The challenge for identifying the nursing diagnosis of Guillain-Barré Syndrome

ABSTRACTObjective: identifying the nursing diagnoses of Guillain-Barré Syndrome (GBS). Method: descriptive research, with a qualitative approach and a field research style, carried out in 2010 in a general hospital of Nova Iguacu, Rio de Janeiro, Brazil. The technique of documental analysis was used to investigate the medical records within the period from 2005 to 2010. The study was submitted to the Research Ethics Committee of the general hospital of Nova Iguacu, Rio de Janeiro, obtaining authorization CAAE – 0017.0.316.000-10. The content analysis proposed by Bardin was used to analyze the data collected. Information on the nursing evolution, emphasizing physical examination, was obtained. Findings: the most frequent data were: paresthesia, decrease in muscular strength, dyspnea, paresis, and dysphagia, and the nursing diagnoses identified were: impaired sensorial perception, impaired physical mobility, impaired deambulation, impaired deglutition, and fatigue. Conclusion: the nurse, through a careful physical examination, is able to identify the possible nursing diagnoses of GBS, decreasing the damages to the Brazilian Unified Healthcare System (SUS) users’ health. Descriptors: nursing diagnosis; Guillain-Barré syndrome; nursing.RESUMOObjetivo: identificar os diagnósticos de enfermagem para a Síndrome de Guillain-Barré (SGB). Método: pesquisa descritiva, de abordagem qualitativa, do tipo pesquisa de campo, realizada no ano de 2010 em um hospital geral de Nova Iguaçu. Foi utilizada a técnica de análise documental dos prontuários no período de 2005 a 2010. O estudo foi submetido ao Comitê de Ética e Pesquisa do hospital geral de Nova Iguaçu obtendo-se a autorização CAAE – 0017.0.316.000-10. Utilizou-se o método de análise de conteúdo proposto por Bardin, para analisar os dados coletados. Foram colhidas informações da evolução de enfermagem, com ênfase no exame físico. Resultados: os dados que mais incidiram no levantamento foram: parestesia, diminuição da força muscular, dispnéia, paresia e disfagia e os diagnósticos de enfermagem registrados foram: percepção sensorial prejudicada, mobilidade física prejudicada, deambulação prejudicada, deglutição prejudicada e fadiga. Conclusão: o enfermeiro, a partir de um exame físico bem elaborado, é capaz de identificar os possíveis diagnósticos de enfermagem para a SGB, minimizando os agravos à saúde do usuário do Sistema Único de Saúde (SUS). Descritores: diagnóstico de enfermagem; síndrome de Guillain-Barré; enfermagem.RESUMENObjetivo: identificar los diagnósticos de enfermería para el Síndrome de Guillain–Barré (SGB). Metodología: investigación descriptiva, de abordaje cualitativo, del tipo pesquisa de campo realizada el año 2010 en un hospital general de Nova Iguaçu. Se utilizó la técnica de análisis documental de los impresos durante 2005 a 2010. El estudio se sometió al Comité de Ética e Investigación de la hospital general de Nova Iguaçu, Rio de Janeiro, con autorización CAAE – 0017.0.316.000-10. Se empleó el método de análisis de contenido propuesto por Bardin, para analizar los datos recogidos. Recogidas informaciones de la evolución de la enfermería, con énfasis en el examen físico. Resultados: los datos que más incidieron en el muestreo fueron: parestesia, disminución de la fuerza muscular, disnea, parálisis, disfagia. Los diagnósticos de enfermería registrados fueron: percepción sensorial disminuida, movilidad física disminuida, deambulación disminuida, glutición disminuida, fatiga. Conclusión: el enfermero, a partir de un examen físico bien elaborado, es capaz de identificar los posibles diagnósticos de enfermería para el SGB, minimizando los agravamientos de salud del usuario del Sistema Único de Salud Pública. Descriptores: diagnóstico de enfermería; síndrome de Guillain-Barré; enfermería.

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Guillain‐Barré syndrome (GBS) in a tertiary general hospital at Yangon, Myanmar

Neurology and Clinical Neuroscience ◽

10.1111/ncn3.12579 ◽

2022 ◽

Author(s):

Ohnmar Ohnmar ◽

Kyaw Phyo Hlaing ◽

Zin Nwe Win ◽

Yan Lynn Aung ◽

Zin Phyu Tun ◽

...

