Facing in real time the challenges of the COVID-19 epidemic for rehabilitation

Négrini, Stefano; Ferriero, Giorgio; Kiekens, Carlotte; Boldrini, Paolo

doi:10.23736/s1973-9087.20.06286-3

Cited by 45 publications

(30 citation statements)

References 3 publications

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“…future rehabilitation workforce: resilience, employment, and distance learning Rehabilitation personnel need to rapidly and readily acquire knowledge on guidelines and recommendations for how to manage and deliver services in the context of the COVID-19 outbreak [53,76]. They may need to take prioritization, clinical reasoning decisions for which patients, under which circumstances, should rehabilitative care be maintained or postponed, given the competing demands, guidelines issued, resources constrains, and different type of risks involved for staff and patients alike (e.g.…”

Section: Leaver #5: Developing the Current Andmentioning

confidence: 99%

“…They may need to take prioritization, clinical reasoning decisions for which patients, under which circumstances, should rehabilitative care be maintained or postponed, given the competing demands, guidelines issued, resources constrains, and different type of risks involved for staff and patients alike (e.g. contracting the COVID-19 versus impairments aggravation, especially the frail elderly) [58,76]. Many rehabilitation professionals need to develop, within a short period of time, the knowledge and skills to deliver care through telehealth technology, with quality and safety requirements and according to a myriad of applicable regulations and reimbursements practices.…”

Section: Leaver #5: Developing the Current Andmentioning

confidence: 99%

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A ‘new normal’ following COVID-19 and the economic crisis: Using systems thinking to identify challenges and opportunities in disability, telework, and rehabilitation

Jesus

Landry

Jacobs

2020

WOR

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BACKGROUND: The novel coronavirus (COVID-19) that emerged in late 2019, and later become a global pandemic, has unleashed an almost unprecedented global public health and economic crisis. OBJECTIVE: In this perspective, we examine the effects of COVID-19 and identify a likely ‘new normal’ in terms of challenges and opportunities within the fields of disability, telework, and rehabilitation. METHODS: We use a systems thinking lens informed by recent empirical evidence and peer-reviewed qualitative accounts regarding the pandemic to identify emerging challenges, and pinpoint opportunities related to health and changing employment infrastructure of people with disabilities and rehabilitation professionals. RESULTS: From our interpretation, the key leverage points or opportunities include: (1) developing disability-inclusive public health responses and emergency preparedness; (2) enabling employment and telework opportunities for people with disabilities; (3) addressing the new requirements in rehabilitation service provision, including participating as essential team members in the care of people with infectious diseases such as COVID-19; (4) embracing the added emphasis on, and capacity for, telehealth; and (5) developing greater resilience, distance learning, and employability among the rehabilitation workforce. CONCLUSIONS: The COVID-19 pandemic has become increasingly challenging to the lives of people with disabilities and rehabilitation professionals; however, key challenges can be minimized and opportunities can be capitalized upon in order to ‘build back better’ after COVID-19.

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Section: Leaver #5: Developing the Current Andmentioning

confidence: 99%

Section: Leaver #5: Developing the Current Andmentioning

confidence: 99%

A ‘new normal’ following COVID-19 and the economic crisis: Using systems thinking to identify challenges and opportunities in disability, telework, and rehabilitation

Jesus

Landry

Jacobs

2020

WOR

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“…Mental dysfunction is also very prevalent in HCWs without coronavirus diagnoses, with to studies (41,57) nding > 25% prevalence for distress and psychiatric morbidity. Many sources re ected upon the additional psychological burden experienced by HCWs, due to ethical tensions around not being able to meet previously expected levels of service, balancing exposure with social contact, and surge management challenges (58)(59)(60)(61)(62)(63)(64)(65). These burdens are described as growing over time (58,59), with HCWs who are single, female, nurses and doctors, frontline workers and close to outbreaks noted to be at particular risk (41,57).…”

Section: Resultsmentioning

confidence: 99%

“…Access to rapid training for HCWs during coronavirus pandemics is recommended for timely acquisition of required knowledge (63,65,68). This training may include exposure to duties outside usual scope, and can be offered regularly to enable currency of skills (63).…”

