Guillain-Barré Syndrome Recovery at Home in Gurgaon

The home healthcare team visited the patient’s residence in Sector 56 within 24 hours of discharge. The walker was set up and the home environment was assessed for fall hazards. The nursing team recorded baseline neurological observations and reviewed all discharge medications. The physiotherapist conducted an initial mobility assessment and established the rehabilitation starting point. The patient was able to walk approximately 60 metres with the walker but needed supervision for all transfers.

Physiotherapy sessions began at five per week. Initial focus was on lower limb strengthening exercises that the patient could perform in sitting and lying positions. Transfer training started, with the attendant learning safe techniques for helping the patient move from bed to chair. The patient reported significant fatigue after each therapy session, which is expected in early GBS recovery. The family attended their first education session on fall prevention and safe transfer techniques.

The physiotherapist noted measurable improvement in lower limb strength. The patient began standing exercises with support and progressed to taking a few steps with the walker without the attendant’s hands-on assistance. Balance exercises were introduced. Walking endurance had increased to approximately 120 metres. The patient started bathing with standby assistance rather than active help. Fatigue remained a factor but was less pronounced than in the first week. Nursing observations showed no new neurological symptoms.

First neurology follow-up after discharge. The neurologist assessed muscle strength and sensation. No signs of relapse or respiratory involvement were found. Walking endurance had reached approximately 250 metres with the walker. The patient was now performing most transfers with minimal assistance. Stair-climbing practice began with the physiotherapist using a handrail. The patient expressed cautious optimism. The neurologist advised continuing the current rehabilitation intensity.

The physiotherapist began transitioning the patient from the walker to a cane for short indoor distances. This was a gradual process. The cane was used initially only in familiar indoor settings with the attendant nearby. Walking endurance continued to improve, reaching approximately 400 metres. The patient was now independent in most transfers. She began dressing with minimal assistance. The husband reported that her confidence had grown noticeably. Physiotherapy frequency was maintained at five sessions per week as planned.