Amy Simeone Introduction to Occupational Therapy January 2015 Some background about me Graduated with my BS in Healthcare Administration from Quinnipiac University in Connecticut My first job was at Gaylord Hospital a not for profit rehab hospital I started as a secretary in the Indust ID: 659105
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Cerebral Palsy
Pediatric Feeding
Amy
Simeone
Introduction to Occupational Therapy
January 2015Slide2
Some background about me
Graduated with my BS in Healthcare Administration from Quinnipiac University in Connecticut
My first job was at Gaylord Hospital, a not for profit rehab hospital. I started as a secretary in the Industrial Rehab program making $12.02/hr.
Met my future husband at the copy machine at work!
Worked my way up through the system to, Outpatient Department Business Coordinator then moving to I.T. and ending my 7 years at the hospital at a senior level in the Information Systems department. Slide3
About me …
Moved to Florida!
Business Manager for a for-profit outpatient rehab clinic in Naples.
Gave up my career in 2003 to be a stay at home mom
Welcomed to children: Nicholas (now 11) Alexandra (now 9)
During my 9 years at home with my kids dad diagnosed with primary brain tumor. I was his secondary care giver.Slide4
More about me…
After watching the therapy my dad received, I felt the need to have a “hands on” approach with people
Soon after his passing, I was offered position as a Helping Teacher in a Lee County Public Schools in a self contained Functional Skills classroom
LOVE MY JOB! NO $$$....
OTA SCHOOL!!!Slide5
Cerebral Palsy
Cerebral Palsy (CP) is a broad term that is used to describe several neurological disorders that can occur during pregnancy, at birth or shortly after birth.
CP is caused by an injury or insult to a fetus or infant’s brain.
CP is a non-curable life long condition
CP damage does not worsen over timeSlide6
Causes of Cerebral Palsy
Some causes of CP are:
Injury to the brain
Illness
Inflammation of the brain
Abnormal brain development
Severe jaundice
CVAAnoxiaSlide7
What does CP look like?
Clinical presentation of CP varies from person to person.Slide8
Affects of Cerebral Palsy
CP can affect a persons:
Body movements
Muscle control
Muscle coordination
Muscle tone
Reflex
BalancePostureSlide9
Famous People with CPSlide10
Cerebral Palsy facts:
CP is the most common of childhood disabilities.
CP affects two to three of every 1000 children.
How CP affects a child’s motor functioning and intellectual ability is dependent on the severity, nature and location of the brain injury.Slide11
Affects of Cerebral Palsy
CP can affect all or part of the body:
Monoplegia
: affecting one limb (usually arm)
Diplegia
: primarily affecting the lower extremities
Hemiplegia
: affecting the upper and lower extremities on one side of the body
Quadriplegia: affecting bilateral upper and bilateral lower extremities, sometimes including the trunkSlide12
Affects of Cerebral PalsySlide13
Affects of Cerebral Palsy
CP is also classified by the quality of motor movement:
Spastic: high tone characterized by tight rigid muscles
Athetoid
: fluctuating muscle tone and writhing movements
Ataxic: characterized by lack of coordination with intentional movements
Hypotonic: low tone, loose muscles and lax joints
Mixed: a combination of two or more of aboveSlide14
Common O.T. Interventions for Cerebral Palsy
Activities of Daily Living (ADL’s)
Instrumental Activities of Daily Living (IADL’s)
Leisure
Accommodations and Modifications
Support for the development of muscle strength and motor function
Support for the development of motor, communication and interaction skills
Tone management
Assistive technology and adaptive equipment
Family coaching and training
Support for the development of self determination skills
Support for the development of pre-vocational skillsSlide15
Feeding Concerns for Children with CP
Many children with CP have eating and drinking difficulties. These can range from minor difficulties in coordination of oral movements to severe coordination difficulties of the swallowing mechanism, which could cause health concerns and even life threatening conditions
There could sensory issues associated with CP such as oral tactile defensiveness, or the opposite where they may under react to food in their mouth Slide16
Addressing Feeding Concerns in Children with CP
Proper seating and positioning which improves postural control can improve feeding and swallowing
Making sure food is prepared to a proper consistency
Constantly assessing oral motor function and modifying feeding intervention as neededSlide17
RileySlide18
Feeding Preparatory ToolsSlide19
Riley’s Feeding
https://www.youtube.com/watch?v=92PoLJTAbUQSlide20
CP Awareness