Final answer:
The most effective intervention for a Guillain-Barré syndrome patient working towards independent grooming while sitting on the edge of the bed is to reach for objects while sitting forward in a high-back chair. This activity helps improve balance, trunk control, and functional reach, which are pertinent to the goal. Therefore, the correct option is b.
Step-by-step explanation:
Intervention for Guillain-Barré Syndrome
Guillain-Barré syndrome (GBS) patients often require comprehensive rehabilitation due to the autoimmune response affecting their nervous system. The core of GBS rehabilitation focuses on gradually increasing the patient's functional independence and strength. For a patient able to complete grooming tasks while supported in an upright sitting position in bed, transitioning to grooming independently while sitting on the edge of the bed requires focused intervention to strengthen balance, core stability, and functional reach.
Answering the question regarding the most effective activity to include in the intervention program to promote progress toward grooming independently while sitting on the edge of a bed, it is essential to consider activities that will closely mimic the setting and demands of the target task. While strengthening exercises are important, they may not be as functional specific as required for this goal. Option 'a. Dress lower extremity while supported in a supine position' focuses more on dressing skills and does not necessarily challenge the patient's ability to maintain an upright posture. Option 'c. Strengthen upper extremity with use of a weighted dowel' will enhance upper body strength but may not directly translate to better performance in seated grooming tasks.
Thus, the most appropriate intervention seems to be 'b. Reach for objects while sitting forward in a high-back chair' as this activity mimics the posture and balance required for sitting on the edge of the bed during grooming. It helps in improving trunk control, balance, and weight shifting, which are necessary to sit unsupported and perform tasks independently. Indeed, by reaching for objects, the patient practices maintaining balance while performing arm movements similar to those used in grooming. Therefore, the correct option is 'b' based on the evidence provided.