Managing the Rehabilitation Wave: Rehabilitation Services for COVID-19 Survivors
| العنوان: | Managing the Rehabilitation Wave: Rehabilitation Services for COVID-19 Survivors |
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| المؤلفون: | 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 |
| المصدر: | Archives of Physical Medicine and Rehabilitation |
| بيانات النشر: | Elsevier BV, 2020. |
| سنة النشر: | 2020 |
| مصطلحات موضوعية: | 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 |
| الوصف: | 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. |
| تدمد: | 0003-9993 |
| DOI: | 10.1016/j.apmr.2020.09.372 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::fa1b1d5d7dcc9f211eef216864d053dc https://doi.org/10.1016/j.apmr.2020.09.372 |
| Rights: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....fa1b1d5d7dcc9f211eef216864d053dc |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 00039993 |
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| DOI: | 10.1016/j.apmr.2020.09.372 |