Pediatric Hospital Care

Types of places where children are served

general hospitals, trauma centers, children's hospitals

subacute rehab/long term for peds

within a SNF or LTC, children and adolescents who are too medically fragile or dependent to be at home, can address palliative care, discharge to homes or acute rehab

organization of hospital-based services

Acute care

Intensive care unit (ICU)

Critical care unit (CCU)

Neonatal intensive care unit (NICU)

Pediatric intensive care unit (PICU)

Surgical intensive care unit (SICU)

acute rehab peds

inpatient hospital units and services

Outpatient Peds

longer length of service with more spread out frequency, focus on participation in daily activities

characteristics of children's hospitals

region (locations) served (broader and fewer), missions of children's hospitals, research regarding systems and care outcomes, family- and child-centered care

reimbursement for pediatric services (IPR)

typically funded by a combination of private insurance carriers, medicaid or special programs within a state, and, under some circumstances by Medicare

Focus of OT in Hospital Settings

ADLs and other IADL tasks associated with independent living, education, and community participation, resuming the use of available skills and indpendence in easily accomplished tasks, adaptation for ADL skills

OT process in hospital settings

evaluation, determining intervention goals, interventions, discharge

rehab needs in pediatric hospitals

limited ROM, decreased strength and endurance, incoordination, hemiplegia, perceptual and cognitive limitations, visual impairment

specialty units and services include

oncology, palliative care, transplant

rapid onset conditions (acquired)

accidental injury, violence, disease process

Developmental conditions (chronic)

condenital disorders, neuromuscular disorders, developmental disabilities, rheumatology, craniofacial abnormalities, orthopedic, muscular dystrophy, limb deficient, incoordination (dyspraxia)

What is the age range for outpatient pediatric occupational therapy?

Infancy to 21 years old

What types of disorders are commonly addressed in outpatient pediatric occupational therapy?

Developmental disorders

What is the typical duration of outpatient pediatric occupational therapy sessions?

30-60 minutes

How long can outpatient pediatric occupational therapy last?

Few sessions to years

What factors influence the frequency of outpatient pediatric occupational therapy sessions?

Conditions and individual patient needs

OT process in outpatient pediatrics

evaluation, determining intervention goals, interventions, update plan of care or discharge