COVID-19 has proven to be particularly harmful to older people, who are more likely to experience severe symptoms, and be hospitalised as a consequence.
COVID-19 has proven to be particularly harmful to older people, who are more likely to experience severe symptoms, and be hospitalised as a consequence. COVID-19 affects multiple organ systems, has been shown to affect physical function, and is associated with prevalent delirium. There is emerging evidence that older people affected with COVID-19 may experience significant disability after the acute phase of their illness has passed.
There has been recognition in many countries of the need to provide structured rehabilitation for older people with frailty who have become unwell with COVID-19. In England, this has taken the form of a pledge of specific funding for reablement for up to 6 weeks post-discharge1. In the Netherlands, COVID rehabilitation care to vulnerable older people is provided in geriatric rehabilitation centres based in nursing homes. In Germany, COVID-19 survivors with multimorbidity receive structured rehabilitation in either specialist pulmonary rehabilitation clinics, geriatric medicine departments of acute hospitals, or in special post-acute geriatric rehabilitation clinics, which are similar to nursing home-led facilities in the Netherlands.
In many countries, special rehabilitation services for older people with COVID-19 related needs will be provided by staff and services already set up to provide geriatric rehabilitation. Geriatric rehabilitation is an evidence-based approach to assessing and managing older people with frailty as they recover from acute illness or adjust to changes in physical functioning associated with ageing and long-term conditions. The core principles of what works well in geriatric rehabilitation have been agreed across Europe2. Nevertheless the design and structures of geriatric rehabilitation services differ between the countries.
It is not currently clear how older people recovering from COVID-19 will respond to geriatric rehabilitation interventions. It is also not clear how these interventions will have to be adapted or modified to take into account the patterns of disability, and the trajectory of recovery following COVID-19 as our knowledge continues to evolve.
We have written a protocol to collect data from geriatric rehabilitation services across Europe as they respond to the pandemic. You can access the protocol here. We will use this study to understand how older people have been affected by COVID-19, the rehabilitation services and approaches they were offered in each country and how these services have helped them to recover.
In all countries involved, we will use anonymised routinely collected service data. In most countries, including the UK, the project will be administered under service evaluation guidance and protocols. In Germany and The Netherlands, ethical approval has been obtained because of the way research is structured in those countries.
We are looking now for rehabilitation services to volunteer to support this work. By taking part you can help us to understand how older people recover from COVID-19, and the services that make a difference. It is possible that the data collected will help us better understand long-term questions about the best configuration of rehabilitation for older people. This could help us harmonise approaches across Europe in an evidence-based way.
It is possible that COVID-19 will remain with us; even if vaccination is mostly successful, we still need to understand how to support older people to recover.
dailyhealthstudy
For women's health, tips for heart, mind, and body - https://www.mpolska24.pl/blog/for-womens-health-tips-for-heart-mind-and-body
If you want to avoid problems such as strokes and heart disease, there is an easy way.
Get more fruits and vegetables.
Whole grains are better than refined ones. Brown rice is better than white. Switch to whole-wheat pasta
Consider lean proteins such as poultry, fish and beans.
Reduce your intake of processed foods, sugar, salt, saturated fat, and other unhealthy food.
Flexibility is key to eating well, according to Joyce Meng, MD assistant professor at UConn Health's Pat and Jim Calhoun Cardiology Center. You can follow a strict diet plan if you prefer. It's okay if you don't like following a strict diet plan.
Tricia Montgomery (52), founder of K9 Fit Club knows firsthand the benefits of a healthy diet and lifestyle. Her favorite things are eating healthy food and making small, frequent meals. She says, "I don’t deny myself anything." "I still enjoy dessert, key lime pie, yum!" -- I love frozen gummy bears and moderation is the key.
Get regular checkups. Your doctor will keep track of your medical history so that you can stay healthy. If you are at high risk of osteoporosis (a condition that weakens bones), your doctor may recommend more vitamin D and calcium.
You may be recommended by your doctor to have screening tests done to monitor your health and detect conditions before they become serious.
Be open to communication. Meng said, "If you have any questions, ask your doctor." "Ensure you are satisfied with the information." Talk to your doctor if you have concerns about any medication or procedure.
Reduce Stress
It can be very detrimental to your health. It is impossible to avoid it all, but there are ways you can reduce the effects. Do not take on too many responsibilities. Set limits for yourself and others. It is okay to say no.
To relieve stress, try:
Deep breathing
Meditation
Yoga
Massage
Exercise
Healthy eating
Talking to a friend or family member.
Develop healthy habits
You can prevent problems from coming your way tomorrow if you make the right decisions today.
Brush your teeth twice daily and floss each day.
Don't smoke.
Limit your alcohol. Limit your alcohol intake to 1 drink per day.
Take your medication exactly as prescribed by your doctor.
Get better sleep. Try to sleep for at least 8 hours. Talk to your doctor if you are having trouble sleeping.
Keep out of direct sunlight between 10 a.m. and 3 p.m.
Wear your seatbelt.
Meng suggests that you take time each day to invest in your own health.
Montgomery was able to see the benefits. Montgomery says that she has overcome health issues, is happy, and has a positive outlook. She says that her life has been forever transformed.
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