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Pts w/ a stroke often have
- short retention spans, immediate, short-term memory impairment while long-term memory remains intact.
- Therefore, information learned in one setting cannot be transferred to other situations
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Emotions can be unstable or changeable and may result following acute stroke. The pt. is
unable to inhibit the expression of spontaneous emotions and may change quicly from laughing to crying.
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Common psychological problems include:
- anxiety
- depression
- denial
- Pts w/ lesions in the left hemisphere experience more frequent and more severe depression
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Language impairments frequently result from
a stroke involving the middle cerebral artery and the dominant left hemisphere
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Aphasia is
the general term used to describe problems w/ comprehension, speech, writing, gestures, or reading
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Aphasia is often cassified into two main types:
- Broca's Aphasia (expressive)
- Wernicke's Aphasia (Receptive)
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Broca's Aphasia (Expressive)
usually occurs in the anterior portion of the cerebrum and th pt presents w/ non-fluent language(slow), apraxia of speech, word finding problems, poor functional oral expression skills, fair to good comprehsion skills and poor writing skills.
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Wernicke's Aphasia (receptive)
usually occurs in the posterior portion of the first temporal gyrus. pt. presents w/ normal or hyperfluent (fast) rate of speech, normal amount of speech, overuse of function words, literal and verbal paraphasia, extended jargon (make up words), significant word finding problems, impaired auditory comprehnsion and auditory feed back difficulties, impaired error awareness, repetition is impaired by irrelevant insertions and comprehension is generally severely impaired.
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