860 KB0 KB200820252021Plaskan, Lidijaletnik:20str. 67-73številka:supl. 1ISSN:1580-9315COBISSID_HOST:67625987URN:URN:NBN:SI:doc-3SLNE6MIslUniverzitetni rehabilitacijski inštitut Slovenije - SočaRehabilitacija (Ljubljana)COVID-19organizacija delarehabilitacijaRehabilitationwork organisationDelo službe za fizikalno in rehabilitacijsko medicino v sb celje med epidemijo COVID-19| The work of the physical and rehabilitation medicine service in the Celje general hospital during the COVID-19 epidemic|COVID-19 poses a challenge to the whole health care, including rehabilitation. In the majority of cases, the disease course is mild, but intensive care unit (ICU) treatment is required in approximately one fifth of the patients. It is a respiratory infection with multisystem manifestations (neurological, musculoskeletal and psychological). Rehabilitation is an essential part of COVID-19 patient management, in the acute phase as well as in the long term. The rehabilitation models vary between hospitals in accordance with the patients% needs. In the Celje General Hospital we intensified rehabilitation services mainly in the ICU and in the infection ward; it has also been introduced in the newly established COVID wards. Pulmonary rehabilitation is essential for survival and final outcome. It is currently provided only for the hospitalised patients. Because of long-term decrease in pulmonary function, it will have to be implemented at the outpatient level in primary care, where other rehabilitation services will also have to become more accessibleCOVID-19 je izziv za celoten zdravstveni sistem, vključno z rehabilitacijo. Večinoma gre za blage oblike bolezni, pri približno petini pacientov pa je potek lahko zelo hud in zahteva intenzivno zdravljenje. Primarno so prizadeta dihala, pridruženi so lahko nevrološki izpadi, bolečine v mišično-kostnem sistemu, pomembne so tudi psihološke težave. Rehabilitacija je pomemben sestavni del obravnave pacientov s COVID-19, tako v akutni fazi kot dolgoročno. Praktično vsaka ustanova je, glede na potrebe pacientov, razvila svoj model rehabilitacije. V Splošni bolnišnici Celje smo okrepili predvsem rehabilitacijo v enoti intenzivne terapije in na infekcijskem oddelku, uvedli smo jo tudi na novoustanovljenih COVID oddelkih. Respiratorna rehabilitacija je ključna za preživetje in končni izid. V trenutnih razmerah so je deležni hospitalizirani pacienti. Glede na dolgoročno zmanjšano pljučno funkcijo pa jo bo treba prenesti tudi na ambulantno raven, kjer bo treba povečati tudi dostopnost do ostalih rehabilitacijskih uslugTEXTznanstveno časopisjejournalsSlovenian National E-content AggregatorNational and University Library of SloveniaUniverzitetni rehabilitacijski inštitut RS – Soča