Description

Background:

The CDC research actively continues gathering information related to short and long-term symptoms that remain following the acute phase of Covid-19 diagnosis (CDC, 2020).

Fatigue and shortness of breath are listed among the most commonly reported long-term symptoms of Covid-19:

  1. Fatigue
  2. Shortness of Breath
  3. Cough
  4. Joint Pain
  5. Chest Pain (CDC, 2020).

Evidence suggests that older adults over the age of 60 who have multiple comorbidities are more susceptible and are at a higher risk of contracting the Covid-19 virus thus potentially prolonging recovery time post diagnosis (Greenhalgh, Knight, A’Court, Buxton, & Husain, 2020).

The Agency for Healthcare Research and Quality (AHRQ, 2012), recognizes the essential role of the multidisciplinary team’s rehabilitative interventions during the tertiary phase of recovery following COVID-19 infection in the older adult.

Purpose:

The primary objective for this presentation is to promote the development of an educational teaching care plan for the recovery of older adults with a past medical history of Covid-19 still experiencing ongoing symptoms of breathlessness and fatigue.

Project Description:

Educational recovery teaching plan for the multidisciplinary health care team members and caregivers to implement and evaluate to promote and support the improvement of post Covid-19 symptoms of breathlessness and fatigue and independence at home.

Goal:

Create, implement and evaluate a teaching plan for older adults utilizing the the MRC Dysponea Scale

To identify the level of and reduce symptoms of breathlessness and fatigue in the home setting.

Objectives:

  1. To facilitate the health care multidisciplinary team in developing a better understanding of the impact that health education practices and resources have on reducing long hauler symptoms of breathlessness and fatigue.
  2. To provide a holistic approach with the use of MRC Dyspnoea Scale (sample template within the nursing plan of care) by the multidisciplinary team to decrease the frequency and severity of the post-COVID symptoms

Poster observers will:

  1. Identify the role of appropriate disciplines in developing and initiating a recovery plan of care to reduce the symptomology of breathlessness and fatigue in older adults following the acute phase of COVID-19 infection.
  2. Understand the relevance of the application of the recovery plan of care for students rotating into the community health clinical setting.
  3. View a template with implementation guidelines for a recovery plan that can be developed for use specific to appropriate health care disciplines to enhance ongoing recovery and independence in the post-COVID infection phase for the older adult.
  4. Understand the purpose of guidelines developed for teaching the following steps: discussion, clarification of content, encouragement of feedback by restating instructions taught and return demonstration of techniques to improve breathlessness and fatigue.
  5. Understand the importance of the follow-up evaluation tool in identifying outcomes that may demonstrate a need for future adjustments to the recovery plan.

References

Centers for Disease Control and Prevention (CDC). (2020, November 13). Late Sequelae of COVID-19. Retrieved from https://www.cdc.gov/coronavirus/2019-ncov/hcp/clinical-care/late-sequelae.html 2021033119581568949341

Greenhalgh, T., Knight, M., A'Court, C., Buxton, M., & Husain, L. (2020, August). Management of post-acute covid-19 in primary care. BMJ. doi:10.1136/bmj.m3026 20210331200245271599292

Mathematica Policy Research. (2012, January). Coordinating care for adults with complex care needs in the patient-centered medical home: Challenges and solutions. [White Paper]. (HHSA290200900019I/HHSA29032005T). Retrieved from Agency for Healthcare Research and Quality (AHRQ), U.S. Department of Health and Human Services website: https://pcmh.ahrq.gov/sites/default/files/attachments/coordinating-care-for-adults-with-complex-care-needs-white-paper.pdf 202103311935101378707171

Medical Research Council (MRC), UK Research and Innovation. (n.d.). MRC Dyspnoea scale / MRC Breathlessness scale. Retrieved from https://mrc.ukri.org/research/facilities-and-resources-for-researchers/mrc-scales/mrc-dyspnoea-scale-mrc-breathlessness-scale/ 20210331200725432692408

Disciplines

Clinical Trials | Health and Medical Administration | Health and Physical Education | Health Services Research | Medical Education | Medical Sciences | Medicine and Health Sciences | Nursing | Primary Care | Scholarship of Teaching and Learning | Teacher Education and Professional Development

Document Type

Event

Event Website

Roseman University of Health Sciences Annual Research Symposium

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S3: Post-COVID-19 Recovery Care Plan for Older Adults with Continuing Symptoms of Breathlessness and Fatigue

Background:

The CDC research actively continues gathering information related to short and long-term symptoms that remain following the acute phase of Covid-19 diagnosis (CDC, 2020).

