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Pediatric test 1- Occupational therapy
Occupational therapy for infants and children test 1. Saint Louis University.
167
Medical
Graduate
02/16/2013

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Cards

Term
Behavorism creator
Definition
Skinner
Term
Social Cognitive theory creator(s)
Definition
Bandura and Vygotsky
Term
Information processing creator
Definition
Siegler
Term
Dynamic Systems creator(s)
Definition
Bernstein, Thelen, Schmidt
Term
MOHO (PEO model) creator
Definition
Kielhofner
Term
Person-environment-occupation-performance (PEO model) creator
Definition
Christiansen and Baum, 2005
Term
Ecology of human performance creator
Definition
Dunn et al 1994 from Bronfenbreener, 1986
Term
PEO creator
Definition
Law et al, 1996
Term
Occupation-based models are (top-down or bottom-up) approaches?
Definition
top-down
Term
Neuromaturational models are (top-down or bottom-up) approaches?
Definition
bottom-up
Term
An interview with the child's parents, teachers, and caregivers to obtain information about the child's developmental and functional strengths and limitations.
Definition
occupational profile
Term
standardized evaluations, structured observation, focused questions to assess many areas of developmental performance and functional behaviors and underlying reasons for limitations
Definition
Assessment of performance
Term
in-depth structured observations, focused standardized evaluations to analyze underlying reasons for limitations, focused standardized evaluations to analyze underlying reasons for limitations in performance and behavior.
Definition
analysis of performance
Term
(evaluation part) Focused observations and interviews with parents and teachers to focus on supports and constraints of the child's performance.
Definition
environment.
Term
evaluating a child within the community setting
Definition
ecological assessment
Term
Includes physical, social, and cultural factors
Definition
evaluate in context
Term
A first step in consultation is _____ the child's disorder.
Definition
demystifying
Term
Model for school inclusion-> therapist is present for 3 hours of the school day everyday.
Definition
block scheduling
Term
Model for school inclusion-> therapist is present for 3 hours of the school day everyday.
Definition
block scheduling
Term
Model for school inclusion- therapist designates one week each month to consultation and collaboration with the teacher
Definition
3- and-1 model
Term
A primary occupation of childhood
Definition
Play
Term
The practical expression of theory that provides therapists with specific methods and guidelines for OT intervention.
Definition
model of practice/frame of reference
Term
In infants 6-12 months, sensorimotor play evolves into ____ play.
Definition
functional play.
Term
For infants from birth to 6 months, what type of play predominates?
Definition
sensorimotor play.
Term
when does an infant begin to use toys according to their functional purpose?
Definition
6-12months
Term
At what age will an infant respond playfully to a mirror?
Definition
6-12mo
Term
At what age does an infant engage in relational and functional play?
Definition
12-18mo
Term
At what age can an infant/toddler engage in peer interactions?
Definition
12-18mo
Term
When can a child perform multiple related actions together?
Definition
18-24 months
Term
At what age can a child engage in group play?
Definition
18-24 mo
Term
At what age is object permanence completely developed?
Definition
18-24mo
Term
At what age does a child begin to express affection and their own personal emotion?
Definition
18-24mo
Term
_____ is the key aspect of the OTPF. In children (Law and King), ____ is all children 19s goal. 1CThe nature and extent of a person 19s involvement in life situations (WHO) 1D
Definition
Participation is the key aspect of the OTPF. In children (Law and King), Participation is all children 19s goal. 1CThe nature and extent of a person 19s involvement in life situations (WHO) 1D
Term
What are the three areas that we look at for child participation factors?
Definition
child, family,environment
Term
Which theory looks at the following:
Motor control and motor learning
Heterachy (more interactionally sideways), attractor state, degrees of freedom.
Definition
The Dynamic Systems theory by Bernstein, Thelen, Schmidt
Term
In what age range is play an important occupation for development?
Definition
From infancy to middle school
Term
What theory is used to explain motor development as the maturation of the CNS in a predictable sequence?
Definition
neuromaturational theory (Gesell and Colleagues and MacGraw)
Term
Order the following in neuromaturational progression...
A) pelvic control for standing and walking
B) motor development
C) Primitive reflex patterns progressing to voluntary, controlled movement. May seem to serve functional needs at this time.
Definition
C, B, A
Term
A main contributor to the idea that development occurs through an interplay between the environment and the child's innate abilities.
Definition
Piaget
Term
Who believed that children learn through social interaction?
Definition
Vygotsky
Term
___ ____ ____ refers to performance or action patterns that emerge from the interaction and cooperation of many systems, both internal and external to the child.
Definition
