- Is the nursing diagnoses that you selected appropriate for the patient with a
diagnosis of myasthenia gravis, Guillain-Barre syndrome or both? Explain your answer.
- Provide an outcome for the nursing diagnosis that you selected making sure that
is specific to the needs of the patient with myasthenia gravis or Guillain-Barre syndrome.
- Identify two (2) interventions that will help your patient with myasthenia gravis
or Guillain-Barre syndrome reach the outcome for the nursing diagnosis.
SAME OR DIFFERENT
Effective diagnosis of the different types of syndromes and disorders experienced by the
patient is essential in guiding the correct type of management for their situations for
improvement of their health status. In this case, I would select impaired spontaneous ventilation
as the nursing diagnosis for the Guillain- Barre syndrome and myasthenia gravis (Moore et al.,
2014). The diagnosis selected would be fit for both syndromes since the two have been seen to
have a co-occurrence. The co-current occurrence of both of the syndromes is caused by the
similarity of symptoms such as generalized weakness musculoskeletal impairment evidenced by
changes in quality and depth of respiration. Myasthenia gravis symptoms suggest the adoption of
Guillain-Barre syndrome concurrent diagnosis since it’s characterized with symmetric and
SAME OR DIFFERENT 2
progressive symptoms, e.g., muscle weaknesses. In this case, impaired spontaneous ventilation
nursing diagnosis would be effective in the assessment of both syndromes effectively.
The outcome for the nursing diagnosis would involve identification of the symptoms to
come up with an effective management for both syndromes. The impaired spontaneous
ventilation would achieve help certain objectives, e.g., proper evaluation of musculoskeletal
impairment with the aim of assessing any co-occurrence of both syndromes in a patient thus
informing a specific management strategy (Moore et al., 2014). The diagnosis would check on
mechanical ventilator setting, obstruction, manual ventilation and evidence of musculoskeletal
problems to guide for the proper intervention. The interventions and management strategies
would help in handling the condition faced by the patient with myasthenia gravis and Guillain-
Barre syndrome or the concurrence of the two at the same time. The first intervention would be
having an elective endotracheal incubation to address the respiratory muscle weaknesses
associated with the impaired spontaneous ventilation (Moore et al., 2014). Specific therapy and
supportive care for the patients would be another crucial intervention initiated immediately after
the nursing diagnosis. In a nutshell, the implementation of the right intervention strategies would
result in the ultimate goal of the better health status of the patients.
SAME OR DIFFERENT 3
Moore, A.S. & Shepard, L.H. (2014). Myasthenia gravis vs. guillain-barre? syndrome whatâ€™s
the difference? Nursing Made Incredibly Easy! 12 (4). 21-30.