Exam 1 for pediatrics

List and describe five content areas in which a pediatric OT practitioner needs to have knowledge while working with children and adolescents.

specific pediatric diagnoses

OT practice models and other frames of reference, assessments appropriate for a child with specific disability or diagnoses

Importance of families in the OT process

What is Vision 2025?

As an inclusive profession OT maximizes health wellbeing and quality of life for all people populations and communities through effect solutions that facilitate participation in everyday living.

domain of OTPF

Domains of OTPF are, occupations, client factors, performance skills, performance patterns, contexts, environments, and activity demands. OT practitioners may design interventions to address all domains.

what is the OTPF process?

Process of OTPF, is the evaluation, intervention implementation, and outcomes.

what is close supervision?

direct daily contact, supervisor on site

what is routine supervision?

direct and regularly schedule contact, on site supervision

what is General supervision?

indirect supervision as needed and direct contact once a month or as mandated by state

what is minimum supervision?

direct and indirect supervision as needed or as mandated by state

What is service competency?

Service competency is that determination made by various methods that two people performing the same or equivalent procedures will obtain that same or equivalent.

How is service competency established?

Established through the OTA getting the same outcomes as the OT when preforming evals or assessments.

Beneficence definition

do good to the patient

Nonmaleficence definition

– do no harm

veracity definition

be honest

fidelity definition

respect patients and coworkers

justice definition

provide fair service to everyone

autonomy definition

respect the rights and privacy of patients

define scholarship

Scholarship is a form of leadership that enables practitioners to expand their knowledge base and to maintain competence

what are the 4 types of scholarship?

teaching, application, discovery, Integration

define discovery scholarship

work that contributes to the body of knowledge of a profession, increasing evidence based practice options.

define integration scholarship

involves interpreting and synthesizing research findings it identify linkages across disciplines.   

define application scholarship

OT practitioners are interested in applying professional knowledge to solve clinical problems and to assess outcomes.

define teaching scholarship

used to determine how the client best learns.

Akita uses information she learned at a behavior management workshop during her intervention sessions to see if the techniques make a difference. What type of scholarship does this illustrate?

Application

A therapist planned an Easter activity but later found out that her clients did not celebrate Easter. This shows the importance of examining which aspect of environment when planning activities?

Cultural

Annie, a certified occupational therapy assistant (COTA) who works in an acute care hospital, interviews a new client, John, a 6-year-old boy. During her interview, Annie asks John what he likes to do and what is most important to him. During the intervention session Annie provides John with many choices. Which ethical principle does this address?

Autonomy

Evaluation, intervention planning, and discharge planning are all part of

OT process.

T/F The OTR and COTA collaborate to interpret the data collected during the initial evaluation.

false

Consultative role definition

– someone who discusses with family and talks to the parents.

Prescriptive role definition

telling them what to do and not asking or disusing about it.

what is the morphotactic principle?

when a verbal or nonverbal “rule” is broken by the child

what is the morphogenetic principle?

something that has disrupted the families regular routines (i.e. stress, work, school, death)

what does the term equifinality mean?

Where does each family member want to go from here?

what is Passive appraisal?

a coping strategy that involves ignoring a problem and hoping it will go away

what is Reframing?

it is a coping strategy that involves redefining a situation in ways that make it more manageable

what is downward comparison?

it is a coping strategy that involves identify a situation worse than your own

what is Use of spiritual beliefs?

it is a coping strategy that involves using philosophic or spiritual beliefs to make sense of and find meaning in a situation.

what are the 4 communication strategies?

Solution focused curiosity and interest

Collaborative goal setting

Acknowledgment

Continuity

define solution focused curiosity and interest, and what is it?

its a communication strategy that allows the practitioner to support the adaptive potential of the family while not challenging or criticizing its current status.

what is collaborative goal setting? define it.

its a communication strategy that involves collaborating with the family to clarify and develop common set of goals helps practitioners efficiently and effectively many the intervention planning process

what is acknowledgement? define it.

acknowledgement is a communication strategy insures the clients that what they are saying is being heard and understood. (active listening)

what is continuity? define it.

it is a communication strategy that when arriving or leaving the practitioner should be solution focus and future-oriented the practitioner should attempt to make a positive report to the family.

