Rehabilitation issues
Hello, Doctor.
I would like to ask about my mother, who has been diagnosed with 1.
Guillain-Barré syndrome, 2.
severe sepsis with septic shock, 3.
adrenal insufficiency, and 4.
diabetes.
Due to these conditions, she was admitted to the intensive care unit at New Taipei City Hospital on April 9, 2018, transferred to a general ward on May 11, 2018, and discharged on May 26, 2018.
However, due to prolonged immobility or the effects of Guillain-Barré syndrome, my mother is currently in a state of complete weakness, unable to get up or stand on her own, and requires assistance even to sit up, and cannot sit for long periods.
The hospital had previously consulted a rehabilitation specialist who recommended follow-up visits.
Therefore, I would like to inquire if it is possible to apply for a rehabilitation ward to facilitate her rehabilitation and expedite her recovery.
You Jialing, 40~49 year old female. Ask Date: 2018/05/28
Dr. Wang Huijun reply Rehabilitation
If hospitalization is required, family members or the patient themselves can bring the patient to the hospital for a consultation to arrange for admission.
Reply Date: 2018/05/28
More Info
Guillain-Barré Syndrome (GBS) is a rare neurological disorder in which the body's immune system mistakenly attacks the peripheral nerves. This can lead to muscle weakness, numbness, and in severe cases, paralysis. The recovery process for GBS can be quite variable and is influenced by several factors, including the severity of the initial symptoms, the speed of diagnosis and treatment, and the overall health of the patient prior to the onset of the syndrome.
In your mother's case, it appears that she has faced significant health challenges, including GBS, septic shock, adrenal insufficiency, and diabetes. These conditions can complicate her recovery and rehabilitation. The fact that she is currently experiencing generalized weakness and requires assistance for basic activities indicates that her recovery may be prolonged.
Typically, the recovery from GBS can take weeks to months, and in some cases, it may take years. Most patients experience some degree of improvement, but the extent of recovery can vary widely. Some individuals may regain full strength and function, while others may have lingering weakness or other complications. Rehabilitation plays a crucial role in the recovery process, as it helps patients regain strength, improve mobility, and adapt to any residual disabilities.
Rehabilitation for GBS patients often involves a multidisciplinary approach, including physical therapy, occupational therapy, and sometimes speech therapy, depending on the symptoms. Physical therapy focuses on restoring movement and strength, while occupational therapy helps patients adapt to daily living activities. In your mother's case, given her current level of weakness, a structured rehabilitation program would be beneficial.
Applying for admission to a rehabilitation unit can be a good step forward. Inpatient rehabilitation facilities are equipped to provide intensive therapy and support, which can significantly enhance recovery outcomes. A rehabilitation team can assess her needs and develop a personalized treatment plan that addresses her specific challenges, including her inability to stand or sit independently.
It is also essential to consider the psychological aspect of recovery. Patients with GBS may experience emotional challenges, including anxiety and depression, due to the sudden loss of independence and the uncertainty of recovery. Providing emotional support and possibly involving a mental health professional can be beneficial.
In summary, while the recovery from Guillain-Barré Syndrome can be a lengthy process, with appropriate rehabilitation and support, many patients can achieve significant improvements. It is crucial to maintain open communication with her healthcare providers to ensure that her rehabilitation needs are met and to monitor her progress closely. If you believe that your mother would benefit from a more intensive rehabilitation program, discussing this with her healthcare team and exploring options for inpatient rehabilitation would be a prudent course of action.
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