Keyword(s):

General Hospital ◽

Guillain Barre Syndrome ◽

Guillain Barré Syndrome ◽

Guillain Barré

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Guillain Barre Syndrome pada Kehamilan

Jurnal Ilmiah Kedokteran Wijaya Kusuma ◽

10.30742/jikw.v9i2.702 ◽

2020 ◽

Vol 9 (2) ◽

pp. 256

Author(s):

Hermin Sabaruddin ◽

Pribakti Budinurdjaja ◽

Fakhrurrazy Fakhrurrazy

Keyword(s):

Physical Examination ◽

First Trimester ◽

Clinical Syndrome ◽

Guillain Barre Syndrome ◽

High Morbidity ◽

Autoimmune Reaction ◽

Guillain Barré Syndrome ◽

History Of ◽

Guillain Barré ◽

In Pregnancy

Guillain-Barre Syndrome (GBS) is a clinical syndrome characterized by the presence of the complete flaksid that occurs in acute. GBS associated with autoimmune reaction that affect peripheral nerve, radix, and cranial nerve. The incidence of GBS is 1 – 2 per 100,000 people/year. The incident was followed by increased age and the increasing population of obstetrics. GBS in pregnancy ranged from 13% in the first trimester, 47% in the second trimester, and 40% in the third trimester. In this case report reported Mrs. M 27 years old with a diagnosis of G2P1A0 h. 39-40 weeks + insimanation + living single fetal Presentation Head + Inpartu kala II + GBS + Failed + Vacuum Severily Underweight (BMI = 17) + TBJ 3000 Gr. Diagnosis of GBS are enforced based on anamnesis, physical examination and complementary examinations. From a previous illness history found anamnesis the weakness of limbs beginning in 2016. A history of the use of breathing apparatus and admitted tot the ICU in the first pregnancy. Mrs. M had a history of infections before being diagnosed with GBS. On this second pregnancy patients cannot move lower extremity but upper extermity is still functioning. Physical examination result of mothers and babies in the normal range even though found in conditions of severily BMI underweight. The patient finally decided to SC (section caesaria) and applied the IUD intracaesarean GBS in pregnancy is a coincidental. GBS is rarely aggravate pregnancy, but if not quickly identified and handled can enhance the high morbidity in both mother and fetus. In acute attacks (AIDP) in pregnant women with GBS increase stress on the mother or the fetus. The stress that occurs can also stimulate the immune system to produce prostaglandins, resulting in premature birth. Patients can give birth when the gestational age is still 7 months. It was different in the second pregnancy in this case where the patient was diagnosed with chronic inflammatory demyelinating polyradiculopathy (CIDP) so that GBS did not affect the mother and the fetus.

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P-PN008. Electrophysiological subtypes of Guillain-Barré syndrome (GBS) cases at tertiary general hospital, Myanmar

Clinical Neurophysiology ◽

10.1016/j.clinph.2021.02.261 ◽

2021 ◽

Vol 132 (8) ◽

pp. e109

Author(s):

Kyawt Oo Kay Thi Htay ◽

Kyaw Phyo Hlaing ◽

Khine Yee Mon ◽

Zin Phyu Tun ◽

Yan Lynn Aung ◽

...

Keyword(s):

General Hospital ◽

Guillain Barre Syndrome ◽

Guillain Barré Syndrome ◽

Guillain Barré

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Systematization of the nursing assistance to a child affected by Guillain-Barré Syndrome

Revista de Enfermagem UFPE on line ◽

10.5205/reuol.2052-14823-1-le.0601201228 ◽

2011 ◽

Vol 6 (1) ◽

pp. 198

Author(s):

Maria Elizabete De Amorim Silva ◽

Vanessa Lopes Maia Dativo ◽

Yana Balduíno Araújo ◽

Kenya De Lima Silva ◽

Neusa Collet

Keyword(s):

