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Inpatient Occupational Therapy Management for a Pediatric Patient With COVID-19 and Multisystem Inflammatory Syndrome
Jordan C Walter1, Shelley D Coleman Casto2, Erin Gates3
1Jordan C. Walter, OTD, OTR/L, is Pediatric Occupational Therapist, Denver, CO.
Insights
Occupational therapy effectively treated a pediatric patient with COVID-19 and multisystem inflammatory syndrome in children. Interventions improved range of motion, strength, and daily living activities for this acute care case.
Area of Science:
- Pediatric rehabilitation
- Infectious disease complications
- Occupational therapy interventions
Background:
- Coronavirus disease 2019 (COVID-19) can lead to severe complications, including multisystem inflammatory syndrome in children (MIS-C).
- Multisystem inflammatory syndrome in children requires comprehensive management, often involving multidisciplinary teams.
- Occupational therapy plays a crucial role in restoring functional abilities in pediatric patients with critical illnesses.
Observation:
- A pediatric patient diagnosed with COVID-19 and MIS-C presented with significant functional deficits.
- The patient required acute care, necessitating tailored therapeutic interventions.
- Practice-based evidence guided the occupational therapy treatment plan.
Findings:
- Occupational therapy interventions effectively addressed deficits in range of motion, strength, and functional endurance.
- Therapeutic activities focused on improving activities of daily living (ADLs) and instrumental activities of daily living (IADLs).
- Improvements in functional cognition were observed throughout the treatment course.
Implications:
- This case highlights the distinct value of occupational therapy in acute care for pediatric COVID-19 and MIS-C.
- Occupational therapy facilitates a progression toward baseline functioning and participation in ADLs and IADLs.
- Evidence-based practice in occupational therapy is vital for optimizing outcomes in complex pediatric cases.
Abstract:
This case report describes the distinct value of occupational therapy services in the treatment of a pediatric patient with coronavirus disease 2019 (COVID-19) and multisystem inflammatory syndrome in children in an acute care setting. Practice-based evidence was used to design the treatment plan for this patient throughout the course of his hospital stay. Interventions addressed range of motion, strength, functional endurance, activities of daily living (ADLs), instrumental activities of daily living (IADLs), and functional cognition. Occupational therapy goals focused on the progression toward return to baseline functioning and participation in ADLs and IADLs.
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