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On the last track, we discussed six suggestions for getting up when you’re feeling down.
On this track, we will discuss differences between right-brain and left-brain injury as a result of stroke. In addition, we will discuss the time orientation strategies technique at the end of the track.
Clearly, the symptoms and challenges a stroke victim will face are the result of the particular locations of the injury to the brain tissue. Since the right and left hemispheres in the brain tend to dominate different kinds of functions, it is possible to make some basic generalization about specific consequences based on the hemisphere in which the stroke occurs.
Common Consequences of Stroke
Consequences of Left-Brain Injury
Emotional consequences of left side stroke injury may include feelings of despair or hopelessness, and these clients may cry easily or become angry easily. I have also observed a tendency towards slow, cautious, anxious behavior in clients with left side injury.
Consequences of Right-Brain Injury
Four Potential Consequences of Right Side Injury
In terms of attention and awareness, clients with right side injury may have a shortened attention span. I have also observed challenges in abstracting or organizing information. A tendency that I have found problematic in terms of relationships with caregivers is a difficulty perceiving personal errors, or a lack of awareness of personal limitations including a denial of problems.
Finally, in terms of emotional consequences, right side injury may result in several emotional challenges, including inappropriate or impulsive behavior or laughter, flat affect or emotionality, outbursts of swearing, making inappropriate disclosures, and a difficulty interpreting ir discerning the emotional responses of others.
Arlene, age 72, had suffered a minor stroke on the right side which had left her with some physical impairment on her left side. Arlene stated, "For the most part, living with my daughter has been going well. But it frustrates Laura that I’m always running out of time. The other day I wanted her to take me shopping. I didn’t realize that while I was getting ready 3 hours went by!"
Step # 1 - Recording Time
Step # 2 - Structured Schedule
Step # 3 - Calendars & Reminders
Step # 4 - Use Digital Watches and Clocks
I stated to Arlene, "A fourth strategy for time orientation can be to use digital watches and clocks. If having the analog clock around is comforting, by all means keep it. But digital clocks can be easier to interpret, and you might consider keeping a digital clock next to the analog one, since you are already used to looking in that direction. You may also consider using a digital alarm clock to help orient you to medication times or other tasks you wish to remember."
Step # 5 - Set Realistic Goals
Think of your Arlene. Would the time orientation strategies help him or her improve his or her ability to function effectively and create feelings of positivity and self-reliance?
On this track, we have discussed differences between right-brain and left-brain injury as a result of stroke. In addition, we have discussed the time orientation strategies technique.
On the next track, we will discuss helping clients the adapting the home technique in order to increase confidence and safety in daily functioning.
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