Occupational Therapy
The primary goal of an Occupational Therapist is to facilitate or maximize functional independence in occupations for people.
Occupations refer to activities and tasks of everyday life.
It is everything you do to occupy yourself including self-care, work and leisure.
Occupation gives meaning and structure to life and is important for health and well-being.
Occupational Therapy and Cognition
Cognitive impairments can be devastating as it becomes a barrier to resuming pre-morbid daily tasks in the occupational performance areas of home, work and leisure. There can be long term effects which ultimately increases the burden of disease on caregivers.
Cognition refers to information processing functions including attention, memory and executive functions i.e. planning, problem solving, self-monitoring and self-awareness.
Functional cognition is the interaction of cognitive skills with self-care and community engagement. Cognition is therefore crucial to undertake every day activities such as self-care, work, home management etc.
The occupational therapist therefore assesses and rehabilitates cognitive skills in order to improve independence in daily occupations of self-care, work and leisure. A client-centred approach is used in which work is done with the client, family and others involved such as work.
The Occupational therapy process includes:
- Interviewing the client and caregiver (if applicable)
- The use of impairment specific and functional assessments
- Input and guidance regarding rehabilitation
- Advise the family about future planning
Cognitive assessments
May include but not limited to:
- ACLS
- RUDAS
- LOTCA
- BADS
- CAM
- Frontal lobe screening
- Functional cognitive observation
- Rivermead Behavioural memory test
- Thurstone questionnaire
- Minnesota Clerical Test
- WASP memory assessment
- WASP general awareness
- WASP orientation
- WASP reading assessment
Cognitive Rehabilitation
Therapeutic intervention includes the remedial and adaptive approaches. The remedial approach will focus on restoring function whilst the adaptive approach focusses on compensating for the limitations that the impairments cause on daily activities.
Cognitive rehabilitation may include but not limited to:
- Cognitive retraining in functional tasks
- Environmental modifications and assistive technology
- Functional skills retraining
- Management of cognitive deficits
- Strategy learning and awareness