Prescribed Pediatric Extended Care (PPEC)

(As defined by The Glossary of Human Services Terminology.)

A non-residential, day treatment care option for medically fragile children or technologically dependent children ages newborn to 21. PPECs care for children with complex medical conditions, such as: developmental disabilities, respiratory problems, diabetes, cardiac disease, kidney conditions, severe burns, IV therapy, tracheotomy care, colostomy care, post-transplant care, HIV, and other problems. This care must be prescribed by a licensed physician and administered by or under the direct on-site supervision from a licensed registered nurse.

Physical Therapy

(As defined by The Glossary of Human Services Terminology.)

Involves evaluating, diagnosing, and treating a range of conditions using physical means. Also called physiotherapy, it is used to identify movement problems and maximize movement potential. It involves the evaluation and treatment of components of movement, including: muscle strength, muscle tone, posture, coordination, endurance, and general mobility.

Occupational Therapy

(As defined by The Glossary of Human Services Terminology.)

Helps people regain skills needed to resume as much independence as possible for functional daily living. Evaluations may include upper extremity muscle strength, range of motion, sensation, hand dexterity, balance, reactions, coordination, cognitive skills and visual perception. Functional activities of daily living are evaluated in the areas of self-help, homemaking, community reentry, activity tolerance, pre-vocational, vocational, adaptive driving and home evaluations. People being treated learn to use sensory, perceptual and motor skills so that they can perform meaningful and functional activities through compensatory techniques and adaptive equipment. Occupational therapy uses: visual perception/cognitive training; muscle and sensory re-evaluation; energy conservation, simplification, body mechanics; hand dexterity, training; relaxation training, biofeedback; splinting, inhibitory casting, joint protection.

Speech and Language Therapy

(As defined by The Glossary of Human Services Terminology.)

The corrective or rehabilitative treatment of physical or cognitive disorders that result in difficulty with verbal communication. This includes both speech (articulation, intonation, rate, and intensity) and language (phonology, morphology, syntax, semantics, pragmatics, receptive and expressive language, reading and writing). It may also include teaching sign language or using a communication device. Speech and Language Therapists (SLTs) address people’s speech production, vocal production, swallowing difficulties and language needs.

Case Management

(As defined by The Glossary of Human Services Terminology.)

Facilitation of a patient access to appropriate medical, rehabilitation and support programs, and coordination of the delivery of services. This role may involve liaison with various professionals and agencies, advocacy on behalf of the patient, and arranging for purchase of services where no appropriate programs are available. It is intended to ensure continuity of services and accessibility to overcome rigidity, fragmented services, and the misuse of facilities and resources. It also attempts to match the appropriate intensity of services with patients needs over time.

Medicaid

(As defined by The Glossary of Human Services Terminology.)

A jointly-funded, state and federal government, insurance program that pays for medical services for children and their caretakers, pregnant women, and persons who are disabled, blind or 65 years of age or older who can demonstrate a need through income and assets standards. The state, under broad federal guidelines, determines what benefits are covered, who is eligible and how much providers will be paid. It is covered under Social Security Act Title XIX.

Individualized Education Plan (IEP)

(As defined by The Glossary of Human Services Terminology.)

Public Law 94-142 mandates that each child who receives special education services must have an inidividualized education plan. The IEP is the plan agreed upon by the school administrator, teacher, parents, and other relevant professionals such as therapists. The IEP is comprised of seven parts: 1. present level of functioning or performance; 2. annual goals; 3. short term instructional objectives or goals; 4. indication of any special services needed (e.g., speech and hearing clinic); 5. amount of time spent in regular education classroom; 6. when plan will begin, be reviewed, and end; and 7. evaluation of goals and objectives.

Neuro Developmental Treatment (NDT)

(As defined by The Glossary of Human Services Terminology.)

A therapeutic approach based on the development of movement and emphasizing the restoration of normal movement in performing functional activities.

Behavior Therapy / Congnitive Behavioral Psychotherapy

(As defined by The Glossary of Human Services Terminology.)

