Occupational therapy practitioners often work with older adults who have mild cognitive impairments (MCI). This article reviews the diagnostic criteria and assessment process for those with MCI and explores the evidence regarding interventions that relate to occupational therapy, including remedial and computer-based treatments, lifestyle changes, and both internal and external strategy training. Although MCI may be the pre-clinical stage of dementia for some, other older adults can revert back to normal cognitive functioning. Traditionally, the medical community has accepted that little could be done to prevent the onset of dementia. Yet new scientific evidence promotes positive lifestyle choices as a targeted way to alleviate the effects of MCI and potentially reduce the risk of dementia.
This dramatic shift provides opportunities for occupational therapy practitioners, with our emphasis on participation and skills in lifestyle enrichment, to take a lead role in preventing cognitive and functional decline in older adults, thus potentially alleviating the high burden placed on health care systems, patients, and their care partners (Mayo Clinic, 2012).
Learning Objectives
After reading this article, you should be able to:
1. Recognize the signs and symptoms of mild cognitive impairment (MCI) and their impact on occupational performance
2. Identify different occupational therapy assessments for persons with MCI and their primary uses
3. Identify current intervention trends and strategies that aim to increase activity levels or participation and prevent or delay cognitive and functional decline
CE Find Key Words: MCI, Dementia, Alzheimer’s
Learning Level: Intermediate
Target Audience: Occupational therapists and occupational therapy assistants
Content Focus: Category 1: Domain of OT; Category 2: OT Process
Reference Information:
Robnett, R., Toglia, J., (2015). Evidence-Based Interventions for Older Adults With Mild Cognitive Impairment. OT Practice, 20(1). CE-1–CE-8