{"id":9856,"date":"2023-05-30T06:00:06","date_gmt":"2023-05-30T12:00:06","guid":{"rendered":"https:\/\/summit-education.com\/blog\/?p=9856"},"modified":"2024-03-13T10:33:41","modified_gmt":"2024-03-13T16:33:41","slug":"alzheimers-brain-awareness-month-the-unique-role-of-rehabilitation-therapy-in-cognitive-assessment-and-intervention","status":"publish","type":"post","link":"https:\/\/summit-education.com\/blog\/general\/alzheimers-brain-awareness-month-the-unique-role-of-rehabilitation-therapy-in-cognitive-assessment-and-intervention\/","title":{"rendered":"Alzheimer&#8217;s &#038; Brain Awareness Month: Cognitive Assessment and Intervention"},"content":{"rendered":"<p>[et_pb_section fb_built=&#8221;1&#8243; _builder_version=&#8221;3.0.47&#8243;][et_pb_row _builder_version=&#8221;3.0.48&#8243; background_size=&#8221;initial&#8221; background_position=&#8221;top_left&#8221; background_repeat=&#8221;repeat&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;3.0.47&#8243; parallax=&#8221;off&#8221; parallax_method=&#8221;on&#8221;][et_pb_text _builder_version=&#8221;3.19.10&#8243;]<\/p>\n<h4 style=\"text-align: center;\"><strong>Written By: Melinda Butler, OTR\/L, OTD, BCPA<br \/>Occupational Therapist, Elder Care Consultant, Board Certified Patient Advocate <br \/><\/strong><\/h4>\n<div>\u00a0<\/div>\n<div>\n<p>\u00a0<\/p>\n<\/div>\n<div>\n<p>As we embark upon Worldwide Alzheimer\u2019s and Brain Awareness Month, it\u2019s important to consider the role of rehabilitation therapists as we fight to eradicate, educate, and empower the public on this global health issue. With 55 million people worldwide and their loved ones who deal with the crippling effects of Alzheimer\u2019s and other forms of Dementia, there are likely few people who are not impacted either directly or indirectly by this disease. Consider these facts and figures about Alzheimer\u2019s Disease from the Alzheimer\u2019s Association:<\/p>\n<p>\u00a0<\/p>\n<\/div>\n<p style=\"text-align: center;\"><iframe loading=\"lazy\" title=\"YouTube video player\" src=\"\/\/www.youtube.com\/embed\/a2j99vfkdgg\" width=\"560\" height=\"315\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/p>\n<div>\n<p>\u00a0<\/p>\n<h4 style=\"text-align: center;\"><strong><a href=\"https:\/\/www.alz.org\/media\/Documents\/alzheimers-facts-and-figures.pdf\">CLICK HERE for the <em>2023 Alzheimer&#8217;s Facts and Figures<\/em> provided by the Alzheimer&#8217;s Association<\/a><\/strong><\/h4>\n<p>\u00a0<\/p>\n<p>There is no cure and the disease is progressive. Therefore, rehabilitation is often not an expected outcome. So why is this topic so relevant to rehabilitation therapists?<\/p>\n<p>\u00a0<\/p>\n<h4><strong>Consider October 1, 2019:<\/strong><\/h4>\n<p>Medicare reimbursement changed from RUGS (Resource Utilization Group) to PDPM (Patient Driven Payment Model) for post-acute care in a Skilled Nursing Facility. This shifted the focus of reimbursement from therapy minutes to patient presentation. The more medically complex the patient, the more providers can earn. This shift initially left many wondering if therapy\u2019s distinct value would be minimized. However, for many providers, there has been an increased expectation for PT, OT, and ST to be more involved in cognitive interviews, assessments, and interventions as part of the admission\/intake process for the 5-day assessment.<\/p>\n<\/div>\n<p>\u00a0<\/p>\n<p><a href=\"https:\/\/summit-education.com\/blog\/general\/alzheimers-brain-awareness-month-the-unique-role-of-rehabilitation-therapy-in-cognitive-assessment-and-intervention\/attachment\/amb-1\/\" rel=\"attachment wp-att-9862\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-9862\" src=\"https:\/\/blogcontent.summit-education.com\/wp-content\/uploads\/AMB-1.png\" alt=\"\" width=\"1176\" height=\"482\" srcset=\"https:\/\/blogcontent.summit-education.com\/wp-content\/uploads\/AMB-1.png 1176w, https:\/\/blogcontent.summit-education.com\/wp-content\/uploads\/AMB-1-300x123.png 