Geriatrics

Download Aging and Neuropsychological Assessment by Asenath LaRue PDF

By Asenath LaRue

It is a privilege to be requested to write down the foreword for therefore first-class a e-book, so well timed and lots wanted by way of the sector. not just is it most original nowadays to have a unmarried­ authored quantity on so huge a subject matter, yet Dr. los angeles Rue has performed an outstanding activity of offering either a scholarly treatise and a pragmatic guide. With a burgeoning aged inhabitants and the corresponding bring up in geriatric psychopathology, the wishes of psychological healthiness companies are exceeding by means of some distance the availability of applicable companies. on the way to meet this desire, psychiatry, medication, neurology, pharmacology, psychology, nursing, and social paintings have all made the supply of teaching in geriatrics and gerontology a excessive priority-but I worry we're wasting the race. for instance, multidisciplinary groups that investigate, diagnose, and deal with psychological future health issues in aged sufferers are incomplete with out medical psychologists and neuropsy­ chologists, and but there's slightly a handful of medical psychologists educated in facing geriatric sufferers. we will expect our hands the extra ones graduated every year. In hospitals, clinics, and personal practices around the kingdom, differently expert psychologists are unprepared to reply to the distinct psychological well-being wishes of the aged. a number of CME courses are supporting to deal with this desire, yet they're basically now not enough.

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Sample text

However, as a more recent study (Katzman, Terry, DeTeresa, Brown, Davies, Fuld, Renbing, & Peck, 1988) illustrates, some individuals have normal cognitive function despite increased plaque counts. Katzman et al. (1988) studied 137 very-old (mean age = 85 years) residents of a nursing home who were given brief cognitive testing on a yearly basis; after death, autopsies were performed examining cell counts, numbers of neuritic plaques and neurofibrillary tangles, and selected neurotransmitters. , 1983) and a multitrial object recall test (Fuld, 1981).

Under some circumstances, ventricle enlargement appears to be reversible, so that brain shrinkage as visualized in CT may not be directly proportional to neuronal death or deactivation (Jernigan, Zatz, Feinberg, & Fein, 1980). 33 THE AGING BRAIN Summary of Neuroanatomical Findings According to Kemper (1984), age-related neuroanatomical changes can be organized into contrasting groups. Changes in the first group-including decreased brain weight, loss of neurons, loss of myelin, gyral atrophy, ventricular dilation, and amyloid accumulation-all show relatively strong correlations with age; each of these changes is further accentuated in Alzheimer's disease, but there is considerable overlap in distributions for normal aging and dementia.

Hypertension or diabetes), narrowing or blockage of capillaries may produce a localized hypoxic state that could result in small areas of tissue loss (see Chapter 9 for further discussion). Neuroanatomical Changes and Cognitive Performance Lesion Studies There is an extensive neuropsychological literature on cogmtlve functions of patients with focal brain lesions (for reviews, see Kolb & Wishaw, 1984; Lezak, 1983; THE AGING BRAIN 31 Strub & Black, 1988). The value of this literature for the understanding of normal brainbehavior relations is a matter of considerable debate.

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