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Patient Name: _____________________________________

Rehabilitation following

COVID-19

Information for patients

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3. Introduction

4. Breathing positions and Pacing 5. Breathing Techniques

6. Modified Breathlessness Scale 7. Exercises: Bed

8. Exercises: Chair 9. Exercises: Standing 10. Exercise Activity Log 11. Walking Log

12-15. Impact of COVID on cognition 16-18. Post Viral Fatigue

19-20. Emotional and Psychological Impact and Anxiety

21. Anxiety and Depression Questionnaire and Relaxation Techniques 22-23. Nutrition

24. Speech, Swallow and Smell 25. Being Discharged from Hospital 26. GAD-7 (Questionnaire)

27. PHQ-9 (Questionnaire) 28. Where to find help 29. National support

30. Southwest Support Services and Follow up Service

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3          

Introduction

This booklet has been designed to provide you with information on the condition and what you can do to help aid your recovery whilst you are in hospital and once you are home.

COVID-19 (COVID) is a new type of Corona Virus which predominantly affects the airways. This causes shortness of breath, coughing and sometimes the level of oxygen in the blood goes down.

It is passed between people via airborne droplets from coughing or sneezing, or from surfaces that an infected person has touched.

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  

As you recover from COVID you might be experiencing symptoms such as fatigue and breathlessness or changes in your mood and thinking. These symptoms are common after a serious illness, especially if you have received hospital treatment. You might find that these symptoms affect your ability to

complete everyday activities, such as getting washed and dressed, and doing tasks around the home. Activities that are usually simple might seem like hard work, and you may feel that you have less energy than usual.

There are lots of simple things you can do to help yourself. Getting

enough sleep and making sure you eat well will both help. It is important to conserve

your energy when you are completing your everyday tasks to help make sure that you have enough energy throughout the day. Try following the 3 P’s Principle –

Pace, Plan and Prioritise – to conserve your energy when going about your daily

activities.

The muscles you use to breathe are the same muscles that support your shoulders and neck. These positions help to support your shoulders so that your muscles can be used solely for breathing.

Breathing positions

 Spread activities out over the day by prioritising what needs to be done.

 Take frequent breaks to avoid an over activity/under activity cycle.

 Try not to talk and move at the same time.

 Give yourself time to recover your breath and conserve your energy for the task.

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Over-Breathing/Hyperventilation is a perfectly normal reaction to any stressful

situation. Generally when this has passed your breathing will return to a normal rate.

You may experience:

-Feeling breathless, even after relatively mild exercise -Difficulty co-ordinating breathing and talking and/ or eating -Breathless when anxious or upset

-Pins and needles in hands / arms / around mouth -Palpitations

-Feeling exhausted or unable to concentrate

-Light headedness

When we over-breathe we eliminate large quantities of carbon dioxide on every out breath. This causes a chemical imbalance affecting many of the body’s systems. This can be frightening causing us to become anxious which could

further upset your breathing pattern.

Breathing Techniques:

1. Lie or sit comfortably. Place one hand on your stomach and the other relaxed by your side.

2. Close your mouth lips together and keep your jaw loose.

3. Breathe in gently through your nose, feeling your tummy rise and expand ‘like a balloon’

4. Breathe out lightly through your nose if possible, keeping your stomach relaxed

5. Make sure you are relaxed, pausing at the end of each breath. Your upper chest should not be moving.

6. As you repeat this sequence be aware of any areas of tension in your body and concentrate on ‘letting go’ particularly jaw, neck, shoulders and hands. Practise this little and often. Progress this to practising whilst standing or walking. As your body adapts to this way of breathing it will require less time and energy and is more relaxing.

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Use this scale to monitor your breathlessness during any activity or exercise

You should be aiming to work at a score of 3-4

It is normal to feel breathless when you exercise. It is not harmful or dangerous. Gradually building your fitness can help you to become less breathless.

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7 Move your ankles up and down

Push your knee down into the bed

Slide your heel along the bed towards your bottom

Push knee into towel and lift your heel off the bed

Pull up your toes and slide your leg out to the side. Bend your knees & lift your bottom

off the bed.

