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Geriatric Neuropsychology : Practice Essentials,9781841694436

Geriatric Neuropsychology : Practice Essentials

by ;
Format: Hardcover
Pub. Date: 10/10/2005
Publisher(s): Taylor & Franci
Availability: This title is currently not available.

Summary

Advancing age is associated with a number of neurological conditions, including dementia, cerebrovascular disease, and traumatic brain injury. In addition, chronic medical conditions (e.g. diabetes), emotional disturbance, and medications may compromise the neuropsychological functioning of older adults. Geriatric neuropsychology is a growing specialty, with neuropsychologists ideally suited to diagnose and treat many of the cognitive disorders experienced by the elderly. While many resources are available to inform the neuropsychologist on aspects of geriatric neuropsychology, this book is designed to be a comprehensive resource that addresses the numerous clinical challenges facing neuropsychologists working with geriatric populations. The text provides a lifespan developmental approach to neuropsychology. It addresses the many issues in neuropsychological assessment that differ between younger and older adults. It describes the symptoms, neuropathology, diagnostic considerations, andtreatment options of common neurological disorders associated with aging. It also addresses special considerations related to geriatric neuropsychology, such as ethical issues, family systems issues, decision-making capacity, cultural consideration, and medical/medication/substance use issues. Additionally, a list of resources for the elderly and their families is also provided.

