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jennburwell

Cognitive reserve and executive function: Effect on judgment of health and safety - 0 views

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Occupational Therapy cognitive assessments

shared by jennburwell on 06 Nov 17 - No Cached
  • jennburwell on 06 Nov 17
     
    The aim of this study was to explore the relationship among cognitive reserve, Executive function, and health and safety judgment among a sample of older adult inpatients of an extended medical care unit at a Veterans Health Administration (VHA) hospital. Independent Living Scales (ILS): Health and Safety subtest were used to assess judgement and safety. Executive function was measured by the Trial making test. Global function was measured by the MMSE. After controlling for global cognitive functioning, the results revealed that people with high estimated IQ performed similarly on a measure of health and safety judgment, regardless of their EF abilities. However, among individuals with low estimated IQ it appears that intact EF is critical in making appropriate health and safety decisions. Therefore, the results suggest executive functioning is critical for making appropriate health and safety decisions for patients with lower measured intellectual abilities and provide further support for the cognitive reserve model.
asteele2

Executive Function Cheat Sheet - 0 views

http://www.nclexquiz.com/mnemonics/executive-function-skills-cheat-sheet/ This website has a cheat sheet that explains executive function really well!

started by asteele2 on 24 Oct 17 no follow-up yet
limkej

Executive Functioning School-based OT - 0 views

https://www.understood.org/~/media/040bfb1894284d019bf78ac01a5f1513.pdf Cool PDF that goes in-depth about executive functioning skills, and tips on how to address them with kids in the schools in ...

executive function school OT

started by limkej on 19 Oct 17 no follow-up yet
scamarata1

Executive Dysfunction and Depressive Symptoms Associated With Reduced Participation of ... - 0 views

Foster, E. R., Cunnane, K. B., Edwards, D. F., Morrison, M. T., Ewald, G. A., Geltman, E. M., & Zazulia, A. R. (2011). Executive Dysfunction and Depressive Symptoms Associated With Reduced Participation of People With Severe Congestive Heart Failure. American Journal of Occupational Therapy, 65(3), 306-313. doi:10.5014/ajot.2011.000588

shared by scamarata1 on 16 Oct 16 - No Cached
  • scamarata1 on 16 Oct 16
     
    The findings of this article showed that those with CHF reported significant reductions in participation in all four domains. The main domain was activity retention (leisure, IADLs and social). Results for depression, cognition, and participation showed that those with CHF have functioning problems and depressive symptoms were present. However, there was no correlation between memory and attention performance. This study was limited to the sample size because it was less than 30. It also stated few participants did not complete the study because of fatigue and scheduling issues, but it never stated how many dropped out. This may affect population validity of the study because it is unknown if there was mortality. Also, the 27 subjects used were all from the same hospital (convenient sample) and this may also pose a threat to population validity. The results of the study suggest that management of CHF should expand in focus from physical functioning and physically demanding activities to consider cognitive and psychological functioning in the context of all life situations. Occupational therapy can play a vital role in helping those with CHF and their psychosocial impairments (decreasing depression), while getting them back into the community and functioning in their everyday tasks, which may also reduce symptoms of depression. I used this article because the facility I'm at now admits a lot of cardiac patients and many have depressive symptoms as they are recovering from their cardiac impairments and returning to their everyday lives in the community.
whitleyjo

The relation between therapy intensity and outcomes of rehabilitation in skilled nursin... - 0 views

Higher therapy intensity was associated with shorter LOS. Higher PT and OT intensities were associated with greater odds of improving by at least 1 stage in mobility and ADL functional independence...

http:__www.sciencedirect.com_science_article_pii_S0003999304013061

started by whitleyjo on 05 Oct 15 no follow-up yet
jennburwell

Assessing Capacity in the Elderly: Comparing the MoCA with a Novel Computerized Battery... - 0 views

www.karger.com/...478008

occupational therapy cognition assessments MCI

shared by jennburwell on 31 Oct 17 - No Cached
  • jennburwell on 31 Oct 17
     
    The MoCA also measures a wider range of abilities including executive functions, a higher level cognitive ability required for the implementation of goal-directed behavior and the process of creating and fulfilling a plan. For these reasons, the MoCA was chosen as the comparator assessment of cognition in this study. The cut off score for the MoCA has widely been research and inconclusive. The original cut off score was 26/30 for normal cognition, however many argue the score is too low. This study suggests a computerized battery (CBS- Cambridge Brain Sciences Battery) for patients scoring 23-26, that have a borderline cognitive impairment in order to classify them as impaired or unimpaired. Five tasks from the original 12 of the CBS were chosen to assess aspects of short-term memory, attention, reasoning, and planning. Results: Only two of the tasks were able to distinguish between impaired and unimpaired. Utilizing these tasks in conjunction with the MoCA provides more information regarding testers that fall in the "borderline" category 23-26. The older adults were accepting of the electronic technology.
jennburwell