Exercises

You may feel tired but even some basic exercises will be beneficial to your recovery. Start with 6-8 repetitions of each activity; gradually increase up to 12 repetitions. Getting out into a chair will greatly benefit your lungs, muscles, circulation and digestive system.

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Straighten one knee at a time and hold March your legs while sitting

Cross your arms and turn your head and

body left and right. Bend your arm to touch your shoulder, and then straighten.

Lift your arm up above your head then lower.

Keep your elbows tucked in, move your arms in and out.

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Hold onto a firm surface for all standing exercises, for example, a kitchen work surface. Not all exercises need to be done at once so break them down into manageable sessions.

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Use this table to record the exercises documented on pages 4-6.

Ensure that you have some rest days and add in some walking too (see

next page).

Week 1 Week 2 Week 3 Week 4 Week 5 Week 6

Monday Tuesday Wednesday Thursday Friday Saturday Sunday

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Use this table to record the number of minutes you spend on dedicated

walking each day. If you walk twice in one day, for example for 15

minutes and then for five minutes, record it as 15+5.

Week 1 Week 2 Week 3 Week 4 Week 5 Week 6

Monday Tuesday Wednesday Thursday Friday Saturday Sunday

Walking Log

For further information, please refer to:

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Many patients recovering from COVID are also experiencing cognitive problems. These symptoms are estimated to be present in up to a third of patients who have been hospitalised; but may also affect those that haven’t been hospitalised.

The brain is endlessly:

 Perceiving

 Processing

 Planning

 Organizing

 Remembering

It is always active, yet, we don’t notice most of our brain’s activity as we move throughout our daily routine.Put simply, cognition is THINKING.

Our brain acquires processes and uses information from our senses, knowledge and experiences. Cognition encompasses the skills listed below:

Cognitive impairment is one of the three most common persisting symptoms six months post COVID so it is important to be aware!

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13 1. Delirium

One aspect of being very unwell, particularly with an infection, can be the occurrence of delirium

If you have experienced delirium you may have:

 Been unsure about where you were or what you were doing there

 Had vivid dreams, which are often frightening and may carry on when you

wake up

 Heard noises or voices when there was nothing or no one to cause them

 Seen people or things which were not there

 Been worried that other people are trying to harm you

 Feel very unsure about what was real and what was not.

 Had moods that change quickly. You can be frightened, anxious, depressed,

or irritable

 Been more confused at some times than others

Some helpful information about delirium can be found here:

https://icusteps.org/assets/files/information-sheets/delirium.pdf

How to help:

Multisensory stimulation to promote alertness – touch, sound, smell, taste,

visual stimuli to prevent sensory deprivation and maintain connection to the environment and others.

Mobilise/keep active as early as safe to do so (with support/equipment if necessary). Moving in bed, sitting out, using your arms/hands, transfers, walking.

Orientate to time, place and person use clocks/watches, calendar,

newspapers. Photographs of family and familiar objects/environments, time with familiar people – family and friends.

Take a person centered approach. Engage the person in everyday routines and activities that they usually do or enjoy to do (it may be just a small part of their usual routine) to promote functional independence.

Listen to music, engage in art/writing/brain games & puzzles as able.

Environmental modifications to promote better orientation – good lighting, labelling currently used places.

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2. Attention

Commonly thought of as concentration. This can make it hard to focus and ignore distractions. So focusing on a task or conversation may be difficult. It may be hard to divide or alternate your attention between doing two or more things.

How to help:

Actively reduce distractions. Find a time and place that is quiet and ask others around you not to disturb you.

Take regular breaks.

Smaller tasks/break tasks down.

Add in interesting tasks/tasks you want to do & enjoy.

Engage in tasks/activities that challenge you to attend and focus and

grade the time and complexity doing these tasks.

3. Memory

If your short term memory is affected, you may find it difficult to hold information in your mind in order to use it to make decisions based on that information. You may struggle to recall

something that has happened, or forget to take medication on time.

