Frames of Reference
Erikson & Greenspan
School Readiness Skills
Pediatric Health Conditions
Interventions based on health condition
100

Development occurs over time and between skills. Some children experience a gap in their development due to physical, emotional, and/or social trauma. 

The role of OT is to bridge this gap. 

What is Developmental?

100

Differentiates between real and unreal; follows rules; understands relationships among behaviors, feelings, and consequences (is capable of feeling guilty); and interacts in socially appropriate ways with adults and peers. 

What is Greenspan's 

EMOTIONAL THINKING (30-48 MONTHS)

100

•Independence in toileting

•Independence in self-feeding

•Cooperative play behaviors

•Understanding of rules and schedules

•Emerging behavioral and emotional maturity

What is Preschool?

100

Name three Developmental Disorders

AUTISM SPECTRUM DISORDER, RETT SYNDROME, DEVELOPMENTAL COORDINATION DISORDER?

100

List several general treatment strategies for Pediatric Orthopedic-based conditions (Table 13.3) (pg. 224)

  • Promote proper joint alignment
  • PAMS
  • Immobilization with cast/orthosis
  • Education on edema and proper positioning
  • Compensatory strategies and Adaptation to change the way to participate in occupations
  • Emotional/psychosocial considerations
  • Social participation
200

Children relearn skills lost; develop compensatory strategies; and develop adaptive techniques. 

What is Rehabilitation?

200

Is wooed by significant others; responds to facial expressions and vocalizations; ATTACHMENT

What is Greenspan's FALLING IN LOVE (2-7 months)?

200

•Additional pre-academic and academic readiness beyond preschool

•Ability to sit quietly

•Adequate fine motor skills

•Adequate gross motor skills

•Ability to recognize numbers and letters

What is Kindergarten?

200

Sensory Processing Disorder and Burns

What are Sensory-related conditions?

200

List several general treatment strategies for Pediatric Neurologic-based (TBI) conditions (Table 13.6) (pg. 235)

  • Preparatory activities (sensory awareness, muscle tone, etc.)
  • Enabling activities (build up skills needed for occupations such as arm strength, visual attention, and memory)
  • Purposeful activities and occupations (facilitate occupational performance in natural setting or closest resemblance)
300

Volition

Habituation

Performance

Environment

What is MOHO? (Model of Human Occupation)

300

Considers self separate from parents; develops self-control and willpower; and struggles with a conflict between holding on and letting go.

What is Erikson's 

AUTONOMY VS. SHAME AND DOUBT?

300

•Independence in bathroom and cafeteria

•Ability to carry lunch tray and to clean the table

•Can remain seated for extended periods

•Can remain on task

•Expectations of reading, writing, spelling, and math skills depend on grade level

•Ability to participate in games and sports

What is Elementary?

300

Name four Neurological conditions

What is Spina Bifida, Traumatic Brain Injury, Shaken Baby Syndrome, and Erb's Palsy?

300

List several general treatment strategies for Pediatric Developmental-based conditions (Table 13.7) (pg. 237)

  • Behavior management programs
  • Structured environment
  • Total communication approach
  • Sensory Integration-based interventions
  • Practice occupations for carryover
  • Teach and REPEAT
  • Provide education to family and caregivers
  • Promote interests, advocacy skills
  • Address emotional/psychosocial issues
400

Improves strength, endurance, and ROM for occupational performance

What is Biomechanical?

400

THE WORLD IS MY OYSTER (5-7 years) and THE WORLD IS OTHER KIDS (8-10 years)

What is Greenspan's Middle Childhood periods of psychosocial and emotional development?

400

•Build on competencies gained during preceding periods

•Appropriate social skills and manners

•Increased skill in creative thinking, problem solving, and development of ideas

•Expressive writing skills emerge

What is Middle School/Adolescence?

400

Name two Progressive disorders

What is Duchenne Muscular Dystrophy and Rett Syndrome? 

400

List several general treatment strategies for Pediatric Cardiopulmonary-based conditions (Table 13.8) (pg. 246)

  • Breathing exercises
  • Relaxation techniques
  • Energy conservation techniques
  • Balance/pacing activities
  • Balanced nutrition/diet
  • Teaching avoidance of internal and environmental triggers
  • Strengthening and stamina activities
  • Consider emotional/psychosocial issues
500

Children learn motor patterns when they "feel" normal movement patterns. 

What is Neurodevelopmental? 

500

What are the 5 periods called from Erik Erikson's psychosocial and emotional development theory applicable in Pediatrics?

What is: TRUST V. MISTRUST; 

AUTONOMY V. SHAME AND DOUBT; 

INITIATIVE AND IMAGINATION V. GUILT; 

INDUSTRY V. INFERIORITY; AND 

SELF-IDENTITY V. ROLE CONFUSION

500

•Performance abilities necessary to effectively engage in educational and vocational activities

•Stage of preparedness for “what comes next”

•Performance contexts important to consider

What is Educational Readiness Skills?

500

Name conditions that may require behavior modifications as treatment intervention.

What is Prader-Willi Syndrome, Down Syndrome, and/or Autism Spectrum Disorder?

500

List several general treatment strategies for Burns (Table 13.10) (pg. 254)

  • Positioning and orthotics
  • ROM
  • Engagement in Occupations
  • Social Participation
  • Scar tissue management
  • Edema management
  • Self-concept
  • Psychological and emotional issues