Blog

Amir was born at 26 weeks gestation with a birth weight of 1…

Amir was born at 26 weeks gestation with a birth weight of 1100 grams.  He sustained a Grade III intraventricular hemorrhage on his 2nd day of life.  His NICU stay was also complicated by bronchopulmonary dysplasia, gastroesophageal reflux, and patent ductus arteriosus.  Amir lives with his mother and father who immigrated from Kenya (Dadaab refugee camp) in 2018, but their country of origin is Somalia.  Amir’s father works at MSP Airport.  Amir’s mother was working at a Somali cultural child-care center, but is on an extended leave of absence.  Amir has two older sisters (ages 13 and 8) and 3 older brothers (ages 11, 6, and 4).  Four of Amir’s older siblings attend Minneapolis Public Schools, with the 4 year-old attending a 1/2 day Head Start class.  Amir was discharged at 2 weeks past his original due date.  It is currently 20 weeks past his original due date.  His mother is able to feed him with a bottle.  He remains on .5L of oxygen.  You are the early intervention physical therapist that is assigned to Amir and his family. 1. What is the significance of Amir’s medical history?  Please briefly address preterm birth, Grade III intraventricular hemorrhage, bronchopulmonary dysplasia, gastroesophageal reflux, and patent ductus arteriosus (2 points each- 10 points total) in 1-2 sentences per diagnosis. 2. Describe your assessment plan for Amir.  Please state how you will assess his development (focus on gross motor, 2-3 sentences) in addition to his neurological, musculoskeletal, integument, and cardiovascular systems (1 sentence each). (10 points total). 3. Do you think that Amir will qualify for Part C, Early Intervention Services?  Why or why not? (4 points) 4. What subjective information do you want to gather from Amir’s family? (6 points- limit yourself to 3 essential pieces of information) 5. Using your knowledge of typical infant development and Amir’s medical history, write one short-term goal that you feel will be realistic for Amir and his family to achieve in 6 months and one long-term goal for Amir and his family to achieve in one year.  Write the treatment that you will try first or instruct the family to perform first to begin to accomplish this goal (10 points).  6. From an attachment and trauma perspective, what would you be interested in observing while you assess Amir and begin working with his family?  Name 2-4 challenges that may impact parent-infant relationships.  What strategies do you see yourself using to support Amir’s family from a trauma and attachment perspective (10 points)?

After the first 30 seconds of life, the neonate is breathing…

After the first 30 seconds of life, the neonate is breathing irregularly, a pulse rate of 70 bpm and has acrocyanosis. The next intervention is:I.       Continue to stimulate onlyII.      Positive pressure ventilation at 100% FIO2III.     Attach a pulse-ox IV.     Provide ventilation with 0.21 FIO2

Phillips is retired from regular work but makes some extra m…

Phillips is retired from regular work but makes some extra money by beachcombing in an area where it is legal to do so. Davidson owns a shop near the same beach that sells nautical themed gifts. Phillips usually visits the beach near sunrise and sunset; Davidson’s shop is normally closed when Phillips walks by the shop on his way to the beach and again on his way home.  One day after finding some large attractive shells, Phillips stays at the beach longer than usual and sees that Davidson’s shop is open while walking home. Phillips goes in and shows Davidson his shells to see if Davidson is interested in buying any of them. Phillips had a 5-inch Black Murex and a 4-inch Conus Litteratus that day. Davidson agreed to buy them for a dollar each. [Since consideration has not yet been studied, students can assume adequate consideration was present for the previous exchange between Phillips and Davidson].  Davidson said, “If you find more shells like these, I would be interested in buying them.” Phillips said he would like to sell Davidson more shells but he usually is not at the store when the store is open. Davidson said in response, “No problem. Leave the shells you want to sell in this box by the front door. I will mail you a check once a month for the shells I buy.” Phillips agrees that this would be great. Normally, he sells the shells in bulk over the internet and it is more work. This would be easier and less expensive.  Each day for the next month, Phillips finds shells at the beach and leaves them in the box at Davidson’s store. Over the course of the month, Phillips leaves 300 shells of various types and sizes in the box. Before he started leaving them in the box, Phillips had been able to sell them over the internet for an average of 50 cents each. Each day, Davidson looked through the box. Davidson notes the shells she wanted to buy, puts them on display in the store, and throws the others away.  At the end of the month, Davidson sent Phillips a check for $1 for each shell purchased. This amounted to $100 for 100 shells. Phillips was upset when the check arrived. Since no shells were returned to Phillips in any way, Phillips had expected $300. Phillips goes to see Davidson who explains that she thought it was understood she would only pay for the shells she wanted to buy. Davidson said she only wanted fancy shells like the Black Murex she bought when they met. Other shells, like the Atlantic Welks, were too plain. Phillips says the shells he left were all like the shells he sold Davidson before and none were simple clams or mussels. Phillips expected to be paid for all of them, and Davidson should have left the unwanted shells in the box with an explanatory note so Phillips could sell them to someone else if she was not going to keep their agreement to buy all the shells. Davidson insists she never said she would buy all the shells and Phillips never asked for the return of unwanted shells.  Discuss. Include in your discussion the question of ambiguities in the parties’ terms.