300w, https:\/\/blogcontent.summit-education.com\/wp-content\/uploads\/AMB-1-1024x420.png 1024w, https:\/\/blogcontent.summit-education.com\/wp-content\/uploads\/AMB-1-768x315.png 768w, https:\/\/blogcontent.summit-education.com\/wp-content\/uploads\/AMB-1-1080x443.png 1080w\" sizes=\"(max-width: 1176px) 100vw, 1176px\" \/><\/a><\/p>\n<div>\n<p>\u00a0<\/p>\n<p>Many therapists in SNF settings are being asked to conduct interviews like the PHQ-9 (Patient Health Questionnaire) to assess for depression and depression severity; and the BIMS (Brief Interview of Mental Status) to assess attention, temporal orientation, and recall. This may be an adjustment initially; however, with regular administration, many therapists memorize the interview questions, allowing for a faster and more natural interview. More than ever before, therapists are now identified as integral members of the interdisciplinary team for PDPM reimbursement.<\/p>\n<p>It\u2019s now everyone\u2019s job (not just the MDS Nurse) to ensure that what is coded on the claim, reflects the patient\u2019s typical or usual care needs. These interviews can help therapists break the ice with patients while contributing to vital treatment planning and revenue-generating elements.<\/p>\n<p><strong>This video from CMS (Centers for Medicare and Medicaid) details the instructions and tips for ensuring accuracy with the administration of the BIMS:<\/strong><\/p>\n<p>\u00a0<\/p>\n<\/div>\n<p style=\"text-align: center;\"><iframe loading=\"lazy\" title=\"YouTube video player\" src=\"\/\/www.youtube.com\/embed\/qv-RhrFQoWE\" width=\"560\" height=\"315\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/p>\n<div>\n<p>\u00a0<\/p>\n<p><strong>Speaking of treatment planning, is there hope for teaching new skills to patients with Dementia? Well actually, patients with moderate to severe Dementia can still learn when given adequate time and using special techniques like:<\/strong><\/p>\n<ul>\n<li>Errorless Learning<\/li>\n<li>Spaced Retrieval<\/li>\n<li>3-word repetition<\/li>\n<\/ul>\n<p>By working collaboratively as a passionate team, we can look forward to the day that we meet the first Alzheimer\u2019s survivor! Be on the lookout for my new Summit podcast this summer and learn more about important cogitative interviews, assessments, and treatment strategies in <strong><em>The Fabulous Five of ADL Retraining in Older Adults!<\/em><\/strong><\/p>\n<\/div>\n<div>\n<p>\u00a0<\/p>\n<p>Explore online continuing education courses from Melinda below:<\/p>\n<p class=\"course-short-title\"><span style=\"text-decoration: underline;\"><strong><a href=\"https:\/\/summit-education.com\/course\/GFUNMB.1.2CREDIT\">Rehabilitation for the Frail or Cognitively Impaired Older Adult: Part I<br \/><\/a><\/strong><\/span><\/p>\n<p><span style=\"text-decoration: underline;\"><strong><a href=\"https:\/\/summit-education.com\/course\/GLFPMB.1.2CREDIT\">Rehabilitation for the Frail or Cognitively Impaired Older Adult: Part II<\/a><\/strong><\/span><\/p>\n<p class=\"course-short-title\"><span style=\"text-decoration: underline;\"><strong><a href=\"https:\/\/summit-education.com\/course\/GMEDMB.1\">Creating Value-Based Treatment<\/a><br \/><\/strong><\/span><\/p>\n<p><span style=\"text-decoration: underline;\"><strong><a href=\"https:\/\/summit-education.com\/course\/GSNTMB.1.2CREDIT\">Telehealth in the Skilled Nursing Facility<\/a><\/strong><\/span><\/p>\n<p><span style=\"text-decoration: underline;\"><strong><a href=\"https:\/\/summit-education.com\/course\/GDMEMB.1.2CREDIT\">Practical DME and Home Modifications for Aging Adults<\/a><br \/><\/strong><\/span><\/p>\n<p><span style=\"text-decoration: underline;\"><strong><a href=\"https:\/\/summit-education.com\/course\/GDOCMB.4\">Functional Geriatrics<br \/><\/a><\/strong><\/span><\/p>\n<p><span style=\"text-decoration: underline;\"><strong><a href=\"https:\/\/summit-education.com\/course\/GSKIMB.1.2CREDIT\">Medicare Documentation: Practical Strategies for Justifying Therapy Services<br \/><\/a><\/strong><\/span><\/p>\n<p><span style=\"text-decoration: underline;\"><strong><a href=\"https:\/\/summit-education.com\/course\/POTEMB.1.2CREDIT\">Current Ethical Trends in Occupational Therapy<\/a><br \/><\/strong><\/span><\/p>\n<p><span style=\"text-decoration: underline;\"><strong><a href=\"https:\/\/summit-education.com\/course\/GBILMB.1.2CREDIT\">Coding and Billing for the PDPM and PDGM<br \/><\/a><\/strong><\/span><\/p>\n<p>Visit <a href=\"http:\/\/www.summit-education.com\/ce\">summit-education.com<\/a> for more information.