Affect : Stroke

  • Affect
    • Patients who suffer a stroke may have difficulty controlling their emotions
    • Emotional responses may be exaggerated or unpredictable
      • Magnified by
        • Depression
        • Changes in body image
        • Loss of function
  • Intellectual function
    • Both memory and judgment may be impaired as a result of stroke
    • Although impairments can occur with strokes affecting either side of brain, some deficits are related to hemisphere in which stroke occurred
  • Spatial-Perceptual alterations
    • Stroke on right side of brain is more likely to cause problems in spatial-perceptual orientation
      • Incorrect perception of self and illness
      • Unilateral neglect of affected side
        • Homonymous hemianopsia
      • Agnosia
      • Apraxia
  • Elimination
    • Most problems with urinary and bowel elimination occur initially and are temporary
    • When a stroke affects one hemisphere of brain, prognosis for normal bladder function is excellent