What goal should a nurse include in the rehabilitation program for a client with a left hemisphere CVA?

In the context of rehabilitation for a client who has experienced a left hemisphere cerebrovascular accident (CVA), a primary focus is often placed on communication abilities. The left hemisphere of the brain is primarily responsible for language processing and speech production. Therefore, re-establishing effective communication is crucial for the client's overall recovery and quality of life.

This goal acknowledges the challenges that may arise after a left hemisphere stroke, such as aphasia, which impairs the ability to express and understand language. By prioritizing communication rehabilitation, the nurse ensures that the client has opportunities for social interaction, self-advocacy, and improved mental health, which are all integral to holistic recovery.

While enhancing gross motor skills, decreasing dependence on caregivers, and improving vision and spatial awareness are all important aspects of stroke rehabilitation, they are generally more associated with deficits that may occur after a right hemisphere stroke or broader rehabilitation goals. Focusing on communication addresses a fundamental impairment that is often a key concern following a left hemisphere CVA, making it a critical goal in the rehabilitation program.