Right Hemisphere Damage Flashcards
Right Hemisphere Damage
3 levels of awareness
- Intellectual: left neglect
- Emergent: getting hand stuck in wheelchair
- Anticipatory: they tell you they had to go to the bathroom but knew they had to wait for the nurse!
Non-Standardized Testing for Cognition
Conversation
Visual Neglect
Pragmatics
Cancellation
RICE-R:
Rehab Institute of Chicago Eval of Right Hemi Dysfunction-Revised
Pragmatics Nonverbal comm Conversation skills Linguistic context Referencing Skills (organization)
Evanston Northwestern Healthcare Right Hemi Screen
Cognitive-Comm. abilities in 8 domains:
- Orientation, attention, memory, sequencing, problem solving, reasoning, visuospatial skills
RHD impact on communication
- Sequencing
- Unable to grasp big picture
- Insensitive to relationships between events
- Failure to judge appropriateness
- Speech & metaphors taken literally
RHD impact on Pragmatics
- Turn-taking, topic maintenance, eye-contact
- Talk excessively & without regard for listener
- Tangential & inappropriate
- Insensitive to rules governing conversational turn-taking
RHD impact on Cognition
- Orientation, memory, executive functions
- Unaware of memory impairment
- Poor problem solving & abstract thinking
- Memory may never fully return
- Long term & distant memory intact but short-term or recent memory poss. affected.
Recent Memory
No memory of current events
Retrospective Memory
Memory for past events
Declarative Memory
Memory for what we know about things
Episodic Memory
Memory for past events that are specific to time & place
Semantic Memory
Organized knowledge of world
Procedural Memory
Memory for the steps it takes to do something
Prospective Memory
Remembering to remember
Frontal Lobe Roles - Executive Functioning
- Goal Setting
- Behavior Planning
- Sequencing
- Self-Monitoring
- Problem Solving & Abstract Thinking
- Social Inferential Ability - interpret feelings - theory of mind
- Self-Awareness
