Adaptations for rehabilitation services during the COVID-19 pandemic proposed by scientific organizations and rehabilitation professionals
Luz H. Lugo-Agudelo, Kelly Mariana Cruz Sarmiento, Maria Alejandra Spir Brunal, Juan Carlos Velásquez Correa, Ana Maria Posada Borrero, Luisa Fernanda Mesa Franco, Rosarita Di Dio Castagna Ianini, Paola Andrea Ramírez Pérez Lis, Claudia Marcela Vélez, Daniel F. Patiño Lugo, Christoph Gutenbrunner
Health Rehabilitation Group and Academic Group of Clinical Epidemiology, University of Antioquia, Carrera 53 # 61-30, Medellín, Antioquia, Colombia: E-mail: firstname.lastname@example.org
Objective: To describe adaptations in the provision of rehabilitation services proposed by scientific and professional rehabilitation organizations to avoid interruptions to patients rehabilitation process and delays in starting rehabilitation in patients with COVID-19.
Methods: A narrative review approach was used to identify the recommendations of scientific and professional organizations in the area of rehabilitation. A systematic search was performed in the main data-bases in 78 international and regional web portals of rehabilitation organizations. A total of 21 publications from these organizations were identified and selected.
Results: The results are presented in 4 categories: adequacy of inpatient services, including acute care services and intensive care unit for patients with and without COVID-19; adequacy of outpatient services, including home-based rehabilitation and tele-rehabilitation; recommendations to prevent the spread of COVID-19; and regulatory standards and positions during the COVID-19 pandemic expressed by organizations for protecting the rights of health workers and patients.
Conclusion: Health systems around the world are rapidly learning from actions aimed at the reorganization of rehabilitation services for patients who are in the process of recovery from acute or chronic conditions, and the rapid response to the rehabilitation of survivors of COVID-19, as well as from efforts in the prevention of contagion of those providing the services.
In response to the coronavirus disease 2019 (COVID-19) pandemic, which developed very rapidly worldwide, reha-bilitation services were forced to modify and adapt the way they provide and deliver services. These measures were proposed and adopted across a wide range of countries, the changes proposed included the following measu-res: critical patients with SARS-CoV-2 infection should be cared for by a multidisciplinary team providing early mo-bilization, respiratory, outpatient, and long-term care rehabilitation interventions. Home-based and community rehabilitation can be delivered through different strategies, such as telerehabilitation or direct care. The use of measures to prevent and protect against transmission of COVID-19 are necessary for all patients in rehabilitation care.
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