Pedi PT intro

Question 1

what is human development shaped by

Answer 1

dynamic and continuous interaction b/w biology and experience & the ongoing interplay among sources of vulnerability and sources of resilience

Question 2

how can the course of development be altered

Answer 2

effective interventions that change the balance b/w risk and protection, thereby shifting odds in favor of more adaptive outcomes

Question 3

PT’s are key in helping to build resilience in face of vulnerability in what 3 ways:

Answer 3

1. enhance participation (how they function in their environment)
2. enhance capacity of caregiving environment (physical & social)
3. nurture development, shape behavior

Question 4

what are the 2 main ways that PT in peds is different from adults

Answer 4

1. natural development interacts w disability
   - anticipate and address changing needs
2. PT must utilize family-centered approach

Question 5

what is a family

Answer 5

significant others who profoundly influence personal life and health of individual over an extended period of time

Question 6

what is family centered care

Answer 6

practices will have child, parent, & family strengthening and competency enhancing consequences

Question 7

how is family centered care represented in federal legislation

Answer 7

part C of disability act (EI) mandates that services provided in family centered way

Question 8

how do contemporary motor development/learning theories relate to family centered care

Answer 8

practice of skill in natural context is needed for learning
- to engage w families and help them appreciate that -> can shape intervention and what they do at home

helps w buy in

Question 9

what are 2 places that family centered care as a requirement is seen

Answer 9

federal legislation
essential competencies in pedi PT

Question 10

why is communication important in the family centered care guidelines

Answer 10

key to PT/family partnership
- shared commitment and responsibility b/w PT and family for children

Question 11

what support given to the family vs child in family centered care guidelines

Answer 11

support the family:
- consumer of services
- decision maker

support the child:
- involve in processes

Question 12

what are 8 components that are important to family centered care guidelines

Answer 12

respect
honor
ensure flexibility
recognize & facilitate
support
share
collaborate
empower

Question 13

who is the consumer in family centered care

Answer 13

family

Question 14

what are 3 strategies to family centered care

Answer 14

attitude adjustment
- expertise lies w PT & family

flexibility
- fit HEPs and appts

balance
- parents are parent first

Question 15

what is a family system

Answer 15

how families interact w one another and others

Question 16

closed vs open family systems & how this affects PT

Answer 16

closed - set boundaries
- info sharing is restricted
- may take PT a while to form relationship

open - vague boundaries
- info shared freely
- PT may have large influence on family actions

Question 17

what is family systems theory

Answer 17

families strive for homeostasis
- dynamic process

Question 18

what does a family system have an indirect relationship w

Answer 18

child’s growth and function

Question 19

what is the major commonality PTs share with a child’s family

Answer 19

want the best for the child

Question 20

what is role conflict

Answer 20

challenge for parents - who knows more about the medical issue & expectations on the level of involvement in care

Question 21

what is role stress

Answer 21

when parent’s can’t fulfill role
- communication can be affected b/w parents and medical professionals

Question 22

what are 5 things that lead to improved outcomes

Answer 22

inc professional satisfaction
effective/efficient use of time
inc team communication
dec health care costs
effective use of health care resources

Question 23

what are 2 initial key points to PT management

Answer 23

legal considerations (ie consent)
family-child interview

Question 24

describe the role of consent & who can consent

Answer 24

if <18yo, legal guardian has to consent to services and child has to assent/cooperate

can be emancipated minor by courts

> 18yo w developmental disability, legal guardian appointed by court if necessary to consent

Question 25

what are the 3 main goals of the family/child interview

Answer 25

begin rapport
family priorities
perceptions

Question 26

what is clinical reasoning & decision making

Answer 26

complex process
involves various types of knowledge and metacognition

Question 27

what are 4 factors of clinical reasoning

Answer 27

setting
family dynamics
resources and reimbursement
innate variability in growth/development of children

Question 28

what does a PT have to do from a child’s POV (2)

Answer 28

capture child’s imagination
achieve child’s cooperation