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Long Covid Pathway > Week 2-5: Fatigue

Back to Week 2-5: Themes

Fatigue

  • Fatigue is one of the most common symptoms of long covid (up to 80% in some surveys) that can have a huge effect on physical and mental wellbeing. It’s can often comprise both physical and mental exhaustion, with a profound loss of energy that can be unrelenting and made worse by tasks that used to be trivial. 

  • It can have a really devastating effect on all aspects of a Client's life and limit their ability to do their usual everyday tasks or jobs, and then have a knock on effect on relationships, family and finances. 

  • We also know it can be really hard to get others to understand the experience of fatigue, and how it goes beyond just being 'tired' and how difficult it can be to describe.

Background

Background

An understanding of the following key concepts is required ahead of coaching users through the Fatigue Theme. Please review the following resources: 

Call

Call Template

The following template outlines the structure of the Week 1 session and the key components to cover. 

Outline of the Session

Fatigue

The session should cover three main sections: 

  1. Give the Client some time at the start to share their experiences in managing their fatigue and identify what's most important to them

  2. Introduce the Prioritise, Plan, Pace approach - teach core concepts of energy management and conservation 

  3. Discuss practical steps to utilise this approach in the day-to-day and present 1+ management techniques to take forward in the week ahead

Conclude with a tangible goal for the upcoming week (see template for examples)

Note that sometimes giving Client's 'permission' to pace and prioritise can be an important part of support. Throughout the session, emphasise that it is okay to prioritise how they spend their energy and it's okay to ask for help, it's okay to take some things off their todo list and encourage them to be forgiving to themselves.

Resources

Resources to Activate

Following the video call session, the following resources should be activated for the Client to review. Select the content that you think will be most relevant to the Client based on the session.

You can click on each of the tiles to view the full article or video.

Note for this theme, the videos are split into 'to watch' (educational videos) and 'exercises' (interactive exercise sessions, e.g. mindfulness and meditation)

 

Flex: To Watch
Please select between 2 - 3 of these videos for the Client

Pacing, Planning and Prioritising

Video | By Somerset NHST

Summary of the 3Ps

Flex: Exercises

Please select between 2 - 3 of these videos for the Client. 

Note some are part of a series (such as the yoga videos and the relaxation tracks). Consider activating just one for the Client to try first. Then you can activate the subsequent exercises in the series as required. 

Relaxation

Mindful Breathing Exercise

Video | By Every Mind Matters

A short mindful breathing exercise

Progressive Muscle Relaxation

Video | By Every Mind Matters

A short relaxation exercise

Relaxation Track 1

Video | