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Peds MT ?s based off of study guide
Terms in this set (141)
The OTPF places an emphasis on what?
Appropriate occupational pursuits (instead of diagnostic focus)
The OTPF is aligned with the most current version of the _________ classifications.
What are the two parts of the OTPF?
Domain and Process
Which part of the OTPF defines the focus and factors addressed in the profession (focus on occupation/what we do)
Which part of the OTPF describes how we do and what we do (evaluation, intervention and outcome)
What are the 8 categories of occupations in the OTPF?
3. Rest and Sleep
8. Social Participation
___________: these are the elements that are within the client and influence occupational performance
What are three categories of client factors?
1. Body function
2. Body structures
3. Values, beliefs, and spirituality
What are three categories of performance skills?
1. Motor skills
2. Process skills
3. Social interaction skills
What are the four categories of performance patterns?
What are four distinct contexts that are considered within the OT profession?
What are the 8 types of outcomes as stated by the OTPF?
1. Occupational Performance
3. Health and wellness
4. Quality of life
5. Participation in desired occupations
6. Role competence
8. Occupational justice
What are 4 different practice settings for OT with children?
1. Early intervention (home based and center based)
2. School based
3. Hospital based
4. Clinic based
What are the 3 characteristics of a transdisciplinary team?
1. Role identification
2. Role release
3. Role transfer
A CPS written report must be complete within ______ hours of the incident.
What are the 7 reporting categories of abuse?
1. Physical abuse or injury
2. Malnutrition/neglect (including failure to provide adequate food, clothing, shelter, medical care)
3. Sexual abuse
4. Emotional (child is subjected to willful cruelty or unjustifiable punishment)
5. Sexual exploitation
6. Caretaker absence or incapacity including lack of supervision
7. Infant drug referral (toxicology)
IDEA stands for:
Individuals with Disabilities Education Act
IDEIA stands for:
Individuals with Disabilities Education Improvement Act
Part C of IDEA covers what age range?
Part C of IDEA is ______ centered
IFSP stands for _________ and is covered in Part ______ of IDEA.
IFSP stands for Individual Family Service Plan and is covered in Part C of IDEA.
Part B covers ages ______ and ______.
3-5 years and 6-21 years
IEP stands for ________ and is covered in Part ____ of IDEA.
IEP stands for Individual Education Plan and is covered in Part B of IDEA.
ITP stands for ________ and is covered in Part ____ of IDEA.
ITP stands for Individual Transition Plan and is covered in Part B of IDEA.
What are four aspects of OT with children 0-3 years (Part C IDEA) ?
1. required service
2. family focused
4. natural environment
What are four aspects of OT with children 3-5 years (Part B IDEA) ?
1. related service
2. child focused in relation to educational plan
What are five aspects of OT with children 6-21 years (Part B IDEA) ?
1. related service
2. child focused in relation to educational plan
5. transition to adult environment
Part C of IDEA is _____ centered, and Part B is _____ centered.
Part C of IDEA is child centered, and Part B is family centered.
Which theorist developed 8 stages characterized by personal-social crisis to promote growth?
Which theorist created 4 maturational levels of cognitive development?
Which theorist developed 3 levels of moral development?
Which theorist created 6 stages of task accomplishment?
Which theorist discussed learning in a social context?
Vogotsky talked about _____________, or the use of scaffolding to support the child's development.
Zone of Proximal Development
Which theorist talked about three different systems that have an impact on a family's growth and development?
What was the concept Brofenbrenner discussed, which are the external focuses that impact a family's growth and development?
Ecology of Family Functioning
What were Kolberg's three levels of moral development?
1. preconventional morality
2. conventional morality
3. postconventional morality
Who are four stage theorists?
Who are three systems theorists?
Which theorist discussed attachment?
Ainsworth and Bowlby
Reactive attachment disorders present in two distinct types:
1. Emotionally withdrawn (inhibited type)
2. Indiscriminately social (disinhibited type)
What is Piaget's four stages of cognitive development?
3. Concrete Operational
4. Formal Operational
At what age is Piaget's sensorimotor stage?
At what age is Piaget's preoperational stage?
Early childhood to elementary years: 2-7
At what age is Piaget's concrete operational stage?
Later elementary to middle school: 7-11 years
At what age is Piaget's formal operational stage?
Junior and senior high: 11-15
What is reversible thinking and what stage does it fall into?
a child can think backwards (i.e. counting) in the preoperational stage.
What is collective monologue and what stage does it fall into?
group talk but no real interaction; in the preoperational stage.
What is conservation and what stage does it fall into?
changes in some characteristics of an object remain the same despite changes in appearance; concrete operational stage
What is seriation and what stage does it fall into?
