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Name:​​ Visual Spatial Skills – Right and Left Neglect Program​​ 


Solution Plan:  ​​ ​​ ​​ ​​ ​​ ​​ ​​​​ 

Visual neglect​​ is a common neurological syndrome in which​​ patients fail to acknowledge stimuli toward the side of space opposite to their unilateral lesion. ... Left-neglect patients performed better for the bottom configuration than the top one, even though the gap to be detected was at the same retinal location

Defining Left Neglect. Neglect (whether it's left- or right-sided) is also referred to as unilateral visuospatial neglect, hemi spatial neglect, hemineglect, and visual inattention. ...

Nearly all cases of neglect are contralateral, or occur on the side opposite the side of the brain injury or lesion ​​ ​​ ​​ ​​ ​​ ​​ ​​​​ 

  • ​​ The individual may have difficulties in locating objects on the “bad” side. The individual may bump into the doorway or furniture on the “bad” side.​​ 

  • The individual may misread a door sign, a newspaper headline, or a takeout menu by missing the first part of a word or a sentence.​​ 

  • The individual may find themselves “forgetting” to shave or put makeup on half of their face. 

  • The individual may leave the more affected arm off the chair or table even​​ after they have regained the strength and function of that arm.​​ 

  • The individual may not turn to you when you talk to them from their “bad” side. These are examples of spatial neglect symptoms. ​​ ​​​​ 

Dr. Martha Burns, categorizes into 4 areas including anchors, guides, turns, and lighthouse to assist with strategies.​​ Example of Rt Neglect​​ 

Anchors-​​ Anchors are the strategy of using a target to visually seek on the left side. Bright lines can be drawn down the left side of a paper. Bright post-it notes may be​​ stuck to the left side of a computer screen. Edges of tables or walls can be used in the environment. The person is taught to return their eyes to that target to assist with scanning to the left.

​​ Guides-​​ Guides are the strategy of using an object or a finger to direct the eye toward the information that is being processed. Notecards, folded pieces of paper, the right index finger, and eventually the left index finger can all be used to guide the eyes during functional tasks.

Turns-​​ Turns include turning the eyes or head to the left side. A person with a left unilateral inattention will tend to turn his or her eyes and head toward the right side to center the vision in the middle of the perceived visual field. The person must be taught to turn to the other direction to assist with processing information from the left side.

​​ Lighthouse-​​ The lighthouse strategy combines the three strategies listed above to help the person scan, plan, and implement functional tasks. For example, as a person enters a room, he or​​ she can pause at the doorway to anchor the visual attention to the left wall, scan the room using the hand as a guide, and turn the head and eyes to the left to process the layout of the room.




Required Materials:​​