9B Neuropsychological and Geriatric Assessment

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9B Neuropsychological and Geriatric Assessment
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Conceptual model of brain behavior relationships
(1)(Gregory, 2004, p. 328 329)

• Sensory input
• Attention and concentration
• Learning and memory
• Language
• Spatial and manipulatory ability

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Conceptual model of brain behavior relationships
(2)(Gregory, 2004, p. 329)

• 6. Executive functions
• logical analysis
• concept formation
• reasoning
• planning
• flexibility of thinking
• 7. Motor output

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Assessment

• Commonly involves a battery of tests
• Typically involves as fixed battery of tests (EX.
  Halstead-Reitan Neuropsychological Battery)
  rather than a battery composed specifically for
  an individual client

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Halstead-Reitan Neuropsychological Battery (1)
(Gregory, 2004, p. 330)

• Category test
• Tactual performance test
• Speech sounds perception test
• Seashore rhythm test
• Finger tapping test

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Halstead-Reitan Neuropsychological Battery (2)
(Gregory, 2004, p. 330)

• Grip strength
• Trail making A and B
• Tactile form recognition
• Sensory-perceptual exam
• Aphasia screening test
• Supplementary tests

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Assessment of Sensory Input (1)

• Sensory perceptual exam (Reitan Klove)
• Say which hand is touched etc
• Normal is no errors
• Diagnostic if there are more errors on one side
  of the body than the other
• (Gregory, 2004, p. 330 331)

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Assessment of Sensory Input (2)

• With hand hidden from view identify
• fingers that have been touched
• Pairs of fingers that have been touched

• Difficult if there is brain disease
• (Gregory, 2004, p. 331 )

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Assessment /Measures of Attention Concentration

• Test of everyday attention p. 332
• Continuous performance test letters presented
  on a screen press a key when a certain letter
  appears or when it appears after a designated
  letter (the issue is sustained attention)
  (Gregory, 2004, p. 332)
• Serial addition
• Serial subtraction of 7s

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Assessment /Measures of Learning Memory (1)

• Wechsler Memory Scale III
• Content (Gregory, 2004, p. 335)
• Functions well in the detection of memory
  deficits
• Identifies patients with mild traumatic brain
  injury
• The Wechsler Memory Scale R discriminates
  malingerers form persons with true head injury

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Assessment /Measures of Learning Memory (2)

• Rey Auditory Verbal Learning Test (Gregory, 2004,
  p. 336 )
• free recall of a 15 item word test
• Identifies patients known to be memory impaired
  by other criteria
• Memory impaired patients show reduced rate of
  learning across 5 trials

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Assessment /Measures of Learning Memory (3)

• Fuld Object Memory Evaluation (Gregory, 2004, p.
  336 337)
• Determine name of object hidden in a bag
• Used to help confirm a DX of Alzheimer's Disease

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Aphasia definition

• Any deviation in language performance caused by
  brain damage
• (Gregory, 2004, p. 337 )

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Assessment of Language Function

• Clinical assessment
• Spontaneous speech
• Repetition of sentences and phrases
• Comprehension of spoken language
• Word finding
• Reading
• Writing and copying
• Calculation
• (Gregory, 2004, p. 337 338 )

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Tests of Spatial and Manipulatory Ability

• Drawing tests the Bender Visual Motor Gestalt
  p. 340
• Assembly tests block constructions

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Assessment of Executive Functions

• Porteus Maze test
• Wisconsin Card Sorting test p. 343
• Tinker toy test

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Assessment of Motor Output

• Line tracing tests
• Peg board tests