<\/p>\n<\/div>\n<p>\u00a0<\/p>\n<p><strong>References:<\/strong><\/p>\n<p>Alzheimer\u2019s Disease and Dementia. <a href=\"http:\/\/www.alz.org\/\">http:\/\/www.alz.org\/<\/a>. Retrieved: May 19, 2023.<\/p>\n<p>Brief Interview of Mental Status (BIMS). <a href=\"https:\/\/youtu.be\/qv-RhrFQoWE.YouTube\">https:\/\/youtu.be\/qv-RhrFQoWE.YouTube<\/a>. Retrieved: May 19, 2023. Published: Oct 29, 2020.<\/p>\n<p>Adam, M. D., Ness, D. K., &amp; Hollman, J. H. (2023). Physical therapy provider continuity predicts functional improvements in inpatient rehabilitation.<em>\u00a0Journal of Neurologic Physical Therapy : JNPT,\u00a047<\/em>(2), 91-98. doi:https:\/\/doi.org\/10.1097\/NPT.0000000000000422<\/p>\n<p>Marks, T. S., Giles, G. M., Al-Heizan, M., &amp; Edwards, D. F. (2020). Can brief cognitive or medication management tasks identify the potential for dependence in instrumental activities of daily living?<em>\u00a0Frontiers in Aging Neuroscience,\u00a0<\/em>doi:https:\/\/doi.org\/10.3389\/fnagi.2020.00033<\/p>\n<p>Routledge, Taylor &amp; Francis in <em>International Journal of Lifelong Education, 2017. A<\/em>vailable at: http:\/\/dx.doi.org\/10.1080\/02601370.2017.1345994.<\/p>\n<div id=\"header\" class=\"style-scope ytd-item-section-renderer\">\n<div id=\"title\" class=\"style-scope ytd-comments-header-renderer\">\u00a0<\/div>\n<\/div>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Written By: Melinda Butler, OTR\/L, OTD, BCPAOccupational Therapist, Elder Care Consultant, Board Certified Patient Advocate \u00a0\u00a0As we embark upon Worldwide Alzheimer\u2019s and Brain Awareness Month, it\u2019s important to consider the role of rehabilitation therapists as we fight to eradicate, educate, and empower the public on this global health issue. With 55 million people worldwide and [&hellip;]<\/p>\n","protected":false},"author":31,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","om_disable_all_campaigns":false,"_uf_show_specific_survey":0,"_uf_disable_surveys":false,"footnotes":""},"categories":[1,179,180,126,127,130],"tags":[],"class_list":["post-9856","post","type-post","status-publish","format-standard","hentry","category-general","category-geriatrics","category-neurology","category-occupational-therapy","category-physical-therapy","category-speech-language-pathology"],"aioseo_notices":[],"amp_enabled":true,"_links":{"self":[{"href":"https:\/\/summit-education.com\/blog\/wp-json\/wp\/v2\/posts\/9856"}],"collection":[{"href":"https:\/\/summit-education.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/summit-education.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/summit-education.com\/blog\/wp-json\/wp\/v2\/users\/31"}],"replies":[{"embeddable":true,"href":"https:\/\/summit-education.com\/blog\/wp-json\/wp\/v2\/comments?post=9856"}],"version-history":[{"count":10,"href":"https:\/\/summit-education.com\/blog\/wp-json\/wp\/v2\/posts\/9856\/revisions"}],"predecessor-version":[{"id":10327,"href":"https:\/\/summit-education.com\/blog\/wp-json\/wp\/v2\/posts\/9856\/revisions\/10327"}],"wp:attachment":[{"href":"https:\/\/summit-education.com\/blog\/wp-json\/wp\/v2\/media?parent=9856"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/summit-education.com\/blog\/wp-json\/wp\/v2\/categories?post=9856"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/summit-education.com\/blog\/wp-json\/wp\/v2\/tags?post=9856"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}