The Union Ministry of Health and Family Welfare has come up with guidelines for post-COVID management protocol as coronavirus cases in India crossed the 47-lakh mark. According to the government, all those who have recovered from the viral infection, may show some signs and symptoms like cough, sore throat, body ache, fatigue, and difficulty in breathing, etc. even after recovery.
The ministry said the recovery period was likely to be longer for those who had severe illness or have co-morbidities. As of Sunday morning, it is now in the second place in terms of cases at 4,659,984, while the country's death toll stood at 77,472. On community level, a person can take support of community-based self-help groups, qualified professionals, etc for recovery and rehabilitation process. "These need to be taken only after prescribed by qualified practitioners permitted under law for prescribing the medicine/therapy under the specific stream", said the Health Ministry in the guidance note.
The guidance also says that a recovered Covid-19 needs to take regular medications as advised for Covid and also for managing co-morbidities if any.
Issuing the guidelines, it said that an integrated holistic approach is required for managing patients who have recovered enough from COVID for care at home. Daily morning or evening walk at a comfortable pace as tolerated.
The document recommended following a balanced nutritious diet, taking adequate rest, and avoiding smoking/consumption of alcohol. These include common or easy preparations like the Ayush Kwath, the Samshamanivati, Giloy powder with luke warm water, Ashwagandha and Chyawanprash. A doctor must be always informed about all medicines that the individual is taking (allopathic/AYUSH) so as to avoid prescription interaction.
Further, individuals can keep a tap of their health by continuously checking temperature, blood sugar, blood pressure, and pulse oximetry. "Look for early warning signs like high-grade fever, breathlessness, unexplained chest pain, onset of confusion, and focal weakness", it said.
In case of persistent dry cough/sore throat, do saline gargles and take steam inhalation. The addition of herbs/spices for gargling/steam inhalation (refer to Annexure I).
The ministry also asked recovered patients to share their positive experiences with their friends and relatives and on social media, to discredit myths and stigma around Covid-19. Besides, the Ministry advised for mental health support.
Seek psycho-social support from peers, community health workers, and counsellor.
Group sessions of yoga and meditation have also been recommended, provided health precautions like physical distancing are followed. In healthcare facility setting, the ministry advised the first follow-up visit (physical/telephonic) should be within seven days after discharge, preferably at the hospital where he/she underwent treatment.
-Subsequent treatment/follow up visits may be with the nearest qualified allopathic/AYUSH practitioner/medical facility of other systems of medicine. Poly-therapy should be avoided due to the potential for unknown drug-drug interaction. Stringent doctor-patient follow is required in cases where the patient underwent critical conditions due to Coronavirus.