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Handbook of Assessment in Clinical Gerontology
Peter A. Lichtenberg
Verlag Elsevier Trade Monographs, 2010
ISBN 9780080959726 , 753 Seiten
2. Auflage
Format PDF, ePUB, OL
Kopierschutz DRM
Front Cover
1
Handbook of Assessmentin Clinical Gerontology
4
Copyright
5
Contents
6
List of Contributors
8
Introduction
12
PART 1 -Psychopathologylater in life
20
CHAPTER 1Assessment of Depression andBereavement in Older Adults
22
EPIDEMIOLOGY OF LATE-LIFE DEPRESSION
22
CONCEPTUAL APPROACHES TO ASSESSMENT
23
DEFINITION AND DIAGNOSTIC ISSUES
24
DEPRESSION ASSESSMENT INSTRUMENTS
31
EPIDEMIOLOGY OF BEREAVEMENT
39
DEFINITION AND DIAGNOSTIC ISSUES
40
BEREAVEMENT ASSESSMENT INSTRUMENTS
44
CONCLUSION
47
References
50
CHAPTER 2Assessment of Anxiety in Older Adults
64
EPIDEMIOLOGICAL CONSIDERATIONS
64
SPECIAL CONSIDERATIONS
65
FACTORS INFLUENCING ANXIETY ASSESSMENT IN THE ELDERLY
66
CLINICAL UTILITY OF INSTRUMENTS TO ASSESS ANXIETY IN OLDERADULTS
66
MULTICULTURAL ISSUES IN ANXIETY ASSESSMENT IN THE ELDERLY
72
CLINICAL ILLUSTRATIONS
73
References
75
CHAPTER 3Psychotherapy with Older Adults: The Importance of Assessment
80
RESEARCH AND PSYCHOTHERAPY
81
WHY ASSESS BASELINE FUNCTIONING AND OUTCOMES?
82
PSYCHOTHERAPY MEASURES
85
A MODEL OF OLDER ADULTS IN PSYCHOTHERAPY
89
CAREGIVERS
91
TESTING IN DIFFERENT SETTINGS
93
CULTURAL DIVERSITY AND ASSESSMENT
93
CONCLUSION
100
SHORT FORM HEALTH SURVEY (SF-36)
103
UNIVERSITY OF RHODE ISLAND CHANGE ASSESSMENT
105
CLINICAL INSIGHT RATING SCALE
106
BASIS-32 (BEHAVIOR AND SYMPTOM IDENTIFICATION SCALE)
106
WORKING ALLIANCE INVENTORY
107
References
114
CHAPTER 4Assessment of Personality Disorders in Older Adults
120
OVERVIEW
120
DEFINITIONAL ISSUES
121
EPIDEMIOLOGY OF PERSONALITY DISORDERS
122
STABILITY AND CHANGE
124
PSYCHOMETRIC CONCERNS IN LATER LIFE
125
APPROACHES TO ASSESSMENT OF PERSONALITY DISORDERS
126
SUMMARY AND CONCLUSIONS
133
APPENDIX A: MULTI-SOURCE ASSESSMENT OF PERSONALITYPATHOLOGY (MAPP)
133
APPENDIX B: GERONTOLOGICAL PERSONALITY DISORDERS SCALE (GPS)
137
References
137
CHAPTER 5Assessing Psychosis in Acute and Chronic Mentally Ill Older Adults
142
INTRODUCTION
142
GENERAL ASSESSMENT CONSIDERATIONS
142
SCHIZOPHRENIA AND DELUSIONAL DISORDERS
144
BIPOLAR DISORDER AND PSYCHOTIC DEPRESSION
149
ASSESSMENT OF PSYCHOSIS IN DEMENTIA
151
CONCLUSION
155
POSITIVE AND NEGATIVE SYNDROME SCALE (PANSS)
155
ACKNOWLEDGEMENTS
170
References
170
CHAPTER 6Dementia Syndromes in the Older Adult
174
DEMENTIA
174
DESCRIPTION OF COGNITIVE DOMAINS
175
TYPES OF DEMENTING DISORDERS
176
STANDARD USES AND GOALS OF ASSESSMENT
183
TREATMENT
192
ROLE OF FOLLOW-UP ASSESSMENT
193
CONCLUSION
194
References
195
CHAPTER 7Delirium Assessment in Older Adults
198
HISTORY OF DELIRIUM AS A CLINICAL CONCEPT
198
EPIDEMIOLOGY
199
ETIOLOGY/RISK FACTORS
