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KMID : 0978920120130020148
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Korean Journal of Clinical Geriatrics
2012 Volume.13 No. 2 p.148 ~ p.159
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Neurologic History and Examination of the Older Adult
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Lee Dong-Kuck
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Abstract
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The neurologic examination, for the most part, is an exercise in detailed observation, consisting of two tasks: (a) localizing the part of the nervous system that is malfunctioning, and (b) identifying the cause for that malfunction. Every aspect of the patient’s behavior, including the way he or she sits, speaks, and responds, tells the physician about nervous system function. However, in older adults, the parameters of a normal neurologic examination require redefining and the results from a neurologic examination must be considered within the context of known age-related changes. Thus, findings in older patients that suggest pathology may not be pertinent if such findings occur frequently at advanced ages. Healthcare practitioners who care for the older adult must first understand the neurologic changes that occur with age and how they affect function. The aging process in essentially healthy, disease-free persons is associated with decrements in many aspects of motor and sensory function. It is important to comprehend these changes and understand their impact on function in order to accurately diagnose, treat, and care for the older adult with neurologic disease.
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KEYWORD
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Older adult, Neurologic history, Neurologic examination
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FullTexts / Linksout information
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Listed journal information
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