Peds, Geriatric and integumentary

Question 1

Pediatric Physical Therapy

Answer 1

kids with developmental dysfuncion and specific pediatric disorders

birth to 3 years old-early intervention program (EIP)

school settings 3-21 years old individualized education plan (IEP)

focus on family centered care rather than child centered

Question 2

Peds PT delivery models

Answer 2

direct - hands on of kiddos - school home clinic

integrated - inclusion of normal routine and activities into natural enviorment

Indirect - management of kiddo by PT by teaching family

Consultation - PT/PTA in partner with child by educating

Collaborative - service is part of the team’s routine (Phoenix childrens hospital)

Question 3

Ped’s exam and assessment

Answer 3

neurologic and musculoskeletal assessments

neonatal development reflexes : flexor withdrawl, crossed extension reflex, sucking reflex etc…

Question 4

Developmental Milestones for kiddos

Answer 4

gross, fine social language cognitive development and adaptive skills

Question 5

Ped Interventions

Answer 5

• sensory stimulation to influence motor response, neuro developmental theory
• orthopedic ped activities like kicking, swimming
• functional activities like reaching for toys
• standing positioning like standing frame, prone, stander, parapodium
• mobilitiy devices like rollator, posterior walker

Question 6

Cerebral Palsy

Answer 6

Group of disorders that cause lesions or abnormalities in the brain during development, birth, or right after birth

-spastic, hypotonic, athetotic

Question 7

CP (cerebral palsy) interventions

Answer 7

Positioning, equipment for interaction with environment, techniques to support limbs and joints if hypotonic/ decrease tone or relax if spastic or athetotic

Question 8

Geriatric problems

Answer 8

decreased elasticity, loss of bone mass, stiffer catilate, etc

fractures also correlated with mortality

Question 9

Integumentary Assessment

Answer 9

-Skin assessment can give clues about other pathologies (dry skin to diabetes or thyroid dysfuntion, cyanosis to respiratory or cardiac disorder, edema to circulatory cardiac or renal disorder

Wound characteristics such as location size, depth and drainage, skin changes, tissue color and temperature, involoved extremity’s tissue, girth, and sensation

Question 10

Burn Assessment
3 zones

Answer 10

zone of coagulation - most effected and will not recover, skin can regenerate but fucked up

zone of stasis-can die off or come back

zone o f hyperemia - stunned and will recover

Question 11

Burn Assessment

severity of tissue damage

Answer 11

1st degree superficial

2nd degree superficial partial thickness - below epidermis

2nd degree deep partial thickness - even deeper

3rd degree full thickness - burned through epi and dermis

4th degree subdermal - tissue below skin effected

Question 12

Rule of nines

Answer 12

Question 13

Integumentary interventions

Answer 13

Patient education

ther-ex

funtional training for ADLs for skin and joint protection (avoid shearing forces)

Modalities

Wound cleaning

Vitals, Positioning

Safety precautions and Infection Control

Question 14

PT for Burns

Answer 14

Hydrotherapy, Debridement, positioning in a lengthened position (axilla), ROM, Elastic pressure/compression garments, Edema Control, Strengthening exercise, breathing exercises, functional training

Question 15

Autograft

Answer 15

Transferred from patients own body (bum, thigh)

Question 16

Allograft

Answer 16

transplanted from another person

Question 17

Xenograft

Answer 17

transplanted from a different species

Question 18

Cultured Graft

Answer 18

Cultured/grown from patients own skin

Question 19

biosynthetic dressing

Answer 19

Skin substitutes used temporarily

Question 20

Down Syndrome

Answer 20

Chromosomal abnormality of having 3 copies of chromosome 21 - instead of a pair

mild to moderate mental retardation, motor devel delay, hypermobile joints, hypotonia

Question 21

Down syndrome interventions

Answer 21

Help motor devel, increase muscle tone, stability in joints, expecially in C1 and C2

Question 22

Duchenne Muscular Dystrophy (MD)

Answer 22

Congenital, degenerative disease of muscle tissue in which the muscles break down

X-linked autosomal dominant genetic - boys inherit disease from mother, who is a carrier

Begins in proximal leg muscles and progresses to cardiac and respiratory muscles

Question 23

MD (Muscular Dystrophy) interventions

Answer 23

Maintenance of ROM, ambulation, cardiopulmonary statue, and functional skills