Rehabilitation from COVID-19:An Integrated Traditional Chinese and Western Medicine Protocol
Clinical Basis of COVID-19EtiologyEpidemiologySource of InfectionRoute of TransmissionRespiratory Droplet TransmissionClose Contact TransmissionFecal–Oral TransmissionAerosol TransmissionMother-to-Child TransmissionSusceptible GroupsMortality RatePathogenesisExcessive Inflammatory Response and Cytokine StormOxidative Stress (Peroxidation Damage)HypoxemiaPathologyLungsSpleen, Hilar Lymph Nodes, and Bone MarrowHeart and Blood VesselsLiver and GallbladderKidneyOther OrgansClinical ManifestationsEpidemiological CharacteristicMain SymptomsRespiratory System SignsClinical OutcomesLaboratory Examination and Imaging ExaminationRoutine ExaminationVirological TestingVirus Nucleic Acid TestingSerological TestChest Imaging ExaminationChest X-rayChest CT ExaminationBibliographyDiagnosis and Treatment of COVID-19Clinical Diagnostic CriteriaDiagnostic CriteriaSuspected CasesConfirmed CasesClinical ClassificationMildModerateSevere CasesCritically SevereWarning SignalsAdultsChildrenAuxiliary ExaminationLaboratory ExaminationChest ImagingDifferential DiagnosisUpper Respiratory DiseaseOther Viral and Mycoplasma PneumoniaNon-Infectious DiseaseReporting and Exclusion SystemReporting SystemExclusion CriteriaClinical TreatmentTreatment Place Determination According to the Patient’s ConditionGeneral TreatmentTreatment of Severe and Critically Severe CasesPrinciples of TreatmentRespiratory SupportCirculation SupportRenal Failure and Renal Replacement TherapyRecovered Patients’ Plasma TherapyBlood Purification TreatmentImmunotherapyOther Treatment MeasuresRehabilitation TreatmentPsychotherapyTreatment and Prevention of ComplicationsPrevention of Ventilator-Associated PneumoniaPrevention of Deep Vein ThrombosisPrevention of Catheter-Related Bloodstream InfectionPrevention of Stress UlcersPrevention of ICU-Related ComplicationsTraditional Chinese Medicine TreatmentMedication ObservationClinical Treatment (Confirmed Cases)Criteria and Precautions after Being Discharged from the HospitalDischarge CriteriaPrecautions after Being Discharged from the HospitalRe-Positive Nucleic Acid Conversion after Being Discharged from the HospitalBibliographyDysfunctions of COVID-19Respiratory DysfunctionDyspneaDefinition of DyspneaMechanisms That Cause DyspneaPathophysiology of DyspneaHypoxemiaHypoventilationDiffusion ImpairmentLocal Ventilation/Blood Flow DisorderIncrease of Dead SpaceDecreased Oxygen-Carrying CapacityAcute Respiratory Distress Syndrome and Respiratory FailurePhysical DysfunctionTachycardiasCause of TachycardiaHeart Rate and Oxygen UptakeDecreased Exercise Ability and ToleranceFatigueImmobilization SyndromePsychological and Social DysfunctionPost-Traumatic Stress Disorder (PTSD)Clinical Symptoms of PTSDPrognosis and Influence of PTSDAdjustment DisorderBereavement and Mourning ReactionSleep DisorderActivities of Daily Living DysfunctionSocial Engagement DysfunctionBibliographyAssessment for Rehabilitation of COVID-19Assessment for Respiratory FunctionAssessment of Respiratory FunctionSubjective SymptomsObjective ExaminationMeasurement of Respiratory Muscle FunctionMeasurement of Respiratory Muscle StrengthMeasurement of Respiratory Muscle EnduranceMeasurement of Respiratory Muscle FatigueSmall Airway Function ExaminationCommon Assessment of Respiratory FunctionDyspnea ScaleBody-Weight Assessment of Cardiopulmonary FunctionCardiopulmonary Exercise Test (CPET)Assessment of Physical FunctionBody-Weight Assessment of Muscle Strength-Second Chair Standing Test-Second Arm Curl TestAssessment of FlexibilitySit-and-Reach TestImproved Twist TestBack-Scratch TestAssessment of BalanceOne-Leg Standing Balance TestFunctional Reach TestTimed Up and Go TestAssessment of PainSingle-Dimensional AssessmentMulti-Dimensional AssessmentAssessment