Module 2: Lesson 7: Putting the Functional back into functional cognition

Question 1

What is functional cognition?

Answer 1

• Ability to integrate thinking and performance skills to accomplish complex everyday activities.
• The observable performance of everyday activities resulting from a dynamic interaction between motor abilities, activity demands, and the task environment guided by cognitive abilities.

Question 2

What is functional cognition?

Answer 2

• Ability to integrate thinking and performance skills to accomplish complex everyday activities.
• The observable performance of everyday activities resulting from a dynamic interaction between motor abilities, activity demands, and the task environment guided by cognitive abilities.

Question 3

What term is described below:

• Ability to integrate thinking and performance skills to accomplish complex everyday activities.
• The observable performance of everyday activities resulting from a dynamic interaction between motor abilities, activity demands, and the task environment guided by cognitive abilities.

Answer 3

Functional cognition

Question 4

Is functional cognition top down or a top up approach?

Answer 4

• Top down

- Global

Question 5

What are some concepts that functional cognition includes?

Answer 5

• Metacognition (i.e. self awareness)
• EF
• Performance skills (i.e. motor skills)
• Performance patterns

Question 6

What are some benefits of functional cognition?

Answer 6

• Distinct disciplinary perspective (on the borderline between cognition and ADL/IADL)
• Focus on the assessment of occupational performance ADL/IADL real world competency
• Analysis at the performance level
• Direct avenue to intervention selection

Question 7

What is the IMPACT ACT?

Answer 7

• Improving Medicare Post Acute Care Transformation Act
• Evaluate and realign the incentives and payment for post acute care services provided under Medicare.
• Further the quality of service in PAC settings
• Improve resource utilization ensuring patient safety, reducing caregiver burden, and improve discharge planning and care transition

Question 8

True or false:

The confusion assessment method (CAM) and the brief interview for mental status (BIMS) items do not capture the capacity to use and integrate thinking and performance skills to accomplish complex everyday activities (i.e. IADLs)

Answer 8

True

Question 9

What does the CAM asssess?

Answer 9

• Assesses the presence, severity and fluctuation of 9 delirium features:
• Acute onset
• Inattention
• Disorganized thinking
• Altered LOC
• Disorientation
• Memory impairment
• Perceptual disturbances
• Psychomotor agitation and retardation
• Altered sleep wake cycle

Question 10

Describe BIMs scoring

Answer 10

• 7 or below: Severe impairment
• 8-12: mild impairment
• 13-15: intact cognition

Question 11

True or false:

Cognitive deficits too mild to be identified by the BIMS wont compromise IADLs that are considered essential to community independence.

Answer 11

False - it may compromise IADLs

Question 12

True or false:

PBTS have been found to be less predictive of real world functioning then other available data collection methods such as:

• Self report
• Informant/proxy report
• Neurocognitive tests

Answer 12

False - more predictive

Question 13

Name some assessments used to assess functional cognition

Answer 13

• EFPT: Executive Function Performance Test
• WCPA: Weekly Calendar Planning Activity
• PASS: Performance Assessment of Self Care Skills
• AMPS: The Assessment of Motor and Process Skills
• MET: Multiple Errands Test
• The Actual Reality Assessment