Can organize objects in sequential order by size, weight, vol.; concrete operational stage
What is classification and what stage does it fall into?
Can group objects into categories; concrete operational stage
What is compensation and what stage does it fall into?
Change in one dimension can be offset by changes in another (i.e. a balance scale or an algebra problem); concrete operational stage
This is when everyone else shares one's thoughts, feelings, and concerns
What are three models often used in peds?
MOHO is made up of what 3 parts?
3. Performance capacity
EHP is a ________ model.
Which model says that person, task, and environment interact to form the meaningful occupation?
Reilly focused primarily on how an individual learns about ______________.
Who focused initially on children and the importance of play?
What are Reilly's three levels of play progression?
Who talked about interaction between physical, social and psychological aspects of life tasks?
Llorens talked about two types of development: _____ and ____.
Horizontal development and longitudinal development
Which type of development is a specific period in time across many developmental domains?
Which type of development is a development over the course of time addressing a single domain?
EHP considers the "__________" between PTE variables
"Goodness of fit"
What are 4 underlying assumptions of EHP?
1. Persons and context are unique
2. Contexts can be either contrived or natural
3. OT recognizes the need for self-determination in all persons.
4. (I) functioning includes using contextual supports to meet needs and wants.
Ayres identified which three sensory systems that provides a foundation for development?
Who developed neurodevelopmental treatment?
Berta and Karel Bobath
Which theorist developed a taxonomy of play skills?
What were Takata's 5 epochs?
1. Sensorimotor epoch (0-2 years)
2. Symbolic and simple constructive epoch (2-4 years)
3. Dramatic, complex constructive and pre-game epoch (4-7 years)
4. Game epoch (7/8-12 years)
5. Recreational epoch (13-adult)
Which theorist believed the concept of occupational behavior as including roles behaviors associated with being a child, student, worker, and adult?
Reilly said play has which 2 basic organizing features?
1. organizing effect on human behavior
2. critical base of adult competence
Reilly said that play consists of which 3 stages?
1. exploratory behavior
2. competence behavior
3. achievement behavior
Which theorist classified play as the actions and variations between human and nonhuman objects?
Florey classified nonhuman objects into which 3 categories?
1. Type I: creative and unstructured media that can be directly changed by the child's actions
2. Type II: objects that can be changed when combined with other objects
3. Type III: objects that retain their original form regardless of play actions
Which theorist believed play is considered a transaction between the child and the environment?
Bundy said there are 3 critical scales to consider on a continuum. What are these scales?
1. Level of perceived control, range from internal to external control
2. Source of motivation, range from intrinsic to extrinsic
3. Freedom to suspend reality, range from free to not free
Who developed a progression of play behaviors?
Pratt's progression of play behaviors include:
1. Exploratory play (0-2 years): focus on body scheme, SI and motor development.
2. Symbolic play (2-4 years): formulate, test and classify actions and feelings
3. Creative play (4-7 years): refine sensory-cognitive skills and competency
4. Games (7-12 years): focus on skills, rules and competition with peers
5. Recreation (13+ years) self identity and achievement
Professionals can ensure that their services are family centered by (9 things)
1. Recognizing that the family is the CONSTANT in the child's life, while the service systems and personnel within those systems fluctuate.
2. Facilitating family/professional COLLABORATION at all levels of service delivery
3. Honoring the racial, ethnic, cultural, and socioeconomic DIVERSITY of families
4. Sharing with parents, on a continuing basis and in a supportive manner, complete and unbiased INFORMATION
5. Encouraging and facilitating family to family SUPPORT AND NETWORKING
6. Understanding and incorporating all the DEVELOPMENTAL needs of infants, children, and adolescents and their families into the service delivery system.
7. Implementing comprehensive policies and programs that provide EMOTIONAL AND FINANCIAL SUPPORT to meet the needs of families.
8. Recognizing family strengths and individuality and respecting different methods of COPING.
9. DESIGNING accessible services that are flexible,, culturally competent, and responsive to family identified needs.
What are the 6 stages of grief?
What is the rooting reflex?
S: stroke cheeks
R: turns face towards touch
What is the suckle-swallow reflex?
S: touch lips w/finger or bottle
R: coordinates suck-swallow-breathe pattern
What is the palmar grasp reflex?
S: stroke palm w/finger
R: grasp on object
What is the traction reflex?
S: have infant grasp onto finger and lift
R: co-contraction at shoulder jt. to pull as child is lifted
What is the moro reflex?
S: infant is in a supported reclined sitting position and then drop head backwards
R: phase 1: extension; phase 2: flexion
What is crossed extension reflex?
S: supine, 1 leg in flex and then flex the other leg
R: as 2nd leg is flexed the 1st leg extends
What is the flexor withdrawal reflex?
