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Pediatrics > Pediatrics - Documentation > Flashcards

Pediatrics - Documentation Flashcards

1
Q

What are the 3 team models?

A
  • Transdisciplinary
  • Interdisciplinary
  • Multidisciplinary
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2
Q

Which team model has health professionals work independently, but be aware of the value of other professions?

A

Multidisciplinary

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3
Q

Which team model is focused on functioning as a team or unit?

A

Interdisciplinary

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4
Q

Which team model is focused on transcending disciplines?

A

Transdisciplinary

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5
Q

What organization is driving the increased need for documentation?

A

Medicare

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6
Q

Why does documentation lead to better care?

A
  • Includes evidence
  • Communicates with other individuals
  • Reflects thoughts and decision making of therapist
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7
Q

What is performed during the examination?

A
  • History
  • Systems review
  • Various tests and measures
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8
Q

What is performed during the history?

A
  • Chart review of past and current medical and social information
  • Confirmation of correct information
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9
Q

What 2 identifiers should be used when interview a child?

A
  • DOB

- Child’s name

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10
Q

How can information be collected non-verbally during an interview?

A

Through care observation

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11
Q

What are important items of a pediatric history?

A
  • Mother’s pregnancy and complications
  • Birth history
  • Neonatal history
  • Current health
  • Age at different developmental milestones
  • Social information on child and family
  • Understanding of family’s knowledge/ attitude related to the child’s diagnosis
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12
Q

What are the 4 main categories of a systems review?

A
  • Cariopulmonary
  • Integumentary
  • Musculoskeletal
  • Communication (verbal/ non-verbal)1
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13
Q

What system review items are unique to pediatric cases?

A
  • Consideration of child’s safety, well being, nutrition, behavior, attention, self determination
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14
Q

What is the purpose of a system review?

A
  • Determine need for referral

- Determine complicating factors

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15
Q

What are the 2 categories of tests and measures?

A
  • Body structure

- Participation and Activity

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16
Q

What are normal pediatric tests and measures?

A
  • Developmental milestones
  • Transitional movements
  • ROM
  • Reflexes (affect movement? protective reflexes?)
  • Strength (usually a functional test)
  • Tone
  • Posture
  • Extremity alignment
  • Gait
  • Sensory
  • Balance
  • Fitness Level- Endurance
  • Adaptive equipment/ assistive technology
  • Pain (determined at mid and end of treatment)
  • Mobility
  • Oral motor skills & feeding
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17
Q

What are especially important pediatric tests and measures?

A
  • Sensory (autistic)
  • Reflexes
  • Developmental milestones
  • Tone
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18
Q

Are children more varus or valgus at birth? As the child weightbears?

A

Birth: Varus
WB: Valgus

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19
Q

What 3 scales help determine muscle tone?

A
  • Ashworth scale
  • Tardieu scale
  • Selective motor control scale
20
Q 
What is the normal RR of children:
0 - 1 month?
Upto 6 years?
6 - 10 years?
10 - 16 years?
A

0 - 1M: 35 - 55
upto 6M: 20 - 30
6 - 10Y: 15 - 25
10 - 16Y: 12 - 30

21
Q

What is the normal HR of children:
0 - 1M?
3Y?

A

0 - 1M: 120 - 200

3 Y: 70 - 150

22
Q

What is the normal SBP of children:
0 - 1M?
3Y?

A

0 - 1M: 60 - 90

3Y: 45 - 90

23
Q

What is the normal DBP of children:
0 - 1M?
3Y?

A

0 - 1M: 30 - 60

3Y: 50 - 80

24
Q

At what age do children approximate adult vital signs?

A

10 - 15

25
Q

What does FLACC measure? Who does it assess?

A

FLACC measures pain in infants and older non-verbal children

26
Q

What are the 0 - 2 values of the F portion of the FLACC scale?

A

Face

0: No particular expression or smile
1: Occasional grimace or frown; withdrawn or disinterested
2: Frequent to constant quivering chin/ clenched jaw

27
Q

What are the 0 - 2 values of the L portion of the FLACC scale?

