Neurogenic Communication Disorders Evident in Right Hemisphere Stroke: The Case of F.K. Johnson For most the patients, the right hemisphere is the non-dominant hemisphere for speech and language. Patients who have right hemisphere dominant are often left-hand or ambidextrous. The right hemisphere often plays a role in language processing. It is noticed that Right Hemisphere damage patients do not have the kind of language problems with aphasia; they often have communication and cognitive deficiency, which can be included in speech-language therapy. It could be noted that some records show that can be given concerning the impairments associated with right hemisphere damage rather than in regarding the aphasic syndromes caused by left hemisphere …show more content…
83). He was unable to read big numbers. He could recognize, even understand isolated words, but when they come together in a sentence, Johnson would have difficulty dealing. His impaired short term memory could not hold the thought of a sentence long enough for him to achieve understanding. He acknowledged not being aphasic but did experience stuttering, voice tremors, and slurred his words (Johnson, 1990, pp. 18, 50, 112, 120). He said, he saw the words he wanted to say, but had difficulty bringing out those words verbally. It is inevitable for speech-language pathologists to work with stroke patients because the condition causes damages to any part of the brain or brain stem and it is these damages that lead to neurogenic communication disorders, as well as cognitive deficits (Manasco, 2014, p. 68). We recall that neurogenic communication disorders are communication difficulties or disturbances that are brought about by damaged in the brain and other parts of the nervous system (Manasco, 2014, p. 3). This range of disorders includes aphasia, dysarthria, and apraxia of speech, right hemisphere disorders, dementia, and many other accompanying deficits that negatively affect the patient's ability to …show more content…
They may have difficulties learning new information and they will likely need to have things repeated and be reminded over and over. They may think a family member visited this morning rather than last night. Moreover, patients with right hemisphere strokes have memory problems of another kind, they tend to get things out of sequence or misunderstand or confuse information. Also, they can remember events, but they get confused about when they happened or that was involved. For example, they may think that a family member visited this morning rather than last night. Patients with a right hemisphere stroke may have visual perception changes while people with a left-side stroke may suffer some form of language disturbance. All these symptoms that effect depend on which part of the brain has been affected. Moreover, patients with right hemisphere damage lesion often appear lack of safety awareness and impulsive behaviors. Thus, they have difficulties in relearning activities of daily
Aphasia is a communication disorder that affects many adults and families. Aphasia occurs as a result of damage to the language-specific areas of the brain (ASHA, 2014). Individuals with aphasia may experience difficulties with oral language, receptive language, memory, attention writing, and reading. There are a myriad of approaches designed for the treatment of aphasia. Two treatment approaches, Promoting Aphasics Communicative Effectiveness (P.A.C.E.) and Constraint Induced Language Therapy (C.I.L.T.), and their efficacy in regard to available evidence will be discussed below.
Clients suffering from stroke have slow speech loss of memory, speechless one side of their body paralysed which cause restriction to their movement.
W.C., a 26 year 11 month old woman, was brought to the Florida Atlantic University-Communication Disorders Clinic (FAU-CDC) by her boyfriend for a Speech-Language Evaluation. She was referred to the FAU-CDC by her neurologist for word finding difficulties and a possible articulation disorder after a left hemisphere hemorrhagic stroke one month ago. According to her boyfriend, W.C.’s symptoms began immediately following her stroke and are characterized by word finding difficulties, slowed and choppy speech, and mispronunciation of certain consonants that is affecting intelligibility along with a strained voice.
Human beings occasionally suffer bad damage to particular parts of their brains. Unfortunately, these injuries may lead to major failure of speech production, understanding language and comprehension which most of the patients suffer it permanently. This impairment is called Aphasia. Gayle (2012) states that people with aphasia fail to understand sentence comprehension although it is a simple sentence. She also mentioned that aphasia patients also have difficulty in reading and understanding speeches. According to Fromkin, Rodman and Hyams (2011), aphasia is a scientific term used to explained language disorder due to brain injuries caused by diseases or trauma. In other words, aphasia involves partial or total loss of the ability to
When trying to detect the onset of a stroke, remembering the acronym F.A.S.T. is important (Face drooping, Arm weakness, Speech difficulty, Time to call 911). If stroke symptoms are detected within an individual, they have just a couple hours before it is too late for any preventative treatment options. Unfortunately, the type of stroke cannot be identified except through several tests (physical test, blood test, CT, MRI), which are important because treatments are different for the different types of strokes. It would be hazardous to administer the wrong stroke treatment to an individual having a different kind of stroke. (McIntosh) Seeing the precursors to a stroke and preventing it is not always possible; therefore, the stroke victim may have some damaging effects on their body. Strokes can affect a body in different ways depending on which side the blood clot occurs. If the blood clot occurs in the right side of the brain, the left side of the body and the face will be affected. In addition to paralysis of the body and face, vision problems, memory loss, and quick, inquisitive behavior could result from a blood clot on the right half of the brain. If the clot were to occur in the left side, the right side of the body would suffer speech and language problems, slow behavior, or memory loss. (About Stroke.) Aside from the physical effects of a stroke, a victim might also be affected emotionally undergoing depression, or being unable to control their feelings. (McIntosh) Oftentimes, the outcome of a stroke is irreversible and saddening for everyone
There is a lot of new information coming out about strokes. One new thing that is coming out about left hemisphere strokes is that sometimes that right brain can compensate
Additionally, the type of impairment will differ depending on the side of the brain the stroke occurred. If the stroke occurred in the right side
During my reading this an article, I found some information in this an article pertains to Right Hemisphere Stroke: A Victim Reflects on Rehabilitative Medicine book. For example, Johnson could recognize, even understand isolated words but when they come together in a sentence, Johnson would have difficulty dealing. On the other hand, the article presented that the respondents only presented higher difficulties in sentence formulation. This supports the premise that this tool is highly sensitive to language production. It also reflects the hypothesis that the right brain performs a complementary role to the left brain, with the execution of more complex tasks, such as formulating words with two or more target words, readily influenced by reduced
DG was 54 when he suffered a stroke in February 2016. The stroke affected the right hemisphere of his brain, this resulted in a difficulty in understanding high level language e.g. jokes, metaphors and extended pieces of text. Right-sided strokes are associated with patients being emotionally labile, confused and impulsive, these characteristics and their impact were considered throughout DG’s care.
