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Questions and Answers
What is kinesthetic perception?
What is kinesthetic perception?
interpretation of information regarding the relative position of the body parts to each other, the position of the body in space, and an awareness of the body's movements
What is stereognosis?
What is stereognosis?
ability to recognize objects by feeling their form, size, and weight while the eyes are closed
What is the difference between kinesthesia and proprioception?
What is the difference between kinesthesia and proprioception?
What are the stages of self-care development in middle childhood and preadolescence?
What are the stages of self-care development in middle childhood and preadolescence?
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What are the key characteristics of play development in middle childhood (ages 6-10)?
What are the key characteristics of play development in middle childhood (ages 6-10)?
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What is puberty?
What is puberty?
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What is the epiphysis?
What is the epiphysis?
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What is the peak growth velocity in males and females?
What is the peak growth velocity in males and females?
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How long does the average adolescent growth spurt last?
How long does the average adolescent growth spurt last?
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What is the obesity rate among adolescents in the United States?
What is the obesity rate among adolescents in the United States?
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What is a significant impediment to providing healthcare support for adolescents?
What is a significant impediment to providing healthcare support for adolescents?
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What are Vaillant's Six Adult Life Tasks?
What are Vaillant's Six Adult Life Tasks?
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What are Schaie and Willis' stages of cognitive development?
What are Schaie and Willis' stages of cognitive development?
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Which cognitive abilities peak in early adulthood?
Which cognitive abilities peak in early adulthood?
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What are the two main types of coping mechanisms?
What are the two main types of coping mechanisms?
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What are some of the key role changes that may occur during middle adulthood?
What are some of the key role changes that may occur during middle adulthood?
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What are some career stages that people may experience during middle adulthood?
What are some career stages that people may experience during middle adulthood?
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What is the difference between primary and secondary aging in late adulthood?
What is the difference between primary and secondary aging in late adulthood?
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What is the major difference between primary and secondary aging?
What is the major difference between primary and secondary aging?
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What are some extrinsic contextual factors that older adults face compared to early adulthood?
What are some extrinsic contextual factors that older adults face compared to early adulthood?
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What are some characteristics of high-risk infants?
What are some characteristics of high-risk infants?
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What is Failure to Thrive (FTT)?
What is Failure to Thrive (FTT)?
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What are congenital abnormalities?
What are congenital abnormalities?
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What is the most common birth defect?
What is the most common birth defect?
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What is the most common neural tube defect condition?
What is the most common neural tube defect condition?
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What is the most common syndrome?
What is the most common syndrome?
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What is Down Syndrome?
What is Down Syndrome?
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What is Cerebral Palsy (CP)?
What is Cerebral Palsy (CP)?
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What is a developmental disability?
What is a developmental disability?
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What is autism spectrum disorder (ASD)?
What is autism spectrum disorder (ASD)?
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What is the difference between learning disabilities (LD) and intellectual disabilities (ID)?
What is the difference between learning disabilities (LD) and intellectual disabilities (ID)?
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What are the different levels of intellectual disability (ID) based on IQ?
What are the different levels of intellectual disability (ID) based on IQ?
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What are mental health disorders?
What are mental health disorders?
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What are some common anxiety disorders in preschool years?
What are some common anxiety disorders in preschool years?
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What factors influence adult occupations and the experience of disability?
What factors influence adult occupations and the experience of disability?
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How does the timing of acquiring a disability affect self-concept?
How does the timing of acquiring a disability affect self-concept?
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What is the most common cause of disability in adulthood?
What is the most common cause of disability in adulthood?
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What is the difference between Osteoarthritis (OA) and Rheumatoid arthritis (RA)?
What is the difference between Osteoarthritis (OA) and Rheumatoid arthritis (RA)?
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What is the ADA door width requirement?
What is the ADA door width requirement?
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What are the ADA parking space requirements?
What are the ADA parking space requirements?
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What is the minimum floor space required for a wheelchair user?
What is the minimum floor space required for a wheelchair user?
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What are the three classic periods of prenatal development?
What are the three classic periods of prenatal development?
