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Post-COVID Recovery Care

Are you a B.C. health-care provider wondering about supports for patients living with persistent and disabling post-COVID symptoms?

The Post-COVID-19 Interdisciplinary Clinical Care Network can help. The Network offers clinical care, patient and provider education, and research to health-care providers caring for patients experiencing post-COVID symptoms.

This page provides health-care providers with a centralized resource for the latest evidence and recommendations for managing post-COVID symptoms.

For a visual of a long COVID patient’s care pathway: Long COVID patient care pathway (PDF)  

Clinical care

1. To refer a patient to the Post COVID-19 Interdisciplinary Clinical Care Network (the Network), please fill out the referral form (PDF) and fax it to Post-COVID Central Triage at 604-806-8809. 
 
You can refer patients with persistent symptoms for more than three (3) months following a presumed or confirmed COVID-19 illness. Symptoms must be limiting your patient's ability to function in daily life. 
 
Note: You must complete a full history, physical examination and relevant investigations as part of differential diagnoses and to rule out other conditions explaining the symptoms. Please review the Pre-Referral Diagnostic Checklist for required investigations prior to referral.
 
2. A nurse from Central Triage will contact your patient directly to review and assess their case. The nurse will determine the appropriate level of services required to support your patient's recovery. Note: Not all patients will need a clinic visit. 
 
The Post-COVID Recovery Clinics support patients with self-recovery tools and rehabilitation services. They do not provide diagnostic or investigative services. Please advise your patients accordingly. 

Once accepted into the Network, your patient will complete an education program. This includes online group education sessions led by physiotherapists, occupational therapists or social workers. After attending the group education sessions, your patient will have the opportunity to sign up for small, focused therapeutic sessions, if required.
 
At the end of the education program, the central triage team will reassess your patient. If their symptoms haven’t improved, they will be referred to a Post-COVID Recovery Clinic.
 
Central Triage may refer patients who would not benefit from English-language group education sessions directly to a Post-COVID Recovery Clinic.

The Post-COVID Recovery Clinics provide coordinated in person or virtual care. Patients will see a general internal medicine specialist at their initial appointment. Other members of the care team include:

  • Doctors
  • Nurses
  • Physiotherapists
  • Occupational therapists 
  • Social workers
  • Specialist doctors (e.g. neurologists, cardiologists etc). are available by referral

Follow-up appointments will be with post-COVID case managers (registered nurses) and the allied health team.

 

Patients in the clinics will be presented with opportunities to get involved in research. More information can be found on our PC-ICCN Research page.

For information: post-COVID-ICCN@phsa.ca
Education/resources

  • Free, virtual learning community.
  • Twelve one-hour sessions.
  • Instructive and case-based learning
  • Learn approaches to care for your post-COVID patients.

Sessions ran from July 2021 till July 2022. To view the session recordings, visit the BC ECHO page.


"It provided me with a better understanding of likely experience of clients & how to support them in recovery" – BC ECHO participant

If you are looking for the Provincial Mental Health and Substance Use ECHO, please visit their homepage.


This pathway is posted as a tool on BC Pathways. Please note that some of the links are internal on Pathways and will require a login to access. Download the PDF version below.

Provincial Post-COVID-19 Recovery Pathway  

 Purpose of resources
 
Post-COVID 19 Interdisciplinary Clinical Care Network resources and guidelines are designed to support equitable, best practice care for people living with long COVID. The materials can be divided into two main categories:
  • Resources to support people living with long COVID in their recovery. 
  • Resources and guidelines to support health care providers caring for people living with long COVID.
Post-COVID-19 Interdisciplinary Clinical Care Network clinical staff developed and reviewed the guidelines and resources based on the best information available at the time of publication. Refer to www.phsa.ca/postCOVID for the most recent versions.
 
Restrictions on guideline use
 
Post-COVID-19 Interdisciplinary Clinical Care Network guidelines and resources can be downloaded for personal, clinical, non-commercial use only. No reproduction by or for commercial organizations, or for commercial purposes, is allowed without the permission of the Post-COVID-19 Interdisciplinary Clinical Care Network. To request permission, e-mail post-COVID-ICCN@phsa.ca.
 
When referencing one of Post-COVID-19 Interdisciplinary Clinical Care Network’s guidelines or resources, use the following format: Name of guideline/resource, year. Available from: www.phsa.ca/postCOVID.


Research

The Post-COVID-19 Interdisciplinary Clinical Care Network coordinates patient-oriented research that leads to rapid learning and data-sharing to improve care. There are opportunities for both researchers and patients to get involved in post-COVID research to support people living with symptoms.

For Researchers

For Patients


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SOURCE: Post-COVID Recovery Care ( )
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