What is it?

Being less aware of the body and environment on the side affected by the stroke despite having no change in your vision.


How can it affect you?

  • You may bump into things on the affected side or may not notice food in front of you on the affected side
  • You can be at risk for falls and injury
  • You may forget to dress the affected arm or wash the affected side of your face
  • You may forget to take care of the affected limb and be at risk for injury


Strategies for caregivers

  • Arrange the environment to provide stimulation on the side affected by the stroke. This helps the person become more aware of the whole environment.
  • Use visual cues: Place fluorescent or bright-colored tape at the edge of a table on the affected side, then encourage the person to scan across to the tape when looking for items on that side of the table.
  • Encourage the person to scan their whole environment. For example, use the ’lighthouse’ strategy – imagine the eyes as beams of light slowly sweeping from side to side.
  • Approach the person from the unaffected side then move over to the affected side after you get their attention
  • Remind the person to look over or turn their head to the affected side
  • Decrease stimulation on the unaffected side
  • Encourage them to use the affected arm or leg in daily activities as much as possible

  • Position the affected arm or leg so that the person can see it

  • Encourage the person to help position the affected limb

  • Use cues to draw attention to the affected side. For example, ask the person “Where is your arm?”; wear brightly coloured nail polish or a watch on the affected side.