Proces delovno-terapevtske obravnave pri bolniku s sindromom Guillain-Barré : prikaz primera
Treatment for patient with Guillain Barre syndrome : case report

slovenian

2021

volume 20, issue 2

activities of daily-living   assessment   hand function   occupational therapy treatment   polyneuropathy

Univerzitetni rehabilitacijski inštitut RS – Soča
(Obvezni izvod spletne publikacije)

Background: Guillain-Barré syndrome (GBS) is an inflammatory disease of the peripheral nervous system that causes impairment of several bodily functions and skills and limits individuals in performing their daily activities or occupations. Most patients recover completely within a few months, but some lasting consequences may remain. The role of the occupational therapist in treating people with GBS is to maintain or increase the skills and functional needs, essential for performing the activities and to prepare patients for returning to their domestic environment. Methods: A 33-year-old patient with GBS was included in the case study. Rehabilitation took place at the Department for rehabilitation of patients after injuries, with peripheral nervous disorders and rheumatoid disease at the University Rehabilitation Institute of the RS – Soča (URI – Soča). The process of occupational therapy treatment was based on the American framework of practice (AOTA), including three phases of the process: evaluation, treatment and outcomes. The effectiveness of the occupational therapy treatment was assessed using standardised tools in the field of functions (Southampton Hand Assessment Procedure – SHAP) and activities (Functional Independent Measure – FIM, Canadian Occupational Performance Measure – COPM, Goal Attainment Scaling - GAS). Results: After the treatment concluded, the results of COPM showed the improvement in the patient’s self-perception of the performance and his own satisfaction at performing the activities that are relevant and important to him. The average change was 5.2 points. The patient achieved a higher level of independence in the field of functional mobility and self-care. In addition, his moving abilities, skills and hand functions improved as well. Upon return to his domestic environment, he faced the most difficulties in the field of productivity activities. While following the patient both in the institutional and domestic environments, we noticed negative as well as positive effects of each type of environment. Conclusions: The monitoring of the progress showed improvement in all of the observed parameters. The patient has been successful in achieving the goals set. In the end of rehabilitation, he returned to his domestic environment to live with his parents, who gave him support and help.

21.02.2022