Lessons Learned from Implementing Rehabilitation at a COVID-19 Field Hospital


Posted: 2021-09-11 19:00:00
Am J Phys Med Rehabil . 2021 Sep 9. doi: 10.1097/PHM.0000000000001878. Online ahead of print. Affiliations Expand Affiliation 1 From the Department of Physical Medicine and Rehabilitation, The Johns Hopkins University, Baltimore, MD, USA Department of Orthopaedic Surgery, The Johns Hopkins University, Baltimore, MD, USA Division of Hospital Medicine, The Johns Hopkins Bayview Medical Center, Baltimore, MD, USA. Item in Clipboard Kevin H McLaughlin et al. Am J Phys Med Rehabil. 2021. Show details Display options Display options Format Am J Phys Med Rehabil . 2021 Sep 9. doi: 10.1097/PHM.0000000000001878. Online ahead of print. Affiliation 1 From the Department of Physical Medicine and Rehabilitation, The Johns Hopkins University, Baltimore, MD, USA Department of Orthopaedic Surgery, The Johns Hopkins University, Baltimore, MD, USA Division of Hospital Medicine, The Johns Hopkins Bayview Medical Center, Baltimore, MD, USA. Item in Clipboard CiteDisplay options Display options Format Abstract Rehabilitation experts play an important role in preventing hospital-acquired debility, increasing patients' abilities to safely perform activities of daily living, and facilitating discharge to the home setting for patients with COVID-19. Surges in COVID-19 hospitalization rates combined with increases in length of hospital stay and decreases in post-acute care placements have necessitated the opening of COVID-19 field hospitals around the country. Most field hospitals lack the resources to offer a full suite of rehabilitation services, but there are opportunities for small teams of rehabilitation experts to increase their reach by using innovative strategies. This article describes the implementation of a small team of rehabilitation experts in a COVID-19 field hospital and strategies used by this team to maximize patient activity and mobility, facilitate timely discharge, and maximize the number of patients discharged to the home setting. Strategies include training nonclinical staff to assist with activity and mobility promotion and using a rehabilitation triage system to determine needs of individual patients and facilitate efficient resource utilization. The authors reflect on successful aspects of these strategies, as well as barriers to rehabilitation implementation, and make recommendations for other field hospitals seeking to implement rehabilitation during the COVID-19 pandemic or future health crises. Copyright © 2021 Wolters Kluwer Health, Inc. All rights reserved. Conflict of interest statement Disclaimers: No conflicts of interest [x] Cite Copy Format: Send To [x]

参考サイト PubMed: covid-19



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