Cognitive Assessments Occupational Therapy
Cognitive assessments in occupational therapy are an integral component of providing evidence-based treatments to clients with brain injuries, concussions and other cognitive challenges. Validated cognitive assessments are essential in assessing how an injury or disability has affected a client’s capacity to function at home, school and in daily activities.
Functional cognition is the ability to perform real-world tasks that are essential for one’s optimal and independent functioning. These may include basic everyday activities like managing medications, cooking dinner, maintaining healthy lifestyle behaviors and social interactions. To accomplish these tasks successfully requires the use of various cognitive abilities like visual memory, attention, concentration and processing speed.
Occupational therapists are an essential element of the post-acute care team that assesses functional cognition for Medicare beneficiaries. They use performance based testing (PBT) to detect cognitive impairments and customize a client’s care to facilitate optimal recovery, stabilization, and success in these post-acute settings.
Assessment of functional cognition is essential to pinpointing any cognitive deficits preventing patients from performing essential ADLs and IADLs such as feeding, bathing, grooming, dressing, and toileting safely and effectively. It provides a framework for setting an appropriate level of assistance and necessary assistive devices during post-acute care transition placement decisions, discharge decisions, caregiver identification support services, and training programs.
Functional cognition can be evaluated using a range of occupational therapy tools, such as the AMPS, Dynamic Occupational Therapy Cognitive Assessment for Children (DOTCA-Ch) and CPT. These assessments are standardized, graded, and focused on measuring patient performance while performing ADL tasks.
One of the most widely used cognitive assessments in occupational therapy is the AMPS test, which assesses self-care skills and motor abilities such as sequencing, initiating/terminating tasks, and pacing. The therapist then assigns a level of assistance from 1 (total dependence) to 7 (complete independence) for each category assessed.
Other standardized cognitive tests include the MMSE and MoCA. These assessments are graded multiple choice questions that measure an individual’s performance on ADL tasks.
These standardized, graded multiple choice tests are an invaluable asset for occupational therapists when they need information about a client’s ability to complete ADL tasks. With these results in hand, the therapist can create an individualized plan of care and give them a report outlining their findings.
The DOTCA-Ch is a cognitive assessment used with patients who have sustained brain injuries. It assesses their capacity for problem solving both visually and verbally.
This assessment can be conducted with the client sitting or standing in a position that allows their head and neck to be exposed. It is an extremely sensitive method for detecting cognitive impairments in this area.
The Enhanced Cognitive Assessment is a reliable, objective solution for demonstrating cognitive limitations and helping clients obtain the documentation necessary to get their claim approved. It combines VoxNeuro’s EEG technology with an in-depth cognitive assessment that provides them with a tailored rehabilitation plan.