OT 6415 Test 1- Service Delivery

Question 1

Acute pediatric setting goals

Answer 1

Time can be short: LTG’s should be met within 1-2 weeks, STG’s should be met within a few days
-Goals focus on: improve ROM and strength, improve safety to swallow, improve cognitive functioning, improve visual perception

Question 2

Acute pediatric objectives

Answer 2

• Enable child to return to pre-morbid level in school or community
• Return child to age appropriate play ans ADL skills
• Support and improve child’s social participation

Question 3

Rehabilitation pediatric setting goals

Answer 3

Often looking at 2- 8 weeks: LTG’s should be met within one month. STG’s should be met within a week and change every week
-Goals focus on: prevention, restoration, modification, adaptations for ADL skills, equipment evaluation, community re-introduction

Question 4

FOR for pediatric rehabilitation

Answer 4

• Biomechanical: ROM, tone, sensory stimulation response
• NDT: weight-bearing status, synergistic patterns, trunk control
• Sensory processing: dim-lighting, decreased sound, sensitivity to touch
• Visual information processing: look to see if children can process what is happening around them

Question 5

Pediatric rehabilitation setting requirements

Answer 5

3 hours of therapy per day, 5 days per week (fewer on weekend)

• includes OT, PT, and SLP
• includes weekly team progress notes for insurance purposes

Question 6

Outpatient pediatric setting goals

Answer 6

Goals vary: LTG’s written for 6 month increments, STG’s written for 1-2 months (4-8 visits)

• Outpatient day programs: 3-5x/ week
• Standard outpatient: 1-2x/ week

Question 7

Outpatient pediatric focuses

Answer 7

Focus on habilitating and establishing new development skills
-sensory processing, fine motor skills, splinting, strengthening, feeding, attention, coordination

Question 8

Clubhouse model (pediatric)

Answer 8

Community based facility where members participate in responsibilities to maintenance and operation of clubhouse

• focus on function, interdependence and I-ADL training
• ->social development, self care education/training, job training, healthy leisure exploration, time management

Question 9

Residential program (pediatric)

Answer 9

Provide intensive help for children serious emotional and behavior problems. While receiving residential treatment, children temporarily live outside of their homes and in a facility where they can be supervised and treated: Individual and group therapy.

Question 10

Basic vs. advanced ADL’s (IADL’s)

Answer 10

• Basic: eating, grooming, bathing, dressing, toileting

- Advanced (IADL): home accessibility, community re-integration, return to school, wheelchair skills, sports and leisure