Section: Learning and Applying Knowledgementioning

confidence: 99%

The Functional Impacts of the Covid-19 Pandemic: A Rapid Review

Hitch

Cramer

Adcock

et al. 2020

Preprint

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Background: The Covid-19 pandemic is having a severe and unprecedented impact on human functioning, due to its influence on bodily functions and structures, the activities we participate in and the environments in which we live. The aim of this rapid review is to inform health services planning and decision making, by identifying and synthesizing the potential functional impact of the Covid-19 pandemic on human health and wellbeing.Methods: This rapid review was completed within four weeks during April – May 2020. The review focused on primary sources describing and evaluating the functional impact of the SARS, MERS and Covid-19 coronavirus pandemics, published since January 2000 in peer reviewed journal articles. All included sources were evaluated for quality, and the International Classification of Function provided a theoretical structure for synthesizing the available evidence.Results: A total of 65 sources met the inclusion criteria for this review. The majority (n=42, 61.6%) were related to the SARS pandemic, and originated from Asia for North America. Almost half of the reviewed sources (n=32, 49.2%) investigated the impact of coronavirus pandemics on the community, with smaller evidence bases related to people with coronaviruses and their families (n=19, 29.2%) and healthcare workers (n=17, 26.1%). Of the research sources available, the majority utilized descriptive quantitative methods via cross sectional data collection.The functional impact of the Covid-19 pandemic is likely to spread far beyond infected patients, to influence the wellbeing of healthcare workers and the entire community in both positive and negative ways. The findings of this review indicate that health services must engage with the inter-sectionality of pandemic experiences, collaborate with other sectors as part of society-wide responses and prioritize function as a key outcome.Conclusions:Based on the experience of past coronavirus pandemics, and the experience to date of the current Covid-19 outbreak, every health service in all health systems must be prepared to prevent and manage the functional impacts of the Covid-19 pandemic, possibly for decades to come. This review highlights the multitude of avenues available for health service prioritization and planning, and emphasized that a multi-dimensional, multi-service (and ideally multi-systems) approach is needed.

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“…В настоящее время сведения об эпидемиологии, клинических особенностях и лечении накаплива ются и обсуждаются специалистами в режиме ре ального времени. Информация о первичной, вто ричной профилактике и медицинской реабилита ции этого заболевания ограничены [5,6]. Извест но, что наиболее распространенным клиническим проявлением нового варианта коронавирусной ин фекции является двусторонняя пневмония, у 3-4 % пациентов зарегистрировано развитие острого ре спираторного дистресс-синдрома [5,7,8].…”

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Current Issues of Rehabilitation of Patients With Respiratory Diseases Ат Climatic Resort

Dudchenko

Ежов

Мизин

et al. 2020

Herald of Physiotherapy and Health Resort Therapy

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Respiratory diseases are a serious health problem due to their wide prevalence, not always adequate treatment, sufficiently high probability of developing complications, and frequent formation of disability. One of the important tasks of the development of rehabilitation medicine in the resorts of Russia is to improve programs for the recovery treatment and prevention of respiratory diseases. The spread around the world of a new coronavirus infection, with the most frequent lung damage, has set a new task – the rehabilitation of patients who have suffered pneumonia caused by COVID-19. It is necessary to develop regional standards for sanatorium-resort medical rehabilitation, which made it possible to rationally use the recreational potential of the coastal climatic resorts of Crimea for patients with various respiratory diseases.

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Facing in real time the challenges of the COVID-19 epidemic for rehabilitation

Cited by 45 publications

References 3 publications

A ‘new normal’ following COVID-19 and the economic crisis: Using systems thinking to identify challenges and opportunities in disability, telework, and rehabilitation

A ‘new normal’ following COVID-19 and the economic crisis: Using systems thinking to identify challenges and opportunities in disability, telework, and rehabilitation

The Functional Impacts of the Covid-19 Pandemic: A Rapid Review

Current Issues of Rehabilitation of Patients With Respiratory Diseases Ат Climatic Resort

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