Group Activity

INSTRUCTIONS

Answer the guide questions specified below. This activity is accomplished by group (see groupings below). Submit a PDF file
containing your answers with this filename format: SectionandLabgroup_GroupNumber_Activity_GBS (e.g. PT3-
1A_Group3_ Activity_GBS)

PT3-1A PT3-1B
Group 1 Group 2 Group 3 Group 1 Group 2 Group 3
Bantayan Aguilar Atun Bigay Adajar Cristobal
Dizon Alfonso Camatog Bongon Bargola Gilbuena
Geda Angcaya Fausto Copon Dela Cruz Magtoto
Landicho Arceo Go Galang Gerodiaz Medina
Lopez Herrera Jose Javines Manzanal Pallera
Ramos Sanding Layugan Villadiego Parado Policarpio
Vitug Tesado Miranda Roncales Santos
Montenegro

CASE
General Data:
Name: M.A.M.
Age: 17 y/o
Gender: Female
Handedness: Right
Occupation: Student
Address: San Mateo, Dasmarinas City
Civil status: Single
Nationality: Filipino
Religion: Roman Catholic
Referring doctor: Dr. M
Physiatrist: Dr. S.
Type of patient: in-patient
Date of Admission: May 29, 2007
Date of IE: June 6, 2007
Informant: Patient/ good reliability
Dx: Guillain Barre syndrome
C/C: pt c/o weakness in her hands and legs (legs>arms) causing her difficulty in walking and other daily activities. Pt also c/o
easy fatigability.

HPI

4 weeks ago, pt consulted a doctor because she was bothered of having coughs and colds lasting for 2 weeks already. She was
diagnosed with upper respiratory tract infection and was given medications (name of the medications unrecalled).
3 weeks ago, pt’s coughs and colds had improved, but patient started to feel numbness and tingling in her feet. She did not do
anything about this abnormal sensation on her feet. After 3 days, she felt also the numbness and tingling sensation on her legs
and thighs, but still did not do anything about this.

2 weeks ago, pt noted that the numbness became progressively worse and she felt it in her hands and fingers. She also started
to feel weakness on her both legs causing her to have difficulty in walking. She noticed that she usually trips when walking.

1 week ago, pt suddenly fell as she walks going to the kitchen. Her mother forced her to seek medical help already because of
this. Pt was then immediately asked to be admitted in the hospital for further monitoring and treatment.

At present, pt was referred to physical therapy for further evaluation and treatment. Pt is still admitted in the hospital. She cannot
completely move her legs and hands and c/o weakness, with the legs weaker as compared to the hands. Pt is having difficulty in
her self care activities, bed mobility, transfers and ambulation.

PMHx:
(+) Bronchial Asthma (since 7 y/o) with medication (Salbutamol and Comvibent for nebulization)
(-) Cardiac disease

FHx:
(-) DM
(-) HPN
(-) Cardiac disease
(-) Asthma

PSEHx
- Pt is a non-smoker and non-alcoholic beverage drinker
- Pt is a senior high student
- Pt prefers to eat fatty foods
- Hobbies include playing the guitar
- Financially supported by family
- Pt is motivated to get well
- Lives in a bungalow house
- Classroom is located in the 5th floor
- School has no elevator

GUIDE QUESTIONS

1. Does the patient present with a typical case of GBS based from the subjective findings? Justify your answer.

2. What components should be included in the physical therapy examination? Identify the important physical
examination entries, tests and measures that should be included in the IE of this patient with GBS. Justify
your answer (complete the table below)

Tests and Measures Justification

*you may add rows if necessary

 3. Identify the impairments, activity limitations and participation restriction of the patient based from the given
findings, as well as the contextual factors.

Impairments Activity limitations Participation restriction

Positive
Personal Factors
Negative
Positive
Environmental factors
Negative

4. What are the potential problems/ complications that may arise if the patient is not managed properly in the
early course of the condition? Suggest specific strategies/ interventions to counteract them.

Potential Problems PT interventions (Indicate complete Rx if applicable)

*you may add rows if necessary

Rubric for grading (Total score: 30 points)

Components
Exemplary Satisfactory Needs Improvement Unacceptable
Content 20 13 7 1
Main points are very Main points are clear Main points are Lacks main points and
clear and detailed; and but can use somewhat clear and has no details;
information is relevantmore detail; most lacks detail; some information lacks
to the topic. information is information is relevant to relevance to the topic.
relevant to the topic. the topic.
Communication 10 7 4 1
Always expresses Oftentimes Sometimes expresses Does not express ideas
ideas effectively in expresses ideas ideas effectively in effectively in written
written effectively in written written communications. communications.
communications. communications.
NOTE: Faculty may give a grade in between (16.5 between 20 and 13, 10 between 13 and 7, 4 in between 7 and 1; 8.5 between
10 and 7, 5.5 between 7 and 4, 2.5 between 4 and 1)