Right Hemisphere Flashcards
what is the etiology of RHD?
stroke
tumor
trauma
infection
chemical toxicities
true or false: cognitive communications deficits in RHD are often missed
true
true or false: RHD is often more challenging than aphasia or physical disability for family members
true
what are cognitive deficits associated with RHD
awareness
attention
memory
executive functioning
orientation
inhibition
what are communication deficits related to RHD
discourse: comprehension and production
prosody
pragmatics (theory of mind)
what are other deficits associated with RHD
unilateral neglect
emotional deficits: expression and understanding
define asasgnosia
without knowledge of disease; patient is unaware of their deficit or diagnosis
what is focused attention
the ability to focus attention on single stimulus
define sustained attention
the ability to attend to a stimulus or activity over an extended period of time
what is selective attention
the ability to attend to a stimulus or activity in the presence of other distractors
define alternative attention
the ability to switch your focus back and forth
define divided attention
multitasking
what are some discourse comprehension difficulties RHD
difficulty understanding abstract language
difficulty with macrostructure
what are some discourse production deficits
verbosity
decreased topic maintenance
focus on irrelevant details
disorganized thoughts
how is prosody affected with RHD
may have difficulty understanding other people’s prosody and it’s affect and or their own prosody
how do people with RHD demonstrate difficult conveying/processing emotional content
difficulty interpreting facial expressions
“flat affect”
reduced empathy
reduced emotional lability
define left neglect and unilateral neglect
fails to respond to information on the left side despite the motor and sensory capacity to do so
what are reasons why some people may not receive SLP services for cognitive communication deficits associated with RHD?
denial of disorder
lack of knowledge of disorder for family/patient
lack of referrals from doctors
what is the evaluation process for RHD
interview
norm referenced evaluation tools
questionnaires/rating scales
what areas do we want to assess
pragmatics
executive function
memory
attention
why are questionnaires/rating scales useful for assessment?
allow for comparison between self and independent rater
how can we assess neglect
cancellation tasks
scanning tasks
drawing tasks
reading writing
how can we assess attention deficits
trailmaking
stroop test
how can we assess prosody
have client identify emotion in a recorded message
have client imitate certain emotions
what assessment tasks would you administer for RHD
story retell
copy/drawing
express/comprehend emotions
trail making
interview
how do we treat pragmatics in RHD
coaching
one on one rehearsal play
group practice
visual/verbal feedback
video modeling
how do we treat expressive prosody
prosodic production drills
imitation and modeling
contrastive stress patterns
how to treat receptive prosody
guide recognition of emotions based on prosodic features
how can we directly treat attention?
computerized attention training
cancellation tasks
what are some metacognitive compensatory strategies for attention?
breaking goal into smaller steps
timer for self-monitoring
writing down thoughts
what are environmental modifications
changing time of day for working
avoiding distracting settings
what are metacognitive compensatory strategies for executive functioning
problem solving systems
what are environmental modifications for executive functioning
labeling
storing items in specific locations
what are strategies for unilateral neglect
practice activities requiring scanning to the left
provide verbal or physical cues
what are treatment strategies for awareness
providing online feedback
predict performance before task and then provide feedback afterwards
increase awareness about safety