How to help:

Use external aids to extend your memory. Note book/diary/phone/Apps. To keep a log or automatically remind you when you have to perform a task.

Use phone camera to capture visual information to help you remember.

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15 4. Executive functioning

Executive functions are the mental processes that allow us to solve problems, make decisions, plan ahead, and see tasks through to

completion.

People with executive functioning problems often seem disorganised, impulsive, and not thinking things through. They may find it difficult to get going on tasks, or start a task but not see it through.

How to help:

 Plan for a task/the day/the week. (3 P’s; Pacing, Planning and prioritising).

Grade and break tasks down, use a check list.

 Incorporate “stop and think” – to get yourself to self-monitor …are you on

track?

So overall……

Be aware of the impairments you have and how they impact you and your daily life.

Share the difficulties you are having with others and ask for /accept support

Keep active and continue as far as possible with your usual daily

activities/routines/roles (adapted to suit you).

Use remedial activities to stimulate and challenge your cognition: cards, board games, brain training, word searches, cross words, Sudoku.

BE AWARE OF OTHER IMPACTS ON YOUR COGNITION… Fatigue, fear, stress, anxiety, low in mood and altered sleep patterns all take their toll on our ability to think clearly.

IF YOU ARE STILL HAVING ONGOING DIFFICULTIES WITH YOUR COGNITION CONTACT YOUR GP AND REQUEST A REFERRAL TO

OCCUPATIONAL THERAPY OR PSYCHOLOGY.

For further information, please refer to:

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What is fatigue?

We are all familiar with the feeling of fatigue after exercise or a long period of concentration.

Sometimes, however, fatigue can be felt in a way that does not seem normal. Despite resting, and a good night’s sleep, fatigue occurs after minimal effort, is prolonged and limits your usual activity. It can leave people feeling dull and finding it difficult to concentrate and recall memories.

Fatigue is very common after viral infections, such as COVID and normally it settles after 2 or 3 weeks. However, in some people it can linger for weeks or months.

What causes post COVID fatigue?

There are many reasons why people feel fatigued after a COVID infection. These are:

 A continuing response to the COVID virus even though the infection has got better.

 The effect of a serious illness. Fatigue caused by pneumonia can take up to 6 months to resolve.

What makes post COVID fatigue last a long time?

In some people, different things contribute to the fatigue and make it last a long time. Low levels of physical activity, a disturbed daily routine, poor sleep patterns,

demanding work, caring responsibilities, low mood, anxiety and stress can all make fatigue worse.

What can I do about fatigue?

Explain to your family, friends, and colleagues at work the impact the fatigue is having. Because fatigue is invisible, sometimes it is not properly understood. Until it is experienced it can be hard to understand the impact of fatigue and how debilitating it can be.

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Fatigue feels much worse if your sleep pattern is also disturbed so try and get a good night’s sleep.

Relaxation techniques can help with

fatigue as they promote a good sleep pattern, and can help reduce stress. Consider trying techniques such as mindful meditation, aromatherapy, yoga, tai chi, and other activities you find

relaxing, such as reading or having a long shower or bath.

Plan each day in advance so that you can do

what you need, and consider what can be delegated to other people. Build a regular routine, and try to avoid ‘boom and bust’ behaviour, where you are very active on ‘good’ days and then feel exhausted the following day. An activity diary can help with this.

You can also decide which activities that you are doing are most important to you. If this is a task which is very important,

prioritise and do it when you have the

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Think about areas where you can save energy and delegate tasks, for example, online shopping rather than a trip to the supermarket, or cooking at the weekend for the week ahead when you are busy. Finally, make sure you are doing some things which are enjoyable, such activities can be energising.

For one or two weeks, keep a record of what you have done during the day and how you feel after

each activity. Also note if you had a good day. Activities can be physical, social, cognitive

(thinking), or emotional, and some can be more tiring than others. Diaries

can help you spot unhelpful activity patterns, such as irregular sleep patterns and ‘boom and bust’ behaviours.

Energy levels are also helped by staying

active. Being unfit makes you more tired. Once

the amount of activity you are doing is stable, try to increase the amount you do slowly and gently.