The Brief Cognitive Assessment Tool (BCAT): A new test emphasizing contextual memory, e... - 1 views

eds.a.ebscohost.com.proxy01.shawnee.edu/...pdfviewer

Occupational Therapy cognitive assessments

shared by jennburwell on 07 Nov 17 - No Cached
  • jennburwell on 07 Nov 17
     
    The BCAT's utility for identifying dementia versus mild cognitive impairment was excellent, with a sensitivity of .99, a specificity of .77, and an area under the receiver-operatingcharacteristic (ROC) curve of .95. Executive control, contextual memory, and attentional capacity items were the best predictors of diagnostic category and of instrumental activities of daily living. From a clinical standpoint, it is recommended a BCAT cut score of 37/38 for differentiating between persons with dementia and those with MCI. This means that patients who have scores of 37 and below are likely to have dementia. This research utilized a population residing in assisted living facilities. Future studies should address a cut off for mild cognitive impairment and non-impaired and community dwelling adults.
jennburwell

The brief cognitive assessment tool (BCAT): cross-validation in a community dwelling ol... - 1 views

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Occupational Therapy cognitive assessments

shared by jennburwell on 07 Nov 17 - No Cached
  • jennburwell on 07 Nov 17
     
    Cognitive impairment is under-recognized and misdiagnosed among community-dwelling older adults. At present, there is no consensus about which cognitive screening tool represents the 'gold standard.' However, one tool that shows promise is the Brief Cognitive Assessment Tool (BCAT), which was originally validated in an assisted living sample and contains a multi-level memory component (e.g. word lists and story recall items) and complex executive functions features (e.g. judgment, set-shifting, and problem-solving). 75 community dwelling adults took the assessment and the MoCA with a cut off score of <26. A cut off score for the BCAT was 45 after utilizing the results of the study to balance sensitivity and specificity at .81 and .8 respectively. In addition scores can be separated to interpret BCAT memory and executive dysfunction component scores.
alisonnurre

Development and Alternate Form Reliability of the Complex Task Performance Assessment (... - 0 views

https://ajot.aota.org/article.aspx?articleid=2614808&resultClick=3 Cognitive impairment is a common consequence of mild stroke. Current performance-based assessments for mild stroke can detect mil...

Stroke

started by alisonnurre on 08 Dec 17 no follow-up yet
kelseygallimore

The Relationship Between Executive Function and Functional Mobility in Subacute Stroke ... - 0 views

ajot.aota.org/article.aspx

shared by kelseygallimore on 06 Dec 17 - No Cached
  • kelseygallimore on 06 Dec 17
     
    This study explores the relationship between screenings of executive function and measures of functional mobility in subacute stroke patients. Preliminary findings suggest that some functional mobility measures have greater associations with cognitive measures than others.
kdoug2016

Higher Spending on OT Services Reduces Hospital Readmission Rates - 1 views

This is a great read that includes information analyzed by public health professionals that could be used when discussing the value of OT with doctors and hospital executives. The authors looked at...

occupational therapy hospital readmission acute

started by kdoug2016 on 07 Nov 16 no follow-up yet
kday005

Rehabilitation of Cognitive Impairment Post Stroke - 0 views

This link provides research studies supporting the best approaches to treat multiple cognitive and perceptual impairments post stroke and identifies what assessments to use to appropriately test at...

http:__www.ebrsr.com_sites_default_files_Chapter%205_Rehabilitation%20of%20Cognitive%20Impairment%20Post%20Stroke_June%2018%202014.pdf

started by kday005 on 04 Aug 16 no follow-up yet
nicarobe88

Using Work Simulation to Treat Adults With Back Injuries - 0 views

The primary objective of occupational therapy in this setting is to provide a supportive environment where patients can practice and improve the execution of the work-related activities they need t...