for Psychosocial FunctionAssessment of Psychological FunctionEvaluation of Mental and Psychological StateCommonly Used Psychological Assessment ScalesAssessment of ADLHealth-Related Quality of Life (HQRL) ScaleWorld Health Organization Quality of Life–BREF (WHOQOL-BREF)BibliographyModern Rehabilitation Techniques for COVID-19Respiratory Rehabilitation Therapy TechniquesIntervention Activities in the Early StageRespiratory Control TechniquesEnergy-Saving TechniquesPosture ManagementFor Patients with ARDSFor Patients with Sedation or Consciousness DisordersACTEffective CoughACBTsOPEPHigh-Frequency Chest Wall Oscillation (HFCWO)Postural Drainage TechniquesOther Chest Physical Therapy TechniquesBreathing TrainingRespiratory Pattern TrainingRelaxation TrainingLocal Dilation Breathing TrainingRMTBreathing ExercisesRespiratory Intervention TechniquesPatient’s PositionSputum SuctionMechanical/Artificial Dilated VentilationPrecautions in Manual TreatmentPrecautions for HFCWOPrecautions for ACBTsPrinciples of Techniques ImplementationRehabilitation Treatment Techniques For Physical FunctionAerobic ExerciseStrength TrainingUpper Limbs Strength TrainingCore Strength TrainingLower Limbs Strength TrainingBalance TrainingFor Patients Who Can’t StandFor Patients Who Can Barely Get UpFor Patients Who Can Stand on a Flat Surface for a Certain TimeFlexibility TrainingPrecautionsPainFatiguePantingDifficulty in BreathingTreatment Techniques of Psychosocial Functional RehabilitationActivities of Daily Living TrainingBasic Activities of Daily Living (BADL) TrainingInstrumental Activities of Daily Living (IADL)Therapeutic ActivitiesPsychological TherapyOccupational TherapySocial TherapyMain Techniques and Methods for Psychological Rehabilitation of COVID-19 PatientsSupportive TherapyCognitive TherapyBehavior TherapyBibliographyTraditional Chinese Medicine Rehabilitation Treatment Techniques for COVID-19Treatment with Traditional Chinese MedicinePrinciples of TreatmentTreatment MechanismsStages and Clinical ManifestationsMedical Observation StageClinical Treatment StageExternal Treatment Techniques of TCMAcupuncture TherapyPrinciples of TreatmentTreatment MechanismsChoice of AcupointsLocation of PointsOperation MethodContraindication to AcupunctureMoxibustion TherapyPrinciples of TreatmentTreatment MechanismSelection of AcupointsOperation MethodPrecautionsContraindication of MoxibustionAcupoint (Meridian) Massage TherapyPrinciples of TreatmentTreatment MechanismSelection of PointsLocation of AcupointsOperation MethodOperation PrecautionsContraindicationsAcupoint Application TherapyTreatment MechanismOperation MethodAuricular Acupoint Pressing TherapyTreatment MechanismAuricular Point SelectionAuricular Point PositioningOperation MethodContraindicationsCupping TherapyTreatment MechanismLocation SelectionLocationOperation MethodsContraindicationsScraping TherapyTreatment MechanismLocation SelectionPositioningOperation MethodContraindicationsBloodletting TherapyTreatment MechanismSelection of AcupointsLocation of AcupointsOperation MethodContraindicationsTechniques of TCM and Guided TherapyBaduanjinTai Chi ChuanFive-Animal ExerciseYi Jin JingLiu Zi JueOther TherapiesEmotion Therapy of TCMAncient Chinese Medicine Emotion TherapyApplication of Emotion Therapy in Chinese MedicinePrecautionsMusic TherapyBibliographyDiagnosis and Treatment Model of the COVID-19 Rehabilitation UnitConcept of the COVID-19 rehabilitation unitRole and Significance of the COVID-19 Rehabilitation UnitRole of the COVID-19 Rehabilitation Unit (CRN)Significance of Constructing the COVID-19 Rehabilitation UnitProducing Effective Clinical ResultsImproving the Satisfaction of Patients and Their FamiliesConducive to Clinical Research on the Rehabilitation of COVID-19Construction of the COVID‑19 Rehabilitation UnitTypes of COVID-19 Rehabilitation