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A Must-Have Resource for Clinicians, Instructors, and Students in Training! Written by internationally recognized experts, Cognitive Communication Disorders of MCI and Dementia, Third Edition provides professionals and students the most up-to-date research on the clinical assessment and management of individuals with dementia and those with mild cognitive impairment (MCI), the fastest growing clinical population. Dr. Kimberly McCullough, an expert on MCI and cognitive stimulation, joined Bayles and Tomoeda as co-author and this edition has an increased coverage of MCI, its characteristic features, the diagnostic criteria for its diagnosis, and treatment options. Students and practicing professionals will appreciate the authors' overview of the relation of cognition to communicative function and the characterization of how both are affected in MCI and the common dementia-related diseases including Alzheimer's, Lewy Body, Vascular, Parkinson's, Huntington's, Frontotemporal and Down Syndrome. A summary of important points at the end of chapters highlights essential clinical information and guides student learning. An all-new Clinical Guide comprises the second half of the book providing an extensive discussion of the process of assessment and evidence-based treatments for individuals in all stages of dementia. Features of the New Clinical Practice Guide Assessment: The authors provide a step-by-step discussion of the assessment process, an overview of reputable tests, and how to differentiate cognitive-communication disorders associated with MCI and dementing diseases. Treatment: This section includes comprehensive and detailed instructions for implementing evidence-based interventions for individuals in all stages of dementia. Additional topics include: A person-centered model for successful interventionCognitive stimulation programming for MCIClinical techniques supported by the principles of neuroplasticityIndirect interventions that facilitate communication, quality of life, and the safety of individuals with dementiaCaregiver counselingCare planning, goal setting, reimbursement and required documentation Case Examples: Includes restorative and functional maintenance plans. Cognitive-Communication Disorders of MCI and Dementia: Definition, Assessment, and Clinical Management was written by individuals dedicated to the study and treatment of cognitive-communicative disorders associated with dementia. Their research has received support by the NIH, the Alzheimer's and Related Disorders Association, the Andrus Foundation, as well as the University of Arizona, Appalachian State University and the University of Central Arkansas.
The Repeatable Battery for the Assessment of Neuropsychological Status (RBANS; Randolph, 1998) is a brief tool utilized in the assessment of cognitive functioning. Research demonstrates that the RBANS is useful in detecting mild neurocognitive disorder (Duff, Hobson, Beglinger, & O'Bryant, 2010) as well as cognitive declines associated with Alzheimer's disease (Duff et al., 2008); however, no studies have examined the effects of high levels of education on mild neurocognitive disorder diagnosis in studies of the clinical utility of the RBANS. Additionally, no research has been conducted examining the correlation between quality of education and RBANS scores. Understanding the potential impact of both of these factors is important for diagnostic accuracy, early detection, and effective intervention. The purpose of this dissertation was to examine how education level, including very high levels of formal education, impacts performance on RBANS scores; determine how diagnosis, specifically mild cognitive impairment and major cognitive impairment due to Alzheimer's disease, impacts RBANS scores in individuals with advanced education; and examine how performance on the Wechsler Test of Adult Reading (WTAR; Wechsler, 2001), used here as a proxy for education quality, correlates with performance on RBANS measures. Data were collected from three groups: healthy individuals with 18 or more years of education, individuals diagnosed with mild neurocognitive disorder with 18 years or more of education, and individuals diagnosed with major neurocognitive disorder due to possible/probable Alzheimer's disease with 18 years or more of education. Multivariate analysis of variance (MANOVA) revealed significant differences in RBANS performance based on diagnosis, [F(6, 152)=34.779, p
The Compendium is an essential guidebook for selecting the right test for specific clinical situations and for helping clinicians make empirically supported test interpretations. BL Revised and updated BL Over 85 test reviews of well-known neuropsychological tests and scales for adults BL Includes tests of premorbid estimation, dementia screening, IQ, attention, executive functioning, memory, language, visuospatial skills, sensory function, motor skills, performance validity, and symptom validity BL Covers basic and advanced aspects of neuropsychological assessment including psychometric principles, reliability, test validity, and performance/symptom validity testing
For many years, intensive care has focused on avoiding immediate death from acute, life-threatening conditions. However, there are increasing reports of a number of lingering consequences for those who do indeed survive intensive care. Examples include on-going high risk of death, neurocognitive defects, significant caregiver burden, and continued high healthcare costs. Surviving Intensive Care, written by the world's experts in this area, is dedicated to better understanding the consequences of surviving intensive care and is intended to provide a synopsis of the current knowledge and a stimulus for future research and improved care of the critically ill.
