Abstract
Many patients hospitalized due to COVID-19 presented with varying degrees of impairments and disabilities mostly attributed to prolonged ICU stay. The consequences of severe respiratory illness and longer duration of ICU stay can lead to long-term physical, emotional, and cognitive dysfunction. The rehabilitation department at SBH Health System had its own set of challenges and had to quickly adapt to constant changes and needs of the patients. This chapter focuses on the important role of rehabilitation in pandemic response, restoring function, and recovery of COVID-19 survivors. It outlines the effectiveness of prone positioning and early mobilization that can make a significant difference in the patients’ long-term quality of life. The integrated approach to discharge planning with multidisciplinary involvement facilitated a smooth transition from the hospital to their home. This helped as demands for post-acute care needs increased whether it was skilled nursing facilities for short-term rehabilitation, home care services, or outpatient services, including virtual rehabilitation or telehealth.
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References
Eastman P, Dowd A, White J, Carter J, Ely M. Telehealth: rapid adoption in community palliative care due to COVID-19: patient and professional evaluation. BMJ Support Palliat Care. 2021; https://doi.org/10.1136/bmjspcare-2021-002987.
Tenforde AS, Hefner JE, Kodish-Wachs JE, Iaccarino MA, Paganoni S. Telehealth in physical medicine and rehabilitation: a narrative review. PM R. 2017;9(5S):S51–S8. https://doi.org/10.1016/j.pmrj.2017.02.013.
Koulouras V, Papathanakos G, Papathanasiou A, Nakos G. Efficacy of prone position in acute respiratory distress syndrome patients: a pathophysiology-based review. World J Crit Care Med. 2016;5(2):121–36. https://doi.org/10.5492/wjccm.v5.i2.121.
Henderson WR, Griesdale DE, Dominelli P, Ronco JJ. Does prone positioning improve oxygenation and reduce mortality in patients with acute respiratory distress syndrome? Can Respir J. 2014;21(4):213–5. https://doi.org/10.1155/2014/472136.
Kallet RH. A comprehensive review of prone position in ARDS. Respir Care. 2015;60(11):1660–87. https://doi.org/10.4187/respcare.04271.
Fraser D, Spiva L, Forman W, Hallen C. Original research: implementation of an early mobility program in an ICU. Am J Nurs. 2015;115(12):49–58. https://doi.org/10.1097/01.NAJ.0000475292.27985.fc.
Hashem MD, Nelliot A, Needham DM. Early mobilization and rehabilitation in the ICU: moving back to the future. Respir Care. 2016;61(7):971–9. https://doi.org/10.4187/respcare.04741.
Sasannejad C, Ely EW, Lahiri S. Long-term cognitive impairment after acute respiratory distress syndrome: a review of clinical impact and pathophysiological mechanisms. Crit Care. 2019;23(1):352. https://doi.org/10.1186/s13054-019-2626-z.
Girard TD, Pandharipande PP, Ely EW. Delirium in the intensive care unit. Crit Care. 2008;12(Suppl 3):S3. https://doi.org/10.1186/cc6149.
Tanaka A, Isono S, Ishikawa T, Nishino T. Laryngeal reflex before and after placement of airway interventions: endotracheal tube and laryngeal mask airway. Anesthesiology. 2005;102(1):20–5. https://doi.org/10.1097/00000542-200501000-00007.
Mohapatra B, Ccc SLP, Mohan R, Ccc SLP. Speech-language pathologists' role in the multi-disciplinary management and rehabilitation of patients with Covid-19. J Rehabil Med Clin Commun. 2020;3:1000037. https://doi.org/10.2340/20030711-1000037.
Carda S, Invernizzi M, Bavikatte G, Bensmail D, Bianchi F, Deltombe T, et al. The role of physical and rehabilitation medicine in the COVID-19 pandemic: the clinician's view. Ann Phys Rehabil Med. 2020;63(6):554–6. https://doi.org/10.1016/j.rehab.2020.04.001.
Biehl M, Sese D. Post-intensive care syndrome and COVID-19 – implications post pandemic. Cleve Clin J Med. 2020; https://doi.org/10.3949/ccjm.87a.ccc055.
Rabiee A, Nikayin S, Hashem MD, Huang M, Dinglas VD, Bienvenu OJ, et al. Depressive symptoms after critical illness: a systematic review and meta-analysis. Crit Care Med. 2016;44(9):1744–53. https://doi.org/10.1097/CCM.0000000000001811.
Filatov A, Sharma P, Hindi F, Espinosa PS. Neurological complications of coronavirus disease (COVID-19): encephalopathy. Cureus. 2020;12(3):e7352. https://doi.org/10.7759/cureus.7352.
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Sabino, J.S., Dolera, J.S., Constante, G.H. (2022). Rehabilitation. In: Shabsigh, R. (eds) Health Crisis Management in Acute Care Hospitals . Springer, Cham. https://doi.org/10.1007/978-3-030-95806-0_9
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DOI: https://doi.org/10.1007/978-3-030-95806-0_9
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