Presentation Ansognosia Essay Example for Free

Presentation Ansognosia Essay glide 1(Wait for the cartoon character to appear) sheer 2My job is to speak on the diagnosis, intervention and rehabilitation and the pognosis of Anosognosia.Questionnaires and diagnostic methods insuffiecient sailing 3Let us talk about the sound judgment of insight and sensation.Slide 4Assessment is a problem as results depend on what the patients says. There is no yardstick by which the doctor can assess.Slide 5I have displayed a few assessment techniques that are practised even though the system may not lead to perfect closings. Self The patient himself can name you certain details voluntarily. You may have to select the cultivation that is relevant to diagnosis of anosognosia or neglect. The primary winding condition that accompanies the anosgnosia must be assessed too. i.e. hemiplegia, hemiparesis, schizophrenia , AlzheimersDisease etcetera By the time the patient comes to you, there is a chance that some other doctors may have seen and diagnosed the condition. You may have to just confirm.Slide 6Interview You may have to ask leading questions.Slide 7The assesment has to cover various aspects of assessing awarenessSlide 8Screening question inquire the patient to elaborate his difficulties. Follow-up questions may withal be necessary to elicit more inormationSlide 9Further questions that would give a attend of the emergent awareness.Slide 10These question give informtion on the anticipatory awareness.Slide 11This question will further tell you whether the patient has real his problem and is willing to be compliant to treatment.Slide 12The patients frame of mind and his future cooperation may be asessed. His willingness to accept treatment and his plautonomic nervous system to have his condition improved will further inform you about possible treatment strategies. You may plan accordingly allowing some space for his plans.Slide 13He will be telling you what he does presently to get over his difficulty and whose help he gets . Has he adopted a new hobby that helps him? These should give an insight into his capacity and aim of reaching success in overcoming anosgnosia .Slide 14He will give information as to the effectiveness of his techique and whether he appears to have responded.Slide 15The scroes obtained from the questions qould help to identify the extent of the anosognisia or impairment of awareness in the patient. A spunky score would be 0. 10 would be the low scoreSlide 16We still have to elicit more information about his primary condition. Information about previous treatment should be elicited.Slide 17Do cognitive problems disturb his progress? How his friends see the problem according to him is also important.Slide 18I shall now speak on rehabilitation. Many studies have been done on this subject.Slide 19Orfei et al described a hemiplegic patient as one who will not report a deficit, may overestimate their abilities and may deny that they are unable to move a paretic limb. He sai d that the hemiplegic patient is unable to detect or report his unawareness.Slide 20He suggested that there is a need for multidimensional assessment and some directions for furture research.Slide 21Feinberg et al studied 2 groups of patients , one with anosognosia and the other without. The relationship between hemiplegia and visuoverbal confabulation was assessed.Slide 22His conclusion states that verbal confabulation is an important determinant in anosgnosia.Slide 23Another study of his confirms a strong relationship between anosognosia for hemiplegia and confabulations the nominal head og the plegic limb.Slide 24What exactly are we trying to rehabilitate? We would be working on the anticipatory awareness, emergent awareness and intellectual awareness. Intellectual awareness would include the awareness and the understanding of the problem.Slide 25Approaches to rehabilitation (Read the slide)Slide 26Approaches to rehabiltitation explained with modelWe increase anticipatory awaren es by strategy identification, practice,monitoring and feedback.For emergent awareness we do monitoring of self and staff , get feedback and then work on attention strategyTo initiate intellectual awareness, we resort to education, feedback from self ans staff monitoring and video clipping of the patient responses.Slide 27Our education process can involve all or some of the approaches mentioned here. (read the slide.)Slide 28About the prognosis. Anosognosia does affect rehaibilitation or plays a role in itSlide 29Gialanella et al article The Rehabilitative Role of Anosognosia speaks about his study. He concluded that the presence of anosognosia worsens the rehabilitation prognosis in hemiplegic subjects who also have neglect.Slide 30Appelros study showed that both neglect and anosognosia influenced disability and prognosisSlide 31Hartman-Maier in a study found that anosognosia for hemiplegia has a high risk for negative functional outcome in stroke rehabilitation. appelro et al foun d that both neglect and anosognosia affect rehabilitation.Slide 32 Slide 33(Read the conclusions)Slide 34Signing off.