COVID-19: Post-Acute Rehabilitation: Difference between revisions
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== Benefits of Rehabilitation in COVID-19 Patients == | == Benefits of Rehabilitation in COVID-19 Patients == | ||
Rehabilitation has a positive effect on health outcomes of patients with severe COVID-19. It achieves this through: | Rehabilitation has a positive effect on health outcomes of patients with severe COVID-19. It achieves this through: | ||
* Optimizing health and functioning outcomes | |||
** Rehabilitation can reduce Intensive Care Unit -admission related complications, such as Post Intensive Care Syndrome (PICS), Intensive care unit acquired weakness (ICUAW) | |||
The Aim of rehabilitation is to improve recovery and reduce disability or the experience thereof | ** The Aim of rehabilitation is to improve recovery and reduce disability or the experience thereof | ||
** Rehabilitation interventions address several consequences of severe COVID-19 such as: | |||
*** Physical impairments | |||
*** Cognitive impairments | |||
*** Swallow impairments | |||
*** Provision of psychosocial support (PAHO paper) | |||
** It is evident that older people and people with pre-existing comorbidities are at higher risk for more severe illness. Rehabilitation can be beneficial in these populations to maintain their prior levels of functionality and independence. | |||
Rehabilitation | * Early Discharge Facilitation | ||
** During the pandemic there is a high demand for hospital beds in countries worldwide, especially during the times when the pandemic reaches its peak in a country or area. This leads to patients being discharged sooner than would normally be the case. Rehabilitation is crucial in this scenario to prepare a patient for discharge, coordinating complex discharges and also to safeguard continuity of care. | |||
* Reducing the risk of readmission | |||
** Rehabilitation is a key strategy to ensure that patients do not deteriorate after discharge and require readmission. During the COVID-19 pandemic this is critical in the context of shortages of hospital beds. | |||
* Physiotherapists as rehabilitation professionals are frontline healthcare professionals and should be engaged in the care of patients suffering from severe cases of COVID-19 | |||
** A patient who has severe COVID-19 will go through multiple phases of care – acute, post-acute and long term care. In the acute phase care will most likely be provided in the ICU or critical care units. In the post-acute phase care will most likely be provided in a hospital ward, or a step-down or rehabilitation facility. The long-term phase will be when patients return home and are still recovering and will receive rehabilitation at community level. | |||
A patient who has severe COVID-19 will go through multiple phases of care – acute, post-acute and long term care. In the acute phase care will most likely be provided in the ICU or critical care units. In the post-acute phase care will most likely be provided in a hospital ward, or a | |||
== Resources == | == Resources == | ||
Revision as of 15:40, 23 June 2020
Original Editor - User Name
Top Contributors - Wanda van Niekerk, Naomi O'Reilly, Tarina van der Stockt, Kim Jackson, Lucinda hampton, Vidya Acharya, Admin and Olajumoke Ogunleye
Introduction[edit | edit source]
Rehabilitation[edit | edit source]
Rehabilitation is defined as "a set of interventions designed to reduce disability and optimize functioning in individuals with health conditions in interaction with their environment." (World Health Organisation, 2017).
Benefits of Rehabilitation in COVID-19 Patients[edit | edit source]
Rehabilitation has a positive effect on health outcomes of patients with severe COVID-19. It achieves this through:
- Optimizing health and functioning outcomes
- Rehabilitation can reduce Intensive Care Unit -admission related complications, such as Post Intensive Care Syndrome (PICS), Intensive care unit acquired weakness (ICUAW)
- The Aim of rehabilitation is to improve recovery and reduce disability or the experience thereof
- Rehabilitation interventions address several consequences of severe COVID-19 such as:
- Physical impairments
- Cognitive impairments
- Swallow impairments
- Provision of psychosocial support (PAHO paper)
- It is evident that older people and people with pre-existing comorbidities are at higher risk for more severe illness. Rehabilitation can be beneficial in these populations to maintain their prior levels of functionality and independence.
- Early Discharge Facilitation
- During the pandemic there is a high demand for hospital beds in countries worldwide, especially during the times when the pandemic reaches its peak in a country or area. This leads to patients being discharged sooner than would normally be the case. Rehabilitation is crucial in this scenario to prepare a patient for discharge, coordinating complex discharges and also to safeguard continuity of care.
- Reducing the risk of readmission
- Rehabilitation is a key strategy to ensure that patients do not deteriorate after discharge and require readmission. During the COVID-19 pandemic this is critical in the context of shortages of hospital beds.
- Physiotherapists as rehabilitation professionals are frontline healthcare professionals and should be engaged in the care of patients suffering from severe cases of COVID-19
- A patient who has severe COVID-19 will go through multiple phases of care – acute, post-acute and long term care. In the acute phase care will most likely be provided in the ICU or critical care units. In the post-acute phase care will most likely be provided in a hospital ward, or a step-down or rehabilitation facility. The long-term phase will be when patients return home and are still recovering and will receive rehabilitation at community level.
Resources[edit | edit source]
- bulleted list
- x
or
- numbered list
- x
