Hi all. I am a PTA student on affiliation at an inpatient rehab facility. My
clinical instructor and I have recently started treating a man with Guillain-
Barre syndrome first hospitalized in November of '97. Neither one of us is
very familiar with GB, except that fatigue is to be avoided to minimize the
risk of relapse. One of the therapists in the dept. said that since he was no
longer acute, the issue was not quite as critical as it once was.
My question is: how hard should we work the patient, and at what might serve
as fatigue "hallmarks" that should signal that it is time to stop? I am
particularly concerned due to the patient's stated plan to go with his pre-
morbid workout regimen of "busting my a**" Mon. and Tues., taking it easy on
Wed., then pushing the limits again on Thur. and Fri.
He is very cooperative and obviously well motivated, but I am concerned that
his motivation might work to his detriment. Any ideas or suggestions?
Robert Gable
Allentown, PA
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