What type of role is the OTA functioning when interacting with the parents to create mutually agreeable goals and a plan for the child?

consultative

T/F The morphostatic principle refers to the capacity to change.

false

T/F Solution-focused curiosity refers to showing nonjudgmental interest in families as a way of developing solutions to challenges.

true

What areas are addressed by an OT practitioner working in a pediatric medical setting?

ADLs, IADLs, social participation, sleep and rest, education, and play.

Which statement best describes the role of the OT practitioner in the medical setting?

Provide child with opportunities to improve his or her ability to engage in occupations while supporting medical stability.

A 4-year-old child is experiencing some difficulty eating a variety of foods. The mother is concerned she has lost weight and is not feeling well. She brings the child to the pediatrician’s office. Which level of care does this represent?

Primary

Education of the handicapped act, what does this act require?

requiring schools provide free appropriate public education to children with disabilities

individuals with Disabilities education Act, what does this act require?

Schools allow students with disabilities to work toward meeting the same educational standard as their peers

no child left behind act, what does this act do?

improved teaching standards in student learning results

every student succeeds at, what does this act do?

- plans for and provides specialized instructional support personnel ensures equal opportunity for students

rehabilitation act, what does this act do/say?

Any recipient of federal aid cannot discriminate when offering services to people with disabilities

Americans with Disabilities act, what does this act do?

prohibits discriminatory practices in areas related to employment transportation accessibility and telecommunications.

Who are the members of the Individual Educational Program (IEP) team?

Students parent or guardian, general education teacher, special education teacher, representative from the school district, and related service personnel

What is meant by the parents’ right to due process?

Parents have the right to negotiate the services that their child receives in school

Which of the following persons is not typically a member of the IEP team?

School nurse

What is the goal of intervention using an educational model?

Enable child to participate in school

Community built practice, define it?

it is defined as when skilled services are delivered by health practitioners using a collaborative and interactive model with clients. Practitioner goes to the community

Community-based practice, define it?

is when the OT practitioner controls the type of services provided within the respective community setting. Practitioners goes into community and finds a need for services.

What are some of the different service delivery methods OT practitioners employ in community settings?

School systems, faith based programs, community recreational programs, community health clinics, camps, group homes, homeless shelters.

OT Process definiton

The OT practitioner uses a model of practice to organize their thinking and chooses A-frame of reference to design interventions based on the child's and family's needs

Service Competency definition

the determination made by various methods that two people performing the same procedures will obtain the results

Family life cycles, what are the compents?

The family life cycle involving life transitions are birth marriage leaving home and death

Primary care, what level is it? what is it?

: the first level of medical care includes visits to primary physician

secondary care, what level? what is it?

second level of care involves the follow-ups that occurs once the child has become ill

tertiary care, what is it? what level?

the third level of care involves the need for hospitalization

quantitative care, what is it? what level?

fourth level of care is an extension of tertiary care and is less common highly specialized and provided in special circumstances

HIPAA what does it stand for?

Health information portability and accountability act

HIPAA what does it protect?

it protects a client's medical information

IDEA what does it stand for?

Individuals with disabilities Education Act 1990

IDEA, what is it for?

school stipulates that schools allow students with disabilities to work toward meeting the same educational standards as their peers

LRE what does it stand for?

: least restrictive environment

LRE, what does it do?

students with a disability have the right to be educated in a regular classroom whenever possible and interact with peers with or without disabilities

IEP, what does it stand for?

individual educational programs

IEP what is it there for?

students who receive special education services must have a written iep this describes the child's levels of academic and functional skills models of service delivery amount of time and goals and objectives for the academic year