S: supine, both legs extended, stim to 1st extended leg
R: withdrawal of stim leg into flexion
What is extensor thrust?
S: supine, 1 leg flex and stim to dorsum of foot
R: stim leg "shoots" into extension
What does ATNR stand for?
Asymmetric tonic neck reflex
What is the ATNR reflex?
S: supine, turn head
R: flex of UE & LE on skull side, extension of UE & LE on face side
What does STNR stand for?
Symmetric tonic neck reflex
What is the STNR reflex?
S: prone, supported alt. between neck flex. neck ext.
R: neck flex=UE flex & LE ext; neck extension=UE extends and LE flexes
What is the primitive walking reflex?
S: hold infant upright & "drag" feet on floor
R: reciprocal walking
What is the placing of hand or foot reflex?
S: stimuli to back of hand or foot, infant held in front of table
R: hand or foot lifts up and is places on supporting surface
What does TLP stand for?
Tonic labyrinthine prone
What is the TLP reflex?
R: marked tendency toward flexion
What does TLS stand for?
Tonic labyrinthine supine
What is the TLS reflex?
R: marked tendency toward extension
What is the amphibian reflex?
S: prone and lift hip slightly
R: flexion of arm, hip and knee on side of stimuli
What is the neck righting reflex?
S: supine and turn head to one side
R: body follows head in a "log roll" fashion
What is the body righting reflex?
S: supine and turn head to one side
R: body follows head in a segmental fashion
What is the labyrinthine righting (vision occluded)?
S: prone, supine, upright and tip to the side
R: lift head to upright (prone and supine) and right head to midline
What is the Landau reflex?
S: supported trunk held in prone
R: extension of both upper extremities and lower extremities/extension of neck
What is the protective extension reflex?
S: hold child at waist and drop chest forward and down
R: extension of both upper extremities
Cerebral palsy is also sometimes referred to as _______ ___________.
What are the three portions of the brain responsible for the control of movement patterns?
3. Basal ganglia
This part of the brain plays out the intended action:
This part of the brain is affected when there is tremors, ataxia, and dysmetria
This part of the brain "sets the stage" and allows for your ability to sit still
What are 2 general types of movement disorders seen in children with CP:
Dystonic/dyskinetic is usually seen in all 4 extremities and is related to which three things?
What term describes hypertonicity with abnormal muscle tone?
What are the 5 different types of abnormal muscle tone seen with spastic movements?
What is involvement of all four limbs?
What is involvement of four limbs, with the legs more affected than the arms?
What is involvement of both legs?
What is involvement of three limbs?
What is involvement of one side of the body?
What is the term when one limb is affected (almost nonexistent)?
What describes involuntary movements. May be slow, fast, writhing, jerky, tremulous, or rotary patterns, or unpatterened.
What is disturbance of balance, with poor fixation of head, trunk, shoulder, and pelvic girdles?
What is often accompanied by hypotonia?
When someone appeared clumsy and incoordinated when doing voluntary movements and often overreaches and underreaches, then what is present?
What movement is increased with excitement, insecurity, and effort?
What does the definition of learning disability require?
That the child have normal range intelligence with school related tasks that are below expectations given the IQ score.
What is Lesch-Nyhan?
Compulsion to hurt themselves, a genetic disorder
What is A-pattern strabismus and what condition is it associated with?
Double vision, Myelomeningocele
Which attachment disorder is caused by failure to form appropriate attachment in early infancy? It might be seen in adoptive of foster care setting associated with poor social interaction in infancy.
Reactive Attachment Disorder
What is the condition where children will hug anyone without a concern for safety?
Disinhibited Social Engagement Disorder
What are the three types of ODD?
1. angry/irritable mood
2. argumentative/defiant behavior
What is Organic FTT?
FTT=failure to thrive. When it is caused by issues with feeding, eating, and swallowing.
What does JRA stand for?
Juvenile Rheumatoid Arthritis
What is the term for excess number of fingers?
What is the term for webbing of tissues between fingers?
Brachial Plexus injuries affect nerve roots _____ and ____ which innervate ______, ________, ________, and ________.
5 and 6; biceps, brachialis, brachioradialis, wrist extensors
If there is an injury at ______ and ______, then they can move their arm, but not use their hand.
C8 and T1
Orthopedic issues with brachial plexus injuries is called
What causes trendelenburg gait and what syndrome is it associated with?
weakness of hip abductors/pelvis musculature, associated with Duchenne's Muscular Dystrophy
_________: use of hands to push body upright into a standing position
Positive Gower's sign
What is athetosis?
Involuntary movement disorder (when they're sitting and wriggling around)
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