Right CVA
Terms
undefined, object
copy deck
- General Symptoms
- Insensitive to others and preoccupied with self, oblivious to social conventions, unaware of or inattentive to physical and mental limitations, verbose, tangential, Insensitive to the meaning of abstract or implied material, Unable to grasp the overall significance or meaning of complex events, utterances are short and lack inflection, difficulty maintaining attention
- Right hemisphere most resemble
- communicative and cognitive impairment of frontal lobe damage
- Perceptual Impairments
- denial of illness, neglect, constructional Impairment, topographic impairment, geographic disorientation, visuoperceptiual impairment, facial recognition deficits, recognition and expression of emotion, attention impairment
- Denial of illness
- (anosognosia)
- Neglect
- fail to perceive tactile stimulation on the left side of the body and fail to notice visual or auditory stimuli in left-sided space
- Constructional Impairment
- perform poorly when asked to draw or copy geometric designs, create designs with colored blocks, reproduce two-dimensional stick figures, or reproduce three-dimensional constructs using wooden blocks - who cares
- Topographic Impairment
- difficulty relating to extrapersonal space. Difficulty following routes, reading maps, giving directions and performing other tasks that depend on internal representations of external space
- Geographic Disorientation
- recognize at least the general nature of their surroundings but are mistaken about their geographic location
- Visuoperceptual Impairments
- difficulty identifying line drawings of objects when one drawing is superimposed on another. When visual stimuli are simple, clear and unambiguous they respond normally
- Facial recognition deficits
- Unable to recognize otherwise familiar persons by their facial features
- Recognition and expression of emotions
- impairments in appreciating emotions generally are attributed to deficits in 3 domains. Appreciating prosodic cues, appreciating the emotional implications of facial expressions, and appreciating the emotional tone associated with stereotypic emotional situations
- Attention Impairments
- Difficulty focusing, maintaining and shifting attention. Make them distractible. Difficulty to determine the overall meaning of situations and events, separate what is important from hat is not, identify relationships among element of information, maintaining appropriate patterns of interaction with conversational partners, and maintain coherence in their speech and writing
- Communicative impairments associated with right-hemisphere damage
- diminished speech prosody, anomalous content and organization of connected speech, impaired comprehension of narratives and conversations, pragmatic impairments
- Diminished speech prosody
- lacks normal variability in vocal pitch and loudness: slower than normal, reduced emphatic stress, diminished pitch variability
- Anomalous Content and organization of connected speech
- excessive, confabulatory and sometimes inappropriate connected speech
- Impaired comprehension of narratives and conversations
- Pragmatic Impairments
- turn-taking, topic maintenance, social conventions and eye contact
- Testing for assessing adults with right-hemisphere brain injury
- Right hemisphere language battery (7 subtests), Mini inventory of right brain injury, Rehabilitation Institute of Chicago Evaluation of Communicative problems in Right-Hemisphere Dysfunction Revised
- Nonstandardized Procedures
- visual scanning and visual inattention, activities of daily living, sensorimotor integration, visual integration, higher cognitive and perceptual functions, linguistic and cognitive flexibility, affective state
- Tests of pragmatic abilities
- Supportive routines (greetings), assertive routines (complaining), formality, turn-taking, meshing (pace, timing and pauses
- RICE-R
- scale provides for rating 12 pragmatic behaviors
- Pragmatic Protocol
- assessment of pragmatic behaviors in conversational interactions
- Tests of visual and spatial perception, attention and organization
- cancellation tests (asked to make, circle or cross out lines printed at various locations, copying or drawing
- Tests of component attention processes
- trailmaking tasks and mazes
- Left-hemisphere damage tends to produce focal impairments, whereas right hemisphere damageā¬¦
- tends to produce diffuse impairment that are less amendable to quantification
- Treating attention impairments and distractibility
- paper and pencil or computer based tasks that target sustained attention, selective attention, alternating attention or divided attention
- Treating impulsivity
- external stop and go signals that are progressively shaped into patient generated self-cues
- Treating Impaired reasoning and problem-solving
- structured activities such as role-playing and prescriptive problem solving strategies
- Treating neglect in reading
- external cues to the left side of printed materials, heighten awareness to left
- Treating pragmatic impairments
- calling on verbal skills