The Repeatable Battery for Assessment of Neuropsychological Status (RBANS; Randolph, 1998) and the Neuropsychological Assessment Battery-Screening Module (S-NAB; Stern & White, 2003) are both neuropsychological screening measures designed to assess cognitive deficits and are currently used in a variety of settings. However, there is limited research on the S-NAB screening module beyond the normative data provided in the NAB test manual. Furthermore, evidence-based recommendations do not exist regarding the applicability of one screening module over the other. The purpose of this study is to compare S-NAB and the RBANS as screening measures for mild to moderate brain injury. Participants were 60 outpatient veterans, ages 20-58, who screened positive for possible TBI on a standard VA screen, and whose histories suggested possible mild to moderate TBI. Participants were given the S-NAB and RBANS as part of a standard assessment battery. Analyses compared S-NAB and RBANS index and subtest scores for level of association (Pearsons/ Spearman's rho correlations), group mean differences (paired t-test), and classification agreements (Pearson Chi Square). Results were as follows: significant positive correlations were found between all comparable RBANS and S-NAB indices; however significant differences between group means were found between 3 of the 5 indices. Three out of the 10 comparable subtests were not significantly correlated with each other and significant differences between group means were found between 4 of the 10 comparable subtests. Two of the 5 comparable indices and 6 of the 10 comparable subtests did not have significant classification agreement, meaning they did not classify the same number of impaired and non-impaired individuals. This study indicates that the RBANS and the S-NAB are not equivalent cognitive screening measures. Findings suggest that it may be clinically prudent to use the RBANS instead of the S-NAB when screening mild to moderate TBI patients. Possible reasons for the discrepancies between these measures are discussed.
The relationship between the Subjective Memory Questionnaire (SMQ), a measure of subjective memory complaints (SMCs), and the Repeatable Battery for the Assessment of Neuropsychological Status – Updated (RBANS), an objective memory measure, was examined in Hispanic older adults diagnosed with Unspecified, Mild and Major Neurocognitive Disorder due to Alzheimer's disease. As contradictory evidence exists in the SMCs literature regarding its accuracy in predicting objective memory performance, a SMCs measure in the SMQ was examined with the RBANS. Data was obtained from a clinic in which participants completed a neuropsychological battery. Descriptive statistics and Spearman’s rank order correlations were provided for RBANS and SMQ variable pairs. Sample (N=98) had a mean age of 78.76, females represented 66.7 percent, and 87.8 percent had a 12 grade level of education or less. SMQ and RBANS total score provided statistically significant negative linear relationship with weak strength. Variable pairs of RBANS Immediate Memory (IMI) and Delayed Memory (DMI) with SMQ total score provided non-significant negative linear relationship with very weak strength. RBANS IMI and DMI with SMQ items provided non-significant negative linear relationship with very weak strength. IMI and SMQ 5 (Important Dates) alongside DMI and SMQ 8 (What others tell you) had a statistically significant negative linear relationship with weak strength. Overall, findings did not support the SMQ having a strong relationship to objective memory performance on RBANS. Future studies should stratify neurocognitive disorder etiologies and demographically match patients based on gender, age, education, and occupational levels when examining subjective and objective memory performance.
This comprehensive update offers practical advice for professionals working in neuropsychology with older adults. Focusing on fundamentals, common issues, special considerations, and late-life cognitive disorders, respected names in this critical specialty address a wide range of presenting problems and assessment, diagnostic, and treatment concerns. Th roughout, coverage pays keen attention to detail, bringing real-world nuance to large-scale concepts and breaking down complex processes into digestible steps. And like its predecessor, the new Handbook features recommendations for test batteries and ends each chapter by extracting its “clinical pearls.” A sampling of the topics covered: • Assessment of depression and anxiety in older adults. • The assessment of change: serial assessments in dementia evaluations. • Elder abuse identifi cation in older adults. • Clinical assessment of postoperative cognitive decline. • Cognitive training and rehabilitation in aging and dementia. • Diff erentiating mild cognitive impairment and cognitive changes of normal aging. • Evaluating cognition in patients with chronic obstructive pulmonary disease. This Second Edition of the Handbook on the Neuropsychology of Aging and Dementia offers a wealth of expert knowledge and hands-on guidance for neuropsychologists, gerontologists, social workers, and other clinicians interested in aging. Th is can be a valuable reference for those studying for board certifi cation in neuropsychology as well as a resource for veteran practitioners brushing up on key concepts in neuropsychology of age related disorders.