Dynamic systems theory
Term
The fit between the child and his or her environment
Definition
Affordance
Term
What is the relationship between perception and action?
Definition
They are interdependent and inextricably linked (reciprocal to eachother).
Term
A child develops ____ perception by gaining knowledge and exploring with objects' shape, texture, and mass.
Definition
haptic
Term
True or False. Human development is believed to have relative plasticity.
Definition
True
Term
The first year of life is primarily a period of ____ ____
Definition
sensorimotor exploration
Term
First stage of learning
Definition
exploratory activity
Term
second stage of learning
Definition
perceptual learning
Term
Third stage of learning
Definition
skill achievement (high adaptability is always a characteristic of a well-learned task.)
Term
What are the three stages of learning?
Definition
1. exploratory activity
2. perceptual learning
3. skill achievement
Term
Refers to a child's behavioral style, and is believed to be innate and learned.
Definition
temperament
Term
Refers to a child's internal characteristics that enable him or her to thrive and develop despite high-risk factors in the environment
Definition
resiliency.
Term
Define occupations (for children)
Definition
the patterns of action that emerge through transaction between the child and environment and are the things the child wants to do or is expected to do.
Term
5 factors that contribute to occupational performance
Definition
1. motor and praxis
2. sensory-perceptual
3. emotional regulation
4. cognitive
5. communication and social skills
Term
What is the broadest influence on children's occupations?
Definition
community
Term
another term for exploratory play
Definition
sensorimotor play
Term
An activity performed simply for the enjoyment of the physical sensation it creates
Definition
exploratory/sensorimotor play
Term
What developmental term is focused on attachment and bonding with parents?
Definition
birth-6mo
Term
At what developmental stage can a child begin to sit independently, roll, get into a sitting position, and eventually crawl?
Definition
6-12mo. Crawling on all fours around 10months. Walking with hand held at 12 mo.
Term
What is relational play?
Definition
When an object's purpose is understood
Term
age at which children can engage in symbolic play with real props?
Definition
12-18mo
Term
Important age at which symbolic or imaginary play are central to the child practicing the skills of living.
Definition
2 year old children
Term
At what age can a baby exhibit habituation?
Definition
as a newborn!
Term
By what month can an infant hold their head upright with control for long periods of time?
Definition
4 months
Term
At what month do infants enjoy standing up?
Definition
5-6mo
Term
What three types of play predominate early childhood (2-5yrs)?
Definition
1. pretend or symbolic play
2. constructive play
3. rough-and-tumble or physical play
Term
At what age do children demonstrate walking patterns similar to adult?
Definition
4 years old.
Term
How do we measure participation?
Definition
Self care
Community mobility
High demand leisure (skilled sports and activities)
Low demand leisure (ex. Watching tv)
Social interaction
Domestic
Education
Term
What is the purpose of the activity cardsort (PACS)?
Definition
Pre-school age appropriate activities are shown and the parent or caregiver determines if the child is capable of doing that activity.
Term
what does PAC stand for?
Definition
preferences for activities of children
Term
What does CAPE stand for?
Definition
Children's assessment of participation and enjoyment
Term
What does the APS scale measure?
Definition
The assistance to participate scale measures the level of assistance that a school aged child with a disability requires to participate in play and leisure activities in the home and community, from the primary caregiver's perspective.
Term
what frame of reference does the SCOPE use?
Definition
Keilhofner's MOHO
Term
True or False- the SCOPE is a norm-referenced tool.
Definition
False
Term
SCOPE is primarily meant for group measure (T/F)
Definition
False- can be used for individual or groups
Term
Can you use medical records to fill in a SCOPE?
Definition
Yes (as a supplement)
Term
What does the FAIR rating scale stand for?
Definition
Facilitates, Allows, Inhibits, Restricts
Term
What are two MAIN pieces of information that can be derived from a SCOPE evaluation?
Definition
A client's strengths and weaknesses.
Term
What are the 6 sections of the SCOPE?
Definition
volition
habituation
communication and interaction skills
Process skills
motor skills
environment
Term
What are the domains of the SCOPE?
Definition
Personal factors and environment
Term
What domain covers motor/praxis skills?
Definition
Plan and making decisions/ problem solving
Term
T/F- you must follow a structured interview format in order to successfully administer a SCOPE.
Definition
False, there is no one particular format for administering.
Term
What does SCOPE stand for?
Definition
The short child occupational profile
Term
Brain’s ability to recognize and interpret internal and external sensory information for performance skills.
Definition
perception
Term
Name the commonly recognized senses (5)
Definition
Vision
Audition
Somatosensory (tactile, touch)
Gustation
Olfaction
Term
