Summary: Brein En Cognitie 2

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• 2 week 1

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• Which four stages are contained in the neuropsychological assessment?

  1. Complaint analysis stage: patient and informants are interviewed
  2. Problem analysis stage: problem is analyzed through different tests. 
  3. Diagnosis stage: a diagnosis is made based on the previously gathered information. 
  4. Indication for treatment stage: the need for further diagnostics or options for treatment are examined

• Should the neuropsychological asssessment always be completed?

  No, it can be decided upon to not conduct a test after the complaints analysis > no added value

• Where do neuropsychological assessments start with?

  Well-defined referral question: 'Are the cognitive disorders in line with Korsakoff syndrome?''

• What can be achieved by interviewing the patient?

  Information about current complaints, symptoms and their progression and educational, social and professional background

• Why is an interview with the informant essential?

  Because many patients are not necessarily able to provide reliable information about their complaints on daily life functioning. `

• How can emotional overwhelm or relationship problems of the informant cause problems in the interview?

  It can result in an over-reporting of complaints and changes

• How can acceptance problems interfear with the complaints of patient?

  Can cause an informant to minimize the complaints of patient

• Why is observation during a test essential?

  To see the attitude and manner in which a patient conducts a test. This gives further information about cognitive functioning.

• What is a fixed test battery?

  Consists of multiple tests which are always the same for every patient. Used for the evaluation of treatments for scientific research.

• What is the difference between sensitivity and specificity?

  Sensivity: the likelihood that the results of a test will identify a person with a disorder as 'disturbed'
  specificity: the likelihood that the results of a test will identify a person without a disorder as 'not disturbed'
  
  A high sensivity goes hand in hand with low specificity