Response to the COVID-19 Pandemic Among Posthospital Brain Injury Rehabilitation Providers
نویسندگان
چکیده
Rehabilitation after significant acquired brain injury (ABI) to address complex independent activities of daily living and return family community life is offered primarily initial hospitalization in outpatient day treatment, group home, skilled nursing, residential settings the home person served. The coronavirus 2019 pandemic threatened access care health safety staff, persons served, families these settings. This article describes steps taken contain this threat by 7 leading posthospital ABI rehabilitation organizations. Outpatient treatment facilities were temporarily suspended. In other settings, procedures for isolation, transportation, cleaning, exposure control, infection use personal protective equipment (PPE) reinforced with staff. Visitation restricted. Staff others required enter screened symptom checklists temperature checks. Individuals showing symptoms quarantined tested, as possible. New admissions carefully often initially quarantined. Telehealth played a major role reducing direct interpersonal contact while continuing provide services both outpatients within facilities. Salary, benefits, training, managerial support enhanced Despite early outbreaks, generally effective, preliminary infections rates only 1.1% served 2.1% Reductions admissions, services, unanticipated expenses (eg, PPE, more frequent thorough cleaning) had negative financial effect. Providers continue be challenged adapt rehabilitative approaches reopen services.
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ژورنال
عنوان ژورنال: Archives of Physical Medicine and Rehabilitation
سال: 2021
ISSN: ['1532-821X', '0003-9993']
DOI: https://doi.org/10.1016/j.apmr.2020.10.137