neuropsychiatric features of aging

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Clinical manifestations

Management

  • elderly adjust to neuropsychiatric changes associated with aging via:
    • selection:
      • choosing activities that are important out of enjoyment, life purpose or necessity
    • optimization:
      • practicing goal-related skills, investing time & resources in useful tools
    • compensation
      • compensating for functional losses to accomplish goals
  • socialization
    • social connections benefit health & cognition
    • faith & religion may provide social connections
    • with the perception of limited time left on earth, meaningful relationships are prioritized[5]

Notes

  • older persons tend to be influenced by first impressions longer than younger persons; impressions can be altered, but it usually takes longer[5]

More general terms

Additional terms

References

  1. Mendez M. Comprehensive Geriatric Assessment, Osterweil et al eds, McGraw-Hill, New York, pg 86
  2. UCLA Intensive Course in Geriatric Medicine & Board Review, Marina Del Ray, CA, Sept 29-Oct 2, 2004
  3. 3.0 3.1 Wilson RS, Wang T, Yu L, Bennett DA, Boyle PA. Normative cognitive decline in old age. Ann Neurol 2020. March 6 PMID: https://www.ncbi.nlm.nih.gov/pubmed/32144793 https://onlinelibrary.wiley.com/doi/abs/10.1002/ana.25711
  4. Salthouse TA. Trajectories of normal cognitive aging. Psychol Aging. 2019;34(1):17-24 PMID: https://www.ncbi.nlm.nih.gov/pubmed/30211596 PMCID: PMC6367038 Free PMC article https://doi.apa.org/doiLanding?doi=10.1037%2Fpag0000288
  5. 5.0 5.1 5.2 5.3 5.4 5.5 5.6 5.7 5.8 Geriatric Review Syllabus, 11th edition (GRS11) Harper GM, Lyons WL, Potter JF (eds) American Geriatrics Society, 2022