The Chartered society of physiotherapy released a policy statement for leaders and policy makers to consider. It refers to patients that have, or had, the Covid-19 Coronavirus, plus those patients requiring rehabilitation during this pandemic.
COVID-19 Statement
It covers five points for consideration:
- For commitment to the right to rehab as a fundamental element of our health and care system.
- Not to leave patients behind as they are out of sight. So those presently requiring rehabilitation in our community should have access to a service. Covid-19 patients discharged should continue to recover and receive treatment.
- A plan to be in place for what it quotes as a ‘tsunami of rehabilitation’ needs after we recover from this pandemic.
- It asks for leaders to recognise that physiotherapy is essential in treating Covid-19 now and long term.
- Ensure physiotherapists are receiving the right PPE to deliver rehabilitation in high risk areas and with those who are vulnerable.
Covid-19 Intensive Care Treatment
A quarter of hospitalised Covid-19 patients will require intensive care. Of these patients 67% will develop ARDS (Acute Respiratory Distress Syndrome) making them prone to prolonged mechanical ventilation and sedation, therefore muscle wasting and weakness and a decline in function. The rehabilitation of acutely ill patients is recommend by the World Health Organisation (WHO, 2020)as soon as possible. Rehabilitation should occur at all stages; in hospital and back in the community.
The affects of Covid-19
Once home Covid-19 patients may be left with:
- Scarring on their lungs
- Experience ongoing breathlessness
- Muscle wasting and deconditioning
- Loss of strength
- Loss of function and independence around their home
- Anxiety and psychological issues
- Depression
Recovering from Covid-19
Rehabilitation will happen at home as well as the local gym and leisure facilities providing support. Rehabilitation is key to maintaining independence, keeping people out of hospital, so reducing pressure and costs on all parts of our health system.
We must remember during this pandemic patients still require rehabilitation after stroke, head injury, surgery, cancer, COPD and heart disease. If rehabilitation is not provided some will face deterioration and may not be able to live independently at home.
Support our campaign on Twitter with #righttorehab
Should you require rehabilitation after Covid-19 or after another illness or surgery please do get in contact 01245 377118.
