Peds Precautions and Activities Flashcards
Cerebral Palsy
Precautions/Contraindications:
- Abnormal Muscle Tone
- Presence of primitive reflexes
- Absence of equilibrium responses (balance)
- Hypermobile joints
-Sensory Issues - GMC and FMC skills
- Trunk control
Activities:
Play dough (R)
Therapy Ball Bouncing (R)
Painting (R)
Tactile Exploration Floor Activity (R)
Brachial plexus injury
Precautions/Contraindications:
- Avoid excessive movement and overexertion
- Monitor Pain Levels
- Sensory Protection
- Use of Splint to prevent deformities or contractures
Activities:
- Wall pushes (R)
- Building Blocks (R)
- Clapping games (R)
- Catching balls (R)
Rett syndrome
Precautions/Contraindications:
- Monitor for seizures
- Monitor medication management
- Avoid overexertion
- Poor trunk control
- Limited overhead movement
- Avoid overstimulation
- Loss of speech
- Loss of purposeful hand skills
Activities:
- Walking in line (R)
- Water beads sensory experience (R)
- Dressing with dressing aids (C)
- Gentle rocking (with soft lighting and soothing sounds) (C)
Fragile X syndrome
Precautions/Contraindications:
- Avoid overstimulation
- Provide structured environment
- Behavioral issues (agression or low frustration tolerance)
- Sensory hypersensitivity
- Manage social pressure
Activities:
- Weighted blanket deep pressure (C)
- Sensory play with water (R)
- Grasping and sorting peg boards (R)
- Simple Cooking Activity (Adapted) (C)
Fetal alcohol syndrome
Precautions/Contraindications:
- Avoid over stimulation
- Cautious with physical activities
- Sensory diet
- Behavioral Management
- Medication Management
- Monitor for any vision or hearing problems
- Avoid stressful situations
Activities:
- Coloring with large grip crayons (C)
- Brushing teeth with child-friendly bristles (C)
- Crawling tunnels (R)
- SImon Says (R)
ADHD
Precautions/Contraindications:
-Avoid overstimulating environements
-Avoid complex or overly demanding tasks
- Avoid Stressful situations
- Sensory diets
- Use visual supports to aid focus
- Behavioral Management
- Monitor Fatigue
- Coping strategies
Activities:
- Matching Games (R)
- Eye Maze (R)
- Follow the leader (R)
- Scavenger Hunt (R)
Spina bifida
Precautions and Contrindications:
- Monitor and avoid pressure sores
- Avoid friction and shears
- Avoid lifting or transfering that could exacerbate the condition
- Use proper techniques or AD for transfers
- Avoid overuse of muscles and joints
- Monitor posture
- Monitor shunt functions
- Avoid high impact activities
- Respect routine
- Avoid overheating
Activities:
- Maneuvering through cones (R)
- bead threading (R)
- trampoline (R)
- switch operated toys (R)
Autism
Precautions and Contraindications:
- Monitor sensory overload
- Adjust sensory inputs
- Modify communication methods
- Respect social boundaries
- Use positive reinforcements
- Avoid negative consequences
- Provide consistent routines
- Respect routines
- Monitor Physical activities
- Avoid overstimulating environments
- Avoid high risks activities
- Avoid one-size-fits-all approach
Activities:
- Sensory Bins filled with different tactile materials (R)
- Chase and pop bubbles (R)
- Fidget toy plays like stress ball or spinners (C)
- Identifying emotions using charts and pictures (C)
Muscular Dystrophy
Precautions and Contraindications:
- Avoid overexertion
- Avoid heavy lifting or high resistance activities
- Avoid joint stress
- Use proper positioning
- Monitor fatigue levels
- Monitor breathing
- Avoid skin pressure
- Avoid quick rapid movements
Activities:
- Pegboard (R)
- Gentle Stretching (C)
- Push and pull toy cars (R)
- Pictionary (C)
Prader-Willi syndrome
Precautions and Contraindications:
- Monitor Food intake
- Provide Safe environemnt for managing food access
- Behavior Management
- Stress Reduction
- Avoid overexertion and fatigue
- Support mobility with AD
- Monitor attention span
- Monitor Health conditions ( endocrine issues, sleep apnea, or scoliosis)
- Avoid intense physical activity
- Avoid exclusionary activities
Activities:
- Puzzle play (R)
- Connect 4 (R)
- Finger Painting (R)
- Tell a story card (R)
Downs syndrome
Precautions and Contraindications:
- Avoid acitivies that involve neck flexion or rotation
- Hypotonia
- Monitor cardiovascular health issues
- avoid excessive strain on heart
- Heightened or diminished sensory sensitivities
- Varying cognitive abilities
- Difficulty with attention and focus
- Behavioral Challenges
- Fall risk
- Joint instability
- Avoid high impact activites
- Monitor and adjust for comfort
Activities:
- Crafts with task simplification (C)
- Role playing scenarios (C)
- Storytelling (R)
- Sorting Games (R)
Seizure disorders
Precautions and Contraindications:
- Avoid known triggers
- Monitor for signs of seizures
- Safe environment to minimize risk of injury
- Fall risk
- Constant supervision during activities/ No unspervised Activities
- Avoid strenous activities that may provoke seizure
- Use gentle and controlled movements
- Rest breaks, monitor signs of fatigue or stress
- Educate and inrom of Diagnosis for first aid and emergency procedures
- Avoid overstimulating environments
- Assess environmental risks
Activities:
- Lacing (R)
- Walking on Balance beams (R)
- Plush toys play (C)
- Reading textured book (C)
Sensory processing disorder
Precautions and Contraindications:
- Identify and Avoid triggers
- Monitor sensory overload
- Provide breaks
- Introduce new sensory experience slowly and gradually
- Provide safe environment for play
- Close supervision during sensory activities
- Family involvement for consistency
- Regular check ins
- Avoid activities with high physical demands
- Avoid overstimulation
- Avoid unwanted sensory inputs
Activities:
- Aromatherapy (C)
- Blow bubbles (R)
- Sensory balloon balls (R)
- Handwriting with weighted pencil grips (C)
ADD
Precautions and Contraindications:
- Provide clear instructions
- minimize distractions
- Incorporate movement breaks
- ensure safety
- supervise and monitor for impulsive behaviors
- monitor overstimulation or sensory overload
- Use positive reinforcement
- Avoid negative consequences
- Promote self-esteem
- Provide emotional support
- avoid overly complex activities
- Minimized screen time
- Avoid high stress activities
Activities:
- Go Fish (R)
- Nature Portrait (C)
- Animal petting (C)
- UNO (R)