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19 When should I talk to my doctor?

Talk to your GP so they can rule out any other condition that could be causing your tiredness if;

 Your fatigue is getting worse rather than better.

 After 3 months your fatigue is unchanged.

 You are worried or have other new symptoms.

For more information please go to the NHS Your COVID Recovery webpage:

https://www.yourcovidrecovery.nhs.uk

Emotional and Psychological Impact

Many people who have been seriously unwell (including their families or loved ones) can often experience symptoms of anxiety or depression. These symptoms may include:

 feeling restless or on edge, being irritable,

feeling anxious or worried.

 flashbacks, nightmares, repetitive and

distressing images or sensations.

 irritability, angry outbursts, feeling intolerant

of others.

 continuous low mood or sadness, feeling

tearful, feeling hopeless and helpless.

 having low self-esteem, feeling guilt-ridden.

 having no motivation or interest in things, not getting any enjoyment out of life.

 having suicidal thoughts or thoughts of harming yourself, feeling like you are

not connected to your body, a feeling of dread or a fear of dying.

Feeling anxious or depressed also include physical symptoms (it is often difficult or impossible to decide if these symptoms have a physical or an emotional cause or a bit of both). Symptoms may include:

 a racing heartbeat, feeling faint, sweating, nausea, chest pain, dizziness,

numbness or pins and needles.

 shortness of breath, a choking sensation, dry mouth.

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 a need to go to the toilet, a churning stomach.

 ringing in your ears, a tingling in your fingers.

 having difficulty getting to sleep or staying asleep.

 difficulty concentrating, finding it difficult to make decisions.

In many ways feeling anxious or low is a normal part of recovery from an illness but if you find the symptoms do not reduce, or if they cause you distress, or interfere with your ability to recover and get back to life, help is available.

Anxiety

Anxiety is something everyone will experience and feeling anxious is a very normal reaction to the illness you are overcoming. Sometimes feelings of anxiety can be overwhelming and can affect your daily life.

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To help you identify any of the symptoms listed before, below are some self-scoring questionnaires.

Seven days after your discharge from hospital please take the time to go through them and record your scores in the boxes below. When you have your telephone follow up appointment you will be asked for your score, which will be recorded by the Therapist or Nurse, and they will then discuss this further with you.

Three months after your discharge please repeat the above step as you will again be asked for your score and the outcome discussed.

At any point during your recovery you can use these scores to discuss any concerns you have directly with your GP.

Date

GAD-7 Score

PHQ-9 Score

Anxiety and Depression Questionnaires

Doing things that you enjoy is a great way to relax. This may include:

Listening to music

Reading a good book

Sitting in the garden

Drawing or doing

something creative

Yoga

While regular exercise is important, you should also take some time to relax both your mind and body.

Stress and anxiety is not uncommon after illness, it can:

 increase both your heart rate and blood pressure

 interrupt your sleep

 cause low mood which may affect your ability to resume your

normal day to day routines.

Guided imagery is a technique which involves mentally visualizing a place in your life that represents safety, comfort or happiness.

Places may include a garden, a beach or a house. You can practice some deep breathing exercise during this.

Your body has been through a lot so it is important you make time for yourself regularly. It does not take very much time and regular practice can dramatically reduce your stress levels. Some good examples of mindfulness can be found on ‘Every Mind Matters’ on YouTube, Headspace from the app store or Be Mindful is an online course.

