Anyone know at what point do they allow covid pat... - ICUsteps

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Anyone know at what point do they allow covid patients home , do they have to be mobile enough to get up the stairs ?

Mccarthy0702 profile image
10 Replies

Rehab recovery

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Mccarthy0702
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Sepsur profile image
Sepsur

To my knowledge - everywhere has a different criteria of goals that must be met. Largely, at present, the hospitals want patients home as early as possible, so that they don’t carry on picking up infections in hospital. Although I wasn’t Covid, my hospital wanted me home and in a bed on the ground floor, it was my insistence that I only go home once I can climb a flight of stairs. It was then that I realised going up was easier than coming down. I did need someone behind me going up and someone in front, going down, for a time ( a week maybe) so basically I made that journey once a day at first.

Ferham profile image
Ferham

Hi, when my husband was moved into rehab, he was able to take a few steps maximum on a frame , within 3 days of him being in rehab , I received a call saying, he would be home in a couple of weeks and I would need to purchase a bed etc for downstairs living . On that basis I would say it's based on how medically fit they are .

Mccarthy0702 profile image
Mccarthy0702 in reply toFerham

Thank you . My dads been moved to a ward , he was already walking with a frame while in ICU . He doesn’t feel the care he’s Having is allowing him to progress and move forward, he’s not saw a physio for three days now . He walked a little Wednesday without the frame.

He’s not needing the oxygen now , if he’s just sat there am gonna ask if there if a option of him coming home . So frustrating as the care he received in ICU was amazing .

I will give it till Monday and try and speak to someone and see what the rehab plans are .

So hard not being able to visit and voice your concerns and my dads not really one to complain xx

Ferham profile image
Ferham in reply toMccarthy0702

That's incredibly frustrating, I would call tomorrow, the hospital physio team work every day in our trust , does he have any medical needs still ? xx

Mccarthy0702 profile image
Mccarthy0702 in reply toFerham

Just mobility really , he does have a clot in his jugular vein also.

I will ring them tomorrow , I am going to drop dads Father’s Day stuff out will see if there is anyone am able to talk to while am there . Xx

HopefulA profile image
HopefulA in reply toMccarthy0702

Yes do try and talk to someone tomorrow and ask them what his physio plan is, what are his discharge goals? Are they planning his discharge home assessment?

Good luck xx

Mccarthy0702 profile image
Mccarthy0702 in reply toHopefulA

I will do thank you . Dad did say A social worker will be coming to talk him and discuss what care package he needs.

How’s your dad doing now since he’s been moved ?

I think as the weeks go on and your begin to stop and slow down a little it really hits home what they have been through and how life changing this covid is for them, all I’ve done is cry for two days xx

Sepsur profile image
Sepsur

This is a bit of a hefty tome but it covers everything - it has also been written with relatives & patients in mind.

drive.google.com/file/d/1C1...

At some stage you & your father may enjoy some of our interactive and virtual exercise classes & other things. These classes have been designed with Covid patients in mind - who have very specific requirements & issues.

These will be running for the foreseeable future, possibly long after most people’s restriction have been lifted because our group is made up of super shielded not just vulnerable.

If you are interested in joining please email us through the website. I know of at least 3 people on this site that attend our classes or drop-in sessions. These are all free, we fundraise ourselves to make all this open.

icustepschester.org/exercis...

Malletus profile image
Malletus in reply toSepsur

Wow this is an amazing resource, thanks Sepsur.

PeterJu profile image
PeterJu

Hi. So have been out of ICU/ hospital for 9 weeks now, having been in for 16 days with Covid. Please see my headline tips/ experience below. I can help further, pls let me know.

Once home, I could climb the stairs from day one. Other people who had been in could walk a mile or so and others not mange more than 3 steps! My message is do not compare yourself to other people; it only leads to false feelings of depression or elation, both of which are imposters.

I could walk 5 minutes on the flat fairly quickly before becoming breathless and assumed I would just improve day on day/ week on week. I figured I could easily walk round the block- maybe a 15 minute walk. lesson 1- never assume!

When I tried this, is flattened me with severe fatigue for at least 3 days. I then went backwards for at least 2 weeks.

Then a break-through moment. I spoke to a senior Medic who said the aim is to maintain a reasonable pace for a set time before you become breathless. Once you benchmark that time, look to grow it by no more than 10-15% per day.

So in my case my benchmark for walking without stopping was 5 minutes , meaning my target was just an extra 30 seconds. Since doing this, I have got markedly better (10 mins this morning) and less depressed.

The key is forget what you used to do, forget perception of distance (30 seconds walk in distance is nothing). Focus on plus 10-15% every day and record progress somewhere where you don't forget. Accept you will have good and bad days. (eg: I was fatigued last Tues/wed and couldn't get off the sofa much)

and finally your benchmark is your benchmark. It doesn't matter if it is 2 minutes, 5 mins or 10! You will learn that if you overdo it, you will pay the price in terms of fatigue next day. Pace yourself!

hope this helps

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