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Neuropsychological Evaluation of the Older Adult A Clinician's Guidebook

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ISBN-10: 0122981901

ISBN-13: 9780122981906

Edition: 2000

Authors: Joanne Green

List price: $122.00
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This manual presents a framework for assessing whether an individual has experienced abnormal cognitive change. It follows a sequence of phases, from the clinical interview to preparing the evaluation report and feedback and follow-up services.
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Book details

List price: $122.00
Copyright year: 2000
Publisher: Elsevier Science & Technology
Publication date: 6/12/2000
Binding: Hardcover
Pages: 311
Size: 5.98" wide x 9.02" long x 0.33" tall
Weight: 1.232
Language: English

Dr. Green is an Associate Professor in the Department of Neurology at the Emory University School of Medicine. She is Chief Neuropsychologist of the Emory Alzheimer's Disease Center at Wesley Woods Health Center, and of the Movement Disorders Program. She has been actively involved in clinical work, research, and teaching on the neuropsychology of older adults for over ten years. She has authored or co-authored over thirty research articles and chapters related to normal and abnormal cognition, with a focus on Alzheimer's disease and Parkinson's disease.

Preface
Activities Preceding Patient Arrival
Clarifying the Referral Question
The Preevaluation Letter
Reviewing Records of Previous History
The Clinical Interview
Introducing the Evaluation and Establishing Rapport
Identifying Concerns about the Patient
The General Inquiry
The Specific Inquiry
Obtaining the Background History
Medical History
Educational, Occupational, and Family History
Using the Interview to Evaluate the Patient
Awareness of Cognitive Change or Other Unusual Behaviors
Affect
Expressive and Receptive Language
Memory for Personal History
Concluding the Interview and Transitioning to Formal Testing
General Principles and Guidelines for Formal Testing
Screening Sensory Abilities
Optimizing the Test Environment
Orienting the Patient to Testing
Guidelines for Use of Psychometrists
Principles of Test Design: Reliability and Validity
Choosing Normative Data for Older Individuals
Selecting the Test Battery
Evaluation of General Intellectual Function, Attention, Executive Function, Verbal Abilities, and Visuospatial and Visuoconstructive Abilities
Assessment of General Intellectual Function
Wechsler Adult Intelligence Scale-III
Wechsler Abbreviated Scale of Intelligence
Dementia Rating Scale
Tests of Specific Abilities
Attention and Executive Function
Verbal Abilities
Visuospatial and Visuoconstructive Abilities
Memory Evaluation in Older Adults
Memory Systems: Declarative and Nondeclarative Memory
A Model of Remembering New Information
Dimensions for Clinical Assessment of Memory
Test Instruments for Evaluation of Memory
WMS-III Information and Orientation
WMS-III Logical Memory (LM)
WMS-III Word Lists
WMS-III Visual Reproduction
Neuropsychological Profiles of Common Disorders Affecting Older Adults I: Alzheimer's Disease, Frontotemporal Lobar Degeneration
Definition of Dementia
Cortical and Subcortical Dementia Syndromes
Alzheimer's Disease
Background
Neuropsychological Characteristics of Alzheimer's Disease
Alzheimer's Disease Subtypes
Neuropsychiatric Symptoms in Alzheimer's Disease
Frontotemporal Lobar Degeneration
Background
Frontotemporal Dementia
Progressive Nonfluent Aphasia
Semantic Dementia
Distinguishing Frontotemporal Lobar Degeneration from Alzheimer's Disease
Neuropsychological Profiles II: Vascular Disease, Dementia with Lewy Bodies
Cerebrovascular Disease and Vascular Dementia
Background
Neuropsychology of Cerebrovascular Disease
Vascular Dementia
Differentiating between Vascular Dementia and Alzheimer's Disease
Neuropsychiatry of Cerebrovascular Disease
Dementia with Lewy Bodies
Background
Neuropsychological Characteristics of Dementia with Lewy Bodies
Neuropsychological Profiles III: Parkinsonian Disorders, Corticobasal Degeneration, Huntington's Disease
Parkinson's Disease
Diagnosis and Clinical Characteristics
Special Issues in Evaluation of Patients with Parkinson's Disease
Neuropsychological Function in Parkinson's Disease
Variables Affecting Neuropsychological Function in Parkinson's Disease
Dementia in Parkinson's Disease
Neuropsychiatric Disorder in Parkinson's Disease
Other Parkinsonian Syndromes with Neuropsychological Correlates
Progressive Supranuclear Palsy
Multiple System Atrophy
Corticobasal Degeneration
Huntington's Disease
Neuropsychological Features of Huntington's Disease
Neuropsychiatric Features
Neuropsychological Profiles IV: Traumatic Brain Injury, Substance-Related Disorders, Normal Pressure Hydrocephalus, Metabolic and Toxic Disorders
Traumatic Brain Injury
Background
Neuropsychological Correlates of Traumatic Brain Injury in Older Adults
Neuropsychological Differences between Traumatic Brain Injury and Alzheimer's Disease
Substance-Related Disorders
Background
Assessing Substance-Related Disorders during the Clinical Interview
Brain Changes Associated with Alcohol-Related Disorders
Neuropsychological Changes Associated with Alcohol-Related Disorders
Neuropsychological Changes Associated with Medication Use
Normal Pressure Hydrocephalus
Metabolic and Toxic Disorders
Assessment of Depression during the Neuropsychological Evaluation
Criteria for Diagnosing Depression
Prevalence, Risk Factors, and Characteristics of Depression in Older Adults
Assessing Depression during the Clinical Interview
Instruments for Screening for Depression
Neuropsychological Profiles of Depression
Depression and Brain Disease
The Concept of Pseudodementia
Differentiating Depression from Alzheimer's Disease
Electroconvulsive Therapy and Neuropsychological Change
Organizing and Interpreting Test Findings
Computing Raw Test Scores
Computing z-Scores
Compiling the Neuropsychology Data Summary Sheet
Approaches to Estimating Premorbid Abilities
Best Performance Method
"Hold" Scores
Demographic Equations
Historical Data
Guidelines for Estimating Premorbid Abilities
Interpreting Test Findings
Interpreting Each Test Score
Interpreting Test Scores Relative to Premorbid Ability
Identifying the Neuropsychological Profile
Identifying Change on Reevaluation
Writing the Evaluation Report
Report Header
Referral and Background Information
Behavioral Observations
Tests Administered
Test Results
Impressions and Recommendations
Providing Feedback and Planning Follow-up Services
Organizing the Feedback Session
Clinical Considerations Important to Providing Feedback
Describing Neuropsychological Strengths and Weaknesses and Reasons for Change
Discussing Treatment Alternatives, Patient Care, and Follow-up Services
Addressing Interpersonal and Family System Issues
Appendixes
Preevaluation Letter
Informed Consent for Neuropsychological Evaluation
Neuropsychological Interview
Behavioral Observations
Neuropsychology Data Summary Sheet
Outline of the Report of the Neuropsychological Evaluation
Patient Cases
Basic Brain Neuroanatomy
List of Abbreviations
References
Index