Fatigue and shortness of breath are listed among the most commonly reported long-term symptoms of Covid-19:

  1. Fatigue
  2. Shortness of Breath
  3. Cough
  4. Joint Pain
  5. Chest Pain (CDC, 2020).

Evidence suggests that older adults over the age of 60 who have multiple comorbidities are more susceptible and are at a higher risk of contracting the Covid-19 virus thus potentially prolonging recovery time post diagnosis (Greenhalgh, Knight, A’Court, Buxton, & Husain, 2020).

The Agency for Healthcare Research and Quality (AHRQ, 2012), recognizes the essential role of the multidisciplinary team’s rehabilitative interventions during the tertiary phase of recovery following COVID-19 infection in the older adult.

Purpose:

The primary objective for this presentation is to promote the development of an educational teaching care plan for the recovery of older adults with a past medical history of Covid-19 still experiencing ongoing symptoms of breathlessness and fatigue.

Project Description:

Educational recovery teaching plan for the multidisciplinary health care team members and caregivers to implement and evaluate to promote and support the improvement of post Covid-19 symptoms of breathlessness and fatigue and independence at home.

Goal:

Create, implement and evaluate a teaching plan for older adults utilizing the the MRC Dysponea Scale

To identify the level of and reduce symptoms of breathlessness and fatigue in the home setting.

Objectives:

  1. To facilitate the health care multidisciplinary team in developing a better understanding of the impact that health education practices and resources have on reducing long hauler symptoms of breathlessness and fatigue.
  2. To provide a holistic approach with the use of MRC Dyspnoea Scale (sample template within the nursing plan of care) by the multidisciplinary team to decrease the frequency and severity of the post-COVID symptoms

Poster observers will:

  1. Identify the role of appropriate disciplines in developing and initiating a recovery plan of care to reduce the symptomology of breathlessness and fatigue in older adults following the acute phase of COVID-19 infection.
  2. Understand the relevance of the application of the recovery plan of care for students rotating into the community health clinical setting.
  3. View a template with implementation guidelines for a recovery plan that can be developed for use specific to appropriate health care disciplines to enhance ongoing recovery and independence in the post-COVID infection phase for the older adult.
  4. Understand the purpose of guidelines developed for teaching the following steps: discussion, clarification of content, encouragement of feedback by restating instructions taught and return demonstration of techniques to improve breathlessness and fatigue.
  5. Understand the importance of the follow-up evaluation tool in identifying outcomes that may demonstrate a need for future adjustments to the recovery plan.

References

Centers for Disease Control and Prevention (CDC). (2020, November 13). Late Sequelae of COVID-19. Retrieved from https://www.cdc.gov/coronavirus/2019-ncov/hcp/clinical-care/late-sequelae.html 2021033119581568949341

Greenhalgh, T., Knight, M., A'Court, C., Buxton, M., & Husain, L. (2020, August). Management of post-acute covid-19 in primary care. BMJ. doi:10.1136/bmj.m3026 20210331200245271599292

Mathematica Policy Research. (2012, January). Coordinating care for adults with complex care needs in the patient-centered medical home: Challenges and solutions. [White Paper]. (HHSA290200900019I/HHSA29032005T). Retrieved from Agency for Healthcare Research and Quality (AHRQ), U.S. Department of Health and Human Services website: https://pcmh.ahrq.gov/sites/default/files/attachments/coordinating-care-for-adults-with-complex-care-needs-white-paper.pdf 202103311935101378707171

Medical Research Council (MRC), UK Research and Innovation. (n.d.). MRC Dyspnoea scale / MRC Breathlessness scale. Retrieved from https://mrc.ukri.org/research/facilities-and-resources-for-researchers/mrc-scales/mrc-dyspnoea-scale-mrc-breathlessness-scale/ 20210331200725432692408

https://ecommons.roseman.edu/researchsymposium/2021/postergroup3/3