Pedi PT intro Flashcards
what is human development shaped by
dynamic and continuous interaction b/w biology and experience & the ongoing interplay among sources of vulnerability and sources of resilience
how can the course of development be altered
effective interventions that change the balance b/w risk and protection, thereby shifting odds in favor of more adaptive outcomes
PT’s are key in helping to build resilience in face of vulnerability in what 3 ways:
- enhance participation (how they function in their environment)
- enhance capacity of caregiving environment (physical & social)
- nurture development, shape behavior
what are the 2 main ways that PT in peds is different from adults
- natural development interacts w disability
- anticipate and address changing needs - PT must utilize family-centered approach
what is a family
significant others who profoundly influence personal life and health of individual over an extended period of time
what is family centered care
practices will have child, parent, & family strengthening and competency enhancing consequences
how is family centered care represented in federal legislation
part C of disability act (EI) mandates that services provided in family centered way
how do contemporary motor development/learning theories relate to family centered care
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
what are 2 places that family centered care as a requirement is seen
federal legislation
essential competencies in pedi PT
why is communication important in the family centered care guidelines
key to PT/family partnership
- shared commitment and responsibility b/w PT and family for children
what support given to the family vs child in family centered care guidelines
support the family:
- consumer of services
- decision maker
support the child:
- involve in processes
what are 8 components that are important to family centered care guidelines
respect
honor
ensure flexibility
recognize & facilitate
support
share
collaborate
empower
who is the consumer in family centered care
family
what are 3 strategies to family centered care
attitude adjustment
- expertise lies w PT & family
flexibility
- fit HEPs and appts
balance
- parents are parent first
what is a family system
how families interact w one another and others
closed vs open family systems & how this affects PT
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
what is family systems theory
families strive for homeostasis
- dynamic process
what does a family system have an indirect relationship w
child’s growth and function
what is the major commonality PTs share with a child’s family
want the best for the child
what is role conflict
challenge for parents - who knows more about the medical issue & expectations on the level of involvement in care
what is role stress
when parent’s can’t fulfill role
- communication can be affected b/w parents and medical professionals
what are 5 things that lead to improved outcomes
inc professional satisfaction
effective/efficient use of time
inc team communication
dec health care costs
effective use of health care resources
what are 2 initial key points to PT management
legal considerations (ie consent)
family-child interview
describe the role of consent & who can consent
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
what are the 3 main goals of the family/child interview
begin rapport
family priorities
perceptions
what is clinical reasoning & decision making
complex process
involves various types of knowledge and metacognition
what are 4 factors of clinical reasoning
setting
family dynamics
resources and reimbursement
innate variability in growth/development of children
what does a PT have to do from a child’s POV (2)
capture child’s imagination
achieve child’s cooperation
