Behavioral Neurology in the Elderly by Jose Leon-Carrion, Margaret Giannini

By Jose Leon-Carrion, Margaret Giannini

It is very important comprehend the connection among cognition and behaviour while delivering care to the aged. Behavioral Neurology within the aged presents a entire evaluate of crucial subject bearing on clinical and behavioral gerontology. the cloth presents perception into how the getting older mind impacts reminiscence and language, in addition to motor, emotional, and govt functioning. It additionally serves as an final consultant to scientific and neuropsychological geriatric overview and assessment.

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Some presentations that are "unusual" in young patients become "usual" in older patients, such as apathetic hyperthyroidism, where a patient who presents as hyperactive at a young age is apathetic in old age. " Although age and disease are separate, chronological age is still a powerful determinant of the incidence of diseases that are believed to be the diseases of aging and/or longevity. " With age there is a steady increase in systolic blood pressure, a growing intolerance to glucose, and declining bone density.

Finally, there is the tension between "generativity versus stagnation" in later adulthood, devoting oneself to others or choosing an egoistic lifestyle. "23 Despair, on the contrary, arises from the proximity of death and the fear of losing valued people and achievements. If integrity surpasses despair, one acquires wisdom, the virtue par excellence of old age. It implies emotional integrity and self-acceptance, and represents the positive end of all the previous crises through which the individual has built his or her personality.

8 CONCLUSION The rapidity with which geriatrics integrates within American medicine will be a measure of the commitment of resources by our nation's political leadership, the power of patient advocacy, and the willingness of private philanthropy to support its development by endowing professorships and programs. It will also be a measure of the receptivity of traditional, academic medicine, especially internal medicine, whose academic practitioners have often fought the development of geriatrics.

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