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TOAST EGGS POTATOES PORRIDGE FRUITS VEGETABLES SOUPS Add: Peanut butter, butter, chocolate spread, honey, cheese Add: Cheese, butter, mayonnaise, crème fraiche, double cream Add: Cheese, double cream, butter, green pesto, mayonnaise Add: Skimmed milk powder, ground almonds, peanut butter, chocolate spread Add: Yoghurt, squirty cream, clotted cream, ice-cream, double cream, honey Add: Cheese, rapeseed oil, butter, crème fraiche, pesto Add: Skimmed milk powder, crème fraiche, double cream, coconut milk

MEAT / FISH EGGS DAIRY VEGETARIAN

ALTERNATIVES 100g meat/fish 3 x sausages 3 x rashers bacon 1 x burger X 3 4 x cheese slices 100g cheese 150g cottage cheese 1 x pint milk 150-200g tofu 300-400g tin of beans 150g meat-substitute including

Quorn e.g. mince, pieces, strips, roast

Nutrition

Many patients during and after illness lose their appetite and struggle to eat enough to meet their nutritional needs. Protein, energy (calories), fluid, vitamins and minerals are all important for anyone who is recovering from an illness.

This information is aimed at those who have lost weight unintentionally or have a poor appetite.

In these circumstances it is important to make the most of the foods you are eating. Below are examples of nutrient dense foods and nourishing drinks which can help to improve energy and protein intake during your recovery during this time. Once recovery is complete and appetite back to normal, you may need to limit your intake of these types of foods, but your health professional can advise on this if you are unsure.

Please note that if you have a medical condition, food allergy, swallowing difficulty or impaired kidney function the information below may not be right for you so please consult your health professional.

Protein: Protein is essential to promote recovery during and after injury or illness, and it is vital in

maintaining muscle and strength. Aim to eat a portion of 20-30g protein with at least two meals each day to help meet your needs. This includes:

Hydration:

 Getting enough fluid is essential for good health and you may need more than usual if

you have any infection.

 Adults are usually advised to drink 6-8 mugs or large glasses a day but this may need

to be higher if you have a temperature, during warm weather or if you are experiencing loose stools. Nourishing drinks such as milk, soup or fruit juice can help meet your fluid

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Ingredients Kcal Protein (g) Calcium (mg) Cost

1 pint of blue top milk 374 20 692 0.27p

4 tbsp skimmed milk powder 201 21 727 0.33p

TOTAL (1 Pint) 575 41 1419 0.60p

Directions:

Put 4 (57g) heaped tablespoons of skimmed-milk powder into a mixing jug Gradually pour in 1pt (568mls) of full fat (blue top) milk, whisking well

Fortified Milk: Fortified milk is a cheap and effective way to help you meet your

nutritional needs. It is extremely versatile and can be used as a stand-alone drink

or added to other foods. Prepare fortified milk as follows:

Helpful hints:

 Eat ‘little and often’ – aim to eat every 2 hrs by having up to 5-6 small frequent meals, snacks

or nourishing drinks during the day rather than 1-2 large meals.

 Try not to have drinks just before meals to avoid feeling too full to eat.

 Avoid low fat/diet versions of food and drinks for example skimmed or semi-skimmed milk, low

fat yoghurt, or watery soups (e.g. cup a soup) and go for creamy, milky nourishing alternatives unless been advised not to do so.

 Choose meals that you enjoy, are easy to prepare, and are high in energy and protein. Fortify

these foods where possible.

 Choose easy to chew, moist foods that are easier to swallow (e.g. casseroles, curries, sauces,

gravy, milky puddings, fruit smoothies, ice creams).

Fatigue:

 Ask for help with your shopping or use

local delivery options.

 Use convenience foods such as frozen

meals, tinned foods and ready meals.

 Consider meal delivery companies such as

Wiltshire Farm Foods or Oakhouse Foods.

On-going weight loss:

 If you are unable to weigh yourself, be

aware of visual signs of your weight decreasing, for example jewellery and clothes becoming looser.

 If you continue to lose weight seek advice

from medical team or request to see a Dietitian.

For further information, please refer to:

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Speech:

You may experience changes to your voice, similar to when you experience a cold. Tips for your vocal recovery:

 Keep well hydrated

 Try a gentle steam over hot water

 Avoid deliberate throat clearing

 Use your normal voice

 Avoid smoking or vaping

Swallow:

You may find your favourite foods taste and smell differently following your COVID illness. Food may taste bland, salty, sweet or metallic. It is important to choose foods that appeal to you to ensure you eat well, but continue to retry foods as your taste preferences change.

