Goal Writing in Pediatric Physical Therapy

Podcast

Play an AI-generated podcast conversation about this lesson

Questions and Answers

What is the main risk associated with premature birth?

Sensorineural hearing loss

Visual impairments

Learning disabilities

Higher risk for medical complications and developmental disabilities (correct)

What is the most common CNS complication related to premature birth?

Intraventricular hemorrhage (IVH) (correct)

Cerebral palsy

Periventricular leukomalacia (PVL)

Retinopathy of prematurity (ROP)

What is the result of ischemic infarction of white matter adjacent to lateral ventricles?

Periventricular leukomalacia (PVL) (correct)

Cerebral palsy

Retinopathy of prematurity (ROP)

Intraventricular hemorrhage (IVH)

What is the effect of retinopathy of prematurity (ROP) on the retina?

Abnormal development of vascularization Signup and view all the answers

What is the primary difference between Level I and Level II newborn nurseries?

Level of medical interventions Signup and view all the answers

What is the purpose of extracorporeal membrane oxygenation (ECMO)?

To provide long-term oxygenation Signup and view all the answers

What is a potential complication of severe respiratory diseases?

All of the above Signup and view all the answers

What is the level of care provided in a Level III NICU?

Care for the smallest and most ill infants Signup and view all the answers

What does the ICF Model emphasize in Pediatric PT?

Function, impact, and health rather than disability Signup and view all the answers

What is the primary purpose of determining functional limitations during a PT evaluation?

To understand how functional limitations are inhibiting or restricting a person's activity and participation Signup and view all the answers

What are the two categories of factors that influence functioning according to the ICF Model?

Personal and environmental factors Signup and view all the answers

What is the focus of the ICF model in pediatrics?

Minimizing disability and using function as an outcome Signup and view all the answers

How does the ICF model approach goal-setting in pediatrics?

Focusing on the child's strengths and building on those to accomplish new tasks Signup and view all the answers

What does the 'M' in the SMART goal setting framework stand for?

Measurable Signup and view all the answers

What is the purpose of the SMART goal framework in pediatric PT?

To create goals that are significant, self-owned, sensible, and realistic Signup and view all the answers

What is the primary focus of NICU PTs in the interdisciplinary neonatal care team?

Consultation and family education Signup and view all the answers

What is the primary focus of the ICF model in terms of the environment?

The physical world and values and attitudes of family and community Signup and view all the answers

What is the role of the family in the ICF model?

To provide values and attitudes that influence the child's functional outcomes Signup and view all the answers

What is the primary goal of play-based interventions in physical therapy?

To increase practice and repetition Signup and view all the answers

What is the benefit of using the ICF model in pediatric PT?

It increases child and family motivation and improves therapy outcomes Signup and view all the answers

What is the benefit of embracing the learning curve in physical therapy?

It encourages repetition and practice Signup and view all the answers

What is the primary focus of interventions in the ICF model?

Minimizing disability and using function as an outcome Signup and view all the answers

What is the role of the physical therapist in directing play-based interventions?

To take the child's input and interests and make it therapeutic Signup and view all the answers

What is the significance of a low Apgar score in neonatal care?

It indicates a high risk of neurological complications Signup and view all the answers

What is the purpose of assigning an Apgar score at 1 and 5 minutes after birth?

To determine the need for resuscitation Signup and view all the answers

What is the primary benefit of using the SMART goal setting framework in physical therapy?

It helps individuals set specific, achievable, and measurable goals Signup and view all the answers

What is the significance of play in the development of gross motor skills?

It is important for developing gross motor skills, and is a natural part of childhood development Signup and view all the answers

What is the role of the physical therapist in the NICU setting?

To educate the caregiver team and family Signup and view all the answers

What is the goal of the Neonatal Individualized Developmental Care and Assessment Program (NIDCAP)?

To observe infant behavior and provide individualized recommendations for handling and care Signup and view all the answers

What is the recommended sleep position for premature infants in the NICU?

Supine Signup and view all the answers

What is the primary role of a physical therapist in the NICU?

