ICF Framework Based Acute Rehabilitation Physical Therapy Decision Making for a Patient with COVID-19: A Retrospective Case Report
Type of Presentation
Poster Session
Location
Hall of Governors
Start Date
4-8-2022 4:00 PM
End Date
4-8-2022 6:00 PM
Abstract
Background and Purpose: The COVID-19 virus has taken countless lives in the United States and a plethora of short and long-term medical complications associated with the virus exist. The International Classification of Functioning, Disability, and Health is a universally accepted classification system that was used in this case report to organize and address the patient’s functional impairments. The patient was uninsured, with limited financial and social support resources, thus the rehabilitation team had multifactorial considerations to develop the safest and most effective discharge plan.
Case Description: The patient was a 37-year-old Hispanic male who lived a sedentary lifestyle and worked as a meal preparation aide in a kitchen. The patient arrived at the emergency room with complaints of shortness of breath, low oxygen saturation levels, and cyanotic skin changes indicating acute respiratory distress syndrome associated with COVID-19 requiring mechanical ventilation.
Interventions and Outcomes After successful ventilator weaning, the patient was admitted to the inpatient rehabilitation unit and participated in multidisciplinary therapy. Physical therapy treatment during inpatient rehab included progressive therapeutic exercise, functional mobility training, balance, and gait training. Patient education was emphasized to improve psychosocial factors and functional independence. The patient was able to significantly improve in all outcomes, which included the IRF-PAI, functional mobility, NPRS, and manual muscle testing. The patient’s progress resulted in a safe discharge to home.
Discussion This retrospective case report demonstrates how physical therapy interventions embedded in a multidisciplinary team can impact a patient’s impairments secondary to COVID-19. The rehabilitation team’s consideration of the patients’ contextual aspects of both personal and environmental factors were essential aspects of the plan of care that supported the patient's safe return to home.
Presenter:
Joshua Schien
Physical Therapy Doctoral Student
Faculty / Staff Sponsor
Dr. Roberta K. O'Shea
Professor, College of Health and Human Services
ICF Framework Based Acute Rehabilitation Physical Therapy Decision Making for a Patient with COVID-19: A Retrospective Case Report
Hall of Governors
Background and Purpose: The COVID-19 virus has taken countless lives in the United States and a plethora of short and long-term medical complications associated with the virus exist. The International Classification of Functioning, Disability, and Health is a universally accepted classification system that was used in this case report to organize and address the patient’s functional impairments. The patient was uninsured, with limited financial and social support resources, thus the rehabilitation team had multifactorial considerations to develop the safest and most effective discharge plan.
Case Description: The patient was a 37-year-old Hispanic male who lived a sedentary lifestyle and worked as a meal preparation aide in a kitchen. The patient arrived at the emergency room with complaints of shortness of breath, low oxygen saturation levels, and cyanotic skin changes indicating acute respiratory distress syndrome associated with COVID-19 requiring mechanical ventilation.
Interventions and Outcomes After successful ventilator weaning, the patient was admitted to the inpatient rehabilitation unit and participated in multidisciplinary therapy. Physical therapy treatment during inpatient rehab included progressive therapeutic exercise, functional mobility training, balance, and gait training. Patient education was emphasized to improve psychosocial factors and functional independence. The patient was able to significantly improve in all outcomes, which included the IRF-PAI, functional mobility, NPRS, and manual muscle testing. The patient’s progress resulted in a safe discharge to home.
Discussion This retrospective case report demonstrates how physical therapy interventions embedded in a multidisciplinary team can impact a patient’s impairments secondary to COVID-19. The rehabilitation team’s consideration of the patients’ contextual aspects of both personal and environmental factors were essential aspects of the plan of care that supported the patient's safe return to home.
Presenter:
Joshua Schien
Physical Therapy Doctoral Student