<![CDATA[The elderly population globally, particularly in Japan, has led to a higher prevalence of cognitive decline such as mild cognitive impairment (MCI) and dementia. Cognitive decline can affect independence and quality of life in the elderly. One non-pharmacological intervention that can be applied is occupational therapy (OT), which focuses on meaningful activities to support cognitive function in older adults. This study aims to describe the improvement of cognitive status after occupational therapy among elderly individuals at Iryouhoujin Izumi Ga Oka Hospital, Japan. This study used a descriptive quantitative design with purposive sampling technique. The sample consisted of 15 elderly individuals aged 60–.90 years. The instrument used was the Mini Mental State Examination (MMSE) to assess cognitive function. Cognitive status at the first assessment was predominantly classified as mild cognitive impairment, with 12 respondents (80.0%). Following the implementation of occupational therapy, the second assessment indicated that most older adults remained in the mild cognitive impairment category, with 13 respondents (86.7%), and no respondents were found to have severe cognitive impairment. The distribution of changes in cognitive status showed that most respondents maintained a stable cognitive status, accounting for 10 respondents (66.7%), while 4 respondents (26.7%) experienced an improvement and 1 respondent (6.7%) experienced a decline.The conclusion of this study indicates that most elderly individuals tended to maintain their cognitive status after participating in occupational therapy, with some experiencing improvement and a small proportion experiencing decline.]]>
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