Midterm- Week 1, PPT 1

Question 1

What are the four different types of therapy?

Answer 1

Individualized Therapy services

Inclusive and integrated services

Cultural competence

Evidence based practice and scientific reasoning

Question 3

What are different types of individualized therapy services?

Answer 3

Client- centered

Strength- based

Family- centered

Question 4

What is a client-centered practices?

Answer 4

Philosophy of respect and partnership

Collaborate to develop common goals and shared responsibility- “fostering a therapeutic alliance”

Provide choices, allow the client to make activity choices and consider culture and context- COPM and PEGS

Question 5

What is a strength-based approach?

Answer 5

Identifying positive aspects of a child’s behavior

Contrast to the medical model, which focus is on identifying health or performance problem and trying to remedy it

Consider and make use of abilities to facilitate greater self efficacy and self determination

Question 6

What is a family centered practice?

Answer 6

Establish a relationship and partnership

Share in decision making

Facilitate parental empowerment

Empathy for family

Question 7

What are the 2 types of family centered interventions?

Answer 7

1) services that foster positive professional- family relationships
2) services that enables family participation in intervention activities

Question 8

What are inclusive and integrated services?

Answer 8

Transform attitude and assumptions

Increase physical access

Accommodations to increase social participation

Strategies to increase performance and behavioral expectations

Question 9

What is inclusion in school based settings?

Answer 9

Full participation in school activities

Friends and relationships with peers

Learn and achieve within general education curriculum to the best of their abilities

Children learn to appreciate difference, develop respect and tolerable

Participate the fullest extent in all school environments

Question 10

What is block scheduling in inclusion?

Answer 10

OT spends 2-3 hours in early childhood classrooms 1:1 or small groups

Question 11

What is co-teaching?

Answer 11

Emphasizes prevention

OT and teacher collaborate and implement the session together

Ex: handwriting programs

Question 12

What is cultural competence?

Answer 12

“The ability to think, feel and act in ways that acknowledge, respect, and build upon ethnic, (socio)cultural and linguistic diversity”

Question 13

In 2011 the US was home to 74 million children…?

Answer 13

53% white

14% African American

4. 5% Asian
5. 5% Hispanic

Question 14

Children under 18 represent 23% of the pop, what percentage account for poverty, low income and poor housing?

Answer 14

34% account for poverty

45% live in low income housing

20% live in poor housing

Question 15

In 2004 how many children were reported poor and what percentage were reported living in extreme poverty by the children defense fund?

Answer 15

16.1 million children were poor

40% live in extreme poverty

Question 16

What are the 5 steps of evidence based practice and scientific reasoning?

Answer 16

Assess

Ask

Acquire

Appraise

Apply

Question 17

What is to assess?

Answer 17

Convert need for info into an answerable question

What are the issues?

Is it critical, correctible, common, contextual, comprehensive?

Question 18

What is it to ask?

Answer 18

What is the questions study category? Prevention? Therapy? Harm/ causation? Diagnosis? Prognosis? Outcomes? Economics? Qualitative? Guidelines?

Question 19

What is it to acquire?

Answer 19

Search the research databases

What types of evidence and what levels of evidence might exist?

Question 20

What is it to appraise?

Answer 20

Is the info valid? Are the results valid?

Will the info make an important difference? Impact level of effect

Is the info applicable? How can the results be applied? Clinical meaningfulness?

Question 21

What is it to apply?

Answer 21

Implement the practice or apply the info

If valid, will it make a difference to the patient?

If important, is it relevant?

If relevant, can it be used?

Question 22

What is pediatric interventions?

Answer 22

Higher level of function

Compensate for activity limitations

Modify environments

Change systems to increase participation

Question 23

What is the 7 step dynamic process of interventions?

Answer 23

1) intervention
2) participation and participation restrictions - problem sensing
3) activity and activity limitations, develop a hypothesis and begin to test hypothesis
4) performance components impairments- test hypothesis and interpret results
5) intervention planning
6) long term outcomes, defining goals for the childs participation in a variety of environments, develop a vision for possible outcomes
7) intervention objectives- collaborative decisions making and establish benchmarks

Question 24

What are the 4 types of clinical reasoning?

Answer 24

Procedural reasoning

Narrative reasoning

Conditional reasoning

Pragmatic reasoning

Question 25

What is procedural reasoning?

Answer 25

Organize facts about the clients, environment, occupations, and activity limitations

Problem sensing

Question 26

What is narrative reasoning?

Answer 26

Assess the clients participation in his or her environments

Narrative story unveil meaningful experiences that engage the child

Question 27

What is conditional reasoning?

Answer 27

Forming an image of future life possibilities for the person

Person, environment, occupation, and performance

Question 28

What is pragmatic reasoning?

Answer 28

Important in intervention planning

Practical ways of achieving outcomes

Question 29

What are different types of inclusive and integrated services therapy services?

Answer 29

Natural environments

Integrated services