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

被引:6
作者
McLaughlin, Kevin H. [1 ]
Simon, Lauren [1 ]
Friedman, Michael [1 ]
Siddiqui, Zishan K. [1 ]
Ficke, James R. [2 ]
Kantsiper, Melinda E. [3 ]
机构
[1] Johns Hopkins Univ, Dept Phys Med & Rehabil, Baltimore, MD 21205 USA
[2] Johns Hopkins Univ, Dept Orthopaed Surg, 601 N Caroline St, Baltimore, MD 21205 USA
[3] Johns Hopkins Bayview Med Ctr, Div Hosp Med, Baltimore, MD 21224 USA
关键词
Health Services; Mobile Health Units; Pandemic; Public Health; Rehabilitation; EARLY MOBILITY; ACQUIRED WEAKNESS; MEDICINE; RECOVERY;
D O I
10.1097/PHM.0000000000001878
中图分类号
R49 [康复医学];
学科分类号
100215 ;
摘要
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 postacute 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.
引用
收藏
页码:1027 / 1030
页数:4
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