Pielęgniarstwo Neurologiczne i Neurochirurgiczne (Jun 2015)
Speech Disorders of the Type of Aphasia after Right Hemisphere Stroke in Right — handed People — a Case Study
Abstract
Introduction. Aphasia is acquired disorder or loss of language skills, following various types of organic brain lesions, e.g.: a result of stroke, craniocerebral trauma, malignancies. It leads to the inability to express thoughts in words, or the inability to understand speech. Speech made in specially prepared speech centers in the brain dominant hemisphere. In right-handed people, these centers are located in the left hemisphere of the brain, with left-handersi n most cases are located in the right hemisphere. There are also cases of so-called. Aphasia hybrid, occurring I na right-handed as a result of damage to the right hemisphere of the brain. In clinical practice, neurologists, speech and aphasia are divided into: motor, sensory, sensorimotor, and amnestictotal. The issue of aphasia, and its definition, always aroused excitement and controversy. Case Report. The case study concerns the 42 year old woman with a diagnosis of ischemic stroke in the form of left-hand hemiparesis with aphasia mixed, as state after subarachnoid hemorrhage and aneurysm embolization of the middle cerebral artery on the right side. Discussion. There are many factors determining the patients return to full language skills. Among other things, proper identification of the nature of the disorders of speech and correct anamnesis, well-structured speech therapy program, the time of initiation of therapy, frequency of exercise, individual pace of recovery from aphasia. A very important factor determining the healing process of the patient is resistant to stress. Conclusions. In the treatment of people with aphasia should strive for a state in which the patient will be able to communicate with the environment. It should first of all make a diagnosis, gather intelligence, to create a treatment program tailored to the individual patient’s situation, begin treatment as soon as possible, to give the patient the opportunity to frequent office visits for speech therapy, take care of his emotional state. (JNNN 2015;4(1):30–34)
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