A stroke occurs when blood flow to an area of the brain gets cut off. When this happens, brain cells are deprived of oxygen and begin to die. When the brain cells die during a stroke, abilities controlled by the area of the brain which is memory and muscle control loss. A person with a small stroke can have minor problems like temporary weakness of a leg or arm. People who have larger strokes may be paralyzed on one side of their body or lose their ability to speak. Some of the symptoms of strokes are severe sudden headaches, dizziness accompanied with vomiting, trouble walking, loss of balance and altered consciousness. When diagnosing strokes, doctors use blood tests, CT scans, MRI’s, carotid ultrasound, cerebral angiogram, and echocardiogram. There are three types of
Introduction: It is a well-known fact that the left hemisphere of the brain is the “language hemisphere.” However, very few people know that the right hemisphere is also an important contributor to speech, language, and communication. Right hemisphere syndrome is a lesion in the right hemisphere of the brain that results from factors such as stokes, tumors, traumatic brain injury, or other neurological diseases (Blake, 2010).
Patients who suffer a right-hemispheric stroke occur deficits related to vision loss, lack of awareness of the positions of their bodies, and spatial awareness. The nurse would expect the patient to have left-sided weakness and/or paralysis. The nurse must make sure that the patient’s left side is still taken care of (limb is repositioned/properly cleaned) in the case that the patient has unilateral neglect syndrome (patient fails to recognize the affected part of their body). The patient may also experience poor impulse control as well as impaired judgement. The patient may also have visual changes and impaired depth perception. Time and perception of one’s abilities will also be detected. Safety interventions must be put in place by the nurse
Each year, around 800,000 people have a new or recurrent stroke. The characteristics include face drooping or feeling numb, difficulties speaking, and muscle weakness on one side of the body. Stroke is caused from reduced or interrupted blood supply to the brain. There are ischemic strokes (thrombic and embolic strokes), hemorrhagic strokes (intracerebral hemorrage and subarachnoid hemorrhage), and transient ischemic attack (TIA).
Aphasia is a language disorder that can be the result of a brain injury. An individual that is suffering from aphasia may experience difficulty speaking, writing, reading, or comprehending. There are three different types of Aphasia that differ in various ways. First, Wernicke’s Aphasia is the inability to grasp the meaning of words and sentences that have been produced by another individual. This type of aphasia is also known as “fluent aphasia” or “receptive aphasia”. Wernicke patients’ speech may come across like a jumble of words or jargon, but it is very well articulated and they have no issue producing their own connected speech. If the patient is consecutively making errors, it is common for them to be unaware of their difficulties, and not realize that their sentences don’t make sense. The severity of the disorder varies depending on the patient, and the disorder results form damage in the left posterior temporal region of the brain, which is also known as Wernicke’s area.
As Thompson states, “A sufferer of Broca 's aphasia may understand completely the sentences of others. However, he may not be able to speak at all, or may speak in sentences that are hard to understand” (Thompson, 2013). Toivonen, a professor at Carleton University, discussed the significance of information flow in the brain using the example of reading out loud. This example illustrates the phenomenon that when an area of the information pathway is damaged, correspondingly, the message-relay can become interrupted. First and for most, the process of articulating begins with the Wernicke’s area of the brain activating when an individual accesses and interprets the lexicon, their mental dictionary. From there, the arcuate fascicles, a bundle of nerve fibres, transmits information sent from the Wernicke’s area to the Broca’s area. The Broca’s area then interprets this information and transmits articulatory information to the motor cortex. Finally, the motor cortex directs movement of the muscles to produce and pronounce speech. (Toivonen,