201
CLINICAL FEATURES
202
THE IMPORTANCE OF ASSESSING DELIRIUM
204
DIAGNOSTIC CRITERIA
205
REVIEW OF DELIRIUM ASSESSMENT MEASURES
207
CASE STUDIES
217
PSYCHOSOCIAL INTERVENTIONS
219
CONCLUSION
220
APPENDIX A: MEMORIAL DELIRIUM ASSESSMENT SCALE (MDAS)
220
REFERENCES
223
CHAPTER 8Assessment of Cognitive Training
230
INTRODUCTION
230
TOOLS AND TECHNIQUES FOR INITIAL ASSESSMENT OF MEMORY ANDCOGNITION IN LATE ADULTHOOD
231
DIAGNOSTIC ISSUES
234
COGNITIVE TRAINING PROGRAMS AND INTERVENTIONS
235
MEMORY TRAINING TECHNIQUES
236
MEMORY AND COGNITIVE ASSESSMENT AND INTERVENTIONS IN DIVERSEPOPULATIONS
238
USE OF REASSESSMENT IN CLINICAL WORK
239
CLINICAL CASE STUDY
240
CONCLUSION
241
References
241
CHAPTER 9The Assessment of Elder Abuse
248
INTRODUCTION AND HISTORY
248
DEFINITIONS AND SCOPE OF THE PROBLEM
249
EPIDEMIOLOGY OF THE PROBLEM—WHAT WE KNOW AND WHAT WE DON’TKNOW
250
CLINICAL SEQUELAE OF ELDER ABUSE AND NEGLECT
251
SCREENING FOR ELDER ABUSE
254
SPECIAL ISSUES
255
CONCLUSION AND FUTURE DIRECTIONS
256
APPENDIX A
257
APPENDIX B
258
APPENDIX C
259
APPENDIX D
259
ELDER ABUSE SCREENING TEST
259
References
260
CHAPTER 10Assessment of Dementia Family Caregivers
262
BACKGROUND ON ASSESSMENT
263
ASSESSMENT STRATEGY AND PROPOSED MEASURES
264
ASSESSING CONTEXTUAL VARIABLES: THE FAMILY UNIT AND SOCIALSUPPORT
272
THE PRACTICE OF ASSESSMENT
273
CONCLUSION
275
CASE STUDIES
275
APPENDIX A: ZARIT BURDEN INTERVIEW-12
278
APPENDIX B: CAREGIVER ASSESSMENT OF FUNCTION AND UPSET (CAFU)
279
APPENDIX C: POSITIVE ASPECTS OF CAREGIVING
285
References
286
CHAPTER 11Assessment with Late-Life Families: Issues and Instruments
292
INTRODUCTION
292
RATIONALE FOR A CHAPTER ON FAMILY ASSESSMENT
292
DIVERSITY IN LATE-LIFE FAMILIES
294
OTHER RELEVANT DEMOGRAPHIC AND SOCIAL TRENDS
295
KEY ASSESSMENT ISSUES
296
ASPECTS OF FAMILY FUNCTIONING
300
ASSESSMENT INSTRUMENTS
303
CONCLUSION
316
APPENDIX A:FAMILY ASSESSMENT DEVICE
316
INSTRUCTIONS:
316
APPENDIX B:
319
CHECKLIST OF FAMILY RELATIONAL ABILITIES
319
REFERENCES
320
PART 2 - Behavioral Disorders
324
CHAPTER 12Screening, Assessing and Intervening for Alcohol and Medication Misuse in Older Adults
326
INTRODUCTION
326
PREVALENCE OF ALCOHOL AND DRUG USE/MISUSE/ABUSE
326
MENTAL AND PHYSICAL HEALTH RISKS ASSOCIATEDWITH USE/MISUSE/ABUSE
329
DEFINITIONS OF SUBSTANCE USE RISK IN OLDER ADULTHOOD
329
SCREENING: ASKING THE FIRST QUESTIONS
332
BROAD-BASED ASSESSMENT OF ALCOHOL PROBLEMSIN OLDER ADULTS
340
SCREENING AND ASSESSMENT FOR PHYSICAL, MENTAL,AND FUNCTIONAL HEALTH
342
CULTURAL ISSUES IN SCREENING AND ASSESSMENT
345
SUMMARY
345
REFERENCES
345
CHAPTER 13Assessment and Conceptualization of SexualitynbspAmong Older Adults
350
INTRODUCTION
350
OLDER ADULT SEXUALITY AND CURRENT TIMES
351
WOMEN, AGING, AND FACTORS AFFECTING SEXUAL FUNCTIONING
351
