Dorothy Farrar Edwards, PhD, is Professor of Kinesiology and Medicine, Department of Kinesiology, University of Wisconsin-Madison.
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.
Am J Occup Ther. 2020 Jan/Feb;74(1):7401090010p1-7401090010p6. doi: 10.5014/ajot.2020.741002.
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.
功能认知是作业治疗实践中一个非常重要的领域。随着医疗保健系统通过实现高质量结果来评估价值，作业治疗领域必须解决在评估和治疗中纳入功能认知的问题。有证据表明，认知障碍会增加住院再入院的风险，并导致不同诊断组的整体健康结果较差。此外，用于解决功能认知问题的作业治疗服务的支出已被证明可以降低住院再入院率。为了改善客户的结果，作业治疗师必须始终进行筛查，并在适当情况下评估和治疗功能认知障碍，并在出院计划过程中考虑功能认知。作业治疗专业人员必须积极协调，努力确立该专业在评估和治疗客户在功能认知方面的局限性方面的作用，以实现改善的护理质量和客户结果。