Table of Contents

List of plates and figures
xiv
List of tables
xvi
About the editors xvii
List of contributors
xix
From the series editor xxi
Preface xxiii
Section I Introduction
1(8)
Introduction
3(1)
Shane S. Bush
Thomas A. Martin
Settings
3(1)
Referral questions
3(1)
Diagnosis
4(1)
Treatment
4(1)
Consumer education/prevention
5(1)
Conclusion
5(1)
References
5(4)
Section II Assessment
9(156)
The clinical interview
11(10)
Jacobus Donders
Understanding the referral
11(1)
Making the first contact
12(1)
Beginning the interview
13(1)
History of the presenting problem
14(1)
Other personal history
15(2)
Wrapping up
17(1)
Conclusion
18(1)
References
18(3)
Selection and use of screening measures in geriatric neuropsychology
21(20)
Jean Lengenfelder
John Deluca
Screening for mental status/cognitive functioning
23(8)
Screening for depression and other psychiatric symptoms
31(1)
Screening for behavioral or functional impairment
32(2)
Conclusions
34(1)
References
34(7)
Neuropsychological batteries for older adults
41(44)
John L. Woodard
Bradley N. Axelrod
What is neuropsychological assessment of the older patient?
42(1)
Complicating variables with older adults
42(3)
Special needs of older adults during neuropsychological assessment
45(1)
Neuropsychological batteries for older adults
46(3)
Fixed battery approaches
49(7)
Flexible battery approaches
56(8)
Functional capacity
64(7)
Symptom validity testing with older adults
71(1)
Summary
72(1)
References
73(12)
Applications of technology to assessment and intervention with older adults
85(12)
Philip Schatz
Applications of Internet use with older adults
85(1)
Applications of technology to assessment of older adults
86(3)
Technological adaptations in neuropsychological assessment
89(3)
Summary
92(1)
References
92(5)
Test accommodations in geriatric neuropsychology
97(18)
Bruce Caplan
Judith A. Shechter
Pertinent professional standards and guidelines
98(4)
Factors that may warrant nonstandard modification in the assessment of older adults
102(2)
Research on specific modifications
104(5)
Conclusion
109(1)
Notes
110(1)
References
110(5)
Cultural considerations in the neuropsychological assessment of older adults
115(26)
Desiree A. Byrd
Jennifer J. Manly
Definition of culture
116(1)
Culture and geriatric assessment
116(9)
Dementia
125(1)
Sources of cultural effects on neuropsychological test performance
125(5)
Conclusions
130(1)
References
131(10)
Structural and functional neuroimaging findings in normal and pathological aging
141(24)
James T. Becker
Howard Aizenstein
Meryl A. Butters
Structural neuroimaging
141(7)
Functional neuroimaging
148(7)
Summary and conclusions
155(1)
Acknowledgements
155(1)
Note
155(1)
References
155(10)
Section III Neuropsychological disorders
165(160)
Neuropsychology of Alzheimer's disease and other dementias
167(52)
Ronald F. Zec
Nicole R. Burkett
Chapter overview
167(1)
Epidemiology
168(1)
Neuropathology of Alzheimer's disease
168(3)
Neuropathologic criteria for the diagnosis of AD
171(1)
The use of neuropsychological assessment in the diagnosis of Alzheimer's disease
172(2)
Early detection of Alzheimer dementia
174(1)
Brief mental status tests and neuropsychological batteries for evaluation of dementia
175(2)
Attention
177(1)
General cognitive slowing in aging and AD
178(1)
Executive functioning and problem solving
178(1)
Awareness of deficit
179(1)
Memory impairment in AD
180(5)
Language
185(2)
Visuospatial functioning
187(2)
Mild cognitive impairment
189(1)
Differential diagnosis of AD and other dementing disorders
190(10)
Treatment and case management
200(5)
Conclusions
205(1)
References
206(13)
Cerebrovascular disorders: Neurocognitive and neurobehavioral features
219(24)
Stephen N. Macciocchi
Amy L. Alderson
Sara L. Schara
Epidemiology and risk
219(2)
Pathophysiology
221(1)
Neurocognitive-neurobehavioral networks and stroke
222(3)
Neurovascular syndromes: Neurobehavioral and neurocognitive features
225(11)
Functional outcome
236(3)
Summary and conclusions
239(1)
References
239(4)
Neuropsychology of Parkinson's disease and its dementias
243(58)
Alexander I. Troster
Steven Paul Woods
Historical perspectives
243(1)
Epidemiology and genetics
244(2)
Neuropathology and pathophysiology
246(4)
Neurobehavioral features of Parkinson's disease
250(13)
Purposes of clinical neuropsychological assessment
263(1)
Process-oriented assessment of the patient with Parkinson's disease
264(9)
Comments on differentiating Lewy body, Parkinson's, and Alzheimer's dementias
273(1)
Impact of pharmacological and surgical treatments on cognition
273(5)
Acknowledgement
278(1)
References
278(23)
Traumatic brain injury and the older adult
301(24)
Thomas A. Martin
Brick Johnstone
Neuropathology of traumatic brain injury
302(3)
Neuropsychological sequelae of traumatic brain injury in the older adult
305(3)
Neuropsychological assessment of older adults with traumatic brain injury
308(4)
Interpretation of data for older adults with traumatic brain injury
312(2)
Treatment considerations for older adults with traumatic brain injury
314(3)
Conclusion
317(1)
References
317(8)
Section IV Clinical considerations
325(212)
Co-occurring psychiatric and neurological impairments in older adults
327(36)
Mary R. Hibbard
Sabrina Breed
Teresa Ashman
Julie Williams
Unique diagnostic issues in older adults
327(1)
Depression in older adults
328(8)
Anxiety disorders in older adults
336(4)
Psychotic disorders in older adults
340(1)
Psychiatric interventions with older adults
341(1)
Psychotherapeutic interventions with older adults
342(7)
Conclusions
349(1)
Acknowledgements
350(1)
References
350(13)
Sleep disorders and geriatric neuropsychology
363(22)
Manfred F. Greiffenstein
Basic sleep terminology
363(2)
Measurement issues in sleep medicine
365(4)
Sleep and aging
369(6)
Neuropsychological studies
375(3)
Concluding comments
378(1)
References
378(7)
Geriatric pain and neuropsychological assessment
385(16)
Felicia Hill-Briggs
Jennifer Jacobson Kirk
Stephen T. Wegener
Pain classification, prevalence, and underdiagnosis
385(1)
Neurological mechanisms of pain in aging and dementia
386(2)
Pain assessment in older adults
388(2)
Pain assessment in populations with severe cognitive impairment
390(1)
Neuropsychological functioning in chronic pain patients
390(5)
Clinical recommendations
395(1)
References
396(5)
Geriatric psychopharmacology
401(28)
Efrain A. Gonzalez
Margaret M. Mustelier
Jose A. Rey
Pharmacodynamics and pharmacokinetics
401(1)
Pharmacological treatment of common geriatric disorders
402(17)
Neurocognitive effects of select medications commonly prescribed to older adults
419(1)
Neurocognitive effects of dietary supplements
420(2)
Polypharmacy
422(1)
Conclusions
423(1)
References
423(6)
Substance abuse in older adults
429(24)
Doug Johnson-Greene
Anjeli B. Inscore
Alcohol abuse
429(7)
Drug abuse
436(7)
Conclusions
443(1)
Acknowledgements
443(1)
References
443(10)
Neuropsychologists as family service providers after the onset of neurological disorders in older adults
453(38)
Laura A. Taylor
Lee A. Livingston
Jeffrey S. Kreutzer
Deborah D. West
Family issues, reactions, and needs
454(3)
The role of neuropsychologists in helping families
457(2)
Neuropsychological assessment
459(7)
Treatment options
466(10)
Greatest challenges for geriatric patients and their families
476(3)
Living with a family member who is very different
479(5)
A final comment
484(1)
References
484(7)
Decision-making capacity in the impaired older adult
491(16)
Paul J. Moberg
Maureen Gibney
Measurement concerns
493(2)
Decision-making capacity evaluation in clinical contexts
495(1)
Decision-making capacity and guardianship
496(1)
Clinical rating scales of capacity
497(3)
Neuropsychological assessment of capacity
500(2)
Summary and conclusions
502(1)
Acknowledgement
503(1)
References
503(4)
Ethical issues in geriatric neuropsychology
507(30)
Shane S. Bush
Thomas A. Martin
Ethical decision making
508(1)
Salient ethical issues: An overview
508(1)
Application of general ethical principles to geriatric neuropsychology
509(2)
Select topics of ethical concern in geriatric neuropsychology
511(18)
Neuropsychological treatment
529(3)
Conclusions
532(1)
References
532(5)
Appendix: Resources for the practice of geriatric neuropsychology 537(6)
Index 543

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