Neuro-Geriatrics


Book Description

This manual takes a multidisciplinary approach to neurological disorders in the elderly. Comprehensive and practical, it includes the most recent diagnostic criteria and immediately accessible visual care paths including the latest pharmacologic and non-pharmacologic interventions. Covering a range of modalities, from the importance and impact of each disease to diagnostic criteria, genetics, laboratory and imaging findings, treatment and care paths, this book focuses on neurological conditions that occur commonly in older persons or which have a striking effect on their lives. The common types of dementias, Parkinson’s disease and related disorders, rapidly progressive diseases, seizure disorders and multiple sclerosis are covered. Issues commonly affecting this population, such as neurobehavioral symptoms and caregiver issues, are discussed. Neuro-Geriatrics: A Clinical Manual is aimed at any physician who treats the elderly with neurological disorders: neurologists, geriatricians and geriatric psychiatrists, both specialists and general practitioners.




The American Psychiatric Association Practice Guideline on the Use of Antipsychotics to Treat Agitation or Psychosis in Patients With Dementia


Book Description

The guideline offers clear, concise, and actionable recommendation statements to help clinicians to incorporate recommendations into clinical practice, with the goal of improving quality of care. Each recommendation is given a rating that reflects the level of confidence that potential benefits of an intervention outweigh potential harms.




Clinician's Guide to Psychological Assessment and Testing


Book Description

"Overall, this is an excellent guide to the use and administration of psychological tests. It provides straightforward directions and instructions on how to utilize testing in such a way as to better inform clinical practice. I could see this book as a mainstay on any counselorís bookshelf, especially those who are seeking a way to utilize standardized testing in their practice."--The Professional Counselor Journal ìFinally, a detailed and crystal clear guide to psychological assessment that effectively integrates 'best practices' with the realities of negotiating the mental health care system and insurance providers. I plan to draw on this practical guide in my private practice and to incorporate it as a required text in my advanced counseling assessment classes at both the masterís and doctoral level. This book is a treasure for any mental health professional involved in psychological assessment.î Joseph G. Ponterotto, PhD Professor of Counseling Psychology, Fordham University Standardized psychological testing is often essential for reliably determining the presence of a wide range of psychiatric and personality disorders, along with effectively addressing related issues that may require a psychological referral. This nuts-and-bolts guide to conducting efficient and accurate psychological testing in clinical settings provides mental health professionals with experienced guidance in the entire process, and includes a complete set of forms and templates for all aspects of assessment and testing, from the initial referral and diagnostic interview to the final report. Based on the authorís experience with over two thousand psychological and neuropsychological testing cases, this highly practical book presents a standardized process of assessment, testing, interpretation, report-writing, and presenting feedback to patients, family members, and other professionals. Actual case examples of patients from a wide age range illustrate the assessment and testing process in action. The text provides printed and electronic versions of referral and related forms, initial psychological assessment report templates that include critical areas of coverage for obtaining insurance approval, and interpretation tables for an exceptional inventory of key standardized psychological tests. Integral to the book is a review of psychological tests in seven key categories that most effectively address differential diagnostic dilemmas and related referral questions that clinicians are likely to encounter in practice. It also provides effective strategies for selecting the appropriate tests based on the particular diagnostic questions, guidance for successfully obtaining insurance approval for a targeted yet feasible number of testing hours, and an efficient system for simultaneous test interpretation and report writing. Key Features: Includes an overview of the assessment process, from the initial referral to completion of the final report Features effective reviews of commonly used tests, including neuropsychological, intelligence, personality, and behavioral inventories Includes print and digital templates and forms for all phases of assessment and testing Aids clinicians in both private practice and other health care settings to work within managed care and be effectively reimbursed for services Includes information on conducting forensic competency to stand trial assessments, including the authorís new measure of assessing a defendantís understanding of the legal system




Everyday Technologies in Healthcare


Book Description

This book examines the role of everyday technology throughout the life cycle in order to demonstrate the wide acceptance and impact of everyday technology and how it is facilitating both practitioners and patients in contemporary practices. In response, then, this text speaks to a number of audiences. Students writing for undergraduate and postgraduate dissertations/proposals will find the array of works insightful, supported with a vast number of references signposting to key texts. For academics, practitioners and prospective researchers this text offers key empirical and methodological insight that can help focus and uncover originality in their own field. We anticipate that readers will find the collection of empirical examples useful for informing their own work, but also, it attempts to ignite new discussions and arguments regarding the application and use of everyday technology for enhancing health internationally. Explores the multifaceted use and application of each ‘everyday technology’ that impact on diagnosis, treatment and management of individuals. Examines an array of everyday technologies and how these that can either enhance and/or hinder patient/service user outcomes i.e. handheld devices, computer workstations, gamification and artificial intelligence. Discusses technologies that are intended to facilitate patient diagnosis, practitioner-patient relations, within an array of health contexts. Provides readers with an overview with future direction of everyday technologies and its limitations.




