Chapter 13: Managing Clients With Perceptual Deficits

For the Instructor Guide and Worksheet Key please contact user services at userservices@mheducation.com

OUTLINE

Objectives

The student will appropriately:

1. Identify, select, and implement appropriate assessments of the client with perceptual deficits related to hemineglect and contraversive pushing.

2. Identify and select appropriate interventions for the client with perceptual deficits related to hemineglect and contraversive pushing.

3. Demonstrate safe and appropriate psychomotor skills for assessing and treating the client with perceptual deficits related to hemineglect and contraversive pushing.

4. Critically analyze case studies related to the client with perceptual deficits related to hemineglect and contraversive pushing.

Activity 1. Unilateral Neglect: Identifying Common Behaviors

Watch the video at Access Physiotherapy at McGraw-Hill Medical website called: S/P Right CVA Early Recovery of the gentleman status post right CVA. Students list the behaviors he exhibits that indicate he has unilateral neglect.

Activity 2. Unilateral Neglect and Pusher Outcome Measures

Practice performing standardized assessments for hemineglect and contraversive pushing.

Practice interventions for remediating hemineglect.

Activity 3. Unilateral Neglect Case

Students work in pairs to answer the questions regarding intervention strategies with client #1 who has hemineglect.

Activity 4. Treatment Ideas for Unilateral Neglect

Students work in pairs to practice using the treatment techniques on the client described in Activity 3 (Case #1).

Activity 5. Pusher Syndrome Case

Students work in pairs to answer the questions regarding intervention strategies with client #2 who has contraversive pushing.

Activity 6. Treatment of the Client with Contraversive Pushing

Students work in pairs to practice using the treatment techniques on the client described in Activity 5 (Case #2).

WORKSHEET

Introduction: Review unilateral neglect and what is contraversive pushing or "pusher syndrome."

Unilateral Neglect

1. What is unilateral neglect? Definition?

2. How is it characterized? What might someone look like?

3. Where do you see it? Which client population? Where is the lesion typically?

4. Why is it seen more commonly with left hemiplegia (right hemispheric lesion)?

5. What are the different types of unilateral neglect?

Contraversive Pushing

1. What is the definition of pusher syndrome?

2. How is it characterized? What does someone with this syndrome look like?

3. What is the current explanation for pusher syndrome?

4. Where do you see it? Which client population? Typically where is the lesion?

5. How is it different from neglect?

Activity 1. Unilateral Neglect: Identifying Common Behaviors

Watch the video at Access Physiotherapy at McGraw-Hill Medical website called: S/P Right CVA Early Recovery of the gentleman status post right CVA. List the behaviors he exhibits that indicate ...