By rray, 31 May, 2024 Begin individualized titrated structured return to activity program based on exercise tolerance comorbidities 5
By rray, 31 May, 2024 If deconditioning or orthostatic intolerance start w recumbent semirecumbent swim row cycle of short duration e g 5 10min day before gradual transition to upright exercise and longer durations 1
By rray, 31 May, 2024 Be conservative and gradual pacing exercise as tolerated to avoid post exertional malaise sx worsening 12 48h after even minor physical mental exertion malaise may last for days weeks 2
By rray, 31 May, 2024 Goal is to optimize function and QOL 2 Use shared decision making to agree on support and rehab needed 7
By rray, 31 May, 2024 Advise pts that post COVID conditions are not yet well understood and assure them support will continue to be provided as new information emerges 2
By rray, 31 May, 2024 Do not dismiss sx not explained by or out of proportion to objective findings These are common even if etiology duration not fully understood 2
By rray, 31 May, 2024 Evaluate the overall trajectory of sx which often fluctuate and recur Support levels may change over time 7