UnitsCRNs in the Ultra-Early PeriodCRNs in the Early PeriodCRNs in the Convalescent PeriodConditions for the Establishment of the COVID-19 Rehabilitation UnitEquipment Conditions for Isolation WardsSetting Up Rehabilitation and Treatment AreasMembership of the CRN and Relevant WorkDiagnosis and Treatment Plan For the COVID-19 Rehabilitation UnitDysfunctionRespiratory DysfunctionPhysical DysfunctionPsychological DysfunctionBarriers to Social ParticipationWork PrinciplesWork RequirementsWorkflowDiagnosis and Treatment PlanAssess COVID-19 Patients in DetailHold a CRN Teamwork Group MeetingContents of Rehabilitation NursingTreatment MeasuresPreventing ComplicationsRehabilitation TherapyTCM Rehabilitation TherapyExtended Rehabilitation TherapyCommon COVID-19 Complications and Their ManagementCOVID-19 Associated Venous ThromboembolismVTE Risk Factors and Risk AssessmentVTE Prevention Advice for Inpatients in the CRN WardCOVID-19 Complicated with DVTPressure UlcersStages of Pressure UlcersTreatment of Pressure UlcersUrinary Tract InfectionsMalnutritionNutritional Screening and Assessment for COVID-19 PatientsSelection of a Nutritional Treatment PlanDisuse Muscle Weakness and Muscle AtrophyJoint ContractureDisuse OsteoporosisBibliographyManagement of COVID-19 Rehabilitation NursingEstablishment and Management of the WardEstablishment of the Rehabilitation Isolation WardRational and Scientific LayoutEstablishment of Nursing StaffEstablishment of the Rehabilitation Isolation WardManagement of Nursing PersonnelDisinfection and Isolation Management in the WardProtection Management of Medical StaffRehabilitation Nursing of Chinese and Western MedicineObjective of Rehabilitation NursingRehabilitation Nursing AssessmentCourse of Onset and TreatmentPsychosocial DataRehabilitation Nursing MeasuresNursing Guidance and Training Techniques for Respiratory FunctionNursing Guidance and Training Techniques for Effective CoughingNursing Guidance and Training Techniques of Postural DrainageNursing Guidance and Training Techniques for Enhancing Muscle Strength and EndurancePsychological Rehabilitation NursingTCM NursingInstructions for Taking TCM DecoctionsAppropriate TCM Nursing TechniquesEmotion NursingDischarge Guidance and Health EducationAttention to DietAdherence to Breathing Training and ActivitiesDisease PreventionBibliographyClinical Rehabilitation of COVID-19Guiding Principles and Connotations of Rehabilitation InterventionGuiding Principles of RehabilitationAdherence to the Whole-Course Psychological InterventionSafe and Effective Improvement of Cardiopulmonary FunctionGradual and Steady Improvement of Physical FitnessConnotations of Rehabilitation InterventionImprovement/Enhancement of Cardiopulmonary FunctionEnhancement of Activity/Physical StrengthPositive Health Education, Rehabilitation Guidance, and Psychological TreatmentClinical Management of Rehabilitation Diagnosis and TreatmentRelevant Policies and Basis in Rehabilitation Diagnosis and TreatmentProcess Management of Rehabilitation Diagnosis and TreatmentWorking PrinciplesSafety PrecautionsOverall ObjectiveJob DescriptionDiagnosis and Treatment ProceduresPrecautionsPrerequisites for InterventionSuspension and Withdrawal of Rehabilitation TreatmentDifferent Clinical Types and Stages of Rehabilitation TreatmentRehabilitation for Hospitalized Patients with COVID-19Rehabilitation Treatment for Mild PatientsRehabilitation Treatment for Moderate PatientsRehabilitation Treatment for Severe/Critically Severe PatientsRehabilitation Treatment of COVID-19 Patients after Being Discharged from the HospitalRehabilitation Treatment for Mild/Moderate Discharged PatientsRehabilitation Treatment for Discharged Patients with Severe/Critically Severe DiseaseBibliographyPsychological Rehabilitation of COVID-19Assessment of Psychological DisordersRole and Purpose