T/F- SCOPE is used only for initial evaluation?
Definition
False, can be used throughout therapy
Term
The goal of SCOPE is to compare the child with themselves, rather than their same-aged peers (T/F)
Definition
True
Term
The tree dimensions of doing (MOHO) include:
Definition
1) occupational participation (engage in school)
2) occupational performance (tasks at school)
3) occupational skills (actions within a task, grasping and holding a pencil)
Term
how person's perceive their effectiveness
Definition
personal causation
Term
When do we use the SCOPE?
Definition
initially, to evaluate progress, or an outcomes evaluation.
Term
How long does a SCOPE take to administer?
Definition
10-30min
Term
T/F- you can use informal observations in open settings to administer the SCOPE.
Definition
True
Term
What is the rating scale for SCOPE?
Definition
FAIR F-acilitates A-llows I-nhibits R-estricts
Term
Who developed the SCOPE?
Definition
Patricia Bowyer et al
Term
What is the numerical breakdown of the SCOPE rating scale?
Definition
F=4
A=3
I=2
R=1
Term
Which section of the scope?
Exploration
- Expression of Enjoyment
- Showing Preferences and Making Choices
- Response to Challenge
Definition
volition
Term
Which section of the SCOPE?
- Daily Activities
- Response to Transitions
- Routine
- Roles
Definition
habituation
Term
Which section of the SCOPE?
- Understand and Uses Objects
- Orientation to Environment
- Plan and Make Decisions
- Problem-Solving
Definition
Process skills
Term
Which section of SCOPE?
- Posture and Mobility
- Coordination
Strength
Energy and Endurance
Definition
motor skills
Term
Which section of SCOPE?
- Physical Space
- Physical Resources
- Social Groups
- Occupational Demands
- Family Routine
Definition
environment
Term
“Product of the dynamic relationship among persons, their occupations and roles and the environments in which they live.” Law, Cooper et al. 1996
Definition
Occupational Performance
Term
Who is the client in pediatric practice?
Definition
Child (first), parents, caregivers, social supports (friends, coaches, teachers, etc.)
Term
When does a child begin to demonstrate autonomy?
Definition
2-4 years, autonomy dominates the psychosocial development.
Term
3 components of the family system:
Definition
1)structure
2)developmental stages
3) adaptation to change
Term
enmeshment----disengagement
Definition
cohesion continuum for families
Term
rigid--------chaotic
Definition
adaptability continuum
Term
CLAS stands for?
Definition
culturally linguistically appropriate services
Term
Family centered care (FCC) is more “doing to,” rather than "doing"
Definition
FALSE... FCC the family should be doing.
Term
Define Scaffolding
Definition
modification of an activity to meet the child where they are at
Term
define endfold
Definition
multitasking
Term
define unfold
Definition
individual tasks
Term
Degrace suggests that we move from thinking only about the “doing” of the child and focus on the “____” of the family.
Definition
being
Term
refers to integrated patterns of human behavior that include racial, ethnic, religious, or social groups. “Competence “ implies having the capacity to function effectively as an individual and an organization within the context of the cultural beliefs, behaviors , and needs presented by consumers and their communities. (U.S. Department of HHS, 2000)
Definition
culture
Term
What are some examples of self-stemming behaviors?
Definition
spinning, repetitive hand motions, constant touch to an object, tapping or clicking, humming, watching lights/fans.
Term
What percentage of children with disabilities live in poverty?
Definition
28%
Term
Mothers who are abused domestically are likely to have children with ___ ___ ___ even if they aren't a direct target of abuse.
Definition
Developmental Trauma disorder.
Term
In a medical team, when individuals make their own individual plan, the team is considered _____.
Definition
multidisciplinary
Term
In a ______ team, OT/PT and other involved medical personnel come together to make a intervention plan together.
Definition
interdisciplinary team.
Term
In a ____ team approach, a leader is designated.
Definition
transdisciplinary
Term
Early intervention is moving towards what kind of model?
Definition
a coaching model
Term
3 major OT themes
Definition
1. occupation is essential to health
2. occupations change to meet demands
3. occupation can be used therapeutically.
Term
Factors impacting occupation
Definition
person factors and environmental
Term
Efforts aimed at fixing the problem by improving some aspect of the individual
Definition
remediation
Term
Efforts aimed at working around a problem by using other components of the individual or environment to improve occupation
Definition
compensation
Term
Initiatives taken by a therapist on behalf of the client to pursue a change in the environment that will enhance occupation
Definition
advocacy
Term
The 6 OTPF domains
Definition
1. Client Factors
2. performance skills
3. performance patterns
4. activity demands
5. areas of occupation
6. context and environment.
Term
Describe the evaluation process steps
Definition
Referral
Occupational Profile
Evaluation
Analyze occupational performance
Recommendations
Document results & recommendations
Term
Describes client’s occupational history, patterns of living, interests, values, and needs

