weeks
what age is considered infant
3 weeks to 12 months or 1 year
what age is considered toddlerhood
13 months to 2 years ( 2 years , 11 months)
what age is considered earlychildhood
3-1o
what age is considered preschool
3 years (36 months) to 5 years
what age is considered elementary school
5 years to 10 years (10 years , 11 months)
what age is considered adolescence
11 -18
what age is considered young adulthood
18-22
what grade are you in kinder - 5 th grade
kinder: 5-6
1st: 6-7
2nd: 7-8
3rd: 8-9
4th: 9-10
5th: 10-11
6th: 11-12
7th: 12-13
8th: 13-14
9th: 14-15
10th: 15-16
11th: 16-17
12th: 17-18
what age is considered adulthood
22-40
what age is considered middle age
40-65
what age is considered late adulthood
65+
what is advanced maternal age
being prego over 35 y/o
what was a German psychologist who theorized that
there’s a specific psychological struggle that takes place through the eight stages of a person’s life. These struggles, he believed, contribute to your personality throughout your development.
erik erickson
what did erik erickson develop and what did it provide insights to
8 stages of development theory and provided insights into both social and psychological development
what are the Erikson’s Eight stages of development
infancy
early childhood
play at e
school age
adolescence
early adulthood
adulthood
old age
what was the age for infancy , early childhood, and play age for Erikson’s Eight stages of development
infancy: 0-1
early childhood: 1-3
play age : 3-6
what was the conflict for infancy , early childhood, and play age for Erikson’s Eight stages of development
infancy: basic trust vs mistrust
early childhood: autonomy vs shame
play age: initiative vs guilt
what was the AGE for school age , adolocence, early adulthood , adulthood, and old age for Erikson’s Eight stages of development
school: 6-12
adolescence: 12-19
early adult: 20-25
adult: 26-64
old age: 65-dead
what was the conflict for school age , adolocence, early adulthood , adulthood, and old age for Erikson’s Eight stages of development
school: industry vs inferiority
adolescence: identity vs confusion
early adult: intimacy vs isolation
adult: generativity vs stagnation
old age: integrity vs despair
what was the resolution or virtue for the eriksons 8 stages of development
hope
will
purpose
competence
fidelity
love
care
wisdom
what is the 4th stage in eriksons theory
school age : 6-12 : industry vs inferiority
what is the 7th stage of eriksons stages
adulthood: 26-64 ; generativity vs stagnation
what is the 3rd stage of eriksons stages
play age; 3-6; initiative vs guilt
what do children develop thru
play
what is the child’s main occupation
play
who do children experience their first social interactions and relationship with?
family
____ have the greatest influence on the
child’s development and functioning as an adult.
Families
what is the clinical application when dealing with family
- see who the primary caregiver is
- description of the home
- who is responsible for child care
- culture
“The therapists responsibility is to provide
support, guidance, and specific interventions
and also to prepare the child and family for the
time when our services are no longer needed
who said this quote
kierkegaard
“The therapist’s direct role is ___, although
periodic services may be provided over many
years
episodic
pertaining to the POC for kids , therapist usually rely on what 2 things
experience and consensus decision making
“Health care and educational services
for children with disabilities require the
____ of a number of
professionals
collaboration
what is a Systems that classify an individual’s findings into patterns provide a foundation for examination, evaluation, intervention, and analysis of outcome interventions.
ICF model
Who approved the ICF model in 2001
WHO (world health organization)
The ____ provides a unified and standard language and framework to describe and measure health and health- related statd
ICF
in 2007 what did the WHO develope
ICF Child and Youth
Version (ICF-CY)
what did the ICF Child and Youth Version (ICF-CY) attempt to capture and identify
capture the growth and development of a disability
identify the wide variety of abilities and levels of functioning seen in children with the same diagnosis
in the ICF Child and Youth Version (ICF-CY) it focuses on what
life
how people can live with their health conditions and be helped to achieve a productive life is MORE important that’s noting their inabilities
according to ICF terminology what does function mean
relates to body organ or system, not
functional activities
according to ICF terminology what does activites and participation mean
functional activities
according to ICF terminology what does impariments mean
are of the body not the activity
the ICF-CY Recognizes ____ and ____ as parallel processes
development and disability
For children changes in functions, activities, and
participation reflect the critical role of: (5 things)
the environment,
the child in context,
development,
behavioral regulation and organization,
temperament, timing, and maturation
management of children with disability is bases on what
clinical decision making and evidence based practice
the 3 legs of the evidence based practice stool includes what
Best Research Evidence
Clinical Expertise
Patient and their
family/environment very
important stool in peds
what are the 4 elements of good evidence-based practice according to Law and MacDermid (2008):
awareness
consultation
judgement
creativity
what are the 6 elements of child management leading to optimal outcomes
Examination
Evaluation
Diagnosis
Prognosis
Intervention
Outcomes
according to the Elements of Child Mgnt. leading
to optimal outcomes what is an examination
the process of obtaining a hx , systems review and selecting test and measures to gather data
The Guide (2001) divides the examination
process into 3 components:
- History
- Systems Review
- Tests & Measures
according to
according to the Elements of Child Mgnt. leading
to optimal outcomes what is an evaluation
dynamic process where the PT makes clinical judgments bases on the data gathered during exam
does the exam or evaluation come first
exam
what is Both the process and the end result of
evaluating examination data, which the PT
organizes into defined clusters, syndromes,
or categories to help determine the
prognosis and the most appropriate
intervention strategies
the diagnosis
what does the diagnosis help determine
the prognosis and the most appropriate intervention strategies
what does teh prognosis include
the POC
what is the prognosis
determination of the level of optimal improvement that may be attained thru therapy and the amount of time
what does the POC specifies
the interventions to be used and their timing and frequency
who is the POC developed in full collaboration with
child , fam and other
what is the intervention
purposeful and skilled interaction!!!! of the PT with client and others
in the intervention it uses various PT methods and techniques to produce ___ int he condition that are consistent with the ___ and ____
changes
diagnosis and prognosis
Child’s age
Anatomical and Physiological changes related to growth development
Chronicity or severity of the condition
Comorbidities
Degree of limitations or restrictions
Child’s level of cognitive ability & cooperation
Family desires and degree of participation
Caregiver ability and expertise
Accessibility & availability of resources
Concurrent services
Community Support, Psychosocial & Socioeconomic factors
these factors are all based for what
the type , frequency , and duration of interventions
what are outcomes typically measures in terms of (4)
- Achievement of goals/objectives
Improved performance in activities and
participation (Standardized Test)
Child & family satisfaction
Prevention of secondary problems
According to Guralnick (1997), a leader in
early intervention research, outcomes
should be measured along 3 dimensions
Child & family characteristics
Program/intervention features
Goals & objectives
Outcome measures in pediatrics need to
expand beyond domains of development and
must consider what ?
quality of life issues
