OT 511 Final Test With
Complete Solution
settings OTs work in hospitals - ANSWER acute: general peds floor, PICU
inpatient rehab
general peds floor - ANSWER - relatively stable
- nurses responsible for many patients
- vitals monitored intermittently
- less medical equipment
PICU - ANSWER - complex, usntable
- nurses have 1-2 pts
- continuous vitals monitoring
- lots of equipment
- therapy down bedside
common dx in PICU - ANSWER orthopedic surgery/injury
trauma
respiratory issues
cancer
neurological conditions
infections
sickle cell
failure to thrive
dev delay
hospital team members - ANSWER - attending physician
- fellow
,- residents
- nurses
- pt care techs
- respiratory therapists
- PT
- SLP
- child life
- social work
sources of stress on child during hospital stay - ANSWER - separated from family/home
- unfamiliarity with hospital
- inc dependency
- freq changing caregivers
- painful procedures
- realization of potential disability
- difficulty understanding what is happening
factors that impact on child of hospital stay - ANSWER depends on age, length of stay,
freq of hospitalization, reasons for hospitalization
impact on child of hospital stay - ANSWER - missed school
- cause dev delay
- social isolation
- PTSD
- sadness/depression
- sick role
family impact of hospital stay - ANSWER - high stress levels
- full range of emotion
- disrupted routine
- financial stress
,- role changes
principles of family centered care - ANSWER -dignity and respect
- info sharing
- involvement
- collaboration
- make family part of care team
examples of family centered care - ANSWER - inviting family to participate in rounds
- respecting decisions
- 24/7 visiting hours
- giving choices when you can
common assessments used in hostipal care - ANSWER - COSA
- SCOPE
- TIMP
- Bayley scales
- MOCA
- Cancellation test
- MMT/ROM
- sensation
-ADL eval
- feeding eval
informal evaluation in hospital - ANSWER - parent/child interview
- clinical observations
- pain
Cancellation test - ANSWER visual screening
MOCA - ANSWER cognitive screening for older child
steps in eval in hospital - ANSWER - screen for referrals
- receive order
, - review medical chart (PMH, written precautions, labs, why they are in hospital)
- speak with RN
- be clear on what they can and can't do
feeding evaluation - ANSWER - feeding history
- self-feeding skills
- comfort with food
- oral motor skills
- coordination
- aspiration or aversion
things to consider when deciding freq of rehab - ANSWER - potential to
benefit/participate
- potential for rapid progress/decline
- critical period for skill acquisition
- level of support
when to have intensive freq of rehab - ANSWER - acute neuro issues
- ortho surgeries
- immobilization
- multiples issues
when to have less frequent rehab - ANSWER - general dev
- near baseline
- low tolerance
create and promote interventions in hospital - ANSWER - new dev skills: play, bottom up
- routine/normalcy in hospital
maintain interventions in hospital - ANSWER - overall level of function: participate in
ADLs
- ROM: stretching, manual therapy
- overall development: play, school
- skin integrity
Complete Solution
settings OTs work in hospitals - ANSWER acute: general peds floor, PICU
inpatient rehab
general peds floor - ANSWER - relatively stable
- nurses responsible for many patients
- vitals monitored intermittently
- less medical equipment
PICU - ANSWER - complex, usntable
- nurses have 1-2 pts
- continuous vitals monitoring
- lots of equipment
- therapy down bedside
common dx in PICU - ANSWER orthopedic surgery/injury
trauma
respiratory issues
cancer
neurological conditions
infections
sickle cell
failure to thrive
dev delay
hospital team members - ANSWER - attending physician
- fellow
,- residents
- nurses
- pt care techs
- respiratory therapists
- PT
- SLP
- child life
- social work
sources of stress on child during hospital stay - ANSWER - separated from family/home
- unfamiliarity with hospital
- inc dependency
- freq changing caregivers
- painful procedures
- realization of potential disability
- difficulty understanding what is happening
factors that impact on child of hospital stay - ANSWER depends on age, length of stay,
freq of hospitalization, reasons for hospitalization
impact on child of hospital stay - ANSWER - missed school
- cause dev delay
- social isolation
- PTSD
- sadness/depression
- sick role
family impact of hospital stay - ANSWER - high stress levels
- full range of emotion
- disrupted routine
- financial stress
,- role changes
principles of family centered care - ANSWER -dignity and respect
- info sharing
- involvement
- collaboration
- make family part of care team
examples of family centered care - ANSWER - inviting family to participate in rounds
- respecting decisions
- 24/7 visiting hours
- giving choices when you can
common assessments used in hostipal care - ANSWER - COSA
- SCOPE
- TIMP
- Bayley scales
- MOCA
- Cancellation test
- MMT/ROM
- sensation
-ADL eval
- feeding eval
informal evaluation in hospital - ANSWER - parent/child interview
- clinical observations
- pain
Cancellation test - ANSWER visual screening
MOCA - ANSWER cognitive screening for older child
steps in eval in hospital - ANSWER - screen for referrals
- receive order
, - review medical chart (PMH, written precautions, labs, why they are in hospital)
- speak with RN
- be clear on what they can and can't do
feeding evaluation - ANSWER - feeding history
- self-feeding skills
- comfort with food
- oral motor skills
- coordination
- aspiration or aversion
things to consider when deciding freq of rehab - ANSWER - potential to
benefit/participate
- potential for rapid progress/decline
- critical period for skill acquisition
- level of support
when to have intensive freq of rehab - ANSWER - acute neuro issues
- ortho surgeries
- immobilization
- multiples issues
when to have less frequent rehab - ANSWER - general dev
- near baseline
- low tolerance
create and promote interventions in hospital - ANSWER - new dev skills: play, bottom up
- routine/normalcy in hospital
maintain interventions in hospital - ANSWER - overall level of function: participate in
ADLs
- ROM: stretching, manual therapy
- overall development: play, school
- skin integrity