Identify client’s priorities. What are client’s needs, wants and concerns re: engaging in occupations

Frame client concerns and issues within the domain of occupational therapy
Definition
The occupational profile
Term
PEGS stands for?
Definition
Perceived Efficacy and Goal Setting for Children with Disability
Term
PEGS cards are used by the child or parent?
Definition
The child to determine their own personal goals.
Term
Purpose: developmental assessment that determines how neuromotor and musculoskeletal components affect engagement in home and school activities and participation in child’s world

Age range: 2yrs 6mos to 7yrs 11mos

Time 40-60 min and 5 min observations of home, school and test behaviors
Definition
Miller Function and Participation Scales, 2006
Term
Purposes of standardized tests
Definition
Assist in determination of a medical or educational diagnosis

Document a child’s developmental and functional status

Aid the planning of an intervention program

Measure variables in research studies
Term
Which has a normal distribution of scores? Norm-referenced or criterion based standardized assessments?
Definition
Norm-referenced
Term
Abilities
Actions
Tasks
Occupations
Definition
Occupation Defined by Christiansen & Baum (2005
Term
Form
Function
Meaning
Definition
Occupation defined by Clark and scholars
Term
how to calculate a z-score
Definition
(score-mean)/SD
Term
how to calculate a t-score
Definition
10x(z-score)+50
Term
What characterizes a type 1 assessment and give 2 examples given from class
Definition
Type 1 assessments are global assessments given to both typically developing children and disabled children.

