A Study for the Miscommunications with Right-sided Stroke Patients

Research Project

Project/Area Number	21792198
Research Category	Grant-in-Aid for Young Scientists (B)
Allocation Type	Single-year Grants
Research Field	Clinical nursing
Research Institution	Hokkaido University
Principal Investigator	TAKAYAMA Nozomi Hokkaido University, 大学院・保健科学研究院, 助教 (50451399)
Project Period (FY)	2009 – 2010
Project Status	Completed (Fiscal Year 2010)
Budget Amount *help	¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000) Fiscal Year 2010: ¥650,000 (Direct Cost: ¥500,000、Indirect Cost: ¥150,000) Fiscal Year 2009: ¥910,000 (Direct Cost: ¥700,000、Indirect Cost: ¥210,000)
Keywords	高次脳機能障害 / コミュニケーション / 看護学 / 臨床 / 脳・神経
Research Abstract	The analysis yielded three model cases where miscommunication occurred between patients with lesions in the right cerebral hemisphere and those around them. The following three conditions in which miscommunication could occur were identified for patients with right cerebral hemisphere lesions : 1) when the patient fails to recognize the situation before him/her or when the patient refuses to accept suggestions ; 2) when there is a discrepancy in the assessment of higher brain dysfunction between the patient and health care professional ; and 3) when "regenerative" capacity declines. Furthermore, having health care professionals in a dominant position entails the risk of making patients draw back.