Paediatrics OSCE Flashcards
<p>What special questions would you ask in a subjective paeds assessment?</p>
<p>1.Birth History
<br></br>2.Motor History
<br></br>3.Social History
<br></br>4.Cognitive history
<br></br>5.Family history
<br></br>6.(Parent and child perception)</p>
<p>BH often includes:</p>
<p>Any problems with birthing process - including pre, peri and post-natal
<br></br>History of a particularly traumatic birthing process, i.e. emergency C-section or prior problems leading to elective C-section
<br></br>Very important for many paediatric neurological conditions:
<br></br> ○ Cerebral palsy - premature, other MSK and C/R co-morbidities
<br></br> ○ Developmental Coordination Disorder - premature, CP children</p>
<p>MH looks at:</p>
<p>• When did your child achieve: Head control - 3/12, Rolling - 4-6/12, Sitting - 6-9/12, Crawling - 9-12/12, Walking - 12-18/12
<br></br>Influence of motor skills: Affects experience, Affects self-concept, Affects social interaction, Delay affects other development</p>
<p>Social & Cognitive History asks:</p>
<p>• How well does your child sleep?
<br></br>• How well does your child eat, any problems swallowing or particular foods?
<br></br>• How well is he/she getting on at school? Has he/she got lots of friends? Interaction with teachers? Do they keep eye contact? How is their hearing? When they speak to you how do they speak? What do friend's parents say about your child?</p>
<p>FH looks at:</p>
<p>Both parents present? Is one ill and child been left with grandparents causing lack of social interaction and being the reason behind developmental delay
<br></br>Siblings? Ill and parents spending more time with them
<br></br>Support networks? Grandparents
<br></br>Work commitments?
<br></br>Access to a vehicle? Widens opportunity for rehab in clinic as well as home</p>
<p>Explain and describe GMFM</p>
<p>Standardised observational instrument to measure change in gross motor function from birth - 16 years old.
<br></br>Suitable for children with CP, Down’s Syndrome and developmental delay. Assesses motor function – quantity not quality. High intra & inter-rater reliability.</p>
<p>GMFM categorises children into:</p>
<p>5 levels of motor ability
<br></br>Evidence-based practice shows that children rarely move between categories
<br></br>Therefore can be used to predict a child’s motor prognosis, especially their expected mobility levels</p>
<p>Name the 5 levels of the GMFCS:</p>
<p>1.Walks without restrictions: Limitations in more advanced gross motor skills
<br></br>2.Walks without assistive devices: limitations walking outdoors and in the community
<br></br>3.Walks with assistive devices; limitations walking outdoors and in the community
<br></br>4.Self-mobility with limitations; children are transported or use power mobility outdoors and in the community
<br></br>5.Self-mobility is severely limited even with the use of assistive technology</p>
<p>Name types of GMFM</p>
<p>88 - more descriptive, uses aids and orthotics,
<br></br>66 - requires less time, more meaningful change, items ordered by difficulty</p>
