Play and Family Flashcards

1
Q

What is Play?

A
  • Primary occupation of children
  • For development/refinement of skills (motor, social-emotional, language, cognitive)
  • For problem solving, communication, understanding nonverbal comm., and socialization
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2
Q

Aspects of play

A
  • Pleasurable
  • Self-initiated/controlled by child
  • Intrinsic motivation: drive to action that is rewarded by the activity itself
  • Internal control: child in control of actions and to some degree the outcome
  • Freedom to suspend reality (make believe, pretend, joking, mischief)
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3
Q

Nature of play/playfulness

A
  • Flexible
  • Spontaneous
  • Process more important than outcome
  • Done for its own sake
  • No right/wrong way to play
  • Safe outlet
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4
Q

Play with Disabilities

A
  • Normal sequence often delayed
  • Often passive observers (lack interest/initiation)
  • Often require intervention to engage and stimulate growth/development
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5
Q

Play intervention strategies for disabilities

A
  • Change environment
  • Improve specific play skills
  • Teach social interaction
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6
Q

Play Environment

A

• Engaging in play depends on feeling safe, confident and interested
• Environment may restrict play:
- School restricts recess time
- Parents afraid to let children explore/play
- Playground doesn’t lend itself to imaginative play

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7
Q

What can play be a tool for?

A
  • Increasing strength
  • Improving motor planning and problem solving
  • Improving grasping/handwriting
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8
Q

What goals can be included in play?

A
  • Spontaneously initiating play

* Social Skills

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9
Q

Play assessments (list)

A
  • Test of Playfulness (ToP)
  • Knox Preschool Play Scale (PPS)
  • Transdisciplinary Play-Based Assessment (TPBA)
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10
Q

Importance of playground time/recess

A
  • Providing unstructured outside time
  • Developing social, emotional, physical and cognitive skills
  • Taking a break from rigidity and recoup energy
  • Physical activity to strengthen bones and muscles, control weight, decrease diabetes/cancers
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11
Q

7 Principles of Design for Inclusive Play Spaces

A

1) Equitable use
2) Flexibility of use
3) Simple and intuitive use
4) Perceptible information
5) Tolerance of error
6) Low physical effort
7) Size and space for approach and use

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12
Q

Ways to improve playfulness

A
  • Set up playful environment
  • Change themes for seasons, events
  • Keep space child friendly
  • Add music
  • Add element of pretend
  • Create “just-right” challenge
  • Use adapted toys
  • Limit directions to games/activities
  • Allow play in variety of positions
  • Allow child to make changes to the activity
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13
Q

Sample objectives to OT play interventions

A
  • Initiate new activity during play
  • Enter into play in progress without disruption
  • Stay in play theme for a given time
  • Use an object in unconventional way
  • Share toys with another child
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14
Q

Family-Centered Care

A
  • Philosophy that permeates all interactions betw family/healthcare practitioners
  • Mandated by 1990 IDEA
  • Family is the constant in the child’s life
  • Family is defined by person at center of care (child); could be casa, guardian, etc.
  • Collaboration/partnership
  • Parents/caregivers are decision-makers
  • Honoring diversity (cultural acceptance)
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15
Q

Factors Influencing Families (especially those of child with special needs)

A
  • SES (supplemental educational services)
  • Level of parental education
  • Quality/availability of medical facilities
  • Parent training/family support
  • Each family is different; response to crisis based on their definitions/resources
  • Parents may have trauma; child may disrupt family system
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16
Q

Bennet-Gunn Scale of Intercultural Sensitivity

A

Scale to measure development of intercultural sensitivity.
• We move through 6 stages beginning with denial, ending in integration.
1. Denial (unaware)
2. Defense (aware, but insensitive/prioritizing own culture)
3. Minimization (see differences but don’t care)
4. Acceptance (understanding the difference)
5. Adaptation (being changed by understanding/ability to meet other culture)
6. Integration (internalizing culture into memory)

17
Q

Ethnocentric Stages of Intercultural Sensitivity

A

1) Denial
2) Defense
3) Minimization
(when you still don’t incorporate other culture)

18
Q

Ethnorelative Stages of Intercultural Sensitivity

A

4) Acceptance
5) Adaptation
6) Integration
(when you begin to accept/incorporate other culture)

19
Q

Medical Home

A

American Academy of Pediatrics (AAP 1992) imperative of delivering care in family-centered manner. Healthcare that is accessible, continuous, comprehensive, culturally effective. Partnerships of mutual trust/respect.