Home alone: The role of cognition in return to independent living

Factor Structure of the Motor-Free Visual Perception Test-3rd Edition (MVPT-3)

“…Visual perceptual dysfunction has been noted to negatively affect functional outcomes following neurological insult, the ability to return to independent living, and successful discharge planning from healthcare settings (Chen-Sea, Henderson, & Cermak, 1993;Feigenson, McDowell, Meese, McCarthy, & Greenberg, 1977;Kotila, Niemi, & Leaksonen, 1986;MacNeill & Lichtenberg, 1997;Mayo, KornerBitensky, & Becker, 1991).…”

Rehabilitation Programs monitored by Functional Independence Measure: An Observational Study

“…However, it has been reported that geriatric patients with higher FIM social cognitive items are more often discharged home. 30 Diamond et al 31 indicate that geriatric patients with cognitive dysfunction should be considered for rehabilitation if functional gains will affect their quality of life. It is also important to note that patients of geriatric rehabilitation units classified as depressed at discharge have lower FIM scores at admission and at discharge.…”

Development of an IRT-Based Short Form to Assess Applied Cognitive Function in Outpatient Rehabilitation

“…2–5 The Applied Cognition outpatient short form can be used to assess aspects of cognitive and communication skills that are critical to rehabilitation outcomes and living in the community for people with cognitive impairments, such as the ability to remember appointments and everyday tasks; to follow conversations; plan their day, manage medications and to way-find in the community. The fact that the Applied Cognition items fit the IRT model supports the interpretation of scores at the interval level.…”

“…Evidence indicates that cognition is an important contributor to performance of instrumental activities of daily living and should be measured as a separate dimension of function in rehabilitation. 2–5 Existing instruments consist largely of clinician-reported or performance-based tests with varied content covering skills such as receptive and expressive communication, problem solving, and memory. 2 However, measures have not been developed based on a clear conceptual framework and in-depth empirical testing, which has led to the identification of the need for stronger measures of cognitive function for post-acute care.…”