Pediatric Systems
What are the medical systems for pediatric practice?
1. Primary: routine medical care
2. Secondary: provided when child becomes ill
3. Tertiary: child needs to be hospitilized
What are the 3 functional pencil grasps?
1. Dynamic Tripod
2. Dynamic quadruped
3. Lateral tripod grasp
What is sensory registration?
process by which a child responds or attends to sensory input
What is the purpose of assistive technology?
helps address health conditions for needs and limitations or restrictions. Also increases the possibility for an individual to engage in functional activities.
What is Medicaid?
Medicaid is an assistance program that is state and federal funded. Medicaid helps out low income families or individuals.
What is the age group for early intervention?
birth - 3 years old
At what age does a child start to learn to copy circles and cross?
36 months
What is the purpose of a sensory "diet"?
helps temporarily support a Childs ability to. achieve arousal needed to participate in an occupation.
What is the difference between high tech devices and low tech?
High tech: more difficult to obtain, more costly, requires greater skills
Low tech: easier to obtain, easy to use, low cost, has a variety of different properties
What are the 3 most common payer sources?
1. Medicaid
2. School
3. Private Insurance
What is an IEP?
Individualized Educational Program: outlines educational goals for child receiving special education services
What is the difference between laterality and directionality?
Laterality is the awareness of two different sides of the body.
Directionality is understanding left, right, up, down, front, and back directions from the body out into space
What are the contextual elements of Ayres SI?
1. just right challenge
2. context of play
3. therapist-child collaboration
4. therapeutic alliance
5. ensure success
Name 5 positioning devices
supine stander, prone stander, wedge chair, corner chair, bolster chair, special tomato, rifton chair, cube chair, therapy ball, T-stool, sit-a-round chair, backpack chair, rocking chair, or hokki stool
What are the CPT Codes?
Therapeutic exercise - 97110
Neuromuscular - 97112
Cognitive Therapeutic intervention - 97127
Therapeutic Activities - 97530
Self-Care - 97535
Community Training - 97537
What are the 3 P's for an IEP meeting?
preparation
professionalism
performance
What are the main OT roles for handwriting?
1. Fluency: efficient and timely
2. Legibility: good letter placement, sizing, spacing, and formatting
3. Writing: communicates with friends/family, participates in learning activities.
Name intervention strategies to help a child with visual avoidance.
provide child with sunglasses, less visual stimulation, making room less bright
Name some assistive devices that could help a child with handwriting in school
pencil grip, slant board, raised paper, highlighted paper, graph organizer, handwriting without tears, and wet-dry-try
How many units can you bill for a 25 min session?
2 units
Name and describe the 3 types of service delivery models
1. Direct service: working with a child individually or in a group; focus on improving information processing, motor and social skills, and developing compensatory skills
2. Monitoring Service: creating a program for a child that another individual implements; indirect service
3. Consultation service: giving advice, suggestions, problem solving ideas; providing consultation to parent, teacher, or caregiver
What is the proper positioning for handwriting?
hip, knees, and elbows are at 90 degrees
feet flat on solid surface
chair with arm support
provide adaptive positioning tools to help support child's postal control and strength
What are some intervention strategies that deal with proprioception?
provide opportunities for child to perform heavy work such as pushing, pulling, moving against a resistance.
What writing adapted devices could you use for a child who has difficulty with proprioception
Squiggle pen: provides extra proprioceptive input while writing
Weight write: helps increase wrist stability, helps with tremors and increases the control of the distal fingers
What CPT code would you use if you have a client reaching up into a bookcase to put books back onto the shelve?
Therapeutic Exercise - 97110