Pediatric Evaluation Flashcards
Does pediatric evaluation take a top-down or bottom-up approach?
Top-down approach
Developmental areas
Cognition
Social-emotional
Language/communication
Motor skills
Self-help skills (ADLs)
Central tendency
Mean, median, mode
Percentile score
Where child is compared to other children
Larger percentiles are more advanced
Age equivalent
Average age that kids develop this skill
Low complexity evaluation
Lasts approximately 30 minutes
Consists of occupational profile and brief history
1-3 performance deficits resulting in activity limitations
Problem-focused assessments, with no modifications needed, no comorbidities affecting occupational performance, and a limited number of treatment options
Moderate complexity evaluation
Lasts approximately 45 minutes
Consists of an occupational profile and expanded review of medical records and additional review of physical, cognitive, and psychosocial history related to current functional performance
3-5 performance deficits resulting in activity limitations
Detailed assessments, minimal to moderate modification of assessment, may have comorbidities affecting occupational performance, and several treatment options
High complexity evaluation
Lasts approximately 60 minutes
Includes occupational profile and extensive review of medical records, and extensive review additional review of physical, cognitive, and psychosocial history related to performance
5 or more performance deficits resulting in activity limitations
Comprehensive assessments, important modifications of assessments, comorbidities are present that affect occupational performance, multiple treatment options are available
When is co-treating acceptable?
Seeing two disciplines concurrently will benefit the patient
Scheduling convenience is not acceptable
Must be documented by each practitioner
Benefits of co-treating
Helpful for children with low tolerance for therapy
Holistic
Able to work on different goals within the same functional activity
Challenges of co-treating
Billing and reimbursement
Productivity
Tendency to be used for scheduling convenience
What to do if goals overlap when co-treating?
Re-write goals to reflect each professions scope
If there is no distinction, make decisions on which discipline with address that problem area
