Skip to content
  • About
  • Contact
  • Contribute
  • Book
  • Careers
  • Podcast
  • Recommended
  • Speaking
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking

The importance of rehabilitation in COVID-19 patients

Waneta Carter, RN and Christine Lau, MD
Conditions
October 17, 2020
Share
Tweet
Share

COVID-19, first diagnosed in China in December 2019, has since spread across the world and affected over 37 million individuals. While most people infected with COVID-19 experience mild to moderate illness and recovery without the need for hospitalization or medical intervention, some require intensive care for weeks to months. Despite an estimated 28 million individuals who have “recovered” from COVID-19, there is increasing evidence of persistent symptoms and even organ damage and dysfunction following recovery. In a study with 179 patients in Italy, only 12.6% of patients were symptom-free at a mean follow-up of 60.3 days after onset of first COVID-19 symptoms. While none had acute signs of infection, many patients experienced persistent fatigue (53.1%), dyspnea (43.4%), joint pain (27.3%), and chest pain (21.7%). Worsened quality of life was also reported by 44.1% of patients.

For patients that experience severe cases of COVD-19, especially those who required extensive hospital stays and mechanical ventilation, recovery can be a long process. Physical, cognitive, and mental rehabilitation is vital in these patients to ensure comprehensive health and wellbeing. Many survivors of COVID-19 find performing the simplest tasks difficult and may feel they will never recover. Tasks such as brushing their teeth or eating can cause exhaustion and shortness of breath. Depression is a real threat to recovering COVID-19 patients because they are separated from their families, can no longer do the things they could before, and cannot fathom returning to their previous activities.

Rehabilitation uses an interdisciplinary team approach to optimize each patient’s abilities to improve physical endurance and facilitate a safe discharge home where patients will continue their recovery. Rehabilitation focuses on energy conservation to decrease oxygen demand while building a therapy program to meet patient needs. Integrating speech therapy services assists patients to relearn strategies to perform tasks often taken for granted when well. Patients recovering from COVID-19 often find difficulty with new learning, sequencing of tasks, and some suffer from language and swallowing difficulty due to extreme weakness. Physical therapy works with patients and families to safely transfer and ambulate again using adaptive equipment and safety measures. Occupational therapy helps patients and families learn how to adapt daily life needs such as bathing and dressing to optimize independence. Nurses specially trained in rehabilitation will help patients and families integrate therapy and compensatory techniques into daily life. The rehabilitation nurses carry over training and education delivered by therapy, provide education for self-care, dietary needs, oxygen management, and safety. Social Work and Psychology services assist with the mental well-being of patients and assist with the adjustment needed for recovery.

While most COVID-19 patients experience only mild symptoms, some patients require hospitalization and intensive care for prolonged periods of time. For these patients, a multidisciplinary rehabilitation, including physical, cognitive, and mental rehabilitation, is crucial. Incorporating specialized nursing, physical therapy, occupational therapy, speech pathology, social work, and psychological services is crucial in comprehensive health and well-being during recovery among these COVID-19 patients.

Waneta Carter is a rehabilitation nurse. Christine Lau is a physician.

Image credit: Shutterstock.com

Prev

Doctors in tech cities are losing the rat race

October 17, 2020 Kevin 1
…
Next

Reflections on caregiving from a nursing school dropout

October 17, 2020 Kevin 0
…

Tagged as: COVID, Infectious Disease

Post navigation

< Previous Post
Doctors in tech cities are losing the rat race
Next Post >
Reflections on caregiving from a nursing school dropout

ADVERTISEMENT

Related Posts

  • How to get patients vaccinated against COVID-19 [PODCAST]

    The Podcast by KevinMD
  • COVID-19 divides and conquers

    Michele Luckenbaugh
  • State sanctioned executions in the age of COVID-19

    Kasey Johnson, DO
  • A patient’s COVID-19 reflections

    Michele Luckenbaugh
  • Starting medical school in the midst of COVID-19

    Horacio Romero Castillo
  • COVID-19 shows why we need health insurance

    Jingyi Liu, MD

More in Conditions

  • Understanding depression beyond biology: the power of therapy and meaning

    Maire Daugharty, MD
  • Why medicine must stop worshipping burnout and start valuing humanity

    Sarah White, APRN
  • Why perinatal mental health is the top cause of maternal death in the U.S.

