Peds Flashcards
1
Q
Family centered care
A
- Constellation of new philosophies, attitudes, and approaches to care for children with special needs
- The family is the constant in any child’s life
- Built on the partnerships between parent and professionals
2
Q
Premise
A
- families know their children best and want the best
- each family is different
- optimal child functioning occurs within a supportive family and community
3
Q
Behaviors
A
- encourage parents to participate in decision making
- respect parenting styles
- respect coping strategies
- assist family in identifying strengths
- listen
- provide information and individualized care
- accept diversity
4
Q
Role of PT
A
Examination Evaluation Diagnosis Prognosis Interventions Outcomes
5
Q
Role of PTA
A
- Implement plan of care (interventions, outcomes)
- identify need for further examination/evaluation
- instruct families on importance of activity
- instruct community fitness instructors on strategies to work with children with special needs
- assist with creation and implementation of sports for children with special needs
6
Q
Assessments
A
- prolly not normal tests
- made through play and functional activities
- prolly not going to get objective numbers
7
Q
Gross motor developmnet
A
- Newborns: limited head control, overall fixed position
- Infant: rolling, crawling, creeping, cruising, walking
- Toddler: walking, running, jumping
- School-aged: higher level balance, sports participation
8
Q
Torticollis
A
- spasm/tightness of the SCM
- lateral flexion toward, rotation away from affected side
- PT interventions: ROM/flexibility activities to maintain and improve joint motion, soft tissue techniques to reduce pain and guarding, joint mobilization when necessary to corrrect restrictions identified during eval
9
Q
Talipes equinovarus (club foot)
A
- adduction of forefoot, var position of hindfoot, and equinus at ankle
- results in visual deformity, developmental delays, and gross motor and mobility delays
- PT interventions: casting, splinting, bracing; surgery, STRETCHING of gastroc/soleus
10
Q
Developmental dysplasia of hip (DDH)
A
- poor alignment of acetabulum and femoral head
- usually develops in last trimester
- affects f>m and L>R
- PT: bracing/splinting, measuring/fitting brace and parent edu; strengthening, ROM, promote developmental skills
11
Q
Scoliosis
A
- lateral curvature of the spine
- structural is irreversible and has rotational component
- non-structural is reversible, not rotational, and curvature straightens with flexion
- PT: stretch shortened side, strengthen lengthened side, improve muscles function, pt edu (posture and orthosis)
12
Q
Juvenile idopathic arthritis
A
- inflammation of connective tissue that is present for greater than 6 weeks in children under 16
- unknown cause, but associated with viral/bacteria infection resulting in autoimmune response
- PT: meds, surgery, modalities, stretching, strengthening, patient and family edu
13
Q
Brain and spinal cord injuries
A
- special considerations for peds
- length of time of unconsciousness is predictor of outcome
- behavior scales used to measure recovery
- family edu includes sensory stimulation
14
Q
Spina bifida
A
- congenital malformation of the spine
- genetic predisposition, maternal deficiency of folic acid, exposure to alcohol within 4 weeks of pregnancy
- can be open or closed (occulta: no disability, non-visible)
15
Q
Cerebral palsy
A
- in-utero, labor, delivery or after birth
- motor involvement: dispgelia vs hemiplegia
- muscular tone: hypo v hypertonic
- severity differs
- mental retardation, visual impairments, speech/language impairments, seizures, hearing impairments, behavioral disorders, orthopedic disorders