To assess and manage the physical and behavioral responses of neonates to handling Signup and view all the answers

What is the purpose of the Individualized Family Service Plan (IFSP) under Part C of IDEA?

To plan, decide, and implement early intervention services for children and their families Signup and view all the answers

What is the name of the federal law that supports the provision of public education for all children regardless of the nature or severity of their disability?

Individuals with Disabilities Education Act (IDEA) of 2004 Signup and view all the answers

What is the term for the process of planning, decision-making, and implementation of early intervention services for children and their families?

Individualized Family Service Plan (IFSP) Signup and view all the answers

What is the primary goal of physical therapy in early intervention?

To support families in promoting their children's development, learning, and participation in family and community life Signup and view all the answers

What is the term for the ability of an infant to move through various degrees of alertness, indicating CNS maturity?

Behavioral state organization Signup and view all the answers

What is the term for the self-calming behaviors exhibited by infants, such as sucking on a pacifier or maintaining a flexed posture?

Self-calming Signup and view all the answers

What is the term for the evaluation of an infant's ability to maintain flexion in prone, supine, and sidelying positions?

Positioning evaluation Signup and view all the answers

What is the primary goal of Part C of IDEA?

To meet the developmental needs of children and their families Signup and view all the answers

Under what circumstance can a parent's inability to pay or utilize personal insurance prevent the delivery of Part C services?

Never, according to the rules of IDEA Signup and view all the answers

What is the role of the physical therapist in the school-based setting under Part B of IDEA?

To collaborate with the IEP team to support students' educational needs Signup and view all the answers

What is the primary purpose of the Individualized Educational Program (IEP) under Part B of IDEA?

To ensure that a student receives a free appropriate public education Signup and view all the answers

What is the role of the physical therapist in supporting students' transition from one educational setting to another?

To participate in the development of the IEP to support students' transition Signup and view all the answers

When can a student's related services, such as physical therapy, be discontinued under Part B of IDEA?

When the student's skills are incorporated into their school routine Signup and view all the answers

What is the primary difference between physical therapy services in rehabilitation settings versus school-based settings?

The focus of the interventions provided Signup and view all the answers

What is the role of the physical therapist in supporting students' access to education under Part B of IDEA?

To collaborate with the IEP team to support students' access to education Signup and view all the answers

What is the purpose of the Child Find mandate under federal law?

To identify students who are eligible for special education services Signup and view all the answers

What is the primary responsibility of schools under Part B of IDEA?

To ensure that students with disabilities have access to a free appropriate public education Signup and view all the answers

Study Notes

Goal Writing in Pediatric PT

The ICF model emphasizes function, impact, and health rather than disability.
Understanding functional deficits associated with a health condition promotes better patient management.
The ICF model considers factors that facilitate or hinder overall functioning, including environmental and personal factors.
Environmental factors include:
- Setting at home or school
- Motivation of the individual
- Amount of family support
- Accessibility to assistive devices
Personal factors include:
- Age
- Gender
- Lifestyle
- Fitness
- Coping styles
- Cultural beliefs
- Pain experience
Interventions involve identifying impairments, functional limitations, and activity limitations, and creating a plan of care to minimize disability and use function as an outcome.
In pediatrics, the ICF model emphasizes the importance of the child's environment on their functional outcomes.

Goal-Setting in Pediatrics

The ICF model helps with goal-setting, focusing on increasing activity and participation.
Goals are created to build on the child's strengths and accomplish new tasks.
A family-centered approach is used, focusing on the child and family's interests and values.
SMART goals are used, which are:
- Specific
- Measurable
- Achievable
- Relevant
- Time-Bound
- Additional considerations: Ethical, Enjoyable, Engaging, Recorded, Rewarded, Realistic, Relevant, and Research-based

Play-Based Interventions

Play is an important part of development and is considered "work" for children.
Play allows children to participate and take ownership of their learning.
Play can happen with any activity, anywhere, and increases practice and repetition, helping with the learning curve.
Physical therapists can direct play, but the child's engagement with the activity allows them to take ownership and incorporate what they learn at a deeper level.
Physical therapists must be creative and flexible to take the child's input and interests and make it therapeutic.