    Sheila Noon
  • A world without vaccines: What history teaches us about public health

    Drew Remignanti, MD, MPH
  • Unraveling the mystery behind one of the most dangerous pregnancy complications: preeclampsia

    Thomas McElrath, MD, PhD and Kara Rood, MD
  • How community paramedicine impacts Indigenous elders

    Noah Weinberg
  • Most Popular

  • Past Week

    • Why are medical students turning away from primary care? [PODCAST]

      The Podcast by KevinMD | Podcast
    • Here’s what providers really need in a modern EHR

      Laura Kohlhagen, MD, MBA | Tech
    • Why “do no harm” might be harming modern medicine

      Sabooh S. Mubbashar, MD | Physician
    • How community paramedicine impacts Indigenous elders

      Noah Weinberg | Conditions
    • Why doctors are reclaiming control from burnout culture

      Maureen Gibbons, MD | Physician
    • How fragmented records and poor tracking degrade patient outcomes

      Michael R. McGuire | Policy
  • Past 6 Months

    • Why are medical students turning away from primary care? [PODCAST]

      The Podcast by KevinMD | Podcast
    • Why tracking cognitive load could save doctors and patients

      Hiba Fatima Hamid | Education
    • Why “do no harm” might be harming modern medicine

      Sabooh S. Mubbashar, MD | Physician
    • Here’s what providers really need in a modern EHR

      Laura Kohlhagen, MD, MBA | Tech
    • What the world must learn from the life and death of Hind Rajab

      Saba Qaiser, RN | Conditions
    • How medical culture hides burnout in plain sight

      Marco Benítez | Conditions
  • Recent Posts

    • How fragmented records and poor tracking degrade patient outcomes

      Michael R. McGuire | Policy
    • How New Mexico became a malpractice lawsuit hotspot

      Patrick Hudson, MD | Physician
    • How I learned to stop worrying and love AI

      Rajeev Dutta | Education
    • Understanding depression beyond biology: the power of therapy and meaning

      Maire Daugharty, MD | Conditions
    • Why compassion—not credentials—defines great doctors

      Dr. Saad S. Alshohaib | Physician
    • Addressing U.S. vaccine inequities in vulnerable communities [PODCAST]

      The Podcast by KevinMD | Podcast

Subscribe to KevinMD and never miss a story!

Get free updates delivered free to your inbox.


Find jobs at
Careers by KevinMD.com

Search thousands of physician, PA, NP, and CRNA jobs now.

Learn more

Leave a Comment

Founded in 2004 by Kevin Pho, MD, KevinMD.com is the web’s leading platform where physicians, advanced practitioners, nurses, medical students, and patients share their insight and tell their stories.

Social

  • Like on Facebook
  • Follow on Twitter
  • Connect on Linkedin
  • Subscribe on Youtube
  • Instagram

ADVERTISEMENT

  • Most Popular

  • Past Week

    • Why are medical students turning away from primary care? [PODCAST]

      The Podcast by KevinMD | Podcast
    • Here’s what providers really need in a modern EHR

      Laura Kohlhagen, MD, MBA | Tech
    • Why “do no harm” might be harming modern medicine

      Sabooh S. Mubbashar, MD | Physician
    • How community paramedicine impacts Indigenous elders

      Noah Weinberg | Conditions
    • Why doctors are reclaiming control from burnout culture

      Maureen Gibbons, MD | Physician
    • How fragmented records and poor tracking degrade patient outcomes

      Michael R. McGuire | Policy
  • Past 6 Months

    • Why are medical students turning away from primary care? [PODCAST]

      The Podcast by KevinMD | Podcast
    • Why tracking cognitive load could save doctors and patients

      Hiba Fatima Hamid | Education
    • Why “do no harm” might be harming modern medicine

      Sabooh S. Mubbashar, MD | Physician
    • Here’s what providers really need in a modern EHR

      Laura Kohlhagen, MD, MBA | Tech
    • What the world must learn from the life and death of Hind Rajab

      Saba Qaiser, RN | Conditions
    • How medical culture hides burnout in plain sight

      Marco Benítez | Conditions
  • Recent Posts

    • How fragmented records and poor tracking degrade patient outcomes

      Michael R. McGuire | Policy
    • How New Mexico became a malpractice lawsuit hotspot

      Patrick Hudson, MD | Physician
    • How I learned to stop worrying and love AI

      Rajeev Dutta | Education
    • Understanding depression beyond biology: the power of therapy and meaning

      Maire Daugharty, MD | Conditions
    • Why compassion—not credentials—defines great doctors

      Dr. Saad S. Alshohaib | Physician
    • Addressing U.S. vaccine inequities in vulnerable communities [PODCAST]

      The Podcast by KevinMD | Podcast

MedPage Today Professional

An Everyday Health Property Medpage Today
  • Terms of Use | Disclaimer
  • Privacy Policy
  • DMCA Policy
All Content © KevinMD, LLC
Site by Outthink Group

Leave a Comment

Comments are moderated before they are published. Please read the comment policy.

Loading Comments...