Pediatric Diagnoses and T/x Approaches Flashcards
What pediatric diagnosis is defined as a loss of consciousness that lasts 0 minutes to 6 hrs with post-traumatic amnesia and can last less than1 hr to more than 24 hours.
acquired brain injury
What’re 3 causes of an acquired brain injury?
accidental or non-accidental trauma, MVA & falls
What can also cause an acquired brain injury?
anoxia to the brain, infections & meningitis
In terms of ADL’s what is a problem area for pt’s with and Acquired brain injury?
inability to complete basic self-care tasks
What is a common problem for Pt’s who have an acquired brain injury in relation to understanding information?
delayed processing of information
What’re 3 additional problem areas for Pt’s with an acquired brain injury?
expressive/receptive/global aphasia, decreased postural control & ataxia
ADL re-training and increased time to complete home and school communities are both examples of OT intervention for what D/x?
acquired brain injury
What’re 3 examples of OT intervention techniques for a Pt with an acquired brain injury?
address concentration, sustained attention & external memory supports and activities to improve following directions.
How do Pt’s with acquired brain injuries receive OT intervention in relation to ataxic movement patterns?
weight-bearing to decrease ataxic movements & non-slip mats
Since the cause of ADHD is unknown how is ADHD defined?
occurs as a primary condition or along with other developmental and psychiatric D/x’s
Inattention, impulsivity and hyperactivity are all examples of problem areas for Pt’s with what d/x?
ADHD
What’re 4 OT interventions for Pt’s with ADHD?
limiting background noises, providing clear/concise directions, writing notes/checklists and encouraging verbal responses in classroom
By limiting distractions in a classroom environment how would a COTA position desks and essential items in the room?
facing them towards the wall in the classroom to promote eye-tracking
Since the cause of Autism is unknown what’re 4 problem areas relating to ASD?
impaired communication/social interaction skills, repetitive patterns of behavior, impaired intellectual development & perseveration of items/subjects
Autism is a spectrum disorder, so what problem areas in terms of transition and routine have an impact on occupational performance?
excessive routines/inflxibility, lack of eye-contact, difficulty transitioning and lack of reciprocal interactions
What areas of processing should COTA’s examine in the treatment of ASD?
sensory processing and modulation
What is most important in terms of sensory input in pt’s with ASD?
provide appropriate sensory input and decrease input as necessary
What common senses are assessed in the T/x of ASD?
visual, tactile, vestibular, auditory, proprioceptive, olfactory and oral
In the OT treatment and intervention for children with ASD which ADL is addressed to increase repertoire of food preferences for improved nutritional intake?
feeding and self-feeding
As an OT practitioner how do you treat a child with ASD to anticipate change or transitions?
by providing schedules and timers in classroom
How does writing a social story for a child with ASD encourage new learning?
by developing social skills
How should a COTA start a t/x session for a child with ASD in terms of tasks?
start with a less desirable task followed by a pleasurable task
What’re 3 OT t/x’s for children with ASD in terms of play?
development of play skills, sharing & turn-taking
How would a child with ASD develop body awareness to improve motor planning?
massage, swings, weighted utensils, and hanging materials