MEN, AGING, AND FACTORS AFFECTING SEXUAL FUNCTIONING
353
RECENT ADVANCES IN PHARMACOTHERAPY FOR SEXUAL DISORDERS
355
DIVERSITY AND MULTICULTURAL CONSIDERATIONS IN OLDER ADULTS
356
INITIAL STAGES OF ASSESSMENT
359
DEATH, DYING, AND SEXUALITY IN OLDER ADULTS
363
ASSESSMENT TOOLS AND GUIDELINES
364
References
371
CHAPTER 14Nutrition in the Elderly
376
INTRODUCTION
376
PHYSIOLOGICAL CHANGES ASSOCIATED WITH AGING
376
NUTRITION RECOMMENDATIONS FOR OLDER AMERICANS
379
NUTRITIONAL ASSESSMENT FOR THE ELDERLY
381
AGING AND CHRONIC DISEASE STATES
388
MEDICATIONS THAT AFFECT APPETITE AND FOOD INTAKE
392
DIVERSITY ISSUES THAT IMPACT THE NUTRITION STATUS
392
CONCLUSION
396
REFERENCES
396
CHAPTER 15Assessment of Agitation innbspOlder Adults
400
INTRODUCTION
400
WHY ASSESS AGITATION?
402
AVAILABLE METHODOLOGIES FOR THE ASSESSMENT OF AGITATION
402
UTILIZING ASSESSMENTS IN CLINICAL SITUATIONS
412
INFLUENCE OF SETTING ON AGITATION AND ITS ASSESSMENT
416
MULTICULTURAL ISSUES
417
SUMMARY
417
REFERENCES
418
CHAPTER 16Assessing Sleep Problems of Older Adults
424
INTRODUCTION
424
THE STRUCTURE OF SLEEP FOR OLDER ADULTS
424
CAUSES OF SLEEP DISTURBANCE
426
SLEEP ASSESSMENT: MEASURES, METHODS, AND STRATEGY
429
APPENDIX A
435
APPENDIX B
436
APPENDIX C
440
References
441
CHAPTER 17Treatment Adherence in Late-Life
446
INTRODUCTION
446
RATES OF TREATMENT ADHERENCE
446
FACTORS INFLUENCING ADHERENCE
447
MEASURING MEDICATION ADHERENCE
458
INTERVENTIONS
468
CONCLUSIONS
469
References
469
PART 3 -Cognition
478
CHAPTER 18Geriatric Neuropsychological Assessment
480
INTRODUCTION
480
CONTEXTS AND PURPOSES OF GERIATRIC NEUROPSYCHOLOGICALASSESSMENT
480
PRACTICAL CONSIDERATIONS IN THE ASSESSMENT OF OLDER ADULTS
483
AVAILABILITY OF NORMATIVE DATA FOR OLDER ADULTS
486
CLINICAL CONSIDERATIONS IN ASSESSING THE OLDER ADULT
488
MEASURES FOR ASSESSING NEUROPSYCHOLOGICAL FUNCTIONING INOLDER ADULTS
489
CONTEMPORARY ISSUES IN GERIATRIC NEUROPSYCHOLOGY
500
SUMMARY
507
References
508
CHAPTER 19Screening Instruments and Brief Batteries for Dementia
522
INTRODUCTION
522
SCREENING FOR DEMENTIAdTHE LEGACY OF THE MMSE
524
BRIEF BATTERIES
531
CHALLENGES TO THE STANDARD APPROACH
536
APPENDIX
539
REFERENCES
542
CHAPTER 20Cognitive Assessment in Late Stage Dementia
550
INTRODUCTION
550
PROBLEMS IN ASSESSING COGNITION IN LATE STAGE DEMENTIA
550
MEETING THE CHALLENGE: INTERVENTION MODELS
558
SUMMARY AND CONCLUSIONS
569
ACKNOWLEDGMENTS
570
REFERENCES
571
CHAPTER 21Assessing the Personal Preferences of Persons with Dementia
576
INTRODUCTION
576
INCIDENCE OF DEMENTIA AND OTHER COGNITIVE IMPAIRING CONDITIONS
577
EARLY DIAGNOSIS OF DEMENTIA: CHALLENGES AND OPPORTUNITIES
578
UNDERSTANDING PREFERENCES AND DECISION MAKINGFOR EARLY-STAGE FAMILIES
579
INSTRUMENTS THAT ASSESS PERSONAL PREFERENCESAND DESIRES
583
DO PREFERENCES FOR CARE VARY ACROSS DIFFERENT POPULATIONS?
