Introduction:

- Guillain – Barre syndrome is a disorder in which the body’s immune

system attacks part of the peripheral nervous system.
- The first symptoms of this disorder include varying degrees of weakness
or tingling sensations in the legs.
- In many instances, the weakness and abnormal sensations spread to the
arms and upper body.
- These symptoms can increase in intensity until the muscles cannot be
used at all and the patient is almost totally paralyzed.
- In these cases, the disorder is life – threatening and is considered a
medical emergency. The patient is often put on a respirator to assist with
breathing.
- Guillain- Barre syndrome is rare.
- Usually Guiilain – Barre occurs a few days or weeks after the patient has
had symptoms of a respiratory or gastrointestinal viral infection.
- Occasionaly, surgery or vaccinations will trigger the syndrome.
- The disorder can develop over the course of hours or days, or it may
take up 3 – 4 weeks.
- No one yet knows why Guillain – Barre Strikes some people and not
others or what sets the disease in motion.

- What scientists do know is that body’s immune system begins to attack

the body itself, causing what is known as an autoimmune disease.
- Guiilain – Barre syndrome occurs one among one hundred thousand
people world wide.
- It occurs mostly in elderly people and in young adults ages 20 -35.
- In Latest statistics by the US census, international data base there are
2,936 recorded cases in the United States while 325 in Canada and 826
cases in the Philippines.

General Objectives:

- To conduct a thorough and comprehensive study about Mr. X’s Disease

according to data was gathered by conducting a series of interviews and
through the use of data gathered from extensive research.

Specific Objectives:

- To organize our patient’s data for the establishment of good background

information.
- To show the family health history as well as the history of past and
present illness for the knowledge of what could be the predisposing
factors that might contribute to the patient’s illness.
- To come up with the different nursing theories that can be applied to our
patient.
- To gather all the references used upon making this case study.
Nursing Theory

Dorothea E. Orem (Self- Care Deficit Theory)

- Orem explicated self –care as a human need and nursing as a human
service; she emphasized nursing’s special concern for person’s need for
self – care actions on a continuous basis to sustain life and health or to
recover from disease or injury.
- She formalized the self care Deficit Theory of nursing as general theory
composed of the following three related theories.

1. the theory of self Care

2. Theory of Self Care Deficit
3. Theory of Nursing Systems.

We, as nurses require a continuous and practical action to our patient to enable them to
know and meet therapeutic self- care demands to let them be aware of certain limitations
that could help them develop independence towards their needs necessary for their
living. When we had our interview to patient, first, we were able to developed trust
towards the patient which is very important. And as we go through our interaction, we
had provide guided teaching to help them to resolve their problems but with limitations.
Limitations in which we only give some alternatives and they will be the one to help their
selves function on the things they need to work with. Through a good therapeutic
communication Client was able to gain a lot of information in which it made him think to
make some changes with regards to his life style.
 Imogene King (Goal Attainment Theory)

- King’s theory of goal attainment focuses on the interpersonal system and the
interactions that tale place between individuals, specifically in the nurse- patient
relationship. In the nursing process, each member in the dyad perceives the other,
makes judgements, and takes actions.

It is very much important that we establish rapport to our patient so that we could extract
some information available from research in nursing and related fields. In this case, we
have gained enough information about the client’s background. We have made an
appropriate approach because the patient was able to verbalize his own feelings of his
current condition. And as much as possible we were being careful of the questions being
asked to the patient, because we might hurt his feelings and later on he might not gave us
the appropriate answers. We have also provided some individualized plan of care which
helped in encouraging the patient to participate.