NICU and the Role of PT

The focus of NICU PT is on consultation and family education.
Neonatal physical therapists play a key role in the interdisciplinary neonatal care team.
PTs are responsible for educating the caregiver team and family on positioning, handling, and therapeutic interventions.
PTs are referred to infants born prematurely or at full term with signs of CNS impairment, neuromuscular or orthopedic problems, and other medical issues.

PT Exam and Eval in the NICU

The PT exam and evaluation in the NICU involve a chart review, including the infant's history and current medical status.
The PT monitors the infant's physiological and behavioral response to handling.
The PT assesses the infant's behavioral state and alertness, including stages of alertness and the ability to move through various degrees of alertness.
The PT evaluates the infant's ability to maintain flexion in prone, supine, and sidelying positions.
The PT assesses the infant's muscle tone and reflexes, including resistance to passive movement and primitive reflex testing.

Early Intervention and the Role of PT

Early intervention physical therapy is provided under the Individuals with Disabilities Education Act (IDEA) Part C.
IDEA Part C is a federal program that supports early intervention for infants and toddlers from birth to 3 years.
The law requires that multiple agencies work together to meet the needs of infants and toddlers and their families.
Eligible children have a developmental delay or a medical diagnosis that has a high probability of a developmental delay.
EI services are provided in natural environments, such as the home, and are tailored to the child's and family's needs.
PTs provide services as part of the child's Individualized Family Service Plan (IFSP) and work with the team to develop outcomes, objectives, and strategies.### Medicaid and Parental Consent
Inability of parents to pay or utilize personal insurance cannot prevent delivery of Part C services
States may decide on additional rules and requirements for funding

Child Find

Public schools must search for, evaluate, and identify kids who need special education
Covers kids from birth to 21 years old
Applies to all kids, including homeschooled, public, private, migrant, and homeless children

EI Summary

Part C of IDEA: optional federal program supporting EI for infants and toddlers (birth to 3 years)
All states currently participate in Part C
Eligible infants and toddlers receive EI services in natural environments
Goal: meet developmental needs of child and family

School-Based Setting and Role of the PT

Implementation of IDEA, Part B: ensures free appropriate public education (FAPE) for children with disabilities
Individual student's needs are determined using student data and evaluation
Parents/guardians are integral participants in the evaluative process and IEP development
Specially designed instruction and related services are individualized and linked to measurable student goals
IDEA requires coordinated services for transition from Part C to Part B and from public school to work, further education, and community engagement

The IEP Team

At least every 3 years, the IEP team reviews and revises the student's IEP

School-Based PT

PT is a related service under Part B of IDEA
Student is eligible if PT is needed to address educational needs and PT expertise is required
PTs work collaboratively with the IEP team, participate in screening, evaluation, and intervention, and design a plan of care
PTs support students in accessing and participating with peers in their educational environments
PTs determine needs for assistive technology, supplementary aids, and accommodations

Transition Services

Transition services include: EI to preschool, preschool to elementary school, elementary school to middle school, middle school to high school, and high school to adult community
After high school education: college, job training programs, and employment

PT Under IDEA B

Under IDEA B, PT is a related service
Intervention in education setting is not provided to remediate medical diagnoses and/or physical impairments
Intervention is provided to help students achieve their learning and participation goals despite existing impairments
Schools are responsible for services needed for students
Discontinuation of related services occurs when skills are incorporated into school routines or when needed supports are in place without services

Pediatric PT in Rehabilitation Settings Versus Schools

PTs play an important role in helping a child and family in rehabilitation settings
PT: a teacher, guide, advocate, and coach who empowers children to maximize their fullest potential

Studying That Suits You

Use AI to generate personalized quizzes and flashcards to suit your learning preferences.

Description

Understand the ICF model's emphasis on function, impact, and health in pediatric physical therapy. Learn how to set goals and evaluate outcomes for better patient management.