Right side paralysis When the left hemisphere is affected, the patient has right-sided paralysis, speech pathology (this is in right-handed people), excitability manifested in significant anxieties and depressions, indecisiveness and passivity, in features tangible conversational speech. Movements are usually made slowly, with caution, especially when a new goal occurs. These restless and timid actions often amaze comrades and loved ones who saw and knew the patient before the stroke completely different.
Sensual distinctiveness, enterprise, activity are replaced by apathy, passivity, sometimes complex sensory disturbances disappear. And yet, despite the nature of the disease, many patients show a strong concern, a willingness to correct existing disturbances, a purposeful mobilization in restoring health. When the right hemisphere is struck, it can be seen that the patient is indifferent to what is happening.
Therefore, the relevant advice will be very helpful. Most patients with right hemiplegia (when the left hemisphere is affected) often need to remind them that they act unmistakably. When the patient is not very good at speaking, you should smile and nod in the affirmative. The usual words “good”, “yes”, “right” can support the patient and convince him that he is right in everything he does.
First, if you help the victim learn something new, a constant statement of approval, words of support may seem unsuitable for you. It may come to mind that the attitude towards the patient is undemanding, supportive and humiliating. Of course, there can be a lot of praise for making it worse, or for not being able to do it yet.
And yet, it is preferable to say more words of support to the patient and use approving gestures. In the event that your actions or conversation humiliate the patient, he will somehow report it. If you on the contrary occasionally respond to the patient’s efforts, do not tell him how to proceed further, he will not be able to cope with the new challenges. It is necessary to fully interact with such a patient, to respond to everything in time. Do not expect until a certain task is completed.
For a certain category of people with left hemisphere affected, it is difficult to perform fairly ordinary tasks (to wash dishes, to get dressed). And in these usual cases, they need help in guiding and learning self-service. For example, the dressing procedure can be broken down into several stages, encouraging and supporting the patient on each of them. In particular, support and encouragement requires patients, insecure, restless. With them, it is worth talking about their luck more than about misfiring. When the right hemisphere is damaged When the right brain is struck, the person paralyzes the left side, the perception of space is violated (the ability to estimate the size, speed of movement, forms), the perception of one’s body is disturbed. The visible signs of such a patient are extreme complacency, an underestimation of his actually existing problems with motor skills, indifference to his own flaw and to his correction.
In connection with the above, the renewal of motor functions and abilities of the organism in such a lesion is more unhurried than with lesion of the left hemisphere.
If there is a significant violation of perception in space, there are often big problems. Even when the patient with left paralysis is focused and attentive, he can not drive through the wide doors in the stroller without crashing into the door jamb. They hardly manage to determine the distance to the object, it is difficult for them to read the newspaper, as they are lost by looking at the page. When dressing, such patients can skip buttons or not wear a shirt, they risk driving a car.
Due to the fact that they partially lose their perception of their body, patients may not feel its individual parts and limbs .
Often, difficulties arise in the work of the left hand. Patients lose a sense of where they are, and they look for it elsewhere. This distorted perception of the body can last from 1-2 weeks and up to two months. Those patients who do not comprehend their illness are often mentally retarded. Most of them are subject to depression. Such people act impetuously, not taking into account their real abilities.
Do not use gestures for communication, because the patient does not understand them. Insist that the patient always say aloud his actions, since speech is able to help with the necessary restoration of lost skills of accurate perception space.
First you need control over the actions of the patient so that later he can perform them himself. When dealing with a patient you can not hurry, move fast. And, of course, negative emotions are inadmissible in communication, because such your behavior will shut the patient in themselves and make learning difficult.