Working in an inpatient rehabilitation setting, I have experienced obstacles with scoring communication and cognition using the Functional Independence Measure (FIM). The FIM relies heavily on observations over a three day period, however in an inpatient setting, it is difficult to observe a person for this amount of time and scoring using the FIM is completed by multiple assessors. With many persons scoring any given area of the FIM, discrepancies are likely to occur. Cognitive AIM: Assess, Improve, and Maintain Cognition for Persons Post-Orthopedic Surgery (Cognitive AIM) was created to offer occupational therapy (OT) cliniciancs an opportunity to assess a person’s cognition using various types of tools as a supplement to the FIM. When cognition changes post-orthopedic surgery, it can often lead to limitations for safe discharge home. After a person’s occupational profile is obtained, OT clinicians will be able to use the Cognitive AIM manual to select an appropriate assessment to meet the needs of the person and his or her goals. The manual will also include various cognitive interventions that can be used to elicit improved cognitive function, as well as home exercise program handouts to provide a better understanding of cognition and ideas for improving and maintaining cognition after discharge.