Disease Process ◽

Guillain Barre Syndrome ◽

Nursing Interventions ◽

Guillain Barré Syndrome ◽

Para Determinar ◽

Guillain Barré ◽

Provision Of Care ◽

Nursing Diagnoses ◽

Nursing Processes

ABSTRACTObjective: to systematize the nursing assistance using the International Classification for Nursing Practice (ICNP®) with a child affected by Guillain-Barré Syndrome (SGB). Method: this is a case study carried out in the paediatric clinic of a public hospital in Paraiba, Brazil, on May 2011. The data were collected through an instrument considering the anamnesis, the physical examination, and data recorded in the medical records. The ICNP® version 1.0 was used to determine the diagnoses, results, and nursing interventions. The study was approved by the Research Ethics Committee of the hospital, under the Protocol 222/09. Results: four nursing diagnoses were identified, for which interventions were planned and implemented: impaired nutrition; productive cough; impaired walking; and low interactive behaviour. Conclusion: the systematization of the nursing assistance, using the ICNP®, allowed a greater organization and efficiency in the provision of care, offering an individual, holistic, and humanized care, taking into consideration the health-disease process and the reactions from the child-family binomial when facing hospitalization. Descriptors: nursing processes; nursing care; hospitalized child.RESUMOObjetivo: sistematizar a assistência de enfermagem utilizando a Classificação Internacional para a Prática de Enfermagem (CIPE®) com uma criança acometida pela Síndrome de Guillain-Barré (SGB). Método: trata-se de estudo de caso realizado na clínica pediátrica de um hospital público da Paraíba em maio de 2011. Os dados foram coletados a partir de um instrumento contemplando a anamnese, o exame físico e dados registrados no prontuário. A CIPE® versão 1.0 foi utilizada para determinar os diagnósticos, resultados e intervenções de enfermagem. O estudo foi aprovado pelo Comitê de Ética em Pesquisa do hospital, sob o Protocolo n. 222/09. Resultados: foram identificados quatro diagnósticos de enfermagem, para os quais planejadas e implementadas as intervenções: nutrição prejudicada; tosse produtiva; deambulação prejudicada; e comportamento interativo baixo. Conclusão: a sistematização da assistência de enfermagem, utilizando a CIPE®, possibilitou maior organização e eficiência na prestação dos cuidados, proporcionando um cuidado individualizado, holístico e humanizado, ao levar em consideração o processo saúde-doença e as reações do binômio criança-família frente à hospitalização. Descritores: processos de enfermagem; cuidados de enfermagem; criança hospitalizada.RESUMENObjetivo: sistematizar la asistencia de enfermería utilizando la Clasificación Internacional para la Práctica de Enfermería (CIPE®) con un niño afectado por el Síndrome de Guillain-Barré (SGB). Método: esto es un estudio de caso realizado en la clínica pediátrica de un hospital público de Paraíba, Brasil, en mayo de 2011. Los datos fueron recogidos a partir de un instrumento contemplando la anamnesis, el examen físico y datos registrados en el prontuario. La CIPE® versión 1.0 fue utilizada para determinar los diagnósticos, resultados y intervenciones de enfermería. El estudio fue aprobado por el Comité de Ética en Investigación del hospital, bajo el Protocolo 222/09. Resultados: fueron identificados cuatro diagnósticos de enfermería, para los cuales fueron planeadas y implementadas las intervenciones: nutrición perjudicada; tos productiva; deambulación perjudicada; y comportamiento interactivo bajo. Conclusión: la sistematización de la asistencia de enfermería, utilizando la CIPE®, posibilitó mayor organización y eficiencia en la prestación de la asistencia, proporcionando un cuidado individualizado, holístico y humanizado, al llevar en consideración el proceso salud-enfermedad y las reacciones del binomio niño-familia frente a la hospitalización. Descriptores: procesos de enfermería; atención de enfermería; niño hospitalizado.

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Toronto general hospital controlled trial data plasma exchange therapy in guillain-barre' syndrome

Journal of Clinical Apheresis ◽

10.1002/jca.2920020418 ◽

1985 ◽

Vol 2 (4) ◽

pp. 326-331 ◽

Cited By ~ 4

Author(s):

Kenneth H. Shumak ◽

John G. Humphrey ◽

Joseph Y. Chiu ◽

Margaret L. Routledge ◽

Marilyn Elphick ◽

...

Keyword(s):

Plasma Exchange ◽

General Hospital ◽

Toronto General Hospital ◽

Controlled Trial ◽

Trial Data ◽

Guillain Barre Syndrome ◽

Plasma Exchange Therapy ◽

Guillain Barré Syndrome ◽

Guillain Barré

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Characterization of Patients with Guillain-Barré Syndrome in the General Hospital of Mexicali

International Journal of Medical Students ◽

10.5195/ijms.2019.433 ◽

2019 ◽

Vol 7 (3) ◽

pp. 58-61

Author(s):

Fátima María Martínez-González ◽

Jeremy Hernández-Ríos ◽

Arely Gutiérrez ◽

Andrés Beltrán ◽

René González ◽

...

