6
Therapists contact: child, teacher, aide, family
Generally derived in learning environment; educationally related
Integrated model
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Inconsistency of performance; preservation-response repetition, the inability to stop when appropriate; mirroring or the inability to transpose right-left visual cues; asymmetry and difficulty in bilateral coordination; inappropriate motor planning
IMMATURE movement patterns
What level is "Well-baby Nursery"?
Level I
Care for > 32 wk gestation and weighing > 1500 g; physiologic immaturity or moderately ill; problems expected to resolve rapidly; not anticipated to need subspecialty services on an urgent basis; care for infants after intensive care; mechanical ventilation for brief duration (<24 hr) or continuous positive airway pressure or both; stabilize born before 32 wks gestation and weighing less than 1500 g until transfer to a higher level of function
Level II: Special care nursery
Nondaily; 1x/week; therapy services extremely limited; family unable to manage care at home (vent/trach); child unlikely to regain more function; equipment dependent; not widely available; not likely to go home or regain function
Long term acute care hospital (LTACH)
Child who has never learned the skill before and are learning it for the first time
Habilitation
Represents the collection of systems (CV, pulmonary, endocrine, integumentary, nervous, and MSK) that interact to move the body or its component part
Movement system
Nondaily; 1-3x/week; episodes of care typically last 6-12 weeks to years; typically has defined need for discipline specific service; return to independence, sports, or community activities; coverage may be limited
Outpatient/clinic based
What level is "Regional NICU"?
Level IV
3-4 hours combined PT, OT, SLP; 5-7 days/week; must have at least two services; art therapy; music therapy; child life specialists; case managers
Inpatient rehab
Therapist is usually the primary service provider to the child; traditional model used to provide PT; direct intervention may be gives when specific therapeutic techniques cannot be safely delegated and when there is emphasis son acquisition of new motor skills; natural environment
Direct model
Abnormal tone patterns; asymmetrical movement patterns; walking on toes; limited movements; excessive use of flexion or extension patterns; persistent reflexes; unable to weight bear
Atypical motor behaviors
What level is "Special care nursery"?
Level II
Provide neonatal resuscitation at every delivery; evaluate and provide postnatal care to stable term newborn infants; stabilize and provide care; 35-37 weeks gestation; physiologically stable; stabilize ill and < 35 week gestation until transfer to a higher level of care
Level I: Well-baby nursery
Intense; daily; 5x/week; child safe to be home evenings and weekends, still requires high level of therapy; must have at least two services; must tolerate 3 hours of therapy/day; they live at home or at Ronald McDonald house; has to be covered by insurance; LOS: 21 days
Day Rehabilitation
Adult after stroke relearning something
Rehabilitation
Birth to 3 years of age with disabilities; federal funding; family-centered services; services in natural environments
Early intervention
Ages 3-21; goal is to optimize the child's access to education; no charge for services but may bill Medicaid; 504 plan; in order to get therapy it has to be proved that the childs disability is impacting their education (EX: not being able to get to class on time)
School based
Located within an institution with capability to provide surgical repair of complex congenital or acquired conditions; maintain full range of pediatric medical subspecialists, and pediatric anesthesiologists at the site; facilitate transport and provide outreach education
Level IV: Regional NICU
Low; nondaily; 1x/week; services extremely limnited; child typically must be "bed bound"; not widely available for peds; limited community resources
Home health care
Emphasizes manipulation of the environment through the use of positive reinforcement of desired behaviors and ignoring unwanted behaviors
Behavioral programming
A. Are provided under public supervision
B. Are provided at no cost except where federal or state law provides for a system of payments by families, including a schedule of sliding fees
C. Designed to meet the developmental needs of an infant or toddler with a disability in any of 1 or more of the following: physical, cognitive, communication, social or emotional, adaptive
IDEA - "Early Intervention Services"
What level is "NICU"?
Level III
Sustained life support; comprehensive care; born < 32 wk gestation; weighing < 1500 g; all gestational ages and birth weights with critical illness; prompt and readily available access to full range of pediatric medical subspecialists, pediatric surgical specialists, pediatric anesthesiologists, and pediatric ophthalmologists; full range of respiratory support; advanced imaging with interpretation on an urgent basis (CT, MRI, Echo)
Level III: NICU