Pediatric Therapy Setting Options

Question 1

Describe the school setting

Answer 1

• Working with children 2-21 y/o
• Focus on accessing their educational environment

Question 2

Describe outpatient clinics

Answer 2

• Developmental
• Orthopedic
• Coordination
• Intensive therapy

Question 3

Describe early intervention

Answer 3

• Birth to 3 y/o or transition to school
• In natural environments
• Coaching model

Question 4

Describe children’s hospitals

Answer 4

• Highly specialized inpatient care for children with complex & rare conditions
• Interdisciplinary team approach
• PTA needs to be familiar with: lab values, diagnostic imaging, lines, tubes, and drains

Question 5

Pediatric PTA interventions

Answer 5

• Positioning
• Mobility
• Caregiver education
• Discharge planning: equipment, services, IPR

Question 6

Describe the NICU

Answer 6

• For high risk infants: medical and developmental

Question 7

Describe the NIDCAP model

Answer 7

• Newborn individualized developmental care & assessment program
• Team approach to complex care
• Interdisciplinary team
• Family centered care

Question 8

What are some stressors for infants in the NICU

Answer 8

• Noise
• Light
• Some touch

Question 9

Typical HR and RR for infants

Answer 9

• HR: 80-200
• RR: 25-100

Question 10

Criteria for NICU discharge

Answer 10

• Baby eating & breathing on own with more sensory organization
• Home at 34-35 wks if doing well & no red flags
• Teach parents about early intervention, concerns
• Watch parents with post traumatic stress

Question 11

Criteria for NICU follow-up

Answer 11

• Preemie less than 28 wks gestational age or less than 1500 grams
• Grade III or IV, IVH
• PVL
• HIE (even if term)
• Hydrocephaly
• Neuromotor concerns documented by PT/OT