Rehabilitation care during the new COVID-19 coronavirus infection epidemic at first, second and third medical rehabilitation stages

Author:

Ivanova Galina EvgenievnaORCID,Shmonin Alexey AndreevichORCID,Maltseva Maria NikolaevnaORCID,Mishina Irina EvgenievnaORCID,Melnikova Elena ValentinovnaORCID,Bodrova Rezeda А.,Tsykunov Mikhail B.,Bakhtina Irina S.,Kalinina Svetlana A.,Balandina Irina N.ORCID,Soloveva Liudmila N.ORCID,Ivanova Natalia E.ORCID,. Suvorov Andrey YuORCID,Didur Mikhail D.ORCID

Abstract

Patients with a new coronavirus infection (COVID-19) need rehabilitation. Rehabilitation approaches of patients with another pathology also require to be reviewed under the conditions of the SARS-CoV-2 epidemic. It is necessary to develop clinical recommendations for the rehabilitation care delivery in patients with COVID-19 and other diseases during a pandemic. A group of experts analyzed the data of current reviews on rehabilitation with COVID-19, as well as previous studies on rehabilitation in patients with Post-intensive care syndrome (PICS) and acute respiratory distress syndrome of non-coronavirus etiology, and developed thereupon the main positions of clinical recommendations. We discuss the main rehabilitation problems in patients with COVID-19, in particular structures and functions impairments, leading to limitations and restrictions of self-care, mobility, domestic life, communication, interpersonal interactions and relationships, professional activities and those determining care requirement. The article also provides general recommendations on medical rehabilitation management in a pandemic at all three stages, including patients routing, ensuring the infectious safety of medical personnel and patients. The necessary individual rehabilitation program components for patients with COVID-19 at all stages of rehabilitation have been identified, including patients examination, nutritional deficiency correction, restoration of respiratory function, exercise tolerance, muscle strength, self-monitoring and training in new movement conditions, psychoemotional state disorders and cognitive functions, as well as independence in everyday life recovery. Medical rehabilitation during the COVID-19 epidemic should include all rehabilitation care components and helps to optimize vital functions, to prevent complications and to improve the patients life quality.

Publisher

Federal Research and Clinical Center for Resuscitation and Rehabilitation

Subject

General Medicine

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