Desde San Luis se capacitó en Rehabilitación Cardiovascular y Covid 19. Entrevista a los disertantes
Durante el mes de marzo se realizó desde San Luis, hacia América Latina, la capacitación virtual en Rehabilitación Integral del Paciente cardiovascular y Covid -19. La misma fue organizada por la Fundación Argentina de Ciencia y Salud (FACyS), una ONG radicada en la ciudad de San Luis, con una trayectoria de 13 años en la organización de capacitaciones de excelencia en salud y deporte.
La capacitación estuvo a cargo de dos kinesiólogos de amplia trayectoria en el área de las patologías cardio respiratorias, desde la redacción los entrevistamos para poder conocer mejor el trabajo indispensable del kinesiólogo en esta área, tanto en los cuidados críticos como el la rehabilitación post covid 19.
Conversamos primero con el Lic. Sergio Di Yelsi, quien se desempeña actualmente como Jefe del Servicio de Kinesiología del Hospital Universitario Fundación Favaloro y dirige la especialidad en cardiorespiratorio en esta misma casa de estudios.
¿Qué es la rehabilitación Cardiovascular y quienes son los profesionales que la pueden ejercer?
S.D.Y: La rehabilitación cardiovascular es un proceso integral, multidisciplinario, en el cual se abarca la problemática de la enfermedad cardiovascular de manera integral. Dentro de la rehabilitación cardiovascular encontramos la prevención primaria, donde asistimos a las personas con factores de riesgo, a los fines de evitar que desarrollen enfermedad cardiovascular , y prevención secundaria en las personas que ya han establecido un patología cardiovascular . Estos son programas integrales donde se abarca aspectos vinculados con el control, seguimiento y chequeo medico, el abandono del habito tabáquico, la alimentación saludable , el control del estrés y fundamentalmente la actividad física, que involucra específicamente al Kinesiólogo, que es el que desarrolla los programas de entrenamiento dentro del proceso de rehabilitación cardiovascular.
¿ Cual es el tipo de paciente al cual se le debe indicar esta rehabilitación cardiovascular?
S.D.Y: La indicación es para personas con factores de riesgo, cuando hablamos de prevención primaria , pero cuando ya han desarrollado enfermedad cardiaca, indicamos rehabilitación en algunas enfermedades como, la patología coronaria, las enfermedades valvulares, insuficiencia cardiaca, paciente pre y post trasplantes cardiacos, arteriopatías periféricas, alteraciones del ritmo eléctrico, son algunos de los grupos de patologías específicas para incorporar en los grupos de rehabilitación cardiovascular.
Entrevistamos a la Lic. Julieta Lardiés, es especialista en Kinefisiatria respiratoria y terapia intensiva, y se desempeña en las áreas de unidad coronaria; y rehabilitación cardiovascular y respiratoria del Hospital Fernández de la ciudad de Buenos Aires.
¿Cuál es el rol del kinesiólogo en la atención integral del paciente con COVID-19?
J.L: Los kinesiólogos tenemos un rol importante en la atención del paciente con COVID-19. El abordaje de estos pacientes debe ser integral, precoz y multidisciplinario. Las personas que cursan la enfermedad COVID-19 de manera grave suelen necesitar hospitalización y cuidados intensivos. Por lo tanto, la intervención kinésica abarca desde el tratamiento de rehabilitación y prevención de complicaciones en las Unidades de Terapia Intensiva (UTI), luego en las Salas de Internación y, posteriormente, el seguimiento en las consultas ambulatorias e incluso el asesoramiento para el retorno a las actividades físicas y deportivas.
¿Qué opinas de las salas de rehabilitación post COVID-19, entiendo que uno de los grandes problemas son las secuelas motoras y respiratorias con las que salen de la terapia intensiva?
J.L: Los pacientes con COVID-19 que requieren internación en UTI, pueden desarrollar un síndrome post cuidados intensivos (PICS) que es una combinación de problemas físicos, cognitivos y psicológicos pudiendo quedar con secuelas que afectan la funcionalidad. Por lo tanto, creo fundamental el enfoque holístico que estos pacientes tienen en las salas de rehabilitación post COVID-19. La creación de Salas de Rehabilitación permite el trabajo en equipo multidisciplinario incluyendo enfermeros, médicos clínicos, kinesiólogos, fonoaudiólogos, nutricionistas, psicólogos, musicoterapeutas y trabajadores sociales. Estas salas permiten acelerar la recuperación gracias al acompañamiento y la estimulación permanente a lo largo de un tratamiento intensivo adaptado a las necesidades particulares de cada persona.
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