(OT 601) The OT Process in Peds

pediatric practice is considered to be between what ages?

birth to 18 years old

IDEA law

determines practice, special education services end at age 21

what do pediatric OT's do?

they assist families and children to attain adult roles and a meaningful adult life

Pediatric evaluation follows what type of approach?

TOP-DOWN *best practice*

-participation

-activity

-body function & structure

what some methods for evaluation

-parent/teacher interview

-child self report

-observation of performance/activity analysis

-standardized assessments

context of an eval

environment influences occupational performance

-NATUAL ENVIRONMENT (home, school, childcare, community setting)

-cultural influences and resources

-contextual barriers

intervention goals

to improve children's performance and participation

-interventions that enhance performance

-recommending activity adaptation and environment modifications

-consultation, coaching, and education

what should interventions focus on?

answer: INCLUSION

-goal of providing integrated services

-natural and least restrictive environments

-take care in efforts to foster inclusion not impede it

why is using preferred occupations important in client-centered interventions?

-this allows for greater interest in activities presented

-large importance of PLAY

-children should participate in goal establishment

engagement is essential to success in OT sessions

ex: CO-OP

just right challenge

- Matches the child's developmental skills and interests

- Provides a reasonable challenge to current performance level

- Engages and motivates the child

- Can be mastered with the child's focused effort

modify and adapt environment

-low/high technology solutions

-recommend adaptations to sensory environment

evidence based practice use therapists

-select EBP relevant to client and practice area

-adapt guidelines to match their work environment

-modify them into user friendly protocols

-establish systems to monitor their outcomes

interprofessional practice

-educate and advocate for others

-consultation & coaching

-teamwork

home programming

-collaborative partnership

-parent & child goals

-therapeutic activities that focus on achieving goals

-support parents to implement the program

-evaluate the outcomes

what are three models for service delivery

1. direct service

2. consultation model

3. school-based models

what are some similarities of peds practice to adults?

-shared philosophy (top-down)

-engage in similar processes

-same belief system in relation to humans and occupations

-work and manage interactions with family members

what is unique about peds practice compared to adult?

-policy and law may place boundaries on intervention

-varied team structures and working relationships

-funding

-rapid change of client development

-parent/caregiver opinion

-non-compliance "NO"