Some people are experiencing changes to their swallow. Some signs to look out for are:

 Coughing and throat clearing when eating and drinking

 Recurrent chest infections

 Having a wet, bubbly voice when eating or drinking

 Difficulty managing secretions

Smell:

If you are deliberately paying attention to a smell you are truly in the present moment. Try to find a smell that has positive associations for you – maybe one that reminds you of happy times, or a smell which you enjoy. Use it to bring yourself back to the present moment.

Helpful smells

• Small bottles of essential oils - e.g. eucalyptus, mint, lavender, lemon

• Small dried flowers such as lavender • Perfume soaked on a tissue

• Whole spices from the kitchen

Speech, Swallow and Smell

For further information, please refer to:

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 Upon discharge from the ward you should be able to function as well as you did prior

to your admission.

If not you can discuss this with your Physiotherapist or Occupational Therapist

 Your medication may have changed prior to your admission. Information and

instructions will be given alongside your medication prior to leaving.

Please discuss any concerns you have regarding your medication with the medical team.

If you feel there will be a difficulty with your relatives or friends collecting you or

your travel home, please discuss this with your nurse.

Isolation Guidelines After Discharge

How long until I can go out again?

 Once home, you should self-isolate for 14 days after the onset of symptoms in order

to minimise transmission. This is longer than the 7 days of isolation for individual who remain at home with symptoms, since those admitted to hospital have a higher viral load at the time of illness (meaning you are contagious for a longer period).

Please discuss your particular case with the Doctor discharging you before you

leave the hospital.

Can I go out for my daily allowed exercise when home?

 Please discuss this with the Doctor discharging you before you leave the hospital.

Follow Up After Discharge

If you are in the Plymouth area you will receive a follow up telephone call from the COVID Respiratory, Rehab and Discharge team to see how your recovery is going at home. They will ask you a series of questions and advise you with how to continue your rehabilitation and recovery.

If you do not hear from the team within a 7-14 days of your discharge please contact the team on the back of the booklet.

This is a scale that asks you to rate the difficulty of your breathing, please use it to help with

monitoring your breathlessness while exercising.

You could use this to score how well your lungs are recovering.

It is important to take regular rests and stop before you get too short of breath.

You should be aiming to exercise within zones 3-5

This is a scale that asks you to rate the difficulty of your breathing, please use it to help with

monitoring your breathlessness while exercising.

You could use this to score how well your lungs are recovering.

It is important to take regular rests and stop before you get too short of breath.

You should be aiming to exercise within zones 3-5

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Column totals = ………+………+………..+………..

= Total score………. Over the last 2 weeks,

how often have you been bothered by the following problems. "Use ✔to indicate your answer"

Not at all Several days More than half the days

Nearly every day 7 days after discharge 3 months after discharge Feeling nervous, anxious or on edge 0 1 2 3

Not being able to stop or control worrying

0 1 2 3

Worrying too much about different things

0 1 2 3

Trouble relaxing 0 1 2 3

Being so restless that it is hard to sit still

0 1 2 3

Becoming easily annoyed or irritable

0 1 2 3

Feeling afraid as if something awful might happen

0 1 2 3

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Over the last 2 weeks, how often have you been bothered by the following problems. "Use ✔to indicate your answer"

Not at all Several days More than half the days Nearly every day 7 days after discharge 3 months after discharge

Little interest or pleasure in doing things

0 1 2 3

Feeling down, depressed or hopeless

0 1 2 3

Trouble falling or staying asleep, or sleeping too much

0 1 2 3

Feeling tired or having little energy

0 1 2 3

Poor appetite or overeating

0 1 2 3

Feeling bad about yourself- or that you are a failure or have let yourself or your family down

0 1 2 3

Trouble concentrating on things, such as reading the newspaper or watching television

0 1 2 3

Moving or speaking so slowly that other people could have noticed? Or the opposite – being so fidgety or restless that you have been moving around a lot of the time

0 1 2 3

Thoughts that you would be better off dead or of hurting yourself in some way

0 1 2 3

Column totals = ………..+……….+……….+………

= Total score ………..

