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Slipping through the cracks: unilateral neglect assessment
Year: 2018
Type of publication: ostatní - článek ve sborníku
Name of source: European JBI symposium of Evidence-Based Healthcare in Clinical Practice Guidelines, Decision making process and Evidence synthesis in the Czech Republic : collection of short communications and abstracts
Publisher name: Masarykova univerzita
Place: Brno
Page from-to: 82-85
Titles:
Language Name Abstract Keywords
eng Slipping through the cracks: unilateral neglect assessment Patients with stroke commonly suffer from unilateral spatial neglect, i.e. an inability to respond to stimuli on the side of the body or space contralateral to the hemisphere affected by the stroke. Patients with UN have greater difficulty using new strategies in their daily life, which hampers their recovery and often prolongs their rehabilitation stay. UN can be assessed using various methods. There is no single gold-standard assessment method that could be recommended; some experts actually believe that a battery of tests should be used to comprehensively assess patients for the presence of UN. In fact, it may be helpful to screen patients for UN and to conduct a formal neuropsychological examination of those patients whose screening result detects a potential problem. Since UN is a complex impairment, it should be addressed by multidisciplinary rehabilitation teams that include nurses. The aim of this pilot study was to determine the prevalence of UN in patients with acute stroke based on two paper-and-pencil tasks supported by the NANDA-I. Part of the aim was to assess the feasibility of such tests in nursing clinical practice. The pilot study was conducted in a neurological department of a regional hospital in the Czech Republic, in April 2017. Thirteen patients were enrolled (10 men; average age 66.9 ± 14.7 let). The patients completed two paper-and-pencil tasks: the line bisection (LB) test and the line cancellation (LC) test. The results of both tests (their absolute values) were dichotomized (normal vs. abnormal) based on Lee et al.'s recommended cut-off values (LC test 0.008; LB test 2.533). The LC test was abnormal in two patients; both obtained a NS ˃ 0.008 (= 0.139; 0.635). An additional patient obtained a borderline NS (=0.008). The remaining patients obtained a NS = 0.000. As for the LB test, all patients obtained a normal result (their score was ˂ 2.533). The study demonstrated that UN screening using selected tests is feasible in nursing clinical p Unilateral neglect assessment; stroke; rehabilitation

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