Denver
Ages and Stages
Bayley's Scales for infant development (BSID)
Term
What characterizes a type 2 assessment and give 3 examples of this.
Definition
A type 2 assessment is given to a child who is already determined to be "at risk" or has a diagnosis.

short Brunicks
short sensory profile
Miller assessment for preschoolers
Term
What are the two divisions of the IDEA and what age groups fall under each?
Definition
IDEA part B= 3-21yo, OT must be seen with PT or speech

IDEA part C= 0-2yo
Term
What is a percentile score and how do you calculate it?
Definition
A percentile score is the number of scores that are at or below a particular raw score. You calculate it = (number below score+ .5x number at the score)/total number X 100
Term
Calculate the percentile scores for 22, 25, 69, 99.
Definition
PR low= 12.5

PR high= 87.5
Term
How do you calculate variance?
Definition
(individual scores-mean)^2

add all individuals of this together and divide by the number of scores. The square root of variance is equal to standard deviations.
Term
Calculate variance and standard deviation for this data set:
1, 2, 3, 3, 4, 5,
Definition
both variance and SD=1
Term
How do you calculate SEM to determine a confidence interval?
Definition
SEM= SD sqrt(1-r)
r will be given as reliability constant for the individual test

Take +/- SEM from the score to form your confidence interval.
Term
APS stands for?
Definition
Assistance to Participate Scale (APS) Bourke-Taylor, Law and Howie, 2010
Term
What age is PACS used for?
Definition
preschool ages 3-6
Term
What ages are PAC and CAPE used for?
Definition
6-21
Term
What is Life-H used for and is it norm-based or criterion based?
Definition
Assessment of Life Habits (LIFE-H) for Children is used to assess a 5-13 year old's level of satisfaction, accomplishments, and needed assistance in habits.
Term
Are the CAPE and PAC criterion or norm based?
Definition
criterion based
Term
sensory integration (Ayres) is top down or bottom up?
Definition
bottom up
Term
Developmental models are top down or bottom up?
Definition
bottom up
Term
motor learning is top down or bottom up?
Definition
top down
Term
psychosocial models are top down or bottom up?
Definition
top down
Term
What five things are addressed in OTPF domain?
Definition
client factors
performance skills
performance patterns
environment and context
activity demands
Term
What systems develop first, second, and third in the womb?
Definition
1. tactile (6week ga)
2. vestibular (9th week ga)
3. auditory
Term
ability to identify common objects is known as...
Definition
stereogenesis
Term
ability to identify symbols drawn on the back of your hand or back is known as
Definition
graphesthia
Term
Tactile defensiveness- PNS or CNS process?
Definition
CNS process: contributes to poor self-regulation. won’t eat certain texture foods, tags on clothes, types of clothes (waistband, sweaters, etc.), hair cutting. CNS responses are more emotional responses.
Term
loss of sensation? CNS or PNS
Definition
PNS. PNS process: contributes to decrease function and skin breakdown
Term
Modulating or Discriminative Awareness of
Position
Posture
Direction
Force
Speed
Range of movement
Weight discrimination
Definition
proprioception
Term
Regulates equilibrium and balance
Influences muscle tone
Strongly connected to eye musculature affecting vestibular ocular reflexes
Definition
vestibular
Term
What theory?
Newborn interacts with environment through five behavioral subsystems
Physiologic/Autonomic
Motor
State
Attentional
Self-regulation
Definition
Synactive Theory of Development by Heideleise Als
Term
According to Synactive theory, when will a child "come-out" and interact?
Definition
at 32 weeks.
Term
According to Synactive theory, when will a child show good social interaction (what is this called)?
Definition
reciprocity after 36 weeks.
Term
1 to 42 months
Cognitive
Motor
Norm referenced
type 1
Definition
Bayley Scales of Infant Development-II
Term
What does the author Schon call for?
Definition
a reflective practitioner
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