Assessment and treatment of older adults with traumatic brain injuries

Abstract

In this chapter, we present special considérations when evaluating the older adult patient with TBI. First, we discuss critical information that should be obtained regarding the patient's preinjury cognitive and functional status as well as medical comorbidities and medications, because all of these can affect the neurobehavioral profile. We then review common clinical issues that arise when interpreting the neuropsychological findings and rendering a diagnostic impression. The potential impact of a previous TBI sustained years ago as a risk factor for Alzheimer's disease will also be covered. Finally, we conclude with a discussion of potential postinjury influences on outcome, and the types of recommendations that should be considered.