Peds Exam and Eval Flashcards

1
Q

Family centered care

A

a philosophy of an individual or institution

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Family participation in healthcare - vital role ine

A

POC
Evaluation
Delivery of care

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Family centered care - in PT - vital with a pediatric patient

A

Caregivers are a necessity
Education - HEP
Equipment needs
Reports childs wants/needs/concerns

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Family centered care - principles of family centered care

A

1 Mutual respect, trust, honesty, open communication
2 Empower the family - they make decisions
3 Serve as teacher, mentor, facilitator, advocate
4 Member of transdisciplinary team

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What is the purpose of your exam

A

1 Diagnostic info - often a team approach to diagnose
2 Screening - are they typical or atypical
3 Problem solving
4 Plan of care

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What are the models of care in pediatrics

A
Direct
Integrated
Consultative
Monitoring
Collaborative
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What are the models of care in pediatrics - Direct

A

You provide therapy to an individual

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What are the models of care in pediatrics - Integrated

A

Often in school environment (in their natural environment)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What are the models of care in pediatrics - Consultative

A

someone is usually having you come in to see them – maybe SLP wanting you to come in to help them with a position of their extremity to use while speaking

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What are the models of care in pediatrics - Monitoring

A

often in school environment but can be outpatient, I am not going to provide therapy to you but I may come in and check on you with a consult to make sure things are continuing along

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What are the models of care in pediatrics - Collaborative

A

as a team you are approaching the patient dysfunctions together, can happen in outpatient and/or in school

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Environmental considerations

A

Natural environment like home, school, day care
Furnishings in environment
Presence of parents
Child clothed

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Things to consider

A

What are the standardized measures for that diagnosis
Diagnosis and understanding of primary and secondary impairments
Normal development - what do you expect for a child at this age

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Considerations before the exam begins

A

Family dynamics

Families understanding of the reason for PT referral

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Considerations for the PT - Examination

A
OBSERVE
ENGAGE
Establish rapport - start slow
Be flexible and spontaneous
Use play creatively 
Be tactful and choose your words carefully
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Examination - History

A

Medical history (delivery, gestational age)
Maternal history or family hx
Growth and development
Current activity level or present function (games they play, nap schedule)
Family, school environments

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Patient/Family Goals

A

Primary concerns
Your expectations vs. family expectations
Childs goals

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

CP - ANS

A

Skin temp, color, breathing pattern, nasal flaring, pupils

19
Q

Tests and Measures - Disposition

A

Level of alertness
Communication
Tolerance to activity/interactions

20
Q

Musculoskeletal

A

Postural alignment
PROM
AROM
Strength - tone? look for synergistic mvmnt patterns vs. isolated control

21
Q

Musculoskeletal - Alignment

A

What is childs preferred alignment
Can they actively/passively reach neutral alignment
What is the alignments impact on force production
LOOK AT ALIGNMENT IN ALL POSITIONS!

22
Q

Musculoskeletal - Head control is dependent on

A

a good base of support

Need to look at head, shoulder girdle, trunk, and pelvis

23
Q

Musculoskeletal - Hip

A

Wt bearing in full stance
If child is non wb - need xray by 2 yr
Dislocation/Sublux

24
Q

Musculoskeletal - ex of tests

A

Barlows
Ortolanis
Craigs
Leg length discrepancy

25
Musculoskeletal - ex of tests - Barlows
Looking for hip dysplasia - abd, ER, and anterior glide to pop back in
26
Musculoskeletal - ex of tests - Ortolanis
flex hips, add, IR, and do glide to check and see if comes out of acetabulum
27
Musculoskeletal - ex of tests Craigs
For femoral anteversion and retroversion
28
Musculoskeletal - ex of tests leg length discrepancy
Medial mall to umbilicus | Medial mall to ASIS
29
Musculoskeletal - Common Knee measures
Genu Valgum/Varum - Q angle Tibial torsion Thigh foot angle
30
Musculoskeletal Ankle common measures
Talocrural DF/PF Rearfoot motion (inv/ev) Forefoot adduction - metatarsus adductus (measuring foot to hindfoot relationship)
31
Neuromuscular
Reflex integration | Tone/Spasticity
32
Neuromuscular - functional exam
``` Supine Prone Sitting Standing (static vs. dynamic) Gait and stairs Transitions ```
33
Balance - how does it develop
``` TEST IN ALL POSITIONS Head righting Equilibrium rxns Protective Tilting rxns ```
34
Neuromuscular - what do we look at to assess standing balance
Ankle strategies Hip strategies Equilibrium/Trunk rxns Stepping rxns
35
Neuro - sensory exam
``` Vision Hearing Vestibular Reflexes Sensory integration ```
36
Motor responses
Balance between agonists/antagonists as age appropriate | Force production - timing, scaling
37
How do we assess motor responses
Play! Object manipulation - pick them up, pass them, reach across midline for them, manipulate them, throw them, catch them, bounce them
38
What else do we assess with motor responses
Isolated movement in extremeties Isolated movement between extremeties Dissociation
39
Functional skills
Feeding/Eating Dressing/Bathing Mobility/Transfers
40
Equipment
Fit and function Home School Transportation
41
Integumentary - record
Bruises, areas of redness
42
Diagnosis/Prognosis
Identify impairments, activity limitations, and issues with participation Consider future needs - wellness across lifespan Think how it will impact them as they grow and age Determine optimal outcome Socioeconomic impact
43
Plan of Care
Develop STM and LTG based on exam and patient/family goals Progress will be slow Goals need to be measurable