of Psychological Disorder AssessmentsRole of Psychological Disorder AssessmentsPurpose of Psychological Disorder AssessmentsAppropriate Population for Assessment of Psychological Disorders and Their Psychological CharacteristicsPsychological Assessment MethodsInterviewObservationWork AnalysisPsychological TestsMedical TestsPsychological Assessment of COVID-19 PatientsAssessment of Emotions and FeelingsAssessment of StressObservation and Medical TestingProspectsTreatment of Psychological DisordersObjectives of Psychological RehabilitationObjects of Psychological RehabilitationPrinciples of Psychological Rehabilitation TreatmentPsychological Rehabilitation Treatment MethodsPsychological Support TherapyFocus Solution ModeMusic TherapyCognition TherapyBehavior Modification TherapyRelaxation TherapyGroup PsychotherapyFamily PsychotherapyBiofeedback TherapyPhysical Factor TherapyExercise TrainingOccupational TherapyTCM TherapyTraditional Exercise TherapyPharmacotherapyHealth EducationDetermination of Psychological Rehabilitation Treatment PrescriptionConfirmed COVID-19 PatientsPatients with Respiratory Distress, Extreme Restlessness, and Difficulty in ExpressionMild Patients for Home Isolation and Patients with Fever for TreatmentSuspected PatientsMedical Staff and Related PersonnelPeople Who Are in Close Contact with Patients (Family Members, Colleagues, Friends, etc.)People Who Are Reluctant to Seek Medical Treatment in PublicSusceptible Groups and the General PublicForms of Psychological Rehabilitation CounselingBibliographyAssessment and Treatment for Malnutrition of COVID-19 PatientsOverviewAssessment of MalnutritionNutrition Risk ScreeningNRS-2002 Assessment Scale for Reduced Nutritional Status Score and Its DefinitionNRS-2002 Assessment Scale for the Severity of Disease and Its DefinitionRelationship between the NRS-2002 Assessment Scale Score Results and Nutrition RiskNRS-2002 Score Significance for COVID-19 PatientsCommonly Used Nutritional Status Evaluation Indicators for Nutritional AssessmentNutrition HistoryAnthropometryLaboratory InvestigationsNutritional Support TherapyMedical and Nutritional Treatment Recommendations for COVID-19 PatientsNutritional Treatment Plan for COVID-19 PatientsPurpose of Nutritional TherapyGeneral Principles of Nutritional TherapyNutritional Treatment Approaches for COVID-19 PatientsAmount of Nutritional Feeding for COVID-19 PatientsRecommended Intake of Special Nutrients for Severe COVID-19 PatientsDietary GuidanceDietary Guidance for Different Populations of COVID-19Nutritional Diet for Ordinary or Convalescent PatientsNutritional Treatment for Patients with Severe SyndromeNutritional Dietary Guidance for Frontline WorkersNutritional Dietary Guidance for Prevention and Control among the General PopulationTCM Diet GuidanceFirst PrescriptionSecond PrescriptionThird PrescriptionBibliographyCommunity- and Home-Based Rehabilitation of COVID-19Community-Based RehabilitationDysfunction Requiring Rehabilitation TreatmentDysfunction of Daily Living Ability and Social ParticipationRespiratory DysfunctionPhysical DysfunctionPsychological DysfunctionGoals of RehabilitationProcess of RehabilitationImplementation of Rehabilitation TreatmentContent of RehabilitationRehabilitation EvaluationRehabilitation TreatmentConfiguration and Use of Auxiliary AppliancesHome-Based RehabilitationTraditional MethodsBaduanjinSimplified Tai Chi ChuanFive-Animal ExerciseYi Jin JingRehabilitation Exercise of Respiratory FunctionPosition ManagementAirway Clearance TechnologyRespiratory Muscle TrainingPhysical Function Rehabilitation ExercisesAerobic ExerciseStrength TrainingFlexibility TrainingBalance TrainingOxygen TherapyADL InterventionPsychological ReconstructionDiet AdjustmentContraindications and precautionsContraindicationsPrecautionsBibliographyAppendices: Related Rating Scales