Determine the degree to which patient and family can participate in care.
(6) Continually observe family interactions to determine long-term effect of
polio on family resources and dynamics.
(7) Seek assistance from Community Health Nurse for discharge planning
and community assistance.
2-32. GUILLAIN-BARRE SYNDROME
a. Definition. Guillain-Barre Syndrome is a disorder of the nervous system that
affects peripheral nerves and spinal nerve roots. It is also called infectious polyneuritis.
b. Cause. The exact cause of Guillain-Barre syndrome is unknown. Many
patients give a history of a recent infection, especially of the upper respiratory tract.
There is also evidence of a connection with the Swine flu vaccination. Diagnosis is
made on the basis of the history and symptoms. Additionally, lumbar puncture will
reveal increased protein in the CSF.
c. Signs and Symptoms.
Motor weakness, especially in the extremities, is often the first symptom.
(2) Weakness usually progresses (ascends), over a period of several hours
to one week, to the upper areas of the body, where muscles of respiration may be
Sensory disturbances, numbness, and tingling.
Cranial nerve involvement resulting in difficulty chewing, talking, and
Diminished or absent deep tendon reflexes.
Low grade fever.
d. Nursing Management.
Treatment is nonspecific and symptomatic.
Patient must be continuously observed for adequacy of respiratory effort.
Continuous EKG monitoring.
Supportive nursing care measures indicated by the patient's degree of