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Health & Fitness Counsellors and psychologists vital for Covid-19 rehab, says expert

04:00  21 september  2020
04:00  21 september  2020 Source:   pressassociation.com

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In treating the COVID - 19 pandemic, the world is scrambling to build enough tents to treat those infected with a deadly, highly contagious virus. We can already see a sharp increase in absenteeism in countries in lockdown. People are afraid to catch COVID - 19 on the work floor and avoid work.

a stop sign with graffiti on the side of a building: Counsellors and psychologists are an important part of Covid-19 rehab, an expert said (Danny Lawson/PA) © Danny Lawson Counsellors and psychologists are an important part of Covid-19 rehab, an expert said (Danny Lawson/PA)

Counsellors and psychologists are an important part of coronavirus rehabilitation as people suffer from long-term effects of Covid-19, an expert has said.

Patients who have already had to self-isolate, and are then given a trajectory for improvement that is not met could start to feel disheartened, and need support.

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Dr Michael Beckles, consultant respiratory and general physician at The Wellington Hospital, and the Royal Free NHS Foundation, said he has seen a number of patients suffering from ongoing effects of the disease.

He told the PA news agency the main symptom being reported is breathlessness, with patients also describing a brain fog.

Dr Beckles said: “I’m seeing more and more patients who’ve had Covid-19 infection confirmed in the laboratory and on X-ray, who have cleared the infection, and are now still presenting with persistent symptoms.

“Some of those symptoms are respiratory, such as breathlessness, chronic cough.

“And some have other symptoms such as what the patients describe as brain fog, and I understand that to be a difficulty in concentration.

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As the coronavirus ( COVID - 19 ) pandemic sweeps across the world, it is causing widespread concern, fear and stress, all of which are natural and normal reactions to the changing and uncertain situation that everyone finds themselves in. “The issue facing each and every one of us is how we manage and

A Rehab Support worker checks on patient notes as the first patients are admitted to the NHS Seacole Centre Professor Stephen Holgate, who chaired the report then said . ‘This is not a prediction What is now happening is extremely disturbing. Covid - 19 has certainly been a serious disease, but the flu

“Some still have loss of sense of taste or smell.”

He added that it can be frustrating for patients because investigations after the infection can be normal, yet the symptoms persist.

Dr Beckles is part of a team of specialists at the new post Covid-19 rehabilitation unit at The Wellington Hospital.

He said: “I’ve seen a couple of patients who prior to having Covid-19 infection were people who went to the gym three or four times a week – one in particular did high intensity spin classes.

“And both of them have found it really difficult to resume those activities.

“These are people who are young and by definition, fit, because of their activity level in the gym.

“And they’re still finding –  between 10 and 16 weeks post confirmed infection with Covid-19 – with extensive investigations that are normal, they are finding it difficult to resume their normal gym activities.”

Dr Beckles told PA: “I’ve got patients who are busy in the household who find it difficult just to go up and down the stairs at home, when previously they’ve been able to manage those.”

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  NHS will set up 'virtual wards' for people recovering from Covid-19 NHS England said Covid-19 rehabilitation will 'largely be provided in existing physical facilities' and in some cases patients will be treated virtually in their own homes. But the Health Service Journal (HSJ) said no capital funding was made available for more facilities - and spaces are currently limited.Instead, a virtual ward - the yourcovidrecovery.nhs.uk website - will be used to treat the majority of people recovering from severe coronavirus symptoms. © Provided by Daily Mail A woman walks past a social distancing sign in Manchester.

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Saying that some patients are scared, Dr Beckles added: “I think that’s one of the key areas where the rehabilitation group helps, in terms of access to counsellors and psychologists.

“Because you can imagine it’s awful. Having an infection – it is awful being sick and at home and in these times a lot of patients have been isolated and they are literally by themselves.

“They want to be feeling better. So if we give them a trajectory for improvement, say six weeks, and then they feel no better by six weeks people start to feel disheartened.

“They may be down, and they’ll need help and support through that.”

A small study by researchers at Trinity College, Dublin suggests more than half of patients who get coronavirus suffer persistent fatigue, regardless of the seriousness of their infection.

The research found that even 10 weeks after recovering from Covid-19, people reported ongoing tiredness and exhaustion.

While a separate study, the Covid Symptom Study app, has found that tens of thousands of people have had symptoms of illness for more than three months, with some sufferers having difficulty climbing the stairs or going shopping.

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In a press briefing on March 26, 2020, officials from the World Health Organization (WHO) discussed the challenges that the world is facing in terms of mental and psychological health and well-being during the COVID - 19 pandemic.

Some COVID - 19 patients may experience issues like diarrhea because the receptor that the virus binds to is expressed at almost 100-fold higher levels in Further research is vital to determine if COVID - 19 can spread via the fecal-oral route," they said . According to the CDC, common COVID - 19 symptoms

While some people have a mild form of illness, others have been seriously affected.


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What happens when the ICU is full? .
COVID-19 has placed a strain on ICUs across the U.S.In normal times, ICUs typically run at roughly 70% to 80% capacity, a sweet spot where a unit can maintain enough resources to run, without being overstaffed, and still allow wiggle room for additional patients, experts told Live Science. Hospitals can increase their ICU capacity to accommodate for surges, such as those caused by COVID-19, but there does come a point when resources and staff start to stretch uncomfortably thin.

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