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Lang in Adults Final > Right Hemisphere > Flashcards

Right Hemisphere Flashcards

1
Q

what is the etiology of RHD?

A

stroke
tumor
trauma
infection
chemical toxicities

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2
Q

true or false: cognitive communications deficits in RHD are often missed

A

true

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3
Q

true or false: RHD is often more challenging than aphasia or physical disability for family members

A

true

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4
Q

what are cognitive deficits associated with RHD

A

awareness
attention
memory
executive functioning
orientation
inhibition

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5
Q

what are communication deficits related to RHD

A

discourse: comprehension and production

prosody
pragmatics (theory of mind)

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6
Q

what are other deficits associated with RHD

A

unilateral neglect

emotional deficits: expression and understanding

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7
Q

define asasgnosia

A

without knowledge of disease; patient is unaware of their deficit or diagnosis

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8
Q

what is focused attention

A

the ability to focus attention on single stimulus

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9
Q

define sustained attention

A

the ability to attend to a stimulus or activity over an extended period of time

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10
Q

what is selective attention

A

the ability to attend to a stimulus or activity in the presence of other distractors

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11
Q

define alternative attention

A

the ability to switch your focus back and forth

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12
Q

define divided attention

A

multitasking

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13
Q

what are some discourse comprehension difficulties RHD

A

difficulty understanding abstract language

difficulty with macrostructure

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14
Q

what are some discourse production deficits

A

verbosity
decreased topic maintenance
focus on irrelevant details
disorganized thoughts

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15
Q

how is prosody affected with RHD

A

may have difficulty understanding other people’s prosody and it’s affect and or their own prosody

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16
Q

how do people with RHD demonstrate difficult conveying/processing emotional content

A

difficulty interpreting facial expressions

“flat affect”

reduced empathy

reduced emotional lability

17
Q

define left neglect and unilateral neglect

A

fails to respond to information on the left side despite the motor and sensory capacity to do so

18
Q

what are reasons why some people may not receive SLP services for cognitive communication deficits associated with RHD?

A

denial of disorder

lack of knowledge of disorder for family/patient

lack of referrals from doctors

19
Q

what is the evaluation process for RHD

A

interview
norm referenced evaluation tools
questionnaires/rating scales

20
Q

what areas do we want to assess

A

pragmatics
executive function
memory
attention

21
Q

why are questionnaires/rating scales useful for assessment?

A

allow for comparison between self and independent rater

22
Q

how can we assess neglect

A

cancellation tasks
scanning tasks
drawing tasks
reading writing

23
Q

how can we assess attention deficits

A

trailmaking
stroop test

24
Q

how can we assess prosody

A

have client identify emotion in a recorded message

have client imitate certain emotions

25
Q

what assessment tasks would you administer for RHD

A

story retell
copy/drawing
express/comprehend emotions
trail making
interview

26
Q

how do we treat pragmatics in RHD

A

coaching
one on one rehearsal play
group practice
visual/verbal feedback
video modeling

27
Q

how do we treat expressive prosody

A

prosodic production drills
imitation and modeling
contrastive stress patterns

28
Q

how to treat receptive prosody

A

guide recognition of emotions based on prosodic features

29
Q

how can we directly treat attention?

A

computerized attention training
cancellation tasks

30
Q

what are some metacognitive compensatory strategies for attention?

A

breaking goal into smaller steps

timer for self-monitoring

writing down thoughts

31
Q

what are environmental modifications

A

changing time of day for working
avoiding distracting settings

32
Q

what are metacognitive compensatory strategies for executive functioning

A

problem solving systems

33
Q

what are environmental modifications for executive functioning

A

labeling
storing items in specific locations

34
Q

what are strategies for unilateral neglect

A

practice activities requiring scanning to the left

provide verbal or physical cues

35
Q

what are treatment strategies for awareness

A

providing online feedback

predict performance before task and then provide feedback afterwards

increase awareness about safety

36
Q
A

Lang in Adults Final (6 decks)

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