The ventilated patient undergoing hydrotherapy: a case study.
The ascending peripheral neuropathy and paralysis that result from Guillain-Barre Syndrome's (GBS) demyelination of peripheral nerves is a challenge to health professionals; the patient requires support during the acute disease process and during the remyelination recovery period, often lasting months to years. The staff of a major metropolitan teaching hospital's critical care unit (CCU) and physiotherapy departments developed a hydrotherapy treatment programme for a ventilated patient with GBS. Through careful planning and appropriate preparation, it was found that hydrotherapy could successfully and safely be incorporated into a patient's treatment regimen. The benefits included improved range of movement due to the supportive nature of water, anecdotal increased strength, size and movement of remyelinating muscles and a psychological improvement. Although this patient has not recovered from GBS to be independent, hydrotherapy was a valuable part of the treatment regimen and it could be suggested the increase muscle strength lead to improved respiratory function and enabled weaning from ventilation, reducing intensive care length of stay and cost.
Taylor
Susan
S
Critical Care Medicine Unit, Flinders Medical Centre, Adelaide, SA.
D000368:Aged; D005081:Exercise Therapy / Q000379:methods; D005260:Female; D020275:Guillain-Barre Syndrome / Q000150:complications / Q000451:nursing; D006801:Humans; D006875:Hydrotherapy / Q000379:methods / Q000451:nursing*; D010348:Patient Care Team; D012121:Respiration, Artificial / Q000451:nursing*; D012131:Respiratory Insufficiency / Q000209:etiology / Q000451:nursing; D016896:Treatment Outcome