http:__ajot.aota.org_article.aspx?articleid=1883370

started by nicarobe88 on 08 Nov 15 no follow-up yet
harrisn2

Reaching with CVA vs nonCVA - 0 views

Lin and colleagues conducted a research study to investigate how verbal instructions and target location interact to influence reaching movement of the less-affected limb in participants with unila...

started by harrisn2 on 19 Nov 15 no follow-up yet
eesmith12

Evidence-Based Practice - 0 views

https://www.ebrsr.com/sites/default/files/documents/executive-summary-srebr_final_16ed.pdf Here is a fantastic review of various stroke interventions and evidence-based practice. It provides evid...

EBP occupational therapy

started by eesmith12 on 10 Aug 17 no follow-up yet
jennburwell

Development and validation of the short form of the Brief Cognitive Assessment Tool (BC... - 1 views

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Occupational Therapy cognitive assessments

shared by jennburwell on 07 Nov 17 - No Cached
  • jennburwell on 07 Nov 17
     
    The article describes the development and validation of a short form for the Brief Cognitive Assessment tool, BCAT-SF. The article compares the psychometric properties with the short form versus the original. The items represented in the short form represent cognitive domains such as contextual memory, executive functioning, and attention. As a result the BCAT-SF differentiated between mild cognitive impairment and dementia with a sensitivity of .9 and specificity of .8. It was also able to predict IADL and ADL. While the study determined subjects with a score of 16 or below are likely to have dementia it did not establish a cut off score to distinguish MCI from non impaired participants. This is the next step for the researchers in validating the BCAT-SF for a quick, 5 minute or less cognitive screen with functional measures.
jennburwell

PRELIMINARY FINDINGS OF THE BRIEF EVERYDAY ACTIVITIES MEASUREMENT (BEAM) IN OLDER ADULTS - 1 views

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occupational therapy functional cognition

shared by jennburwell on 22 Oct 17 - No Cached
  • jennburwell on 22 Oct 17
     
    Current objective IADL assessments are lengthy and expensive, limiting their use in clinical and research settings. Medication and finance management are key IADL domains shown to be sensitive to dementia and critical to maintaining independent living. This article investigated the of use of a screening tool BEAM, brief everyday activities measure to assess IADLs like money management and medication management. As predicted, lower accuracy and longer time to complete the BEAM were both associated with worse executive functions, attention, and processing speed. The article concluded that the BEAM is an accurate screening tool that can be administered in a brief (less than 15 minutes) with limited supplies supporting its use in the clinical setting.
loganfields2011

Interventions to Address Cognitive Impairments and Improve Occupational Performance Aft... - 0 views

http://eds.a.ebscohost.com.proxy01.shawnee.edu/eds/pdfviewer/pdfviewer?vid=2&sid=832f5340-5f2a-48b2-b647-fec6c1c4f8d8%40sessionmgr4008 This systematic review looks at the different kinds of interve...

started by loganfields2011 on 12 Nov 17 no follow-up yet
jennburwell

Early Functional Limitations in Cognitively Normal Older Adults Predict Diagnostic Conv... - 1 views

rave.ohiolink.edu/...348741804

occupational therapy functional cognition

shared by jennburwell on 22 Oct 17 - No Cached
  • jennburwell on 22 Oct 17
     
    Population-based studies have shown that subtle functional changes can precede a dementia diagnosis by 10 to 12 years. Simple models adjusted for age and education showed that older adults with higher baseline ECog total scores, reflecting greater functional limitations, were at a greater risk of developing MCI at follow-up. Results of this study are consistent with the growing body of literature that demonstrates that subjective concerns regarding functional changes can be associated with biological markers of Alzheimer's disease and related disorders, including greater amyloid burden greater brain atrophy, and greater risk of incident dementia. Deficits in everyday memory and executive function domains were the strongest predictors of diagnostic conversion to MCI.
limkej

Movement-based Pediatric Therapy - 0 views

http://rehab-insider.advanceweb.com/movement-based-pediatric-therapy/ Article that goes over the uses of gross movement in order to facilitate higher cognitive processes in children. These change...

Occupational Therapy

started by limkej on 26 Nov 17 no follow-up yet
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