Keyword(s):

Mechanical Ventilation ◽

Acute Kidney Injury ◽

General Hospital ◽

Kidney Injury ◽

Flaccid Paralysis ◽

Guillain Barre Syndrome ◽

Common Disease ◽

Male Population ◽

Guillain Barré Syndrome ◽

Guillain Barré

Background: Guillain-Barré Syndrome is a progressive autoimmune polyradiculoneuropathy characterized by symmetrical flaccid paralysis accompanied by areflexia, hyporeflexia or hyperreflexia on rare occasions. Worldwide, it remains the first cause of flaccid paralysis. It is usually associated with infectious disease history; however, there are various clinical variants, each with a different outcome. Prognosis is usually good, although 20% of patients could suffer a severe clinical variant of Guillain-Barré Syndrome and 5% will die despite treatment. Methods: This is a cross-sectional study, including the records of hospitalized patients with Guillain- Barré Syndrome at Mexicali’s General Hospital within a five-year period. Results: In a five-year span there were 64 patients with Guillain-Barré Syndrome, most of the patients were men (70.3%), with age ranging 1 to 76 years. A total of 8 (12.5%) patients died, from which 7 (87.5%) required mechanical ventilation during hospitalization. Immunoglobulin therapy was provided to 56 (87.5%) patients, and 6 (10.7%) of them perished due to acute kidney injury. Conclusion: Guillain-Barré Syndrome is a common disease among male population, with no dominating onset age, however, leaning for the young and elder. Most of the patients that were hospitalized at the General Hospital of Mexicali had a history of previous infection (gastrointestinal, respiratory, or other infectious diseases). The need for mechanical ventilation represents a higher severity index, nonetheless, this does not mean that assisted ventilation is directly associated with mortality. As for treatment, immunoglobulin is the most common choice for therapy, though some of the patients died from acute kidney injury.

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Clinical Outcome of Neurologic Patients given Free Human Intravenous Immunoglobulin through the Department of Health-Medical Assistance Fund Program at the Philippine General Hospital

International Journal Of Medical Science And Clinical Invention ◽

10.18535/ijmsci/v8i01.04 ◽

2021 ◽

Vol 8 (01) ◽

pp. 5202-5207

Author(s):

Dr. Scarlett . Mia Tabuñar ◽

MHA, FPCEM

Keyword(s):

Clinical Outcome ◽

Hospital Stay ◽

General Hospital ◽

Guillain Barre Syndrome ◽

Average Hospital Stay ◽

Medical Assistance ◽

Average Hospital ◽

Department Of Health ◽

Guillain Barré Syndrome ◽

Guillain Barré

Health outcome assessment of expensive drugs eg. IVIG which is the treatment of choice for various immune-mediated diseases of the central and peripheral nervous system is essential in the efficient management of limited funds of government hospitals. The objective of this pilot prospective medical record review is to determine the clinical outcome of neurologic patients given free IVIG through the Department of Health Medical Assistance Fund Program (DOH-MAFP) to assist indigent patients in their medical needs from 01 January30 June 2019 at the University of the Philippines-Philippine General Hospital (UP-PGH). A total of 70 patients received IVIG for various illnesses; only 7 were for neurologic indications namely Guillain-Barre Syndrome, Myasthenia Gravis, anti-NMDA receptor encephalitis and chronic inflammatory demyelinating polyneuropathy. Majority of free IVIG beneficiaries were female, of pediatric age group and classified by the medical social service (MSS) as class D. The average amount spent is Php 163,592.72 for all the diseases and the overall average hospital stay=21.14 days. However, patients with Guillain-Barre Syndrome had an average hospital stay of 6.5 days which is the shortest recorded. In conclusion, all patients given free IVIG are discharged improved whether it is used as a primary or definitive treatment or as an adjunct therapy with no mortality or hospital complication. The accrued costs of treatment is lower compared to other studies. It is therefore recommended to continue the free provision of IVIG from DOH-MAFP to indigent PGH patients and sustain monitoring of clinical outcomes of future utilization of free IVIG.

