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Long Covid Rehabilitation Rebecca Livingston Regional Post Covid Specialty Advisor, NHSE Clinical Lead Physiotherapist, UCLH Post COVID Service @RebeccaMLiv NHS England and NHS Improvement2Long Covid Rehabilitation Assessment Personalised Multifaceted 3Assessment 4Personalised 5Multifaceted Breathing Psychological Activity Pattern health Management Retraining interventions Nutrition Vocational Sleep and Physical Rehabilitation Lifestyle Activity advice 6To exercise or not to exercise? This depends on… ▪What’s important to the patient? ▪Stability of symptoms (Any PESE or exercise intolerance?) ▪Think about what will be best tolerated- supine/ swimming? ▪Symptom titrated- monitor for impact ▪Supported Exercise intolerance is not deconditioning, you cannot exercise your way out of it. 7Breathing Pattern Retraining 8London Allied Health and Therapies Long Covid Network Chairs: Rebecca Livingston & Chinea Ezifuela Meeting alternate Tuesdays 9-10am (next meeting 12.07.22) Core objectives: • Share emerging clinical experience and innovation. • Ensure up to date with policy and system updates. • Contribute to evidence base and guidance. England.londonahpcovid@nhs.netn the distribution list please email: NHS England and NHS Improvement Principles for Rehabilitation Engaging with people living with Triage and Management and Assessment Treatment Long COVID Care coordination Staff confidence and pathway Discharge from and competencies management services Publication imminent… Watch this space… 10 Presentation title Case Study Reflections Assessment Personalised Multifaceted • Personal Health • Red Flags • What matters to Budget -exertional desat you? -cardiac impairment • Children/ role as • Activity -PESE a mother management -dysautonomia • Psychological • Work/ role as a support • Asthma control nurse • Vocational rehab • BPD • Her child’s needs • Psychological risk • Financial security • Breathing pattern • Being believed retraining • Peer support 11 Presentation title