Handbook on the Neuropsychology of Aging and Dementia

This book offers a hands-on guide to identifying dementia. It details special considerations for conducting neuropsychological assessments and illuminates symptoms associated with specific disorders and their relationship to functional impairments.

With the aging of the baby boomers and medical advances that promote longevity, older adults are rapidly becoming the fastest growing segment of the population. As the population ages, so does the incidence of age related disorders. Many predict that 15% - 20% of the baby-boomer generation will develop some form of cognitive decline over the course of their lifetime, with estimates escalating to up to 50% in those achieving advanced age. Although much attention has been directed at Alzheimer's disease, the most common form of dementia, it is estimated that nearly one third of those cases of cognitive decline result from other neuropathological mechanisms. In fact, many patients diagnosed with Alzheimer's disease likely have co-morbid disorders that can also influence cognition (i.e., vascular cognitive impairment), suggesting mixed dementias are grossly under diagnosed. The Clinical Handbook on the Neuropsychology of Aging and Dementia is a unique work that provides clinicians with expert guidance and a hands-on approach to neuropsychological practice with older adults. The book will be divided into two sections, the first addressing special considerations for the evaluation of older adults, and the second half focusing on common referral questions likely to be encountered when working with this age group. The authors of the chapters are experts and are recognized by their peers as opinion leaders in their chosen chapter topics. The field of neuropsychology has played a critical role in developing methods for early identification of late life cognitive disorders as well as the differential diagnosis of dementia. Neuropsychological assessment provides valuable clinical information regarding the nature and severity of cognitive symptoms associated with dementia. Each chapter will reinforce the notion that neuropsychological measures provide the clinician with sensitive tools to differentiate normal age-related cognitive decline from disease-associatedimpairment, aid in differential diagnosis of cognitive dysfunction in older adults, as well as identify cognitive deficits most likely to translate into functional impairments in everyday life.

Highlights relevant literature in a concise review of each topic and provides timely updates of newly available information Provides detailed how-to information for a targeted assessment of specific topical areas Includes expert advice, pearls of wisdom, case reports, anecdotal evidence, test materials, and black-and-white illustrations to enrich the scientific content

Auteur
Lisa Ravdin, Ph.D., ABPP-CN is a board-certified neuropsychologist and director of the Weill Cornell Neuropsychology Service in the Department of Neurology and Neuroscience at new York Hospital Presbyterian Hospital-Weill Cornell Medical Center. After graduating from the Chicago Medical School doctoral program, she completed an internship at the West Haven VA medical Center and Yale Epilepsy Program where she received the Jacob Levin Intern Award for Outstanding Clinical Scholarship. Subsequently, she underwent advanced training in a neuropsychology post doctoral fellowship at New York University School of Medicine-Hospital for Joint Diseases, as well as a neuropsychology fellowship at the New York Hospital-Cornell Medical Center. Presently, her primary clinical and research activities focus on cognitive changes associated with neurologic disorders and, in particular, age-related diseases. In addition, she is a co-investigator on a number of research initiatives relating to cognitive decline associated with neurologic disease (Alzheimer's disease, Parkinson's disease, normal pressure hydrocephalus) and depression. Heather Katzen, Ph.D. is assistant research professor in the Department of Neurology at the University of Miami Miller School of Medicine and adjunct research assistant professor in the Department of Neurology and Neuroscience at Weill Medical College of Cornell University. She received her doctoral degree in clinical psychology/neuropsychology from the University of Miami and completed a post doctoral fellowship at New York Hospital/Weill Cornell Medical College. She is a member of the International Neuropsychological Society, the Cognitive Neuroscience Society, and American Psychological Association, Division 40, Neuropsychology.

Texte du rabat

This book *offers practitioners a hands-on guide to bedrock clinical tasks. The first half of the volume addresses special considerations for conducting neuropsychological assessments of older adults, such as disease management issues, sleep concerns, and ethical matters. The second section illuminates symptoms and issues associated with specific disorders and their relationship to functional impairments. Information is presented in a practitioner friendly format with sample cases, test battery recommendations, and clinical pearls from recognized experts in the field. Among the *Handbook's topics:

· Serial assessments in dementia.

· Considerations for neuropsychological evaluations with older minority patients.

· Impact of medications on cognition.

· Assessing depression and anxiety in older adults.

· Prevention of cognitive decline.

· Plus in-depth chapters on late-life cognitive impairment resulting from Alzheimer's disease, vascular cognitive impairment, cancer, stroke, epilepsy, and a variety of other conditions.

Useful and informative well beyond its immediate specialty, the Handbook on the Neuropsychology of Aging and Dementia is a practical reference for neuropsychologists, neurologists, primary care physicians (geriatricians, internists, family doctors), health psychologists, clinical psychologists, and clinical social workers.

Contenu

1. Special Considerations for the Neuropsychological Interview of Older Adults.- 2. Consideration of Cognitive Reserve.- 3. Considerations for the Neuropsychological Evaluation of Older Ethnic Minority Populations.- 4. The Assessment of Change: Serial Assessments in Dementia Evaluations.- 5. After the Diagnosis of Dementia: Considerations in Disease Management.- 6. Sleep and Aging.- 7. Medications and Cognition in Older Adults.- 8. Assessment of Depression and Anxiety in Older Adults.- 9. Neuropsychological Assessment and Management of Older Adults with Multiple Somatic Symptoms.- 10. Driving Evaluation in Older Adults.- 11. Environmental Design for Cognitive Decline.- 12. Prevention of Cognitive Decline.- 13. Clinical Neuropsychology Practice and the Medicare Patient.- 14. Professional Competence as the Foundation for Ethical Neuropsychological Practice with Older Adults.- 15. Ethical Considerations in the Neuropsychological Assessment of Older Adults.- Part II: Late Life Cognitive Disorders.-
   16. Mild Cognitive Impairment and Normal Aging.- 17. Differential Diagnosis of Depression and Dementia.- 18. Assessment of Alzheimer's disease.- 19. Vascular Cognitive Impairment.- 20. Assessment in Acute Stroke Rehabilitation.- 21. Accurate Assessment of Behavioral Variant Frontotemporal Dementia.- 22. Movement Disorders with Dementia in Older Adults.- 23. Neuropsychological Considerations for Parkinson's Disease Patients Being Considered for Surgical Intervention with Deep Brain Stimulation.- 24. Idiopathic Normal Pressure Hydrocephalus.- 25. Episodic and Semantic Memory Disorders.- 26. Epilepsy and Aging.- 27. Neuropsychological Assessment of Older Adults with a History of Cancer.- 28. Evaluating Cognition in Patients with COPD/emphysema.- 29. Hepatic Encephalopathy.- 30. Late-Onset Schizophrenia.- 31. Capacity Evaluations in Older Adults: Neuropsychological Perspectives.