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OT in Peds > OT Peds Settings > Flashcards

OT Peds Settings Flashcards

0
Q

Levels of the NICU: level 2

A

Specialty

Newborns who require some medical mgmt - neonatalist on staff

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1
Q

Levels of the NICU: level 1

A

Nursery - basic

Uncomplicated pregnancies & expected normal deliveries

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2
Q

Levels of the NICU: level 3

A

Necessary equipment & trained personnel to care for all potential neonatal probs

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3
Q

Levels of the NICU: level 4

A

Offer rescue technology for infants in respiratory failure

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4
Q

NICU OT referrals (5) + 4 performance indicators

A
  1. Very low birthweight
  2. Prenatal drug exposure
  3. Congenital anomalies
  4. Severe asphyxia
  5. Performance indicators - abnormal tone, poor feeding, chronic illness w/ developmental delay
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5
Q

NICU - basic progression of sensory systems (prenatal)

A
  1. Touch (12-14wks)
  2. Vestibular (14-15wks, response to vestibular input by 22wks)
  3. Vision (12wks avoid bright lite - 24-28wks working but fatigues - 32-34wks attention)
  4. Smell (23wks)
  5. Auditory (23wks)
  6. Taste (unknown)
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6
Q

OT role in NICU (8)

A
  1. Individualized & developmentally supportive care
    A. Infant/parent support
    B. Protect infant from environmentally inappropriate sensory input
    C. Close working relationship with nursing staff
  2. Specialized practice
    A. Familiar with medical side
    B. Understand developmental vulnerabilities
    C. Neonatal neuromotor & neurobehavioral development
    D. Family support
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7
Q

OT Tx in NICU (4)

A
  1. Infant massage (incr. wt, altertness/activity, sleep/wake cycles, attachment)
  2. Kangaroo care (skin to skin contact)
  3. Therapeutic positioning (structural alignment & neuromotor control PROM)
  4. Feeding (suck swallow breathe synchrony)
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8
Q

Parts of IDEA (name, focus, age)

A 
Individuals with Disabilities Education Act
Part C (0-2yr 11mo) - family-centered
Part B (3-5yrs) - child-centered
Part B (6-21yrs) - child-centered
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9
Q

OT role in IDEA: 0-3yrs (4)

A

Required service
Family focused
Interdisciplinary
Natural environments

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10
Q

OT role in IDEA: 3-5yrs (4)

A

Related service
Child focused in relation to education plan
Interdisciplinary
Inclusion

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11
Q

OT role in IDEA: 6-21yrs (4)

A

Required service
Family focused
Interdisciplinary
Transition to adult environment

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12
Q

IEP description

A

Individualized education plan

Designed to help child with disability access their education

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13
Q

Section 504

A

Child doesn’t need to meet IEP requirements; enviro adaptations, address accommodation in school classroom or curriculum

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14
Q

School-based: difference btwn accommodation and modification

A

Accommodation: no change in content/standards
Modification: content changed/standards altered for child

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15
Q

Types of school-based accommodations (5)

A
  1. Timing (extra or in chunks)
  2. Scheduling (rx, natural rhythms)
  3. Setting (less distractions)
  4. Presentation (ex auditory vs visual)
  5. Response (support physical or sensory issues)
16
Q

OT early intervention (age, settings)

A

0-3yrs
Home-based or clinic-based
*include natural environments - home playground day care etc

17
Q

OT school based (age, settings)

A 
3-21yrs
Pre-school programs 
Specialized schools 
Public schools
Non-public schools (significant special needs)
18
Q

OT hospital based (3 settings)

A

Neonatal intensive care unit (NICU)
Pediatric intensive care unit (PICU)
Rehabilitation (inpatient or outpatient)

19
Q

4 pediatric settings

A

Early intervention
School based
Hospital based
Clinic based

20
Q

Are OT mandated reporters?

A

Yes. Within 24hrs to CPS - do not investigate.

21
Q

Categories of abuse (7)

A
  1. Physical
  2. Neglect
  3. Sexual
  4. Emotional
  5. Sexual exploitation
  6. Caregiver absence
  7. Infant drug referral - toxicology
22
Q

Principles of family centered practice (9)

A
  1. Family is constant
  2. Collaboration
  3. Cultural diversity
  4. Share information
  5. Family support & networking
  6. Focus on developmental need
  7. Strengths & individuality
  8. Flexibility
  9. Supportive policies
23
Q

Categories of child disabilities (13)

A
  1. Autism
  2. Deaf-blindness
  3. Deafness
  4. Hearing impairment
  5. Intellectual disability
  6. Orthopedic impairments
  7. Other health impairments
  8. Serious emotional disturbance
  9. Specific learning disability
  10. Language impairment
  11. TBI
  12. Visual impairment
  13. Multiple disabilities

OT in Peds (7 decks)

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