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According to the World Health Organization (WHO), rehabilitation specialists at Kaunas clinics have prepared and adapted guidelines for rehabilitation after COVID-19 and provided advice on how to recover more quickly after illness at home. According to the head of the Rehabilitation Clinic prof. Raimondas Kubilius, these recommendations will help you return to the normal rhythm of life faster.
Do people with COVID-19 always need rehab?
The disease affects each person differently, but force can be exerted by a patient regardless of age, previous physical activity, such as an athlete or a person who has not done any exercise. Weight loss, decrease or even loss of physical capacity, listless psychological well-being, sleep disturbance or, conversely, excessive sleepiness are just some of the symptoms that affect patients with COVID-infection. 19.
Therefore, based on WHO recommendations, we have developed a self-care guide for patients and their families. Based on the most common residual symptoms, the patient can choose the recommended exercises. Doing them daily not only strengthens the physical condition, but also frees you from the annoying symptoms. This is very important because after illness, it can be quite a challenge for most people to even carry their pet on their own. It takes most patients 6 to 12 weeks to fully recover, and some take longer.
These guidelines are for all patients with COVID-19 infection. The following guidelines discuss the main residual symptoms of the disease: shortness of breath, hoarseness (which occurs after a previous intubation necessary to connect an artificial lung ventilator). Swallowing disorders associated with intubation during feeding and options for managing difficulties in daily activity are also discussed.
What are the most common residual events in patients with COVID-19 disease?
Today we have another new pathology: a condition after the onset of the COVID-19 disease or post-covid syndrome in which the symptoms caused by the disease persist for more than three months. Also called Long-term Covid The syndrome is characterized by the following persistent symptoms: severe fatigue (preventing or partially stopping the patient from daily work), persistent dyspnea, joints, chest, headache, cough, irreversible olfactory and taste functions, nasal congestion, and loss of appetite .
It is estimated that the aforementioned symptoms can bother 10 to 20 percent. patients with COVID-19 disease. The most common symptom is fatigue, which affects at least 7-8 out of ten patients. Patients need additional (albeit mild) daily physical activity to strengthen the body. This is called the symptoms that bother the body. These self-care guidelines teach the patient in a slow, steady, structured way how to choose specific body positions or breathing techniques to help reduce shortness of breath.
What would be the recommendations for patients who received artificial lung ventilation during treatment?
In some patients undergoing artificial lung ventilation, hoarseness remains and the swallowing reflex is not fully restored. Initially, the mentioned patients are advised not to disturb their voice. Try not to speak out loud, warn family members in advance that they may need rest breaks while talking. By the way, it is recommended to play various sounds, because this is how the voice is trained.
In addition, after intubation and artificial lung ventilation, it may be difficult to swallow food and fluids due to weakening of the muscles involved in the swallowing process. Initially, patients are advised to opt for a more liquid food, that is, soft and moist food, crumbled food. Eating in a quiet environment without distractions is recommended.
Is stress and anxiety management probably not more important?
Like physical activity, it is the foundation of well-being. We need to generate good emotions on a daily basis that are necessary to follow all the recommendations made. For people with COVID-19, the wellness recommendations remain universal: Get plenty of rest and sleep, eat healthy protein-rich foods, and strive to be more physically active on a daily basis. The disease cannot deprive us of social activity: a live telephone and an Internet connection with friends will help reduce the feeling of loneliness.
Why do the recommendations refer to dosed physical activity? What does this mean?
Gradually the dosage (daily increase) should increase any physical activity. Initially, even very little physical activity, such as lying down or sitting while moving the limbs, is extremely important. Performing recommended special exercises when you return from the hospital will help you recover faster from a severe form of COVID-19.
Increased and more varied gradual physical activity is recommended for stronger patients. Obviously, the longer a patient can exercise on a daily basis, the better their physical and psychological well-being. Experts note that in this case, any movement, even if the patient can do it with a wand or other aid, is very significant. Of course, all physical activities must be safe for the patient; It is necessary to adapt the environment so that the patient does not slip or fall.
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