The Clinician's Guide to Geriatric Forensic Evaluations


Book Description

The Clinician's Guide to Geriatric Forensic Evaluations provides practical guidance to clinicians performing forensic evaluations on older adults. The book begins with how geriatric forensic evaluations differ from those done on non-geriatric adults. DSM-5 criteria for neurocognitive disorders are discussed and differentiated from the previous criteria in DSM-IV. Coverage includes assessing decision-making capacity/competence and evaluating undue influence, elder abuse, and financial exploitation. Each chapter opens with a case study and then highlights specific assessment techniques, best practices, and common pitfalls to avoid. The book additionally covers forensic report writing, court testimony, and when to refer to an outside independent expert. Samples of geriatric forensic reports are provided. - Provides practical information on performing geriatric forensic evaluations - Identifies DSM-5 criteria for neurocognitive disorders - Includes assessing decision-making capacity/competence, undue influence, elder abuse, and financial exploitation - Features assessment strategies, case studies, best practices, and pitfalls to avoid - Advises on report writing and court testimony




Reducing the Impact of Dementia in America


Book Description

As the largest generation in U.S. history - the population born in the two decades immediately following World War II - enters the age of risk for cognitive impairment, growing numbers of people will experience dementia (including Alzheimer's disease and related dementias). By one estimate, nearly 14 million people in the United States will be living with dementia by 2060. Like other hardships, the experience of living with dementia can bring unexpected moments of intimacy, growth, and compassion, but these diseases also affect people's capacity to work and carry out other activities and alter their relationships with loved ones, friends, and coworkers. Those who live with and care for individuals experiencing these diseases face challenges that include physical and emotional stress, difficult changes and losses in their relationships with life partners, loss of income, and interrupted connections to other activities and friends. From a societal perspective, these diseases place substantial demands on communities and on the institutions and government entities that support people living with dementia and their families, including the health care system, the providers of direct care, and others. Nevertheless, research in the social and behavioral sciences points to possibilities for preventing or slowing the development of dementia and for substantially reducing its social and economic impacts. At the request of the National Institute on Aging of the U.S. Department of Health and Human Services, Reducing the Impact of Dementia in America assesses the contributions of research in the social and behavioral sciences and identifies a research agenda for the coming decade. This report offers a blueprint for the next decade of behavioral and social science research to reduce the negative impact of dementia for America's diverse population. Reducing the Impact of Dementia in America calls for research that addresses the causes and solutions for disparities in both developing dementia and receiving adequate treatment and support. It calls for research that sets goals meaningful not just for scientists but for people living with dementia and those who support them as well. By 2030, an estimated 8.5 million Americans will have Alzheimer's disease and many more will have other forms of dementia. Through identifying priorities social and behavioral science research and recommending ways in which they can be pursued in a coordinated fashion, Reducing the Impact of Dementia in America will help produce research that improves the lives of all those affected by dementia.




Registries for Evaluating Patient Outcomes


Book Description

This User’s Guide is intended to support the design, implementation, analysis, interpretation, and quality evaluation of registries created to increase understanding of patient outcomes. For the purposes of this guide, a patient registry is an organized system that uses observational study methods to collect uniform data (clinical and other) to evaluate specified outcomes for a population defined by a particular disease, condition, or exposure, and that serves one or more predetermined scientific, clinical, or policy purposes. A registry database is a file (or files) derived from the registry. Although registries can serve many purposes, this guide focuses on registries created for one or more of the following purposes: to describe the natural history of disease, to determine clinical effectiveness or cost-effectiveness of health care products and services, to measure or monitor safety and harm, and/or to measure quality of care. Registries are classified according to how their populations are defined. For example, product registries include patients who have been exposed to biopharmaceutical products or medical devices. Health services registries consist of patients who have had a common procedure, clinical encounter, or hospitalization. Disease or condition registries are defined by patients having the same diagnosis, such as cystic fibrosis or heart failure. The User’s Guide was created by researchers affiliated with AHRQ’s Effective Health Care Program, particularly those who participated in AHRQ’s DEcIDE (Developing Evidence to Inform Decisions About Effectiveness) program. Chapters were subject to multiple internal and external independent reviews.




Cognitive and Communication Interventions


Book Description

Understanding the recent science about how therapy changes the brain can empower clinicians to face the challenges of increasingly demanding medical and educational settings. However, many speech-language pathologists (SLPs) are unaware of the vast impact new neuroscience research has on clinical practice. Cognitive and Communication Interventions: Neuroscience Applications for Speech-Language Pathologists is a practical guide that informs and enables SLP’s, clinical psychologists, and other therapeutic professionals to use new research to enhance their clinical outcomes. Although based on independent neuroscience principles and research, this unique book is designed to be a readable and scientifically sound clinical guidebook. Written with the busy clinician in mind, this professional resource uses accessible, easy-to-understand language to walk readers through the complexities of neuroscience and provide workable strategies for application. The beginning chapters break down important concepts, such as neuroplasticity, environmental stressors, and connectomics, to create a base of understanding. The middle chapters delve into recent investigations of factors that potentially affect typical brain development, as well as disrupt connectomics. The final chapters provide neuroscience considerations for intervention, including the “What, How, and When” of therapy and other important considerations for individualizing and maximizing outcomes. Throughout the book, clinicians will also find case studies that provide examples of the practical applications of neuroscience research and study questions to improve memory and inference.




Long-Term Management of Dementia


Book Description

With people living longer, dementia is now at the forefront of medical research. In answer to this changing trend, Long-Term Management of Dementia presents a stand-alone resource for diagnosis, treatment, and management issues for the patient suffering from this debilitating disease.Topics covered include:Social, legal, economic, and ethical dilem