Occupational Therapy in the NICU, Early Intervention & Early Childhood – Flashcards

Unlock all answers in this set

Unlock answers
question
NICU: __ technology __ morbidity __ mortality
answer
increased increased decreased
question
__: ability to achieve and maintain self organization in each subsystem as needed
answer
self-regulation
question
Autonomic Subsystem Stability: -Smooth regular __ -__ stable color -Stable __- no hiccups, gags, emesis -No tremors, startles, twitches, coughs, sneezes
answer
respiration pink digestion
question
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
answer
autonomic subsystem stress
question
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
answer
motor subsystem stability
question
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)
answer
motor subsystem stress
question
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
answer
attention/interaction subsystem stability
question
what are these signs of? Irregular respiration Color changes Fluctuating tone, frantic diffuse activity Eye floating, staring, worried
answer
attention/interaction subsystem stress
question
what are the 5 state subsystems?
answer
State 1 Deep sleep State 2 Light sleep State 3 Drowsy State 4 Quiet alert State 5 Active awake or Crying
question
what is the best state for treatment?
answer
state 4 - quiet alert
question
should you wake a baby for treatment?
answer
no
question
what should be done for a baby who is being fed by a tube?
answer
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
question
what is most important for proper brain development?
answer
sleep - never wake a baby - try to facilitate sleep as much as possible, especially for newborns
question
look up article on NIDCAP vs Conventional care
answer
NIDCAP - more holistic and client centered
question
when can a child feed/when can you start working on feeding with a child?
answer
34 weeks
question
skin-to-skin contact is called what?
answer
Kangaroo care
question
which parent role? handling dressing, feeding, changing, bathing
answer
provider
question
which parent role? handling, consoling, cuddling, arousing
answer
facilitator/regulator
question
which parent role? controlling temp., light, noise, toys activities
answer
environmental modulator
question
which parent role? interpreting and responding to communication cues
answer
reciprocator/social interactor
question
Early Infant Assessment Redefined assesses what?
answer
1. symmetrical & asymmetrical motor patterns 2. muscle tone 3. antigravity movements
question
__: Intervention undertaken to influence the development and learning of children 0-3 years with or at-risk for developing disabilities in Natural Environments
answer
early intervention
question
early intervention is under what law?
answer
IDEA Part C
question
In Early Intervention: __ = process and plan that identifies outcomes, services and environments.
answer
Individualized Family Service Plan (IFSP)
question
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)
answer
transdisciplinary
question
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)
answer
interdisciplinary
question
which approach? different people are involved but they generally do not talk with each other, they each see the client and write their notes
answer
multidisciplinary
question
children who are clearly diagnosed with a disability are automatically eligible for __
answer
EI
question
Eligibility Criteria for At-Risk Children?
answer
Low birth weight Abuse/neglect Prematurity Infection Nutritional deprivation
question
can language be enhanced through a screen or toy?
answer
NO- has to be done by a caregiver/voice that is familiar to them
question
Children under age __ should not have media/screen at all
answer
2
question
what are the components to OT's EI multidimensional-"three track mind"?
answer
procedural (child's abilities and challenges) interactive (relationships) conditional (context of family, culture, community)
question
Parent report is accurate and predictive and involves parents as active participants (family centered) - what are parent report assessments?
answer
Parent Evaluation of Developmental Status Ages and Stages Questionnaire (Missouri First Steps redesign recommendation) Child Development Inventory
question
what are EI direct screenings?
answer
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
question
__ is essential to developing relationships and lifelong learning.
answer
serve and return
question
what builds resilience in young children?
answer
serve and return - resilience is based on serve and return
question
__: the ability to overcome significant adversity
answer
resilience
question
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)
answer
self regulation resilience
question
Relationship Directed Intervention and Floortime are two __ approaches
answer
Parent-Child Interaction (transactional approach)
question
is EI called First Steps everywhere?
answer
no - every state has EI but it is called something different in every state (called Early Intervention Program in IL)
question
EI Missouri- __ Lead Agency- __ Eligibility-__% or greater Case management-__ Credentials-yes state
answer
First Steps DESE 50 System Point of Entry
question
EI Illinois-__ Lead Agency-__ Eligibility-__% or greater Case management-Child & Family Connections Credentials-OTC
answer
Early Intervention Program Department of Human Services (DHS) 30 more children are eligible in IL than MO
question
purpose of an __ provides a natural yet controlled sensory experiences that allows a child to produce an adaptive response
answer
infant massage
question
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
answer
postural tone respiration circulation defensive social GI vocalizations
question
what are contraindications for infant massage?
answer
acute infections cardiac and circulatory conditions skin disorders orthopedic conditions abdominal conditions inflammatory disease
question
For infant massage: Calming-slow, rhythmical, __ direction of hair growth Facilitory-brisk, rhythmical, __ direction of hair growth
answer
with against
question
__ = 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
answer
Early Childhood Education
question
EI is more of a __ appriach Early Education is more of a __ approach
answer
transdisciplinary interdisciplinary
question
__: Planned participation between children with and without disabilities in the context of children's educational/developmental programs.
answer
Inclusive Early Childhood Education
question
Early Childhood IDEA Part B -Special Education -Eligibility- __ specific educational diagnosis -Related Services-OT -Discipline specific assessment -__
answer
11 IEP
question
__: 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.
answer
Early Childhood Healthy People 2020
question
High Quality Inclusion: Evidence-based practices that promote __, __, __
answer
access participation supports
question
Kindergarten Readiness is a fluid process that encompasses what 5 dimensions?
answer
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
question
__ skills are the readiness skills
answer
self-regulation
question
Occupation Based Assessments that are top down?
answer
Preschool Activity Card Sort Perceived Efficacy and Goal Setting Pediatric Evaluation of Disability Inventory
question
Occupation Based Assessments that are Component based?
answer
Miller Assessment for Preschoolers-developmental Peabody Developmental Motor Scales Developmental Test of Visual Motor Integration
question
what assessment is an occupation based assessment that is top down and component based?
answer
Miller Function & Participation Scales-GM, FM, VM, home and school participation
question
Recommended Practice for Special Needs Video ?
answer
positive reinforcement systematic use of prompts peer-mediated intervention
question
what are EI direct screenings?
answer
Denver Developmental II Bayley Neurodevelopmental Battelle Developmental Inventory Brigance Scales
Get an explanation on any task
Get unstuck with the help of our AI assistant in seconds
New