OT Peds Settings Flashcards
Levels of the NICU: level 2
Specialty
Newborns who require some medical mgmt - neonatalist on staff
Levels of the NICU: level 1
Nursery - basic
Uncomplicated pregnancies & expected normal deliveries
Levels of the NICU: level 3
Necessary equipment & trained personnel to care for all potential neonatal probs
Levels of the NICU: level 4
Offer rescue technology for infants in respiratory failure
NICU OT referrals (5) + 4 performance indicators
- Very low birthweight
- Prenatal drug exposure
- Congenital anomalies
- Severe asphyxia
- Performance indicators - abnormal tone, poor feeding, chronic illness w/ developmental delay
NICU - basic progression of sensory systems (prenatal)
- Touch (12-14wks)
- Vestibular (14-15wks, response to vestibular input by 22wks)
- Vision (12wks avoid bright lite - 24-28wks working but fatigues - 32-34wks attention)
- Smell (23wks)
- Auditory (23wks)
- Taste (unknown)
OT role in NICU (8)
- Individualized & developmentally supportive care
A. Infant/parent support
B. Protect infant from environmentally inappropriate sensory input
C. Close working relationship with nursing staff - Specialized practice
A. Familiar with medical side
B. Understand developmental vulnerabilities
C. Neonatal neuromotor & neurobehavioral development
D. Family support
OT Tx in NICU (4)
- Infant massage (incr. wt, altertness/activity, sleep/wake cycles, attachment)
- Kangaroo care (skin to skin contact)
- Therapeutic positioning (structural alignment & neuromotor control PROM)
- Feeding (suck swallow breathe synchrony)
Parts of IDEA (name, focus, age)
Individuals with Disabilities Education Act Part C (0-2yr 11mo) - family-centered Part B (3-5yrs) - child-centered Part B (6-21yrs) - child-centered
OT role in IDEA: 0-3yrs (4)
Required service
Family focused
Interdisciplinary
Natural environments
OT role in IDEA: 3-5yrs (4)
Related service
Child focused in relation to education plan
Interdisciplinary
Inclusion
OT role in IDEA: 6-21yrs (4)
Required service
Family focused
Interdisciplinary
Transition to adult environment
IEP description
Individualized education plan
Designed to help child with disability access their education
Section 504
Child doesn’t need to meet IEP requirements; enviro adaptations, address accommodation in school classroom or curriculum
School-based: difference btwn accommodation and modification
Accommodation: no change in content/standards
Modification: content changed/standards altered for child
Types of school-based accommodations (5)
- Timing (extra or in chunks)
- Scheduling (rx, natural rhythms)
- Setting (less distractions)
- Presentation (ex auditory vs visual)
- Response (support physical or sensory issues)
OT early intervention (age, settings)
0-3yrs
Home-based or clinic-based
*include natural environments - home playground day care etc
OT school based (age, settings)
3-21yrs Pre-school programs Specialized schools Public schools Non-public schools (significant special needs)
OT hospital based (3 settings)
Neonatal intensive care unit (NICU)
Pediatric intensive care unit (PICU)
Rehabilitation (inpatient or outpatient)
4 pediatric settings
Early intervention
School based
Hospital based
Clinic based
Are OT mandated reporters?
Yes. Within 24hrs to CPS - do not investigate.
Categories of abuse (7)
- Physical
- Neglect
- Sexual
- Emotional
- Sexual exploitation
- Caregiver absence
- Infant drug referral - toxicology
Principles of family centered practice (9)
- Family is constant
- Collaboration
- Cultural diversity
- Share information
- Family support & networking
- Focus on developmental need
- Strengths & individuality
- Flexibility
- Supportive policies
Categories of child disabilities (13)
- Autism
- Deaf-blindness
- Deafness
- Hearing impairment
- Intellectual disability
- Orthopedic impairments
- Other health impairments
- Serious emotional disturbance
- Specific learning disability
- Language impairment
- TBI
- Visual impairment
- Multiple disabilities