Visuospatial neglect during and after geriatric rehabilitation: keeping it NeAR

Abstract

VSN is frequently underdiagnosed in geriatric rehabilitation settings, often due to limited or inconsistent use of structured VSN assessments. Structured diagnostics using three assessments revealed a VSN prevalence of 47.4% within the geriatric rehabilitation population. VSN is associated with significantly less independence in activities of daily living and mobility, almost double the time in inpatient rehabilitation and a reduced likelihood of home discharge. Following discharge, individuals with VSN also report other experiences of participation restrictions distinct from those without VSN. Given the high prevalence and impact of VSN, early assessment in the rehabilitation process is crucial, preferably through a standardized and practical test protocol. To achieve this goal the following are essential: 1) education of healthcare professionals, 2) future research focusing on further development of VSN assessment, 3) amendments to guidelines and the development of a VSN protocol, and 4) the use of a clinical practice implementation plan which provides assessment, therapeutic interventions like visual scanning, psychoeducation for patients and their informal caregivers, and guidance upon home return.