The Occupational Therapy Practice Framework, third edition (OTPF-III American Occupational Therapy Association, 2014), and the Canadian Model of Occupational Performance and Engagement (CMOP-E Townsend and Polatajko, 2013) are examples that highlighted that cognitive abilities can have powerful effects on one’s daily occupational performance and participation, in addition to physical skills, environments, occupations or daily activities and other relevant factors. This close relationship between one’s cognition and performance and participation in daily activities is also exhibited in a number of practice models and frameworks of occupational therapy, which provide a systematic and comprehensive way to conceptualize and guide occupational therapy practice. It is directly related to one’s ability to engage in activities of daily life and participate in purposeful, proactive interactions and complex decision making ( Radomski and Morrison, 2014). Therefore, the aim of this study was to investigate if the performance of older adults admitted to an inpatient GEM hospital unit on the Mini-Mental State Examination (MMSE) and the Montreal Cognitive Assessment (MoCA) were associated or predictive of their functional performance (as measured by the Functional Independence Measure ).Ĭognition refers to the integrated mental processes comprising the acquisition and use of knowledge, which brings about thoughts and goal directed actions. Often the cognitive skills and functional performance of older adults admitted to GEM settings are assessed. Dementia and other forms of cognitive impairment are also common comorbidities for patients admitted to sub-acute facilities ( Bloomer and Digby, 2012). heart failure and chronic obstructive pulmonary disease). pneumonia and fractures of the femur, lumbar spine and pelvis) and chronic conditions (e.g. Patients admitted to GEM wards commonly present with acute conditions (e.g. Geriatric evaluation and management (GEM) is a type of sub-acute care that focuses mainly on patients’ functional abilities and goals and caters for patients who have prolonged or multiple conditions associated with ageing, cognitive impairment, functional decline, chronic illness or disability.
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