Pediatric Patient Management Note Taking Guide PDF
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Tufts University
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Summary
This document is a lecture note guide for DPT 0619 focusing on pediatric patient management, specifically cerebral palsy. It covers the multifactorial causes, etiology, risk factors such as prematurity and low birth weight and associated impairments.
Full Transcript
DPT 0619 Management Across the Lifespan: Pediatric Patient W2a Note Taking Guide for Lecture Slide Deck 2.1: Cerebral Palsy multifactorial Group of permanent, non-progressive brain lesion disorders (UMN), impacts development of movement and posture, causes abnormal tone Causes activity limitations a...
DPT 0619 Management Across the Lifespan: Pediatric Patient W2a Note Taking Guide for Lecture Slide Deck 2.1: Cerebral Palsy multifactorial Group of permanent, non-progressive brain lesion disorders (UMN), impacts development of movement and posture, causes abnormal tone Causes activity limitations attributed to non-progressive disturbances in fetal or infant brain Brain lesion is static, but causes disturbances in o Cognition = 23-44% o Behavior =25% o Impaired communication o Sensory o Epilepsy o Perception o Secondary–musculoskeletal impairments affects: speech, swallowing or cognition Primarily an upper motor neuron or movement disorder Etiology; Exact Cause Often Unknown o Causes are congenital, genetic, inflammatory, infectious, anoxic, traumatic, metabolic o Most lesions occur in 2nd half of gestation, an active period of brain development -can see bc MRI o Multiple risk factors not just one prevalance/incidents o 2 Most Significant risk factors: Prematurity and Low Birth Weight -life expectancy varies= severity, motor, ▪ Preemies born before 28 weeks cognition, visual impairments -most common childhood motor disability ▪ Children born weighing 2.2–3.3 lbs ~2-2.5 per 1000 live births Prematurity is considered born at less than 36 weeks Low Birth Weight is considered: less than 2500 g (less than 5.5 pounds) Most common childhood motor disability etiology; prenatal Impairments significant contribution factors to the origin of CP o Neurological prematurity; less than 36 weeks low birth weight