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Where to find help:

Your COVID Recovery:

Your COVID Recovery | Supporting your recovery after COVID-19

In each area of England there is an Increasing Access to Psychological Therapies (IAPT) service. These are services provided by the NHS. You do not need your doctor or a healthcare worker to refer you. You can get in touch and ask for an assessment. Also the websites have a lot of information.

The IAPT services in Devon and Cornwall are: Cornwall – Outlook South West.

The website is https://www.cornwallft.nhs.uk/outlook-south-west - you can fill in a

contact form or you can ring (01208) 871905. Plymouth – Plymouth Options.

The website is : https://www.livewellsouthwest.co.uk/plymouth-options - where you

can fill out a contact form or email plymouthoptions@nhs.net or ring 01752 435419.

Devon – Talkworks.

The website is: https://www.talkworks.dpt.nhs.uk/ - where you can fill out a contact

form or you can ring 0300 555 3344.

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Plymouth Support Services

If you have been advised to continue self-isolating at home there are many local services that can help.

Caring for Plymouth: Support for the medically vulnerable. Specially trained staff will be

ready and waiting to take calls on 01752 668000 between 8am and 6pm

Age UK Plymouth - Shop N Drop service, prescription collection service and weekly

telephone call with a phone friend to keep you in regular contact with someone. enquiries@ageukplymouth.org.uk

Food Boxes Available: Age UK Plymouth with be taking orders for food boxes which will be available for delivery. Prices start from £10 per box. To place an order please call 01752 253980.

Other Plymouth support services:

Adult Social Services: 01752 668000

Improving Lives Plymouth: 01752 201890

Community Action Helpline: 07786683074

Extra Help: 01752 424515

Plymouth Labour Force: 07786683074

Devon Support Services

Devon:

https://www.devon.gov.uk/coronavirus-advice-in-devon/document/community/#section-9

East Devon: District Council's Coronavirus Community Support Hub available to help local

residents, communities and organisations access information and support. Tel: 01395 571500, Monday to Friday 09.00-17.00.

Cornwall Support Services

Supporting Cornwall. This online platform is a place for communities in Cornwall to connect

and support each other through the Coronavirus. https://cornwall-link.madeopen.co.uk/

Volunteer Cornwall: can help with food shopping, collecting prescriptions, telephone

befriending. Tel: 08872 266988

South Hams: Different voluntary support services are available in each parish: for more

details: Website: https://southhams.gov.uk/findagroup Tel: 01803 861234 (note limited office hours)

National Support

A government website that can help you to access services and help from a wide variety of sources.

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Southwest Support Services

COVID Follow Up Service

This information sheet is available in large print and other formats and languages. Please contact: Patient Services

Tel: 01752 763 031

This book has been written by the COVID Respiratory Rehab and Discharge Team at Derriford Hospital. With many thanks to all colleagues and patients for their help.

Please follow the link below or the QR code for videos created by our own COVID red team here at Derriford Hospital. These videos are designed to guide you, further your knowledge and start your rehabilitation to your road to recovery.

Derriford Hospital Derriford Road Plymouth PL6 8DH Tel: 01752 202 082 www.plymouthhospitals.nhs.uk Date: November 2020 Review: Feb 2021 Version 3.1 J.Fewings; K.Tantam; S.Wolstenholme; O.Roberts; H.White; E.Purver; R.Davies

Coronavirus community assistance directory: help in your community

https://coronavirus.scvo.org/

Age UK Tel: 08006781602, lines open 08.00-19.00 every day.

As part of your recovery our follow up service will call you 2 times over the course of the next 12 weeks. Below are the details for your appointments.

 Please note that this service is only for patients from Plymouth, South Hams and West

Devon

 Patients from East Cornwall – We will refer you to our community respiratory

colleagues

 Patients from outside these areas – We advise you to contact your GP for further

support

1st Appointment Date _________________ Time ________ 2nd Appointment Date _________________ Time ________

For further advice, do not hesitate to contact your Physiotherapist on the COVID Team. Telephone: 01752 202082

References

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