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
what assessment tasks would you administer for RHD
story retell copy/drawing express/comprehend emotions trail making interview
26
how do we treat pragmatics in RHD
coaching one on one rehearsal play group practice visual/verbal feedback video modeling
27
how do we treat expressive prosody
prosodic production drills imitation and modeling contrastive stress patterns
28
how to treat receptive prosody
guide recognition of emotions based on prosodic features
29
how can we directly treat attention?
computerized attention training cancellation tasks
30
what are some metacognitive compensatory strategies for attention?
breaking goal into smaller steps timer for self-monitoring writing down thoughts
31
what are environmental modifications
changing time of day for working avoiding distracting settings
32
what are metacognitive compensatory strategies for executive functioning
problem solving systems
33
what are environmental modifications for executive functioning
labeling storing items in specific locations
34
what are strategies for unilateral neglect
practice activities requiring scanning to the left provide verbal or physical cues
35
what are treatment strategies for awareness
providing online feedback predict performance before task and then provide feedback afterwards increase awareness about safety
36