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What occurs during the germinal stage of prenatal development?
What occurs during the germinal stage of prenatal development?
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What happens during the embryonic stage of prenatal development?
What happens during the embryonic stage of prenatal development?
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What period is most susceptible to teratogens and why?
What period is most susceptible to teratogens and why?
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Developmental problems such as neural tube defects and cleft palate have their etiology in what period?
Developmental problems such as neural tube defects and cleft palate have their etiology in what period?
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What happens during the fetal period?
What happens during the fetal period?
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What is a term infant?
What is a term infant?
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What does the neonatal period refer to?
What does the neonatal period refer to?
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When does gestational age begin?
When does gestational age begin?
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What is a major driving force of infant movement?
What is a major driving force of infant movement?
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What are deep attractor wells?
What are deep attractor wells?
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What is the rooting reflex?
What is the rooting reflex?
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What are the grasp and plantar reflexes?
What are the grasp and plantar reflexes?
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What is the Moro reflex?
What is the Moro reflex?
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What is the Asymmetrical Tonic Neck Reflex (ATNR)?
What is the Asymmetrical Tonic Neck Reflex (ATNR)?
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What is the behavioral state system?
What is the behavioral state system?
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Which behavioral state is ideal for occupational therapy interventions?
Which behavioral state is ideal for occupational therapy interventions?
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What are the types of At-Risk Infants?
What are the types of At-Risk Infants?
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What is the last sensory system to develop?
What is the last sensory system to develop?
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What is the perinatal period?
What is the perinatal period?
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What is wellness?
What is wellness?
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What is prevention?
What is prevention?
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What is health promotion?
What is health promotion?
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What are the social determinants of health?
What are the social determinants of health?
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What are the five broad determinants of health identified by the Healthy People 2030 initiative?
What are the five broad determinants of health identified by the Healthy People 2030 initiative?
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What is the equivalent of an occupational profile for a community?
What is the equivalent of an occupational profile for a community?
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What is the equivalent of a reexamination for a community?
What is the equivalent of a reexamination for a community?
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What is the equivalent of individual outcome improvements in activities and participation for a community?
What is the equivalent of individual outcome improvements in activities and participation for a community?
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What does Section 504 of the Rehabilitation Act of 1973 prohibit?
What does Section 504 of the Rehabilitation Act of 1973 prohibit?
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What does the Americans with Disabilities Act (ADA) prohibit?
What does the Americans with Disabilities Act (ADA) prohibit?
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What does the Fair Housing Act prohibit?
What does the Fair Housing Act prohibit?
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What are the key provisions of the Individuals with Disabilities in Education Act (IDEA)?
What are the key provisions of the Individuals with Disabilities in Education Act (IDEA)?
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What is Medicare?
What is Medicare?
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What does Medicare Part B cover?
What does Medicare Part B cover?
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What is the key difference between Medicare and Medicaid?
What is the key difference between Medicare and Medicaid?
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What are some key provisions of the Patient Protection and Affordable Care Act (ACA) - Obamacare?
What are some key provisions of the Patient Protection and Affordable Care Act (ACA) - Obamacare?
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What is the Basic Health Benefits Program?
What is the Basic Health Benefits Program?
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What are habilitative services?
What are habilitative services?
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What is a Political Action Committee (PAC)?
What is a Political Action Committee (PAC)?
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What are some gross motor milestones for a child between 3 and 3 1/2 years old?
What are some gross motor milestones for a child between 3 and 3 1/2 years old?
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What are some gross motor milestones for a child between 3 1/2 and 4 years old?
What are some gross motor milestones for a child between 3 1/2 and 4 years old?
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What are some fine motor milestones for a child between 3 1/2 and 4 years old?
What are some fine motor milestones for a child between 3 1/2 and 4 years old?
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What are some gross motor milestones for a child ages 4 to 4 1/2?
What are some gross motor milestones for a child ages 4 to 4 1/2?
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What are some gross motor milestones for a child ages 4 1/2 to 5?
What are some gross motor milestones for a child ages 4 1/2 to 5?
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At what age can children typically climb on playground equipment?
