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Point-of-Care Procedures in Physiatry: Practice Considerations During the Covid-19 Pandemic

Jay Karri1, Michelle L Seymour, Monica Verduzco-Gutierrez

  • 1From the H. Ben Taub Department of Physical Medicine and Rehabilitation, Baylor College of Medicine, Houston, Texas (JK, MLS, PJ); Department of Rehabilitation Medicine, University of Texas Health Sciences Center at San Antonio, San Antonio, Texas (MV-G); and Department of Orthopedic Surgery, Baylor College of Medicine, Houston, Texas (PJ).

American Journal of Physical Medicine & Rehabilitation
|May 14, 2020
PubMed

Insights

Physiatrists must adapt practice patterns during the coronavirus disease 2019 pandemic. This article provides updated recommendations for physiatry procedures and infectious risk, focusing on patients with disabilities.

Area of Science:

  • Rehabilitation Medicine
  • Infectious Disease Control
  • Public Health

Background:

  • The coronavirus disease 2019 (COVID-19) pandemic necessitated rapid changes in medical practice to minimize disease transmission.
  • Existing guidelines recommend postponing elective procedures, but the specific implications for physiatry are not fully detailed.
  • The infectious risk associated with common physiatry procedures requires clarification.

Purpose of the Study:

  • To update national recommendations for physiatry practice during the COVID-19 pandemic.
  • To delineate the utility and infectious risk profile of common physiatry procedures.
  • To provide guidance for practitioners and institutions serving patients with disabilities.

Main Methods:

  • Review and synthesis of existing national recommendations.
  • Analysis of the utility and infectious risk of common physiatry procedures.
  • Development of considerations for patient care in the context of the pandemic.

Main Results:

  • The article presents an update to current national recommendations.
  • Considerations for managing physiatry procedures and infectious risks are outlined.
  • Guidance is provided for meeting the needs of patients with disabilities during the pandemic.

Conclusions:

  • Physiatry practice requires adaptation to mitigate COVID-19 spread.
  • Clearer guidelines are needed regarding the safety and utility of physiatry procedures.
  • Special attention must be paid to the unique needs of patients with disabilities during this public health crisis.

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