Unilateral Neglect: Post Stroke Nursing Assessment in the Acute Care Setting

Unilateral Neglect: Post Stroke Nursing Assessment in the Acute Care Setting

Identification: MSNN2001
Issue: January/February 2020
Volume: Volume 29 - Number 1
Credits (Post Test and/or Evaluation Required)
Available until 02/28/2022
  • 1.30 - CH


Unilateral neglect is a common disorder following stroke that causes a patient to act as though half of their world does not exist. This condition is associated with an increased length of stay, increased risk for co-morbidities, and decreased discharges to home. This disorder is complex and may not be detected with the use of the National Institute of Health Stroke Scale. The purpose of this review is to gain an understanding of the existing research on the assessment for unilateral neglect post stroke in an acute care setting. An understanding of the need for an acute care nursing assessment promotes advocacy for the patients and families of stroke patients with unilateral neglect.

Learning Outcome:
After completing this education activity, the learner will be able to discuss how the use of multiple assessments is beneficial to detection of unilateral neglect post stroke.

Learning Engagement Activity:
Explore the various assessments that could be employed to help discover unilateral neglect.

Contact hours available until 2/28/22.

Requirements for Successful Completion:
Complete the learning activity in its entirety and complete the online CNE evaluation.

Authors Conflict of Interest Disclosure:
The author(s), editor, editorial committee, content reviewers, and education director reported no actual or potential conflict of interest in relation to this continuing nursing education article.

Commercial Support and Sponsorship:
No commercial support or sponsorship declared.

Accreditation Statement:
This session is jointly provided by Anthony J. Jannetti, Inc. (AJJ) and the Academy of Medical-Surgical Nurses (AMSN).

Anthony J Jannetti, Inc. is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center’s Commission on Accreditation.

Anthony J. Jannetti, Inc. is an approved provider of continuing nursing education by the California Board of Registered Nurses, Provider Number CEP 5387.

This article was reviewed and formatted for contact hour credit by Michele Boyd, MSN, RN, AMSN Education Director.


Credits Available

Expired On: Feb 28, 2022

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Constance Barnes
2/29/20 1:41 am

This information was very good. As nurses, we are certainly aware of the neglect stroke patients demonstrate. I worked in a facility that was certified as a stroke center, but the only assessment we were required to use was the NIH stroke scale. The cancellation tests reviewed in this article certainly would help access functional deficits stroke patients exhibit with more specificity.

Kristi Bradley
4/21/20 12:30 pm

This article was well written and easy to understand. It helped the reader understand unilateral strokes, the importance to identify them and the fragility of these patients. It also shows the importance of using more then one method to evaluate stroke victims.

Doris Dedumo
5/13/20 2:40 pm

Working in a stroke unit, this article not just reinforcing my knowledge but also reminding me to be meticulously assessed my patients. The importance to notice the changes earlier matters.

Joanne Barnette
7/6/20 6:46 pm

Good overview for stroke patients

Juanito Santander
7/9/20 12:26 pm

Easy to understand how this article is presented.

Brenda Williams
9/7/20 11:04 am

Had never heard of the Apples, Bells, or SNAP. Very interesting article. Good information.

Mary Ann Van Orden
9/12/20 11:52 am

Wish samples of the neglect tests were included. Have never seen one. Neglect is more of a problem then I think we are aware just from watching my patients.

Elizabeth Dickey
9/16/20 1:54 pm

As a stroke nurse, this article had pertinent information that I will most certainly utilize in my practice. Early detection is essential to improved patient outcomes.

Allison Weech
2/10/21 10:22 am

Very enlightening article. Hope soon researchers can find/identify some early detection and intervention strategies. I agree with the team approach/inter professional approach to dealing with this unilateral neglect.

Tamara Koehling
3/15/21 10:06 am

Nice stroke overview

Ivory Pedral
7/9/21 4:22 pm

. The effects of early detection and intervention on functional outcomes are not known; however, identification in the acute phase of post stroke is important for nursing, counseling families, and planning intervention strategies

Margaret Kelly
9/6/21 1:26 pm

Interesting article, now I have to do some more investigation into the tests mentioned .

Amber Brands
9/20/21 1:55 pm

Very good article. We use only the nihss scale at our hospital, and the incorporation of the other tests would be helpful as well.

Christine Sweeney
9/28/21 3:56 pm

the early need for assessment and interventions to improve outcomes driven by nursing

Theresa Gallupe
9/30/21 10:11 am

This was a very good article and interesting. I was particularly interested as a nurse and also because my dad suffered a stroke and presents with unilateral neglect.

Christy Tamoria
10/11/21 7:49 pm

Good article. Early detection provides better outcomes for patients.

Elaine Spurlock
11/30/21 11:31 pm

Nice review, the importance to re-assess as according to practice is crucial for advancing mobility and recognizing worsening signs or even worse, as patients can have more strokes while hospitalized.

Cynthia Young
12/8/21 12:13 pm

I did not realize that the NIHSS along with a cancelation activity is a more comprehensive assessment. Thank you!

Dawit Hong
1/27/22 11:40 pm

The author's reviews of articles on unilateral neglect informed me what has been lacking on the standard stroke assessment, NIHSS, which our hospital uses. Also, I learned there are other assessment tools, which can be helpful to detect unilateral neglect. I have seen our nursing team and neuro specialists are teamed well to detect unilateral neglect, so I haven't worried it was not assessed timely. However, I still learn that early detection will prevent further possible complications.

Malathy Robert
3/20/22 3:59 pm

very good information

Binu Ellankil
6/8/22 8:33 am

This article was very good, it was easy understand

Lopsang Sakya
6/10/22 1:13 pm

i can use this knowledge in my practice

Mary Hirsh
8/20/22 8:58 am

excellent information

Sandra Slonosky
8/23/22 7:59 am

Good article

Binu Ellankil
9/15/22 9:18 am


Valerie Pallatt
10/13/22 4:41 am

great read! Glad to know what we are doing is correct!

Melvin Cruz
10/29/22 11:08 am


Mary Anne Yan
11/14/22 12:56 am

very excellent article to read

Jennifer Mapa
11/27/22 1:45 pm

Good information.

Erica Sanchez
1/18/23 8:28 am

very good information, I wasn't familiar with Unilateral neglect.

Deborah Stafford
1/18/23 2:26 pm

great article and good information

Danielle Joslin
3/14/23 4:44 am

Good review.

Kyonghui Defazio
7/7/23 2:30 am