At what age can children typically climb on playground equipment?
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When does hand preference typically become established?
When does hand preference typically become established?
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At what age can children typically dress themselves with help?
At what age can children typically dress themselves with help?
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Study Notes
Kinesthetic Perception and Stereognosis
- Kinesthetic perception involves interpreting information about body part positions, body position in space, and body movements.
- Stereognosis is the ability to identify objects by feeling their shape, size, and weight with closed eyes.
Kinesthesia vs. Proprioception
- Kinesthesia: sensing the direction of body movement.
- Proprioception: sensing the position of the body in space.
Self-Care Development in Middle Childhood and Preadolescence
- Middle childhood: children gain more independence but still need reminders and supervision.
- Preadolescence: children become increasingly independent.
Play Development in Middle Childhood (6-10)
- Play activities often become more structured, like sports.
- More gender segregation in play.
- Increased self-direction and self-discovery (e.g., hobbies, crafts).
- More social play.
Puberty
- Puberty involves endocrine system changes.
- Secondary sex characteristics develop.
- Reproductive system matures.
- Adolescence begins, possibly as early as 10 years old in some females.
Epiphysis
- The epiphysis is the end portion of a long bone that initially is separate from the shaft (diaphysis) by cartilage.
- Crucial for growth in height.
Peak Growth Velocity (Male vs. Female)
- Boys: 13.5 years.
- Girls: 11.5 years.
Adolescent Growth Spurt Duration
- Typically lasts 24-36 months.
- Epiphyseal plates are vulnerable during this time.
Adolescent Obesity Rate (U.S.)
- One in five adolescents (ages 12-19) in the U.S. is classified as obese.
Adolescent Health Care Support Impediment
- Peer pressure is a significant impediment.
Vaillant's Six Adult Life Tasks
- A framework of chronological adult life tasks from adolescence to late adulthood.
- Identity (teen)
- Intimacy (young adult)
- Career (middle)
- Generativity (later middle)
- Keeper of meaning (late)
- Peace and unity (very late)
Schaie and Willis' Stage Theory of Cognition
- Cognitive stages, not everyone progresses through all.
- Acquisitive
- Achieving
- Responsible
- Reorganizational (retirement)
- Reintegrative (finding meaning)
- Executive can appear early on.
- Intrinsic ability and opportunity are crucial aspects for executive function.
Early Adulthood Stages/Intelligences/Challenges
- Stages include Achieving and Responsible.
- Fluid intelligence peaks in early adulthood (around 30).
- Crystallized intelligence continues to improve.
- Stress and coping strategies are important.
Adaptive vs. Palliative Coping
- Adaptive coping directly addresses the stressor.
- Palliative coping focuses on self-care to manage stress.
Middle Adulthood
- Roles change (empty nest, sandwich generation, grandparenting).
- Career transitions include consolidation, maintenance, and deceleration stages.
Primary vs. Secondary Aging in Late Adulthood
- Primary aging: gradual deterioration of functions (e.g., wrinkles, bone density loss, muscle mass). Inevitable, irreversible.
- Secondary aging: changes caused by lifestyle, illness, or disease (e.g., arthritis, sedentary lifestyle). Preventable, potentially reversible.
Extrinsic Contextual Factors in Older Adults
- More resources.
- Fewer demands.
- More support.
Intrinsic Contextual Factors in Older Adults
- Vision loss.
- Fear of falling.
- Loss of driving ability.
- Decreased mobility.
High-Risk Infants
- Infants with medical challenges requiring NICU stays.
- Often associated with parental PTSD and depression.
- Comprehensive discharge planning is necessary.
Failure to Thrive (FTT)
- Insufficient weight gain or inappropriate weight loss in infants.
- OTs should assess feeding patterns and assist families.
Congenital Abnormalities
- Structural or functional birth defects.
- Affect about 1 in 33 US babies yearly.
- Account for 20% of infant deaths.
- Examples: congenital heart defects, cleft lip/palate, neural tube defects.
Most Common Birth Defects and Neural Tube Defects
- Congenital heart defects.
- Spina bifida (a neural tube defect).
