Functional Cognitive Activities (FCA) is a comprehensive system for addressing functional cognition in persons with cognitive deficits due to acquired brain injury: stroke, traumatic brain injury, tumors, etc.. OT, PT, ST and activities therapists can use the structured system to plan treatment sessions that incorporate the skilled use of therapeutic tasks and activities to foster independence. Tasks and activities are accessed in printable format via a website arranged in a hierarchy of 8 levels of functional cognition. The levels begin by having the person practice initiating the next step in a sequence of basic ADL tasks; gradually progressing to the highest level of planning and multitasking to carry out complex ADL. The system also includes an evaluation scale, functional goals and a progress guide.
The purpose of this approach is to bridge the gap between the techniques and goals of traditional cognitive rehabilitation with a focus on addressing functional cognition that emphasizes “real-world” performance. The system incorporates "real-life experiences" into multidisciplinary treatment plans.
A core concept of the system is that there are 3 global elements of functional cognition:
Time awareness and management
Interpersonal awareness and management
Environmental awareness and management
Free access to the website can be obtained by viewing an OT CEU webinar or by purchasing access.
Functional Cognitive Activities
Overview of the Functional Cognitive Activities Approach