Ramachandran Muthiah

Morning star hospital, India

Primary health care refers to a multidisciplinary team having expert knowledge and skills on COVID-19’s impact arose from its rapid emergence, the number of people needing intensive care, and presented many clinical problems, including respiratory failure, excessive immunological response and clotting disorders, renal failure and myocarditis. Knowledge of the disease process and which tissues are likely to have been damaged is important in the health care process. After COVID-19, a patient may develop persisting dysfunction of almost any organ and experience well-established direct (physical) and indirect (psychological) effects associated with severe illness and a long stay in an intensive care unit.

The majority of patients will need pulmonary care which is usually a separate service attached to a respiratory medicine department.For patients with ventilator dependence, diaphragmatic dysfunction are very common, often causing difficult weaning, and may result in secondary infections and extended hospital stays.In the care of diaphragm dysfunction, a diaphragm pacemaker is more commonly used. Clinical trials have shown that the use of an external diaphragm pacemaker can effectively increase diaphragm muscle strength and endurance in ICU patients..

Exercise that uses muscles and increases demand upon the cardio-respiratory system will be important and should be encouraged from the outset..Malnutrition can prolong infection healing times and increase the length of hospital stay. andnutritional support for patients with COVID-19 also influences disease progression.COVID-19 is predicted to challenge in health care with many more patients needing longer-term complex care inputand will continue to do so for at least few years.

Large numbers of people are surviving COVID-19 after quite severe illness and will present with a mixture of cardio-respiratory, mental health, and neuromuscular problems, will need local, community-based internal organisation,warrant a team within the health care system who would develop specific expertise in thecare of people.