Most Common Syndrome
- Down syndrome.
Down Syndrome
- Extra copy of chromosome 21 (Trisomy 21).
Cerebral Palsy (CP)
- Chronic, non-progressive conditions affecting movement and coordination, due to prenatal/perinatal brain damage.
- Most common motor disability in childhood.
Developmental Disability
- Lifelong intellectual, physical, and related disorders, prior to age 22.
- Includes limitations in various domains (motor, cognitive, speech, etc.).
- Examples: autism spectrum disorder (ASD), ADHD, learning disabilities.
Autism Spectrum Disorder (ASD)
- Difficulties with social interaction, communication, and restricted/repetitive behaviors.
Learning vs. Intellectual Disabilities
- Learning disabilities: high IQ but struggles with academic skills.
- Intellectual disabilities: limitations in intellectual functioning (low IQ) and adaptive behaviors.
Intellectual Disability (IQ Ranges)
- Borderline: 70-85 IQ.
- Mild ID: 50-70 IQ.
- Moderate ID: 35-49 IQ.
- Severe ID: 20-34 IQ.
- Profound ID: <20 IQ.
- Functional performance must guide goals and interventions.
Mental Health Disorders
- Affect mood, behavior, and functioning.
Common Anxiety Disorders (Preschool)
- Selective mutism and generalized anxiety disorder.
Factors Influencing Adult Occupations and Disability
- Contextual factors: poverty, health policy, technology, social support systems, and disability subcultures.
Timing of Disability Acquisition and Self-Concept
- Disabilities occurring before age 10 may be more easily integrated into self-concept compared to those occurring later in adolescence or young adulthood.
Adult Disability Leading Cause
- Osteoarthritis, followed by Rheumatoid arthritis.
Osteoarthritis (OA) vs. Rheumatoid Arthritis (RA)
- OA: cartilage degeneration, often later in life, usually starts on one side of the body.
- RA: autoimmune disease affecting joints and other organs, inflammation, can begin at any age, often more rapid onset, usually bilateral.
ADA Door Width
- 32 inches (without frame)
- 36 inches (with frame)
ADA Parking Space Requirements
- 12 feet with 48 inches on both sides.
Wheelchair Floor Space Requirements
- 5 feet by 5 feet minimum.
Prenatal Development Periods
- Germinal (conception-2 weeks).
- Embryonic (weeks 3-8).
- Fetal (weeks 9-birth).
Germinal Stage (Prenatal)
- Zygote formation to blastocyst development, then implantation.
Embryonic Stage (Prenatal)
- Organogenesis (formation of organs) occurs.
- Most susceptible to teratogens.
Fetal Stage (Prenatal)
- Growth and maturation of existing organs.
- Development of mental functions (reflexes, memory).
- Development of sensory functions.
Teratogen Susceptibility Period
- Embryonic period (conception to week 8) due to organogenesis (formation of organs).
Neural Tube Defects and Cleft Palate Etiology
- Embryonic period.
Fetal Period Description
- Growth and maturation.
Term Infant Gestational Age
- 37 weeks or more.
- Preterm: less than 37 weeks.
Neonatal Period Description
- First month after birth.
Gestational Age Starting Point
- First day of last menstrual period.
Infant Movement Basis
- Reflexes.
Deep Attractor Wells
- Predictable infant movement patterns, though not obligatory (some infants skip stages).
Rooting Reflex
- Turning head toward touched cheek and searching for nipple.
Grasp and Plantar Reflexes
- Pressure on palm/sole causes toes/fingers to flex.
- Potential interference with motor development if not integrated.
Stepping Reflex
- Coordinated leg lifting resembling walking.
Moro Reflex
- Startle response to sudden sound/movement.
Asymmetrical Tonic Neck Reflex (ATNR)
- Head turn leads to extended arm/leg on face side and flexed arm/leg on scalp side.
Behavioral State System
- Governs infant sleep/wake cycles.
- Deep sleep
- Active/REM sleep
- Transition/wakeful sleep
- Quiet alert
- Active alert
- Crying
Infant State for OT Intervention
- Quiet alert state.
