Managing the Rehabilitation Wave: Rehabilitation Services for COVID-19 Survivors
| Autor: | Kenneth Silver, Anisa L. Tatini, Mary S. Keszler, April D. Pruski, Bhavesh Patel, Annette Lavezza, Pablo Celnik, Soo Yeon Kim, Margaret Kott, Tracy Friedlander, Erik H. Hoyer, Michael Friedman, Marlís González-Fernández, Laryssa Richards, Alba Azola, Sowmya Kumble, Kavita Nadendla |
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| Rok vydání: | 2020 |
| Předmět: |
030506 rehabilitation
medicine.medical_treatment Psychological intervention Disease RASS Richmond Agitation Sedation Scale e-ACIR Extended Acute Comprehensive Inpatient Rehabilitation law.invention Disability Evaluation 0302 clinical medicine law Telerehabilitation Activities of Daily Living Pandemic Medicine Survivors Rehabilitation ARDS Acute Respiratory Distress Syndrome rehabilitation services Measurable Achievable Continuity of Patient Care Physiatrists Intensive care unit PICS Post-Intensive Care Syndrome IRF CMS Center for Medicare & Medicaid Services Intensive Care Units ERAC Enhanced Recovery After COVID-19 COVID rehabilitation Medical emergency 0305 other medical science COVID-19 COronaVIrus Disease 2019 ACIR Acute Comprehensive Inpatient Rehabilitation CARES Coronavirus Aid Relief and Economic Security RPM Remote Patient Monitoring Physical Therapy Sports Therapy and Rehabilitation Medicare Article WHO World Health Organization RISC Rehabilitation Intervention Severity Categories Realistic Time sensitive 03 medical and health sciences Inpatient rehabilitation AM-PAC Activity Measure for Post-Acute Care ICU Intensive Care Unit Humans Glasgow Coma Scale MICU Medical Intensive Care Unit Pandemics Personal protective equipment SMART Specific ARISE Acute Hospital Rehabilitation Intensive Service SARS-CoV-2 business.industry PM&R Physical Medicine and Rehabilitation COVID-19 SOC Standard Of Care ICF International Classification of Functioning Disability and Health Physical and Rehabilitation Medicine medicine.disease United States SLP Speech-Language Pathologist acute care rehabilitation ICU rehabilitation AMP Activity and Mobility Promotion ERAS® Enhanced recovery after surgery business 030217 neurology & neurosurgery |
| Zdroj: | Archives of Physical Medicine and Rehabilitation |
| ISSN: | 0003-9993 |
| Popis: | The COVID-19 pandemic is having a profound impact on the provision of medical care. As the curve progresses and patients are discharged the rehabilitation wave brings a high number of post-acute COVID-19 patients suffering from physical, mental, and cognitive impairments threatening their return to normal life. The complexity and severity of disease in patients recovering from severe COVID-19 infection require an approach that is implemented as early in the recovery phase as possible, in a concerted and systematic way. To address the rehabilitation wave, we describe a spectrum of interventions that start in the ICU and continue through all the appropriate levels of care. This approach requires organized rehabilitation teams including physical therapists, occupational therapists, speech-language pathologists, rehabilitation psychologists/neuropsychologists, and physiatrists collaborating with acute medical teams. Here, we also discuss administrative factors that influence the provision of care during the COVID-19 pandemic. The services that can be provided are described in detail to allow the reader to understand what services may be appropriate locally. We have been learning and adapting real-time during this crisis and hope that sharing our experience facilitates the work of others as the pandemic evolves. It is our goal to help reduce the potentially long-lasting challenges faced by COVID-19 survivors. Highlights • Rehabilitation care of COVID-19 recovering patient can be safely provided starting in the ICU. • Redeployment of outpatient therapy workforce was useful to provide rehabilitation to patients recovering from COVID-19 in the acute medical care. • Objective functional assessments allowed for a tailored rehabilitation approach based on the individual patient’s needs. • Changes in Medicare regulation allowed for the provision of Acute Inpatient Rehabilitation Services outside of the rehabilitation unit. COVID-19 patients were able to receive ACIR level of care while still recovering from the acute infection. |
| Databáze: | OpenAIRE |
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