Pediatric Environments Flashcards
What are the 6 types of pediatric environments?
NICU Early Intervention School based: Public or specialized Pediatric hospital: Acute of rehab units Private practice Home based
Less than ___ lbs to be in the NICU
2 lbs.
If born and leave the hospital, cannot go back to NICU
Early Intervention is age ____. Parents can _______ child, but need a _____ for treatment, not for _______
0-3
Self refer
Prescription
Assessment
Schools can be _____ or ______
Public or specialized
Pediatric hospitals can be _____ or ______
Acute care or rehab units
Private practice: Most contract with ______
School systems
Home based: Early intervention in _____or ______
Home
Daycare
An assessment that is independent of disability looks at what?
ROM, strength, functional skills
An assessment that is dependent on disabilities will look at what?
Constellation of problems
Scales specific to disability
A top down model is ______ based or _______ driven
Functionally based or outcome driven
A bottom up model is _____ based or _____ driven
Impairment based
Deficit driven
In a bottom up model, what are the three steps?
Bottom: ID strengths and weaknesses
Middle: Determine goal
Top: Intervention plan and strategies
In a top down model, what are the steps?
Top: Desired outcome
2nd level: ID obstacles….and…. ID strengths
3rd level: strategies to bypass obstacles
4th level: strategies to improve performance
5th level: intervention plan and strategies
What are the three parts of an assessment?
Screening
Service eligibility
Treatment efficacy
In screening, what are we looking at?
Walking
Stairs (conc/ecc)
Skipping (coordination)
In service eligibility what are we looking at?
Is there a delay?
In treatment efficacy, what are we looking at?
Is something working? Should child be seen?
The assessment takes into account factors such as _______, ________, and _________
Background information
Family/child concerns
Cultural considerations
What are the four parts of the disablement model
Pathology
Impairments
Functional limitations
Disability
What are the parts of the ICF model?
Body structure…Activity…Participation
Environmental factors….Personal factors
What are the 8 steps of the HOAC model?
- Collect initial data
- Generate problem statement
- Establish goals
- Exam
- Generate working hypothesis of why goals aren’t being met
- Are goals viable?
- Plan re-eval
- Plan and implement Tx strategy
What are the two delivery models?
Medical and educational
In the education models, it can include…
Functionally based
Bullying
There are five types of team interaction… what are they, and describe?
Unidisciplinary: solo Intradisciplinary: PTs Multidisciplinary: 2 or more disciplines Interdisciplinary: cooperation Transdisciplinary: role release
What are the 5 delivery models?
Direct: 1 on 1
Integrated: classroom/home/daycare
Consultative: to the teacher —> adapt activities
Monitoring: slowly back out
Collaborative: need someone else that just PT
What are some things that determine the type of delivery and intensity?
- Age: the young the better
- Dx: progressive disorders do not negative PT
- Child readiness: middle schooler may not be ready
- Hx of therapeutic intervention: may need increased frequency if never had PT before
- Education goals: if none, no PT in school system
- Other resources available in current setting (adaptive PE, aides)
PL 94-142: Education for all ages (_______)
6-21 years old
Least restrictive, related services
PL 99-457: Education for _____
0-3
IDEA: PL 102-119: What does this cover?
Covers both laws for education 6-21 and 0-3; initial version 1986, reauth in 1997
ADA: PL 101-336- Applies to _________; must be _______
New schools
Accessible
Early intervention:
Age ______ y.o.
________ centered
Goals are _______ driven
Trend toward ________ environments (1st law in 1991)
Appropriate to _____ of child
_______ choice of not using natural environments is not adequate justification
0-3 Family Parent Naturalistic Needs Family
Early Intervention: What does IFSP stand for?
How does _____ fit in family unit?
IEP in ______ district
Individualized family service plan
Child
School
____% delay in 2 areas
___% delay in 1 area or Dx that results in risk
25% in 2 areas
33% in 1 area
Components of IFSP:
Revolves around _______
Child’s level of _________
Assessment of _____, _______, and ______ of family
Major ______, _____, _______, and ________
Statement of specific _______ (frequency, intensity, location, and method)
Dates for _____ and _______
Family Development Resources, priorities, concerns Outcomes, criteria, procedures, timelines Services Initiation and duration
IDEA stands for what?
Individuals with disabilities educational act
IDEA:
Must have _______ needs — delays impact on performance in ______ environment
educational
School
Idea: Must meet criteria for __ category out of 13… what are they?
1
- Autism
- Deaf/blind
- Deaf
- Hearing impairment
- Visual impairment
- Mental retardation
- Serious emotional disturbance
- Multiple disabilities (CP)
- Orthopedic disabilities
- Other health disabilities (ADD, ADHD)
- Specific learning disabilities
- Speech/language impairment
- TBI
IDEA:
OR can be for children _____ y.o. category of ___________ _____ may be used to avoid “________” a child
3-9
Developmental delays
Labeling
IDEA: must have delay in one or more areas, including:
Physical Cognitive Communication Social/emotional Adaptive
Child with no educational needs, but needs therapy….
Section ____
Qualify if they have ______ or ______ disability that substantially limits one or more ____ _________
504
Physical or mental
Life activities
Child with no educational needs, but needs therapy….
May involve accommodations:
_______ _______
______ _______ _______
Limited walking
Closer classroom, elevator
Child with no educational needs, but needs therapy….
Examples?
JRA/hemophilia
Early progressive muscle diseases
Asthma/CF
Child with no educational needs, but needs therapy….
Or considered a ________ need, there not provided in school
Medical
School based therapy: More \_\_\_\_\_ driven \_\_\_\_\_ \_\_\_\_\_ services Qualify if \_\_\_\_\_ will \_\_\_\_\_ on their education Therapy must be \_\_\_\_\_\_\_ relevant Trend toward full \_\_\_\_\_\_\_\_
Child IEP Related Delays, impact Educationally Inclusion
Related services are what?
Supportive services to provide assistance to a child with a disability to benefit from regular or special education (for example, school buying equipment)
What do related services included?
SLP Audiology Psychological PT/OT Recreation Counseling Orientation and mobility services Medical services for Dx or eval purposes Parent counseling and training
What are the components of an IEP?
______ level of educational performance
______ goals with ______ _____ instructional objectives
(Revolves around ______)
____ = 1 year, _____= components
Specific ______ ____and _____ ____
_____ and _____ of services
_____ and _____ for achievement of objectives and goals
_______ services (law says must be a plan post-grad to be a functional member of society
Present Annual, with short term Birthday LTG, STG Special education and related services Initiation and duration Criteria and eval Transition
Long term stats:
____ of all Americans with disabilities are employed
More than _____ as likely to delay needed health care b/c they cannot afford it
More than _____ as likely to drop out of HS
___% not involved at all in communities
____% say they are satisfied with life
32% Twice Twice 35% 33%
