right hemisphere damage

Question 1

RHD

Answer 1

damage to right side of the brain; cognitive disorder

Question 2

causes of RHD

Answer 2

stoke, tumor, infections, TBI

Question 3

orientation deficits

Answer 3

deficits related to date, time, and place

Question 4

attention deficits

Answer 4

deficits in different types of attention especially sustained attention and selective attention

Question 5

perception deficits

Answer 5

visual perception deficits including deficits in left visual field
-trouble drawing, attending, seeing left side
-often occurs in RHD

Question 6

reasoning and problem solving deficits

Answer 6

deficits in problem solving and generating solutions

Question 7

memory deficits

Answer 7

deficits in recall of previosuly learned information and learning new memory

Question 8

social communication deficits

Answer 8

deficits in abstract language, understanding jokes, making inferences, understanding nonverbal cues

Question 9

organization deficits

Answer 9

deficits in arranging information and planning

Question 10

insight deficits

Answer 10

deficits in recognizing problems and impact on daily functioning

Question 11

possible language deficits

Answer 11

comprehension, expression, pragmatics

Question 12

other characteristics of RHD

Answer 12

-body and image distortions
-visual memory and imagery problems
-prosopagnosia
-impared auditory processing
-denial of illness

Question 13

assessment of RHD

Answer 13

-language eval
-cognitive eval
-determine presence of any associated co-morbidities

Question 14

language eval

Answer 14

WAB

Question 15

cognitive eval

Answer 15

-SCCAN
-mini inventory of right brain injury
-CLQT

Question 16

commonly used RHD tests

Answer 16

-mini inventory of right brain injury
-ross information processing assessment
-ric eval of communication problems in right hemisphere dysfunction

Question 17

treatment should focus on cognitive domains including

Answer 17

attention, memory, problem-solving skills

Question 18

specific treatment emphasis on

Answer 18

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

Question 19

other treatment considerations

Answer 19

-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

Question 20

promoting aphasic’s communicative effectiveness (PACE)

Answer 20

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

Question 21

therapy for prosopagnosia

Answer 21

-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)

Question 22

therapy for left neglect

Answer 22

-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