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34 Cards in this Set
- Front
- Back
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Is literature the only source of pediatric evidence?
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No, other resources such as clinical outcomes (experiences), other clinicians and patients can be sources
*In case of peds, parents typically know child best! |
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Are RCTs the strongest evidence in peds?
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Yes, however, few are done
Tough to control for a chaotic environment; more case studies |
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With peds, what are you typically looking for when searching case studies for evidence?
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Looking for effectiveness, not as much efficacy with RCTs
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Where do "expert" ped clinicians get their evidence to support their clinical decisions?
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Interventions must be acceptable to children and families and meaningful to their daily lives
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Is the ICF (International Classification of Functioning) a linear model?
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No, impairments, limitations and participation restrictions can have different effects depending on their environmental and personal factors
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What 2 contextual factors can impede or enhance a pt's outcome according to IFC?
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environmental factors
personal factors |
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What category in the ICF model are adults, teens, kids and infants similar?
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impairments
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What activity limitation do most infants portray?
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more proximal environment (interact and feed with the family)
*ADLs are rolling, sitting, etc |
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What is the main participation restriction for a child/teen?
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social/peer to peer interaction
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What do we relate impairments to?
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activity and participation limitations
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Do all impairments affect function?
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No, not every impairment affects activities and/or participation (function)
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Can all impairments be modified by PTs?
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No, good example is tone (temporary fix)
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What do we use to measure activity limitations?
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norm and criterion-referenced eval tools
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What 2 tests do we use to assess activity and participation levels?
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developmental and functional tests
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What 2 scales do we use to asses impairments?
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pain and sensory scales
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What tests do we use to measure participation restrictions?
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QOL questionnaires/functional assessments
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How is participation restrictions measured?
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By child or family report or observation in natural environment
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What is normal term for gestation?
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38-42 wks
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What is normal baby weight?
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2500-4200g = 5lbs 8oz - 9lbs 4oz
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During examination, what questions should we ask?
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1. birth/pregnancy
2. daily life (sleep, eat, awake) 3. who is primary caregiver 4. medical history 5. living environment 6. family history (ex. dad's past hx) 7. developmental hx |
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What are the 6 areas of patient/client management model in peds?
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1. examination
2. evaluation 3.diagnosis 4. prognosis 5. interventions 6. outcomes |
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What are the 3 components of an examination?
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1. history
2. systems review 3. specific tests and measures |
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How does prognosis shift?
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to more episodic intervals of care
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What is limited with evidence within the prognosis category?
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limited to guide frequency/duration decisions
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What are the 3 categories to interventions?
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1. communication/coordination/doc
2. pt education 3. procedural interventions |
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What are 6 factors to consider with intervention planning in peds verses adults?
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1. family centered care
2. developmentally appropriate 3. typical development progresses over time 4. transition and future planning 5. interdisciplinary focus 6. cultural sensitivity |
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What is meant by family centered intervention planning? (3)
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meaningful goals
caregiver education realistic interventions |
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How do we implement developmentally appropriate intervention with peds?
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We play! Use age/developmentally appropriate toys, games, activities, etc
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What could children with non-progressive d/o appear over time?
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appear to "get worse" as they age
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How is documentation usually done for peds?
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in a narrative description of activity rather than an checklist
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How are HEPs usually given to parents or caretakers?
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Give a variety list of games or activities to parents to choose from
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Who does the interdisciplinary focus involve with intervention planning?
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parents and child
(in inpatient rehab, outpt, etc) |
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What institution does not involve interdisciplinary focus of the parents and child?
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Hospitals (docs,nurses and med staff focus on the decision making)
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What is the best way to incorporate activities into a child's treatment?
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Follow their lead to decide what activities to do
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