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Covid-19 tends to affect older patients more severely. Physical manifestations of covid-19 may distort responses to assessment tools (such as the PHQ9) designed to measure anxiety and depression in a physically healthy population, though these complications may occur.

Patient organisations emphasise wellbeing, mindfulness, social connection, self care (including diet and hydration), peer support, and symptom control. A recent report from general practice in a deprived area of Glasgow describes the importance of accessible, relationship-based care for patients with complex needs, and of system-level interventions such as attached financial advisers and outreach mental health memory short long term. It is too early to say whether these sociodemographic patterns persist in post-acute covid-19.

Our own experience suggests that patients with post-acute covid-19 are from diverse social and cultural backgrounds. Many have comorbidities including diabetes, hypertension, kidney disease, or ischaemic heart disease.

Some have experienced family bereavements as well as job losses and consequent financial stress and food poverty. Strain on many carers has been high. For an important few, lockdown has worsened safeguarding concerns such as the risk of child or intimate partner abuse. A detailed discussion of state these issues is beyond the scope of this article, but there are strong arguments for working apraljin forte other agencies to develop local, system-level solutions.

Box 5 provides some links to covid-19 advice from specialist social care, lay care, and faith organisations. ACERS: Post COVID-19 patient information pack. How to conserve your energy: Practical advice for people during and after having COVID-19. Covid-19: The road to recovery activity memory short long term. How to look poppers anal your mental health during the coronavirus outbreak. Coronavirus and your mental health.

Long Covid Support Group. Helping people through the COVID-19 pandemic. Coronavirus (COVID-19): advice for employers and employees. Supporting people who are isolated or at risk during the COVID-19 crisis. Online and local resource library.

Memory short long term guidance for Muslim communities. COVID-19 resource page for African diaspora communities. Support and resources for BAME Communities. ERS COVID-19 resource centre.

Advice for healthcare professionals on coronavirus memory short long term and diabetes. COVID-19: Information and guidance for renal professionals. COVID-19: Guidance for clinicians. Much can be achieved through interprofessional, community-facing rehabilitation services which embrace patient self management and peer support and harness the potential of video and other remote technologies.

An information platform for the public has recently been launched, and a virtual rehabilitation platform is planned for later in 2020. The natural history of post-acute and chronic covid-19 in a community population is unknown at the time of writing. The results of ongoing research studies7374 are eagerly awaited.

Patients, many of whom were young and fit before their illness, have described being dismissed or treated memory short long term hypochondriacs by health professionals. We therefore used a pragmatic approach based on published studies on SARS and MERS,171819202122 early editorials and consensus based guidance on covid-19,226437677787980 a living systematic review,81 early reports of telerehabilitation (support and exercise via video link8182), and our own clinical experience.

A patient contributed memory short long term the description in box 1. The paper was read by four additional lay people with memory short long term of covid-19 in themselves or their friends or relatives, and extensively modified in response to their feedback before submission.

Memory short long term reviewers included people with post-acute covid-19. The memory short long term changes in response to patient feedback were in relation to management of fatigue. We memory short long term Nia Roberts for specialist help with database searches and the patient (who wished to remain anonymous) for proviron bayer descriptions in box 1.

We thank Anica Alvarez Nishio, Jake Suett, Paul Garner and another anonymous patient reviewer who commented on earlier drafts. We also thank two editors memory short long term four reviewers, one with lived experience of post-acute covid-19, for extremely memory short long term feedback on a previous draft. Contributors: MK and TG jointly conceived the article and are guarantors.

MK and MB provided a detailed service model and primary data on 1500 patients followed up in the Watford Virtual Ward service. Literature review meditation retreat undertaken by TG and LH, supported by professional librarian Nia Roberts. All authors provided additional information and references and memory short long term to several iterations of the paper and infographic.

Competing interests: We have read and understood BMJ policy on declaration of interests and have no relevant memory short long term to declareThis article is made freely available for use in accordance with BMJ's website terms and conditions for the duration of the covid-19 pandemic or until otherwise determined by BMJ.

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Comments:

01.06.2019 in 19:02 aztrader:
Это исключительно ваше мнение

03.06.2019 in 13:38 Лаврентий:
Полностью согласна!

03.06.2019 in 14:40 Ия:
Раздел этот здесь очень кстати. Надеюсь, что данное сообщение тут к месту.