ABSTRACT
Coronavirus disease (COVID-19), the infection caused by severe acute respiratory syndrome coronavirus 2
(SARS-CoV-2), was first reported on December 31, 2019. Because it has only been studied for just over
three months, our understanding of this disease is still incomplete, particularly regarding its sequelae and
long-term outcomes. Moreover, very little has been written about the rehabilitation needs of patients with
COVID-19 after discharge from acute care. The objective of this report is to answer the question “What
rehabilitation services do survivors of COVID-19 require?” The question was asked within the context of a
subacute hospital delivering geriatric inpatient and outpatient rehabilitation services. Three areas relevant
to rehabilitation after COVID-19 were identified. First, details of how patients may present have been
summarized, including comorbidities, complications from an intensive care unit stay with or without
intubation, and the effects of the virus on multiple body systems, including those pertaining to cardiac,
neurological, cognitive, and mental health. Second, I have suggested procedures regarding the design of
inpatient rehabilitation units for COVID-19 survivors, staffing issues, and considerations for outpatient
rehabilitation. Third, guidelines for rehabilitation (physiotherapy, occupational therapy, speech-language
pathology) following COVID-19 have been proposed with respect to recovery of the respiratory system as
well as recovery of mobility and function. A thorough assessment and an individualized, progressive
treatment plan which focuses on function, disability, and return to participation in society will help each
patient to maximize their function and quality of life. Careful consideration of the rehabilitation
environment will ensure that all patients recover as completely as possible.
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REFERÊNCIA
SHEEHY, Lisa Mary. Considerations for Postacute Rehabilitation for Survivors of COVID19. JMIR Public Health and Surveillance, Canadá, p. 1-12, 8 maio 2020.
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