QUIZ 5 Flashcards
nicu reimbursement trends
penalties for providers whose patients require immediate rehospitalization after NICU discharge
limits on what insurers will pay for a single stay based on diagnostic group
“value-based” programs, where value is defined as the quality achieved in relation to the cost of care
retinopathy of prematurity (ROP)
condition related to the early preterm infant’s prolonged need for supplemental oxygen
level I nursery
provides support for healthy newborns who may require additional assessment and intervention while predominantly rooming-in with their mother
OT approach in the NICU
transdisciplinary, family-integrative, consultative, collaboartive
rationale for consulting with family in the NICU
acknowledges the primary role of parents/family in the infant’s life
OT supports family role performance
family has the greatest influence over an infant’s health and well-being
best auditory stimulation for neonate
soft, rthymic
muted sounds
expose to parent voice
when to do infant massage
if an infant has limitations in joint mobility
to regulate an infant’s state of arousal
educating parents
sensory interventions in the NICU
modifying caregiving practices and infant’s environment to optimize energy conservation
skin to skin contact, scent free environment, low visual stimulation
last sensory system to develop
vision
consultative OT services in schools
a way for OTs to provide guidance to teachers, staff, and families to help students succeed
integrative OT services
provision of occupational therapy in the child’s natural environment
nonintrusive methods and common goals
pull-out OT services
when an occupational therapist (OT) takes a student out of their regular classroom to a separate area for individual or small group therapy sessions, focusing on specific occupational therapy needs that might not be addressed within the classroom environment
least restrive environment
Children with disabilities are most appropriately educated with their nondisabled peers. Special classes, separate schooling, or other removal of children with disabilities from the regular educational environment is to occur only when the nature or severity of the disability of a child is such that education in regular classes with the use of supplementary aids and services cannot be achieved satisfactorily.
Individuals With Disabilities Education Act (IDEA)
requires that states and public educational agencies provide a free appropriate public education (FAPE) to children with disabilities in the LRE
part B IDEA
specifies that an IEP must be designed to include special education and related services for all students from 3 to 21 years of age if it is determined by the educational team that the student requires such services to benefit from his or her public education
IEP
represents the formal planning process and resulting legal document that establishes the services and programs that will enable the student to participate in school activities and receive an “appropriate education.”
a written statement for each child with a disability that outlines the student’s educational and functional needs and the supports and services required to meet those needs. It is developed, reviewed, and revised in a meeting in accordance with the guidelines of the IDEA.
role of OT according to IDEA
(A) improving, developing or restoring functions impaired or lost through illness, injury or deprivation, (B) improving ability to perform tasks for independent functioning when functions are impaired or lost, and (C) preventing, through early intervention, initial or further impairment or loss of function
assist student in occupation of education
contribute to the development or improvement of the child’s academic and functional school performance
response to intervention
process of using progress monitoring data to make decisions regarding the level of support or services a student needs to be successful with certain academic tasks
public health model of school mental health prevention and intervention
supports a system-wide shift from an individual, deficit-driven model of intervention to a schoolwide, strength-based model focusing on promotion, prevention, early intervention, and integration of services for all children
tiers of public health model of school mental health prevention and intervention
- promotion
- prevention
- intensive individualized interventions
social emotional learning
process that helps people develop skills to manage their emotions, set goals, and build relationships
most common reasons for hospitalization of children
respiratory and gastrointestinal problems
hospital-based OT interventions for pediatrics
preventing secondary disability
restoring performance
adaptations for ADLs
when do the majority of congenital defects of the upper extremity occur?
4-8 weeks gestation
ehlers-danlos syndrome
a genetic condition characterized by a collagen deficiency causing increased soft tissue elasticity and global joint hypermobility
OT uses activity modifications and joint protection strategies to decrease joint strain and pain
most common UE fracture in children
distal radius
reason for using e-stim with children
improve the recruitment of specific muscle groups
gain in AROM
strengthen muscles
retraining muscles/tendons
reason for using splints with children
protection of the hand or arm during acute phases of healing
resting or supporting a joint for pain relief
positioning a joint for improved function
increasing ROM
prevention of deformity in the UE
scar management
ROM exercises
massage
compression
ROM assessment
goniometric assessment of the unaffected UE can be performed to use as a guide for the child’s potential ROM and to establish plan-of-care goals
therapist notes the location and intensity of any pain the child reports
sensation assessment
detect abnormal sensory patterns that require therapeutic intervention
important when peripheral nerve damage is reported or suspected or in cases in which extreme vascular changes have occurred
interviews, observation, wrinkle test, two-point discrimination
handwriting FOR assumptions
- children have foundational knowledge, visual perceptual skills, and postural control needed to engage in writing activities
- child has been exposed to basic graphomotor skills of handwriting by his or her teacher
- child has established hand dominance and uses the dominant upper extremity consistently during task performance
gardner’s types of intelligence - most common used in school
linguistic and logical-mathematics
other types of intelligence
Bodily-kinesthetic
Spatial
Interpersonal
Intrapersonal
Using FOR in practice, what aspects of FOR of should therapist focus on initially?
theoretical basis/perspective
What aspect guides therapist in identifying areas which require intervention?
the function–dysfunction continua
