Medical Surgical Nursing

— Perceptual disturbances

— loss of half of the visual field, Loss of peripheral vision, diplopia.

Cognitive Deficits (Short- and long-term memory loss, Decreased attention span,

Impaired ability to concentrate

Emotional Deficits (Depression, Withdrawal, Fear, hostility, and anger, Feelings of

isolation)

Cognitive Deficits: (Short- and long-term memory loss, Decreased attention span,

Impaired ability to concentrate, Poor abstract reasoning, Altered judgment)

Emotional Deficits: (Loss of self-control, Emotional lability, Decreased tolerance to

stressful situations, Depression, Withdrawal, Fear, hostility, and anger, Feelings of

isolation)

Terms:

• Hemiplegia


• Hemiparesis


• Dysarthria (Difficulty in forming words)


• Aphasia: expressive aphasia, receptive aphasia


• Hemianopsia: blindness of half of the field of vision in one or both eyes


• Apraxia: inability to perform previously learned purposeful motor acts on a voluntary
  basis

Comparison of Left and Right Hemispheric Strokes

Left Hemispheric Stroke Right Hemispheric Stroke

Paralysis or weakness on right side of body Paralysis or weakness on left side of body

Right visual field deficit Left visual field deficit

Aphasia (expressive, receptive, or global) Spatial-perceptual deficits

Increased distractibility

Altered intellectual ability Impulsive behavior and poor judgment

Slow, cautious behavior Lack of awareness of deficits