Fn 2 test 1[1].txt

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Author:
abrisson05
ID:
151388
Filename:
Fn 2 test 1[1].txt
Updated:
2012-05-01 09:07:12
Tags:
FN2 34 developmental
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Description:
denver test
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  1. Ages and stages (ASQ3) for?
    • Developmental and social-emtional screening questionaire
    • Useful from 1 month-66months of age
  2. AQ3 questions
    • 30 total questions in 5 areas
    • -communication
    • -gross motor
    • -fine motor
    • -problem solving
    • -personal-social skills

    Written in 4th-6th grade level
  3. ASQ3 process
    • Select questionnaire that matches child's age
    • Have parent answer questions
    • -yes=10pts, sometimes=5pts, not yet=0pts
    • -10-15mins to complete
  4. ASQ3 scoring
    • Compare childs score in each of the 5 areas
    • Scores beneath cutoff points indicate need for further referral
    • Scores at the cutoff point wrrant close monitoring
    • Scores above the cutoff point indicae adequate/expected growth & development
  5. Denver development screening
    Basic info
    • Developed in 1960s
    • Current version is DDST II (1990)
    • Interactive developmental screening
    • Ages: birth-6years
  6. DDST assess
    • 4 major functions
    • -personal/social
    • -fine motor adaptive
    • -language
    • -gross motor

    • 125 questions
    • 25-30minutes to complete
  7. Calculating child's age
    • Subtract date of birth from date of test
    • Adjust for prematurity:
    • -born more than 2 weeks before EDC and less than 2y/o
    • -divide number of weeks premature into months and days
    • -this amount is subtracted from calculated age to arrive at the adjusted age
  8. Draw the number line
    • Using the age scale and straight edge
    • Draw age line from top to bottom of form
    • Test interprettion depends on correct placement of the age line
  9. Test administration DDST
    • Have rapport with child and caregiver
    • Make every effort to ensure they are comfortable
    • Aske for DOB and if child was premature
    • Explain the following:
    • -test helps determine current developmental level
    • -the DDST is not an IQ test
    • the caregiver can be present for the screening
  10. First step in administering
    • Admin at least 3 items nearest to and totally to the left of the age line
    • EVery item intersecting the age line

    If child fails, refuses, has had no opportunity, administer additional items to the left until child passes 3 consecutive items
  11. Continue to the right
    • Administer items to the right of any passes in that sector until 3 failures are recorded
    • Child is given up to three trials before scoring a failure
  12. Ratings to be marked
    • P-pass
    • F-fail
    • N.o.- no opportunity
    • R-refusal
  13. Pass
    Child successfully performed item or caregiver reports child does item
  14. Fail
    • Child does not successfully perform item or caregiver reports child does not do
    • -find out if caregiver does not allow it or if child cannot do it
  15. No opportunity
    Child has not had an opportunity due to restrictions. Only used with report items
  16. Refusal
    Child refuses to attempt the item
  17. Interpretation of individual items
    • If child passes an item that falls completely to the right of the age line, the child's development is considred advanced on the item
    • Failure or refusal of individual items do not necessarily indicate a delay in development
  18. Delay
    • Child fails or refuses an item that falls completely to the left of the age line
    • Indicated by coloring the end of the bar
    • Any delay is a suspect finding, which needs further testing
  19. Caution
    • Child refuses or fails an item on which the age line falls on or between the 70th-90th%
    • This is indicated on the test form by writing a C just to the right of the bar
  20. Normal
    • No delays and maximum of one caution
    • Conduct routine screening at next well-child visit
  21. Suspect
    • Two or more cautions and one or more delay
    • Rescreen in two weeks to rule out temporary factors such as fatigue, fear, or illness
  22. Untestable
    Refusal scores on one or more items completely to the left of the age line or on more than one item intersected by the age line in the 75-90% area
  23. Referral considerations
    • If after rescreening, the test resullt is again suspect or untestable, consider referral based on:
    • -profile of test result
    • -number of cautions and delays
    • -rate of development
    • -other clinical considerations
    • -availability of resources

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