Occupational Therapy in the NICU, Early Intervention & Early Childhood – Flashcards
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NICU: __ technology __ morbidity __ mortality
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increased increased decreased
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__: ability to achieve and maintain self organization in each subsystem as needed
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self-regulation
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Autonomic Subsystem Stability: -Smooth regular __ -__ stable color -Stable __- no hiccups, gags, emesis -No tremors, startles, twitches, coughs, sneezes
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respiration pink digestion
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what are these signs of? Respiratory pauses, tachypnea, gasping Mottled, flushed, pale, dusky, gray color Hiccup, gagging, spitting, grunting, straining Tremors, coughs, yawns, seizures, startles
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autonomic subsystem stress
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what are these signs of? Ms. tone consistent with age and throughout body Smooth controlled posture & mvmts. of extremities & head Motor control used for self regulation
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motor subsystem stability
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what are these signs of? Low tone, gape face, turning out Leg extension, finger splays, fisting, trunk arching, tongue extension Frantic diffuse activity of extremities (not smooth controlled movements)
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motor subsystem stress
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what are these signs of? Responsive to aud./vis stimuli is clear and focused Shifts attention smoothly from one stimulus to another (not startled) Bright eyed interest Relaxed and attentive
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attention/interaction subsystem stability
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what are these signs of? Irregular respiration Color changes Fluctuating tone, frantic diffuse activity Eye floating, staring, worried
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attention/interaction subsystem stress
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what are the 5 state subsystems?
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State 1 Deep sleep State 2 Light sleep State 3 Drowsy State 4 Quiet alert State 5 Active awake or Crying
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what is the best state for treatment?
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state 4 - quiet alert
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should you wake a baby for treatment?
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no
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what should be done for a baby who is being fed by a tube?
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mother should hold child while they are being fed by an ng-tube, any types of tubes, to give the same pleasurable/bonding experience - may also make transition to bottle or breast easier
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what is most important for proper brain development?
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sleep - never wake a baby - try to facilitate sleep as much as possible, especially for newborns
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look up article on NIDCAP vs Conventional care
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NIDCAP - more holistic and client centered
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when can a child feed/when can you start working on feeding with a child?
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34 weeks
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skin-to-skin contact is called what?
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Kangaroo care
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which parent role? handling dressing, feeding, changing, bathing
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provider
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which parent role? handling, consoling, cuddling, arousing
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facilitator/regulator
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which parent role? controlling temp., light, noise, toys activities
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environmental modulator
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which parent role? interpreting and responding to communication cues
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reciprocator/social interactor
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Early Infant Assessment Redefined assesses what?
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1. symmetrical & asymmetrical motor patterns 2. muscle tone 3. antigravity movements
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__: Intervention undertaken to influence the development and learning of children 0-3 years with or at-risk for developing disabilities in Natural Environments
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early intervention
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early intervention is under what law?
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IDEA Part C
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In Early Intervention: __ = process and plan that identifies outcomes, services and environments.
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Individualized Family Service Plan (IFSP)
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which approach? come together, develop a plan, and work together on their goals - I would know what PT goal is and try to incorporate that into my treatment - most team oriented approach (more commonly seen in pediatric than adult)
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transdisciplinary
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which approach? they each see the client, write their notes and come together for a meeting and create a plan (more commonly seen in adult healthcare)
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interdisciplinary
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which approach? different people are involved but they generally do not talk with each other, they each see the client and write their notes
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multidisciplinary
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children who are clearly diagnosed with a disability are automatically eligible for __
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EI
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Eligibility Criteria for At-Risk Children?
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Low birth weight Abuse/neglect Prematurity Infection Nutritional deprivation
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can language be enhanced through a screen or toy?
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NO- has to be done by a caregiver/voice that is familiar to them
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Children under age __ should not have media/screen at all
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2
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what are the components to OT's EI multidimensional-"three track mind"?
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procedural (child's abilities and challenges) interactive (relationships) conditional (context of family, culture, community)
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Parent report is accurate and predictive and involves parents as active participants (family centered) - what are parent report assessments?
