Assessments and nursing care for right brain-damaged stroke patients: focusing on neglect and related symptoms.
The purpose of present study was to identify the behavioural characteristics and examine assessments of nursing care among right brain-damaged stroke patients with neglect within 1 year following initial onset. Characteristics related to higher cerebral dysfunction were extracted and patient grouping was attempted through cognition (Mini-Mental State Examination) and physical function (Barthel Index) plots. The characteristics and implications for nursing care for each group were analyzed. Twelve patients were classified into four groups using cognitive-physical function evaluations together with subjective and objective data associated with neglect. 'Neglect' has been regarded as a disorder of spatial perception. However, the characteristics observed in Group 2 suggest that 'neglect' may have another facet, manifesting as disorders in perceiving continuous spatio-temporal changes of an action and comprehending the context of a situation. In these patients, although 'by calling attention' is the conventional care, more appropriate care should be provided based on an assessment of cognitive-physical function and spatio-temporal recognition of an action.
Ohshima
Hiroko
H
Department of Community Health Nursing, Graduate School of Medicine, The University of Tokyo, Toky, Japan. oosima-tky@umin.ac.jp
Murashima
Sachiyo
S
Takahashi
Ryutaro
R
D000203:Activities of Daily Living; D000368:Aged; D000369:Aged, 80 and over; D003072:Cognition Disorders / Q000145:classification / Q000209:etiology* / Q000451:nursing*; D004292:Dominance, Cerebral; D005260:Female; D015577:Geriatric Assessment / Q000379:methods*; D005853:Geriatrics; D006301:Health Services Needs and Demand; D006782:Hospitals, Special; D006801:Humans; D007564:Japan; D008297:Male; D008609:Mental Status Schedule; D008875:Middle Aged; D009730:Nursing Assessment / Q000379:methods*; D015403:Nursing Evaluation Research; D010468:Perceptual Disorders / Q000145:classification / Q000209:etiology* / Q000451:nursing*; D020521:Stroke / Q000150:complications*; D011795:Surveys and Questionnaires; D013997:Time Factors