Timing of rehabilitation |
Early and sustained provision of rehabilitation by multidisciplinary team.13, 16, 19, 23, 28, 52, 65, 70, 74, 76, 77, 117, 129
Specific suggestions for inclusion of speech language pathologist interventions early on in intensive care unit
72
and overall management by physical therapists.
106
|
Prescribing rehabilitation |
Rehabilitation prescription should be personalized to each individual patient according to their comorbidities, stage of recovery, severity of symptoms, and place of care.13, 15, 23, 27, 40, 48, 66, 68, 72, 75, 76, 77, 118, 120, 122, 132, 133
Monitor patients throughout the rehabilitation process and assess for additional sequalae.42, 68, 132
Use telerehab for those recovering in the hospital with mild cases
107
,
122
,
124
and for prehabilitation protocols.
109
Provide rehabilitation interventions such as:
Speech language pathology,
40
,
46
,
104
Electrical muscle stimulation,
49
Assessment of activities of daily living,
19
,
58
and
Should not provide early respiratory therapy (eg, diaphragmatic breathing, manual mobilization and active exercises).
60
,
73
,
122
,
127
Passive movement early on might be the best approach.
127
Engage in key psychological activities such as assessment of posttraumatic stress disorder, cognitive impairment, psychosocial impacts, and secondary adversities.
48
,
107
|
Discharge and community reintegration |
Patients should receive educational and multidisciplinary support during discharge and ongoing rehabilitation to facilitate community reintegration.4, 13, 16, 19, 23, 27, 52, 61, 64, 67, 68, 72, 76, 127
Establish a link between community‐based rehabilitation programs and specialized rehabilitation centers.
110
Telerehab should be used for home‐based rehabilitation follow‐up.120, 124, 132
Rehabilitation pathways should consider those who are not admitted to the hospital.
108
|