587
ENHANCING DECISION-MAKING AND UNDERSTANDING OF PERSONALPREFERENCES IN DEMENTIA
588
REASSESSMENT OF CARE VALUES AND PREFERENCES AND A LOOK TO THE FUTURE
590
WHERE DO WE GO FROM HERE?
591
ACKNOWLEDGMENTS
591
APPENDIX A: VALUES AND PREFERENCES SCALE (VPS)
592
APPENDIX B: PREFERENCES FOR CARE TASKS (PCT) WORKSHEET &MAGNET BOARD LAYOUT
593
References
594
PART 4 -Everyday Functioning
598
CHAPTER 22Assessment of Capacity
600
INTRODUCTION
600
WHAT IS CAPACITY?
600
CLINICAL EVALUATIONS OF CAPACITY
606
ADVANCES IN CAPACITY ASSESSMENT
608
A PROCESS FOR CAPACITY ASSESSMENT
612
SPECIAL ISSUES IN CAPACITY ASSESSMENT
613
FUTURE DIRECTIONS
622
APPENDIX A: QUESTIONS TO ADD TO A CLINICAL INTERVIEW
624
APPENDIX B: INTERVENTIONS TO ADDRESS DIMINISHED CAPACITY
625
APPENDIX C: CAPACITY ASSESSMENT TOOLS
629
APPENDIX D: CAPACITY WORKSHEET FOR PSYCHOLOGISTS
630
ACKNOWLEDGMENTS
634
REFERENCES
634
CHAPTER 23Household and Neighborhood Safety, Mobility
638
INTRODUCTION
638
FALLS AND BALANCE ASSESSMENTS
641
HOME SAFETY ASSESSMENTS
649
NEIGHBORHOOD SAFETY AND MOBILITY ASSESSMENTS
659
CONCLUSION
662
REFERENCES
662
CHAPTER 24Pain Assessment and Management in Older Adults
666
INTRODUCTION
666
NEUROCOGNITION AND NOCICEPTION
667
THE PAIN EXPERIENCE
668
CLINICAL PRACTICE GUIDELINES
681
CONCLUDING REMARKS
683
APPENDIX A: PAIN SELF-EFFICACY QUESTIONNAIRE (PSEQ)*
684
APPENDIX B: PAIN CATASTROPHIZING SCALE*
685
APPENDIX C: PAIN DISABILITY INDEX*
687
REFERENCES
688
CHAPTER 25Assessments in Driver Rehabilitation
698
INTRODUCTION
698
OLDER DRIVERS AS A GROUP
698
DRIVER REHABILITATION TEAM AND KEY SERVICES
700
SELF-ASSESSMENTS THAT CAN HELP TO SCREEN DRIVER READINESS
700
HOME-BASED DRIVING SELF-ASSESSMENT TOOLS
703
CLINICAL-BASED SCREENING TOOLS FOR DRIVING FITNESS
705
THE DRIVER REHABILITATION CLINICAL EVALUATION
706
PHYSICAL ASSESSMENT
708
THE ROLE OF VISION IN THE OPERATION OF A MOTOR VEHICLE
713
COGNITIVE SKILLS
716
DRIVING KNOWLEDGE
721
APPENDIX A: ASSESSMENTS THAT COMPRISE THE DRIVERREHABILITATION CLINICAL ASSESSMENT
723
APPENDIX B: INSTRUCTIONS FOR THE TRAIL MAKING TEST PARTS A AND B
725
APPENDIX C: GUIDELINES FOR MOTOR VEHICLE ADMINISTRATORS:LICENSE RENEWAL REQUIREMENTS
727
APPENDIX D: STATE OF MICHIGAN’S DRIVER LICENSING REQUIREMENTSAND REPORTING LAWS
734
APPENDIX E: LICENSING REQUIREMENTS
735
REFERENCES
736
Index
740