right hemisphere damage Flashcards
RHD
damage to right side of the brain; cognitive disorder
causes of RHD
stoke, tumor, infections, TBI
orientation deficits
deficits related to date, time, and place
attention deficits
deficits in different types of attention especially sustained attention and selective attention
perception deficits
visual perception deficits including deficits in left visual field
-trouble drawing, attending, seeing left side
-often occurs in RHD
reasoning and problem solving deficits
deficits in problem solving and generating solutions
memory deficits
deficits in recall of previosuly learned information and learning new memory
social communication deficits
deficits in abstract language, understanding jokes, making inferences, understanding nonverbal cues
organization deficits
deficits in arranging information and planning
insight deficits
deficits in recognizing problems and impact on daily functioning
possible language deficits
comprehension, expression, pragmatics
other characteristics of RHD
-body and image distortions
-visual memory and imagery problems
-prosopagnosia
-impared auditory processing
-denial of illness
assessment of RHD
-language eval
-cognitive eval
-determine presence of any associated co-morbidities
language eval
WAB
cognitive eval
-SCCAN
-mini inventory of right brain injury
-CLQT
commonly used RHD tests
-mini inventory of right brain injury
-ross information processing assessment
-ric eval of communication problems in right hemisphere dysfunction
treatment should focus on cognitive domains including
attention, memory, problem-solving skills
specific treatment emphasis on
visuospatial neglect (by active scanning, external and internal cueing), planning and problem-solving (presenting real-life scenarios), overall communication (pragmatic skills)
*work on right side first then gradually move to weaker side
other treatment considerations
-ask questions and use reminders
-avoid sarcasm, metaphors
-provide a consistent routine everyday
-decrease distractions when communicating
-stand to person right side and place objects to the right if experiencing left-side neglect
promoting aphasic’s communicative effectiveness (PACE)
to improve pragmatic skills by teaching them to differentiate between relevant and irrelevant stimuli
-identify themes or main ideas from reading stimuli
-help the client to order the info from least to most important
-work on turn taking, topic maintenance, and other pragmatic skills
therapy for prosopagnosia
-create list of verbal cues that help in recall of important people
-practice sorting cues with corresponding pictures of family members
-practice of recgonition of familiar faces (including family members, personalities)
therapy for left neglect
-scanning: visual scanning tasks
-use of different tools (highlighters, borders, bright colored margins) to help navigate the person with RHD to locate and identify info on left visual field