A form of psychotherapy used to treat depression, anxiety disorders, phobias, and other forms of psychopathology. Its philosphical roots can be found in the school of behaviorism, which states that psychological matters can be studied scientifically by observing overt behavior, without discussing internal mental stress. It forcuses on the inter-relationships between a person’s thoughts (cognitions), actions (behaviors), and feelings (affect) and the role that they play in a person’s symptoms, functioning and quality of life. The behavioral therapist focuses on these three components with the goal of making changes in how a person thinks, acts and feels about his or her difficulties.

Feeding Tubes

(As defined by The Glossary of Human Services Terminology.)

A tube inserted through a surgical opening into the stomach. It is best used to introduce liquids, foods, or medications into the stomach when a person is unable to take these substances by mouth. Referred to as a gastrointestinal (GI) tube and percutaneous endoscopic gastrostomy (PEG) tube. A jejunostomy (J) tube is placed into the small intestine.

Gastro-Esophageal Refulx Disease (GERD)

(As defined by The Glossary of Human Services Terminology.)

A type of acid reflux which occurs when the lower esophageal sphincter (LES) does not close properly and stomach contents leak back, or reflux, into the esophagus.

Hypertension (High Blood Pressure)

(As defined by The Glossary of Human Services Terminology.)

Blood pressure higher than normal. Blood pressure is the force of blood pushing against the arteries’ walls. Systolic pressure is measured when the heart beats. Diastolic pressure, the lower number, occurs when the heart is at rest between beats. Normal blood pressure is 120/80 or lower. High blood pressure is 140/90 or higher. A condition called prehypertension is between 120 and 139 systolic and between 80 and 89 diastolic. High blood pressure often has no symptoms, but it can cause serious problems with such as stroke, heart failure, heart attack and kidney failure. If hypertension is not well managed, the heart chambers may become enlarged and the heart muscle may thicken and heart failure may occur. There are many drugs and lifestyle changes that can help with hypertension.

Orthosis

(As defined by The Glossary of Human Services Terminology.)

Splint or brace made of metal or plastic and designed to improve function or provide stability. It is applied to the upper and lower extremities for support, or to prevent or correct deformity.

Sensory Integration

(As defined by The Glossary of Human Services Terminology.)

Interaction of two or more sensory processes in a manner that enhances the adaptive qualities of the brain.

Orthotist

(As defined by The Glossary of Human Services Terminology.)

A health care professional who develops and fits orthotics such as a brace, splint or body jacket, designed to support or supplement a weakened body part or function.

Habilitation

(As defined by The Glossary of Human Services Terminology.)

Process of providing specific learning experiences for those persons with disabilities who have been isolated from such experiences so they can become aware of and develop their abilities and potentials.

Rehabilitation

(As defined by The Glossary of Human Services Terminology.)

Comprehensive program to reduce/overcome deficits following injury or illness, and to assist the individual to attain the optimal level of mental and physical ability.

Kinesio Taping

(As defined by Kinesio.)

A rehabilitative taping technique designed to facilitate the body’s natural healing process while providing support and stability to muscles and joints without restricting the body’s range of motion as well as providing extended soft tissue manipulation to prolong the benefits of manual therapy administered within the clinical setting.

Neuromuscular

(As defined by The Free Dictionary By Farlex.)

Pertaining to nerves and muscles, or to the relationship between them.

Nemaline Myopathy

(As defined by Dictionary.com.)

Congenital, nonprogressive muscle weakness most evident in the proximal muscles, with characteristic threadlike rods seen in some muscle cells.

Apnea

(As defined by MedicineNet.com.)

An apnea is a period of time during which breathing stops or is markedly reduced. There are two types of apneas, the more common obstructive sleep apnea and the less common central sleep apnea.

Apneas usually occur during sleep, and when they do occur, sleep is usually disrupted. Sometimes the person wakes up completely, but sometimes the person comes out of a deep level of sleep and into a more shallow level of sleep. Apneas are usually measured during sleep (preferably in all stages of sleep). An estimate of the severity of the apnea is calculated by dividing the number of apneas by the number of hours of sleep, giving an apnea index (AI). The greater the apnea index the more severe the apnea.