Making Functional Cognition a Professional Priority

Author:

Giles Gordon Muir1,Edwards Dorothy Farrar1,Baum Carolyn2,Furniss Jeremy3,Skidmore Elizabeth4,Wolf Timothy5,Leland Natalie E.6

Affiliation:

1. Dorothy Farrar Edwards, PhD, is Professor of Kinesiology and Medicine, Department of Kinesiology, University of Wisconsin–Madison.

2. Carolyn Baum, PhD, OTR, FAOTA, is Professor of Occupational Therapy, Neurology and Social Work, Department of Occupational Therapy, Washington University in St. Louis, St. Louis, MO.

3. Jeremy Furniss, OTD, OTR/L, BCG, is Vice President, Knowledge and Data Science, American Occupational Therapy Association, North Bethesda, MD.

4. Elizabeth Skidmore, PhD, OTR/L, is Professor, Department of Occupational Therapy, School of Health and Rehabilitation Sciences, University of Pittsburgh, Pittsburgh, PA.

5. Timothy Wolf, OTD, PhD, OTR/L, FAOTA, is Associate Professor, Department of Occupational Therapy, School of Health Professions, University of Missouri, Columbia.

6. Natalie E. Leland, PhD, OTR/L, BCG, FAOTA, FGSA, is Associate Professor and Vice Chair for Research, Department of Occupational Therapy, School of Health and Rehabilitation Sciences, University of Pittsburgh, Pittsburgh, PA.

Abstract

Abstract Functional cognition is a critical domain of concern for occupational therapy practice. As the health care system moves to assessing value through achievement of quality outcomes, the field of occupational therapy must address the inclusion of functional cognition in evaluation and treatment. Evidence indicates that impaired cognition contributes to risk of hospital readmission and poor overall health outcomes across diagnostic groups. Moreover, expenditure on occupational therapy services that address functional cognition has been shown to lower hospital readmission rates. To improve client outcomes, occupational therapists must consistently screen for and, when appropriate, evaluate and treat functional cognition impairments and consider functional cognition in the discharge planning process. Occupational therapy professionals must make a proactive, coordinated effort to establish the profession’s role in evaluating and treating clients’ limitations in functional cognition as a means to achieving improved quality care and client outcomes.

Publisher

AOTA Press

Subject

Occupational Therapy

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