Term
NICU stands for what?
what are some symptoms of a neonate?
who is the team leader in this setting? |
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Definition
-Neonatal Intensive Care Unit
-Cyanosis: turning blue from lack of oxygen
Bradycardia: less than 100 heartbeats/minute
Low birth weight: less than 2500 g
Very low birth weight: less than 1500 g
Extremely low birth weight: less than 750 g
-neonatologist |
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Term
how long does OT have to do an eval in a NICU?
do OTA's work in this setting? |
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Definition
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Term
what does PICU stand for?
what ages do they work with? |
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Definition
-pediatric intensive care unit
-birth to 21 |
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Term
| what do OT's work to address in PICU setting? |
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Definition
| self-care, transfers, postural control, ROM, Orthotics, contractures, sensory stimulation, ADLs, IADLs |
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Term
what kind of children are seen at a Medical/Surgical/General Care Units?
what kind of diagnosis?
what does an OT document in this setting? |
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Definition
-children who require 24 hour care
-trauma, drowning, falls, sports related injury, flu, cardiac conditions
-OT documents medical status and progress during rounds of other professions |
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Term
hematology/oncology unit
what does OT evaluate in this setting?
what does OT focus on in terms of interventions? |
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Definition
-OTs evaluate client factors such as strength, range of motion, endurance, and visual perception.
-OT focuses on interventions directed toward ADLs, IADLs, sleep and rest, play and leisure, and education |
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Term
what kind of patients are seen in the Subacute Setting?
what kinds of medical things are monitored in this setting? |
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Definition
-pt.s more medically stable but not ready to go home for medical or family reasons
-continue to monitor and treat acute symptoms
-Wean off external medical supports.
-Provide developmentally appropriate interventions.
-Pediatrician as the medical team leader |
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Term
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Definition
Specialty services found in a children’s hospital or rehab hospital
Programs directed by PT, OT, SLP 5-6 times a week for 3 hours per day
Work on rehabilitation for children who have sustained a serious injury or illness.
Maximize independence in meaningful activities |
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Term
| what is role of OT in medical setting? |
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Definition
Knowledge of equipment
Understanding of standards of care based on setting
Understanding of medical status and signs of problemsPromote active engagement in developmentally appropriate occupations.
Play
Activities of daily living
School
Self-care
Socialization |
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Term
| Role of COTA in Continuum of Care? |
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Definition
No role in the NICU
Active role in the PICU with adequate training and supervision; must have knowledge of equipment, standards of care (e.g., sign-out practices, medical supervision), and medical status signs
Acute role in subacute, home, and long-term care, but must be aware of signs of physiologic stress and trained to respond |
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Term
Medical-based services are provided along a continuum of care that requires different skills from the OT practitioner.
Team approaches are provided.
Multidisciplinary
Transdisciplinary
Interdisciplinary
Documentation is essential for legal, reimbursement, communication, and continuity of care. |
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Definition
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Term
| what about documentation in the medical setting? |
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Definition
Initial screening or evaluation
Establishes baseline information
Medical record
Legal document
Format and frequency
Setting dependent or determined
Guidelines
Concise, clear, accurate, complete
Chronologically ordered |
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Term
levels of service: direct service
how many min. per week for pre-k, k-12? |
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Definition
| 15 min. week for pre-k, 45 min. week for k-12. 30 min is most common |
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Term
levels of service: monitoring service
what is this?
who does OT consult with ? |
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Definition
-Monitoring a child’s progress in a program established by the OT practitioner.
-Most often OT works with family, teacher, or other staff member implements plan |
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Term
| what is OTA role in eduction system? |
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Definition
COTA is responsible for providing services within his or her level of competence.
Can’t interpret findings or change service/goals, but can suggest changes or re-evaluation |
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Term
| what is therapeutic use of self? |
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Definition
Planned use of personality, insights, perceptions, and judgments
Conscious use of self so the practitioner becomes an effective tool in the therapy process
Requires thorough understanding of self
Requires understanding of client’s values and cultural needs |
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