A

Leg

0: Normal position or relaxed
1: Uneasy, restless, tense
2: kicking or legs drawn up

28
Q

What are the 0 - 2 values of the A portion of the FLACC scale?

A

Activity

0: Lying quietly, normal position, moves easily
1: Squirming, shifting, back and forth, tense
2: Kicking, or legs drawn up

29
Q

What are the 0 - 2 values of the C portion of the FLACC scale?

A

Cry

0: No cry (awake or asleep)
1: Moans or whimpers; occasional complaint
2: Crying steadily, screams or sobs, frequent complaints

30
Q

What are the 0 - 2 values of the 2nd C portion of the FLACC scale?

A

Consolability

0: Content, relaxed
1: Reassured by occasional touching, hugging, or being talked to, distractible
2: Difficult to console or comfort

31
Q

What is the name of the pediatric 0 - 5 pain scale using faces?

A

Wong-baker faces rating scale

32
Q

What are the 3 numerical pain intensity scales?

A
  • 0 - 10 (numbers or along visual contiuum)
  • VAS
  • Ladder scale
33
Q

What are 8 pediatric assessment tools (outcome measures)?

A
  • Gross motor function classification system
  • GMFM (gross motor functional measure)
  • Peabody developmental motor scales-2
  • Bruininks-oseretsky test of motor proficiency 2 (higher functioning; long; developmental coordination disorder)
  • Movement ABC 2 (fine & gross motor)
  • Alberta infant motor scales
  • Pediatric berg balance scale
  • Six minute walk test
34
Q

What does the ICF model emphasize as opposed to “consequences of disease”?

A

Components of health

35
Q

What does the ICF model emphasize instead of disability?

A

Participation

36
Q

What are the 2 parts of the ICF model?

A

1: body functions & structures, activities and participation
2: Environmental and Personal factors

37
Q

What are the 6 components of the ICF (internation classification of functioning) model?

A
  • Condition
  • Body function and structures
  • Activities
  • Participation
  • Environmental factors
  • Personal factors
38
Q

What is the objective of a diagnosis?

A

Identify discrepancies between patient/ client’s desired level of function and capacity of the patient to achieve the desired level of function

39
Q

At what levels are diagnoses made?

A
  • Impairment
  • Activity
  • Participation
40
Q

What are the billing codes for diagnoses?

A

ICD codes

41
Q

What 5 elements are included in a plan of care?

A
  • Goals
  • Statement of interventions/ treatments to be provided during the episode of care
  • Duration and frequency of service required to reach goals
  • Anticipate discharge plan
  • Birth to 3 can be embedded in their IFSP and school age (3 to 21) child in IEP
42
Q

What are 7 foci for pediatric goals?

A
  • Promote independence
  • Increase participation
  • Facilitate motor development & function
  • Improve strength
  • Enhance learning opportunities
  • Ease caregiving
  • Promote health & wellness
43
Q

What are 20 common therapeutic interventions for children? (just name a few)

A
  • Developmental activities
  • Strengthening
  • Movement and mobility
  • Tone management
  • Motor learning
  • Balance and coordination
  • Aquatic therapy
  • Serial casting
  • Burn and wound care
  • Adaptive equipment/ assistive technology
  • Safety awareness training and prevention programs
  • Caregiver assistance training
  • Cardiopulmonary/Endurance training
  • Wheelchair mobility
  • Transfers
  • Gait
  • Orthotics/Prosthetics
  • ADLs-Dressing and Hygiene
  • Feeding
  • Recreation, play and leisure
44
Q

What are some guidelines when using play as treatment?

A
  • Plan well
  • Be flexible
  • Use the environment
  • Let child take the lead (as appropriate)
  • Use music
  • Be aware of goals of other disciplines and incorporate
45
Q

What additional discharge planning is needed in pediatric populations?

A
  • Transition planning from one school to another
46
Q

When is discharge planned?

A

At the beginning of the evaluation

Pediatrics (3 decks)

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