What Is Long COVID?

There are still many unknowns, but the need for comprehensive care is clear.

“There are days I don’t have any issues. Then I have terrible palpitations, or I’m short of breath when I walk. I think there’ll be long-term effects, I’m just not 100% sure what they’ll be.”

This is how one nurse with long COVID describes her symptoms—more than two years after initially contracting the virus—and the uncertainty that goes along with it. Her experience is highlighted in the July AJN Reports,Long COVID: What We Know Now.”

Few definitive answers.

Photo by engin akyurt on Unsplash

Each wave of COVID infections results in more people not fully recovering from the acute illness. Instead, they experience a range of ongoing and new symptoms that vary in severity and duration.

Whether their symptoms are called long COVID, postacute sequelae of SARS-CoV-2, or post-COVID conditions, the reality is the same: there are few definitive answers about long COVID’s risk factors, causes, and effects.

Multidisciplinary care.

What is known, as the article discusses, is that it’s beneficial for patients to access a post-COVID care program in which a multidisciplinary team provides ongoing clinical evaluation, individualized treatment, and support services.

“The best thing you can do for a patient is get them […]

2022-07-20T10:11:25-04:00July 20th, 2022|Nursing|0 Comments

Measuring Dyspnea Upon Unit Admission: Is It Feasible?

Do You Ask Your Patients about Dyspnea?

Photo by Thomas Northcut. Photo by Thomas Northcut.

As a CE article this month, we feature a report of a pilot study on routine assessment of dyspnea on admission to a patient unit. It’s routine to take vital signs on all patients on admission, but really, how many nurses actually stand there and count respirations for all patients? And even if you are the exceptional nurse who does, that doesn’t necessarily tell you if the patient actually feels any shortness of breath. And then, of course, there’s the issue of whether it’s a good idea to add to the burden of documentation that many nurses are already concerned about.

This article reports on one group’s experience piloting a short dyspnea assessment tool for all admissions on several units. Here’s the abstract:

The assessment of dyspnea, like that of pain, depends on patient self-report. Expert consensus panels have called for dyspnea to be measured quantitatively and documented on a routine basis, as is the practice with pain. But little information is available on how to measure and record dyspnea ratings systematically. Consequently, the prevalence of dyspnea in hospital settings may be greater than is generally recognized, and dyspnea may be insufficiently managed. This article describes a pilot study that sought to test the feasibility of measuring dyspnea as part of the initial patient assessment performed by […]

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