Occupational Therapy During COVID-19-Related Critical Illness: A Case Report.

The coronavirus disease 2019 (COVID-19) pandemic has presented unique challenges for occupational therapy practitioners working in acute and critical care settings. Using the best available evidence, this case report overviews a prototypical COVID-19 disease course and discusses key aspects of clinical reasoning for practitioners working with this novel population. Following a single patient admitted to a tertiary academic medical center, the authors review the occupational profile and medical history, common impairments, the intervention plan, and strategies to align the occupational therapy and medical goals of care.

Occupational Therapy for the Long Haul of Post-COVID Syndrome: A Case Report.

Prolonged symptoms from the novel coronavirus disease 2019 (COVID-19), otherwise known as long COVID, postacute sequelae of COVID-19 (PASC), or post-COVID syndrome, are affecting an increasingly high number of patients after severe, moderate, and mild acute COVID-19 infections. Using evidence-based practice strategies, this case report describes occupational therapy evaluation and treatment approaches, plan of care, and associated outcomes for one client experiencing long COVID symptoms in the outpatient setting.

Occupational Therapy: Essential to Critical Care Rehabilitation.

The coronavirus disease 2019 (COVID-19) pandemic reshaped the health care landscape, leading to the reassignment of essential health care workers to critical areas and widespread furloughs of providers deemed nonessential, including occupational therapy practitioners. Although multidisciplinary critical care teams often include occupational therapy practitioners, efforts to define, measure, and disseminate occupational therapy's unique contributions to critical care outcomes have been overlooked. This editorial provides recommendations to improve the occupational therapy profession's readiness to meet society's current and future pandemic needs. We propose a three-pronged strategy to strengthen occupational therapy clinical practice, education, and advocacy to illuminate the distinct value of occupational therapy in critical care.

The weakly coordinating trichloromethanesulfonate anion: NQR comparison of its coordinating abilities via oxygen with those of the chloroacetate ions.

Ionic and covalent derivatives of the chlorine analogue of the nonbasic, weakly coordinating triflate ion, Cl3CSO3(-) or "trichlate" ion, have been prepared and compared with the corresponding more strongly coordinated chloroacetates, Cl(x)CH(3-x)CO(2)M (x = 1-3), using 35Cl NQR (nuclear quadrupole resonance) spectroscopy. The (35)Cl NQR frequencies of all types of derivatives are sensitive to the nature of the metal ion or Lewis acid and are most sensitive in the case of monochloroacetates. In covalent (including zirconocene) derivatives, the average NQR frequencies fall as the Pauling electronegativity of M falls. The results for ionic derivatives contrast with previous results for ionic hexachlorometalates: the average (35)Cl NQR frequencies drop sharply as the ionic radius of the group 1 cation increases. Ab initio Gaussian 98 computations at the B3LYP/6-311++G(3df,3pd) level on isolated XCH2CO2M (M = Li, Na, K; X = F, Cl) molecules duplicate this trend, showing increasing polarization of the C-Cl bond and smaller electric field gradients for larger group 1 ions; the relevance of this to the solid state polymerization of chloroacetates (Herzberg, O.; Epple, M. Eur. J. Inorg. Chem. 2001, 1395-1406) is discussed. We have prepared the dihydrate and monohydrate of trichlic acid, Cl3CSO3H. Although trichlates have the highest average NQR frequencies of any of these salts, the NQR frequencies of trichlic acid dihydrate are anomalously lower than those of trichloroacetic acid, which suggests that it is a strong acid, ionized in the solid state to H5O2+ and Cl3CSO3(-) ions.