Occupational therapists' assessment and reporting of functional cognition in stroke care.
| Autor: | Ward J; Occupational Therapy Department, Galway University Hospital, Galway, Ireland.; School of Physiotherapy, Royal College of Surgeons in Ireland (RCSI), University of Medicine and Health Sciences, Ireland., Foley G; Discipline of Occupational Therapy, School of Medicine, Trinity College Dublin, Ireland., Horgan F; School of Physiotherapy, Royal College of Surgeons in Ireland (RCSI), University of Medicine and Health Sciences, Ireland. |
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| Jazyk: | angličtina |
| Zdroj: | Disability and rehabilitation [Disabil Rehabil] 2024 Nov; Vol. 46 (23), pp. 5608-5617. Date of Electronic Publication: 2024 Feb 01. |
| DOI: | 10.1080/09638288.2024.2310760 |
| Abstrakt: | Purpose: To investigate how functional cognition of people post-stroke is evaluated and reported by occupational therapists in Ireland. Functional cognition refers to the use and integration of cognitive skills for daily function. Methods: This study used a qualitative design. Six focus groups and one individual interview were conducted with 20 occupational therapists purposively sampled for variation across different clinical grades. Data were analysed according to the Braun and Clark thematic analysis framework. Results: Participants felt that assessment of functional cognition was an integral feature of occupational therapy assessment in stroke care but acknowledged that terminology used by occupational therapists for functional cognition was inconsistent. Non-standardised observational assessment was routinely used by participants. Challenges were reported with respect to written documentation of non-standardised observations. Participants reported that use of standardised cognitive assessments required considered clinical reasoning before administration. Standardised performance-based assessments were not widely implemented by participants. Conclusion: Occupational therapists in Ireland reported a multi-component assessment process to evaluate functional cognition post-stroke. Establishing practice guidelines for the assessment of functional cognition may be of benefit to occupational therapists working in stroke care. Further research is needed to quantify procedures in this assessment process to account for variation in practice. |
| Databáze: | MEDLINE |
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