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Parent Evaluation of Developmental Status Ages and Stages Questionnaire (Missouri First Steps redesign recommendation) Child Development Inventory
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what are EI direct screenings?
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Denver Developmental II Bayley Neurodevelopmental Battelle Developmental Inventory Brigance Scales Bayley Scales of Infant Development Hawaii Early Learning Profile Toddler Infant Motor Evaluation Vineland Adaptive Behavior Scales Test of Sensory Functions in Infants
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__ is essential to developing relationships and lifelong learning.
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serve and return
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what builds resilience in young children?
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serve and return - resilience is based on serve and return
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__: the ability to overcome significant adversity
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resilience
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Helping/having the child put their toys or things away as young as 2 years old will help develop __ At least one consistent adult in a child's life will also help to build __ (just someone that they can count on)
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self regulation resilience
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Relationship Directed Intervention and Floortime are two __ approaches
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Parent-Child Interaction (transactional approach)
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is EI called First Steps everywhere?
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no - every state has EI but it is called something different in every state (called Early Intervention Program in IL)
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EI Missouri- __ Lead Agency- __ Eligibility-__% or greater Case management-__ Credentials-yes state
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First Steps DESE 50 System Point of Entry
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EI Illinois-__ Lead Agency-__ Eligibility-__% or greater Case management-Child & Family Connections Credentials-OTC
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Early Intervention Program Department of Human Services (DHS) 30 more children are eligible in IL than MO
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purpose of an __ provides a natural yet controlled sensory experiences that allows a child to produce an adaptive response
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infant massage
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Infant Massage Goals: -normalization of __ -deeper __ -improved __ -decreased __ response to sensory input -enhanced __ interactions with care giver -improved __ function -facilitation of __ -improved visual orientation with care giver
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postural tone respiration circulation defensive social GI vocalizations
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what are contraindications for infant massage?
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acute infections cardiac and circulatory conditions skin disorders orthopedic conditions abdominal conditions inflammatory disease
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For infant massage: Calming-slow, rhythmical, __ direction of hair growth Facilitory-brisk, rhythmical, __ direction of hair growth
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with against
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__ = National Association for the Education of Young Children. Preparation of children for school through early learning and development that is multidimensional, complex and influenced by individual, cultural and contextual variations
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Early Childhood Education
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EI is more of a __ appriach Early Education is more of a __ approach
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transdisciplinary interdisciplinary
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__: Planned participation between children with and without disabilities in the context of children's educational/developmental programs.
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Inclusive Early Childhood Education
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Early Childhood IDEA Part B -Special Education -Eligibility- __ specific educational diagnosis -Related Services-OT -Discipline specific assessment -__
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11 IEP
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__: Attain high-quality, longer lives free of preventable disease, disability, injury, and premature death. Achieve health equity, eliminate disparities, and improve the health of all groups. Create social and physical environments that promote good health for all. Promote quality of life, healthy development, and healthy behaviors across all life stages.
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Early Childhood Healthy People 2020
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High Quality Inclusion: Evidence-based practices that promote __, __, __
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access participation supports
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Kindergarten Readiness is a fluid process that encompasses what 5 dimensions?
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1. Physical well-being and motor development 2. social and emotional development 3. approaches to learning (self-regulation skills) 4. language development 5. cognitive and general knowledge
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__ skills are the readiness skills
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self-regulation
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Occupation Based Assessments that are top down?
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Preschool Activity Card Sort Perceived Efficacy and Goal Setting Pediatric Evaluation of Disability Inventory
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Occupation Based Assessments that are Component based?
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Miller Assessment for Preschoolers-developmental Peabody Developmental Motor Scales Developmental Test of Visual Motor Integration
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what assessment is an occupation based assessment that is top down and component based?
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Miller Function & Participation Scales-GM, FM, VM, home and school participation
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Recommended Practice for Special Needs Video ?
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positive reinforcement systematic use of prompts peer-mediated intervention
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what are EI direct screenings?
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Denver Developmental II Bayley Neurodevelopmental Battelle Developmental Inventory Brigance Scales