At-Risk Infant Types
- Biological risk: genetic disorders (e.g., Down syndrome).
- Environmental risk: societal factors (e.g., neglect, low socioeconomic status).
Last Sensory System to Develop
- Vision.
Perinatal Period Description
- From about the seventh month of pregnancy to four weeks after birth.
Wellness
- State of good physical, emotional, and mental health.
Prevention
- Management of factors leading to impairment, disease, or disability.
Health Promotion
- Provision of information to positively contribute to health.
Social Determinants of Health
- Conditions affecting health, functioning, and overall quality of life (e.g., where people are born, live, etc).
Healthy People 2030 Initiative Determinants of Health
- Economic stability, educational access, health care quality, neighborhood and built environment, social and community context.
Community Examination Method
- Community needs assessment.
Community Reexamination Method
- Monitoring.
Individual vs. Community Outcomes
- Individual: activities and participation.
- Community: morbidity, mortality, etc.
Rehabilitation Act of 1973, Section 504
- First federal law outlining civil rights of people with disabilities, prohibits discrimination in federally funded programs.
Americans with Disabilities Act (ADA)
- Prohibits discrimination in public life, including employment (reasonable accommodations).
Fair Housing Act
- Prohibits housing discrimination based on various grounds, including disability.
Individuals with Disabilities Education Act (IDEA)
- Guarantees free appropriate public education (FAPE) for students with disabilities.
- Emphasizes least restrictive environments (LRE).
- Mandates individualized education programs (IEP) tailored to each student.
- Covers related services, including OT, PT, speech.
Medicare
- Federal health insurance program for seniors and persons with disabilities.
- Part A: Inpatient care
- Part B: Outpatient care
- Part C: private supplemental insurances.
- Part D: prescription drugs.
Medicare Part B
- Outpatient services.
Medicaid
- Joint federal/state health insurance for low-income individuals.
Medicare vs. Medicaid Comparison
- Medicaid has broader coverage than Medicare.
Patient Protection and Affordable Care Act (ACA) - Obamacare
- Broadened Medicaid eligibility (138% of poverty level).
- Mandated health insurance for larger businesses.
- Removed costs for some preventative screenings.
Basic Health Benefits Program (ACA)
- Requires 10 essential health benefits for people with incomes between 138-200% of poverty level.
- Includes rehabilitative and habilitative services.
Habilitative Services
- Services to help individuals acquire skills for daily living, often used with children. (e.g., Early Intervention).
Political Action Committee (PAC)
- Organization that raises and spends campaign money from voluntary donations. Example: AOTA has one.
Reflex Testing Lab Review (Card 84)
- No specific information provided.
3-3.5 Years Gross/Fine Motor Milestones
- Gross: stands on one foot briefly, balances, walks/stairs, jumps.
- Fine: identifies fingers, self-dresses with help, crayon hold (thumb, index, middle).
3.5-4 Years Gross/Fine Motor Milestones
- Gross: hops forward/backward, broad jumps.
- Fine: small buttons, holds cup/glass, draws simple shapes with 2-4 body parts.
4-4.5 Years Gross/Fine Motor Milestones
- Gross: climbs up/down ladder/slide, one foot balance, hops.
- Fine: screws/unscrews, holds materials, puts on simple clothing.
4.5-5 Years Gross/Fine Motor Milestones
- Gross: swings, runs, walks on tiptoes, gallops/skips.
- Fine: manipulates squeeze bottles, established hand preference, laces shoes.
Hand preference
- Established between 4.5 and 5 years of age.
Dresses with help
- 3-3.5 years.
Broad jumps
- 3.5-4 years.
Table utensils skillfully
- 4-4.5 years
Power Grasps
- Used for large/heavy objects.
Precision Grasps
- Used for smaller objects, precise manipulations; more delicate tasks.
Bimanual Coordination
- 3 years old, both hands cooperate.
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Description
This quiz explores key concepts related to kinesthetic perception, stereognosis, and self-care development during middle childhood and preadolescence. It also covers the impact of puberty on childhood development, play activities, and social interactions. Test your understanding of these important developmental stages!