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Síndrome de Guillain-Barré: relato de caso

ARCHIVES OF HEALTH INVESTIGATION ◽

10.21270/archi.v9i5.5003 ◽

2020 ◽

Vol 9 (5) ◽

pp. 453-456

Author(s):

Ana Gabriela Beraldo Castillo ◽

Isabela Gonçalves Pirola ◽

Janaine Mara Terezo Garcia ◽

Gabriel Pina Paiva

Keyword(s):

Differential Diagnosis ◽

Rio De Janeiro ◽

Acute Flaccid Paralysis ◽

Flaccid Paralysis ◽

Guillain Barre Syndrome ◽

Porto Alegre ◽

Guillain Barré Syndrome ◽

Guillain Barré

A síndrome de Guillain-Barré (SGB) é uma doença neurológica rara, de caráter autoimune, mais frequente no sexo masculino e com o aumento da idade, podendo ser precedida por processo infeccioso. Apresenta-se em 4 subtipos, os quais variam quanto ao curso e gravidade da doença, sendo o mais comum: a polineuropatia inflamatória desmielinizante aguda (PIDA), descrito neste relato de caso. A proposição do trabalho é mostrar a evolução precoce do quadro, que pode cursar com manifestações clínicas motoras, sensitivas e possivelmente autonômicas, podendo levar o paciente à insuficiência respiratória e posterior óbito. Discute-se também o diagnóstico e o tratamento preconizados. O primeiro envolve a obrigatoriedade de critérios essenciais, a presença de alguns critérios clínicos sugestivos, ausência de critérios que reduzem ou excluem a possibilidade da doença, além de exames laboratoriais (liquor) e eletroneuromiografia. Enquanto o tratamento é feito com Imunoglobulina humana intravenosa (IgIv) ou plasmaférese (Px), no intuito de evitar a progressão rápida e total dos sinais e sintomas, refletindo em um menor tempo de recuperação e minimização de déficits motores no paciente; além de cuidados de suporte multidisciplinares para prevenir possíveis complicações. Conclui-se, portanto, que o reconhecimento do quadro clínico, formas variantes, critérios diagnósticos e achados laboratoriais ou neurofisiológicos para diagnostico ou exclusão da doença se faz necessário para todos que atuam na emergência, visto que a doença é grave e de alta morbimortalidade. Descritores: Síndrome de Guillain-Barré; Imunoterapia; Plasmaférese.Referênciasvan den Berg B, Walgaard C, Drenthen J, Fokke C, Jacobs BC, van Doorn PA. Guillain-Barré syndrome: pathogenesis, diagnosis, treatment and prognosis. Nat Rev Neurol. 2014;10(8):469-82. Costa ACD. Síndrome de Guillain-Barré: uma revisão integrativa de literatura e de dados do Sistema Único de Saúde [monografia]. Brasília: Faculdade de Ciências da Saúde da Universidade de Brasília (Unb); 2016.Bolan RS, Dal Bó K, Vargas FR, Moretti GRF, Almeida LP, Almeida GKP et al. Síndrome de Guillain-Barré. Rev AMRIGS. 2007; 51(1):58-61.Shy ME. Neuropatias periféricas: Síndrome de Guillain-Barré. In: Goldman L, Schafer, AI. Cecil Medicina. v.2, 24 ed. Rio de Janeiro: Elsevier; 2014. cap. 428, p. 2784-85.Hauser SL, Amato AA. Síndrome de Guillain-Barré e outras neuropatias mediadas imunologicamente. In: Jameson JL, Fauci AS, Kasper DL, Hauser SL, Longo DL, Loscalzo J. Medicina Interna de Harrison. v.2, 18ºed. Porto Alegre, Editora AMGH; 2013. cap. 385, p.3473- 79Marx A, Glass JD, Sutter RW. Differential diagnosis of acute flaccid paralysis and its role in poliomyelitis surveillance. Epidemiol Rev. 2000;22(2):298-316. Brasil. Ministério da Saúde. Síndrome de Guillain-Barré: Protocolo Clínico e Diretrizes Terapêuticas. Portaria SAS/MS n 497, 2009, 14 p. [Acesso em: 28 mar. 2019] Disponível em: <http://neurologiahu.ufsc.br/files/2012/08/Protocolo-MS_Guillain-Barr%C3%A9-2009.pdf>.Oliveira E, Monteiro N, Sequeira M, Saraiva JP. Síndrome de Guillain-Barré: experiência de uma Unidade de Cuidados Intensivos e revisão da literatura. Medicina Interna. 2012; 19(3):130-39.Araujo AM, Dias LC, Silva CMS, Gaspar LC, Anjos JLM. Treinamento Muscular Inspiratório na Síndrome de Guillain-Barré: Relato de Caso. RPF. 2016;6(4):448-54.

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