Health Coaching for H.E.L.P. Apheresis and Combination Therapy

Goal: Realistic assessment and development of abilities and achievements in everyday life and at work

Increasingly independent integration of knowledge about health-promoting behavior in everyday life

Customized lifestyle modification plan and consultation before and on treatment with particular focus on pacing, stress management/relaxation and sleep in preparation for travel and during treatment

1 What is Pacing?

• Importance of pacing in managing Long COVID/Post Vac/CI symptoms
• Setting goals for the pacing program pre-treatment / related to travelling

2 Implementing Pacing Techniques

• Breaking tasks into manageable segments
• Utilizing rest breaks effectively
• Identifying and managing overactivity

3 Building Awareness and Mindfulness

• Recognizing early warning signs and symptoms
• Understanding the mind-body connection in Long COVID
• Practising mindfulness techniques for stress reduction
• Introducing strategies for managing flare-ups

4 Establishing Baselines and Creating Daily Routines

• Assessing current activity levels and energy expenditure
• Establishing realistic baselines for activity
• Developing structured daily routines to conserve energy

5 Implementing Pacing Techniques

• Breaking tasks into manageable segments
• Utilizing rest breaks effectively
• Incorporating activity and rest cycles into daily life
• Identifying and managing overactivity

6 Coping Strategies and Adjusting Expectations

• Addressing frustration and emotional challenges
• Exploring coping mechanisms for dealing with setbacks
• Adjusting expectations and redefining success
• Building a support network and seeking help when needed

7 Review and Future Planning

• Reflecting on progress made throughout the program
• Adjusting pacing strategies based on feedback and experience
• Setting long-term goals for managing Long COVID symptoms
• Developing a maintenance plan for sustaining progress beyond the program

Customized movement plan and consultation after treatment with focus on resilience during physical activities and where not (fully) possible achieve autonomic rehabilitation

1 Foundation for Return to Exercise

• Recognizing individual triggers for PEM/PESE
• Importance of gradual activation progression in Long COVID

2 Baseline Assessment and Goal Setting

• Conducting baseline assessment
• Identifying personal exercise goals
• Understanding the concept of 'pacing' in exercise
• Setting realistic expectations and establishing long-term goals

3 Introduction to Low-Impact Exercise Modalities

• Exploring low-impact exercise options: walking, swimming, cycling, etc.
• Understanding the role of breathing and relaxation in exercise
• Understanding the role of exercise preparation and after-care
• Designing individualized exercise plan based on baseline assessment

4 Monitoring and Balancing Activity Levels

• Strategies for monitoring and balancing activity levels
• Importance of rest and recovery
• Recognizing early signs of PEM and managing flare-ups

5 Progressive (but very careful) Exercise Programming

• (Very) Gradual progression of exercise intensity, duration, and frequency
• Incorporating strength and flexibility training safely
• Monitoring symptoms and adjusting exercise plans accordingly

6 Maintenance and Long-Term Strategies

• Reviewing progress and achievements throughout the program
• Discussing strategies for maintaining exercise adherence
• Developing long-term exercise plans and lifestyle changes
• Building a support network and accessing resources for continued support