An Assessment Guide to Geriatric Neuropsychology

An Assessment Guide to Geriatric Neuropsychology

An Assessment Guide to Geriatric Neuropsychology

An Assessment Guide to Geriatric Neuropsychology

Synopsis

At least half of all neuropsychological assessments are performed on elderly persons, but the information clinicians need to make appropriate judgment calls is widely scattered. Several books offering general descriptions of the cognitive functioning of the aged or of neuropsychological conditions affecting them are helpful to practitioners but do not provide reliable and valid normative information. Two books that do provide this information do not focus on geriatric populations. A concise, yet comprehensive summary of what we now know about those over 65--with an extensive bibliography-- An Assessment Guide to Geriatric Neuropsychology fills the gap.

The neuropsychological assessment of elderly persons involves not only the performance-based measurement of various capacities but heavy reliance on reports from caregivers (both formal and informal) about the day to day functioning of the affected person. It also raises important, yet often neglected, ethical concerns. The authors discuss all the measures that detect and discriminate among cognitive disorders of elderly persons, including special measures relevant to caregiver reports, and provide useful tables to assist in differential diagnosis. They also reflect on the ethical issues that often confront the assessor of an elderly individual: informed consent, confidentiality, the right of bodily autonomy and self-determination, and appropriate feedback.

This book will be an invaluable resource for all those called on to evaluate older clients.

Excerpt

More and more studies of the performance of older persons on various neuropsychological measures have been reported in the literature over the past decade in response to the growing demand for clinical practitioners to become involved in the assessment of the elderly. These studies, and others emerging from the area of cognitive aging research, indicate that issues such as educational background are of particular concern when assessing this cohort, and that some cognitive domains are more susceptible than others to the effects of aging. Despite the appearance of more normative information for older persons, we know of no single source in which the findings to date are summarized. This text is designed to fill the gap.

Changes in cognitive functioning occur as a result of aging. Similarly, the prevalence of disorders that adversely affect cognitive functioning increases with age. Neuropsychological measures of cognitive abilities are particularly useful for detecting and monitoring changes in cognitive functioning but only within the context of adequate normative information. This is particularly true when assessing older persons for whom changes in cognitive functioning may or may not be reflective of underlying "pathology."

Neuropsychological assessment of geriatric populations involves not only performance-based measurement of areas of cognitive abilities but heavy reliance on reports of caregivers--both formal and informal--about the functioning of the affected individual. Despite the importance of this information, few standardized and/or validated approaches exist in the field. Those that are available have appeared in scattered reports in the literature. in this text, we bring together relevant information concerning measures designed to obtain information from caregivers. a related issue . . .

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