Do you think is most likely in barrys case

Reference no: EM133321013

Clinical Case Study 1: Barry is a 61-year-old male who suffered a (R) cerebrovascular accident (CVA). He spent 3 days in acute care, but then was released home by his physician due to "the patient having no significant residual effects from the CVA". Once home, Barry's wife began to notice that he was different. Though he could talk fluently and understand what people said to him, he now appeared to ramble on in conversation. Once a gripping storyteller, he now verbally wandered in telling stories, perseverating on details and not telling the overall story arc. In conversation, he is pragmatically awkward as shown by dominating conversations, ignoring hints and requests from others for repairs, and lacking an ability to effectively use facial expression and emotion with others. In addition to all this, his wife reports he denies having any problems at all after his stroke.

Based on the limited information above, what cognitive-communicative diagnosis do you think is most likely in Barry's case? What factors led you to this conclusion?
What is the medical term for denial of deficits?
What is the site of the lesion?
What areas of deficit can you predict?
Identify one way how this deficit may affect activities of daily living.
What would your counseling look like to Barry's wife?

Clinical Case Study 2: Ana is a 54-year-old female who suffered a (L) cerebrovascular accident (CVA) approximately 3 weeks ago. She spent a few days in acute care, but now is receiving physical therapy (PT), occupational therapy (OT), and speech therapy (ST) in the hospital's acute rehabilitation (AR) unit. One of Ana's behaviors you have observed in therapy is that Ana will suddenly burst out crying during therapy and that these outbursts do not seem connected to anything specific in therapy. Ana is scheduled to be discharged from the AR in 2 days to her home. Home health PT, OT, and ST have been ordered for Ana.

What label would you give to Ana's crying outbursts?
What counsel would you give to Ana's home health ST?
What is the site of the lesion?
What areas of deficit can you predict?
Identify one way how this deficit may affect activities of daily living.

Reference no: EM133321013

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