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.

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