Have you just been discharged following Post COVID -19 infection?

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Have you just been discharged following Post COVID -19 infection?

Have you just been discharged following Post COVID -19 infection?

Have you just been discharged following Post COVID -19 infection?

Please follow the recovery path at home.

Globally, tens of thousands of people are being admitted to hospital for acute care, with some needing treatment in an intensive care unit (ICU). Once patients improve and meet certain criteria, they can be discharged home.

The discharge criteria usually followed is –

  • no fever for at least 72 hours without medication
  • improvement in other symptoms, like cough or shortness of breath
  • a period of at least 7 days has passed since symptoms first appeared

Early studies suggest COVID-19 may leave some people with breathing problems after they are discharged from the hospital. There are also reports of people developing Acute Respiratory Distress Syndrome (ARDS) during their acute infection, with complications afterward.

Other than pulmonary complications there are other consequences in the long term for a patient who has come out of COVID-19 but all these data are not clear.

There is no doubt that many patients who have been seriously ill and have spent time in ICU due to COVID-19, may have mental health issues similar to post-traumatic stress disorder (PTSD).

There is currently limited data on the incidence, causes, long-term implications, or best practice for managing people with breathing difficulties post-COVID.

In order to identify post-COVID lung damage, including ARDS, chest radiograph (CXR) and computed tomography (CT) scans may be helpful.

 Pulmonary rehabilitation should be offered to patients with chronic obstructive pulmonary disease (COPD) with a view to improving exercise capacity by a clinically important amount.

 Pulmonary rehabilitation should be offered to patients with COPD with a view to improving dyspnoea and health status by a clinically important amount. Different components within a pulmonary rehabilitation program, such as resistance training, can influence quadriceps strength.  Pulmonary rehabilitation should be offered to patients with COPD with a view to improving psychological wellbeing. As a minimum, the efficacy of pulmonary rehabilitation programs needs to be regularly assessed by demonstrating clinically important improvements in exercise capacity, dyspnoea, and health status.  As part of regular assessment, patient satisfaction and feedback should be sought.

 To maximize recovery from COVID-19, doctors recommend that patients work on strengthening their breathing muscles and the muscles in their arms and legs.

Pulmonary rehabilitation is part of the recovery process since COVID-19 is an illness that targets the respiratory system. The program is a series of exercises that help patients improve shortness of breath, increase their exercise capacity, and improve their quality of life.

Exercises include:

  • breathing exercises to strengthen chest muscles
  • muscle strengthening exercises to address muscle loss after a long hospital stay


 Encourage patients to walk, even if at home, as walking can improve overall conditioning, Walking schedules can go as follows:

  • Week 1: 5 minutes, five times per day
  • Week 2: 10 minutes, three times per day
  • Week 3: 15 minutes, two times per day

Positioning pending many hours on your back can lead to deconditioning and other medical problems. It’s recommended to sit upright as much as possible throughout the day.

Monitoring oxygen

“Some patients may have been given a pulse oximeter upon discharge from the hospital,” Hameed said. “This device monitors heart rate and oxygen levels during activities and exercises.”

People in recovery should check their heart rate and oxygen levels before, during, and after exercise. Normal oxygen saturation is 96 to 100 percent, and shouldn’t go below 88 percent during exercise.

People may also have received a spirometer when discharged from the hospital. The device helps strengthen breathing muscles and open up airspace in the lungs.

Spirometers are designed to help people take long, slow, deep breaths. It should be used for 15 minutes throughout the day, which can be broken into three sessions.

Dealing with mental health after COVID-19

COVID-19 doesn’t just take a toll on the body.

It also can take a mental toll, since there’s so much fear centered around the threat of the virus and its disease. And for those who were hospitalized or intubated, the disease may have been a traumatic experience.

In fact, those who recover from COVID-19 may be struggling with how to mentally process everything that their bodies have been put through. They may even develop signs and symptoms of an acute stress reaction, or post-traumatic stress disorder (PTSD).

Anyone can improve their mental health in the age of COVID-19, whether they have had an infection or not, with a variety of mood-boosting behavior:

  • Engage in regular communication for social purposes while in isolation.
  • Eat a healthy diet, engage in exercise, and get good sleep.
  • Avoid caffeine in the afternoon.
  • Avoid alcohol.
  • Avoid blue light exposure for at least 1 hour before bedtime.
  • Consider meditating before bedtime.

For people who may require additional support, we suggest taking professional help.

One of the challenges that the mental health world will face post-pandemic is readjusting our expectations for mental health.