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Industrial Engineering
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Feb 20, 2024
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Uploaded by Yadi102398
OTA 2370 Pediatric Practice II: Module 5: Pediatric Interventions and Decision Making –
Case Studies and Questions Introduction:
Pediatric occupational therapy interventions are crucial for addressing the unique needs of children and adolescents in various environments. Occupational therapists work with young individuals to enhance their participation in daily activities, promote independence, and support overall development. This study guide explores key interventions, strategies, and approaches employed by pediatric occupational therapists to facilitate optimal functioning in school, home, and community settings while also addressing mental health concerns and fostering skill development through group interventions. Case Study 1: School-Based Intervention Case: Sarah is a 7-year-old girl with autism spectrum disorder (ASD) who struggles with attention and participation in her second-grade classroom. She frequently becomes overwhelmed by sensory stimuli and has difficulty staying focused during group activities. Sarah's parents have expressed concern about her academic progress and social interactions at school. Questions
: 1. What interventions can the occupational therapist implement to address Sarah's sensory processing challenges in the classroom? 2. How can the therapist collaborate with Sarah's teacher to create a supportive learning environment? 3. What adaptive equipment or environmental modifications may benefit Sarah's participation in school activities? 4. Describe a task-oriented approach the therapist could use to improve Sarah's fine motor skills necessary for school tasks. Answers
: 1.
The occupational therapist can implement sensory integration therapy to address Sarah's sensory processing challenges. This may include sensory diet activities, sensory breaks, and environmental modifications to reduce sensory overload. 2.
The therapist can collaborate with Sarah's teacher to create a sensory-friendly classroom environment. This may involve providing sensory tools and equipment, establishing sensory-friendly routines, and educating the teacher about strategies to support Sarah's sensory needs. 3.
Adaptive equipment such as fidget tools, weighted lap pads, or noise-canceling headphones may benefit Sarah's participation in school activities. Environmental modifications may include reducing visual clutter, providing a designated quiet space, and minimizing auditory distractions. 4.
The therapist could use a task-oriented approach by incorporating fine motor activities into Sarah's daily routines and academic tasks. For example, practicing handwriting exercises, using manipulatives for math activities, and engaging in arts and crafts projects to improve hand-eye coordination and dexterity.
Case Study 2: Home-Based Intervention Case: James is a 5-year-old boy with cerebral palsy who lives with his family in a small apartment. He has difficulty with self-care activities such as dressing and feeding and requires assistance from his parents. James's parents are seeking support from an occupational therapist to promote his independence at home. Questions
: 1.
How can the occupational therapist assess and modify James's home environment to promote safety and accessibility? 2.
What strategies can the therapist use to teach James self-care skills such as dressing and feeding? 3.
How can the therapist facilitate community integration for James through leisure and social activities? 4.
What transitions between home, school, and community environments should the therapist support James in? Answers
: 1.
The occupational therapist can conduct a home assessment to identify potential hazards and barriers to James's independence. Modifications may include installing grab bars in the bathroom, providing adaptive equipment for bathing and toileting, and rearranging furniture to create more space for mobility. 2.
The therapist can use task analysis to break down self-care activities into manageable steps for James. This may involve providing visual supports, using adaptive equipment such as button hooks or adapted utensils, and practicing skills in a structured and supportive environment. 3.
The therapist can collaborate with James's family to identify leisure and social activities that align with his interests and abilities. This may include joining community recreation programs, attending inclusive events, and participating in peer playgroups. 4.
The therapist should support James in transitioning between home, school, and community environments by providing strategies for managing changes in routine, coping with sensory stimuli, and advocating for his needs in different settings.
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