ASSESSMENT OF ACUTE AND REVERSIBLE CHANGES


American Psychological Association

Table of Contents

Executive Summary

Authors

Why Practitioners Need Information

Demographic Realities

Myths About Older Adults

Realities of Aging

Psychological Problems of Aging

Assessment of Older Adults

Psychological Intervention

Professional Concerns

Conclusion

Professional Resources

Bibliography

Sometimes persons present with a rapid change in mental abilities as evidenced in a delirium (acute confusional state). A wide variety of factors may affect cognitive abilities in older adults. Family members or residential staff are often important sources of information regarding premorbid and current cognitive functioning.

  • A review of the medical record and drug regime (prescribed, nonprescribed) and consultation with a physician or other primary health care provider is usually a first step in evaluating acute cognitive changes.
  • Repeat testing in the acute phases may be necessary to help monitor improvement or deterioration in cognitive functioning.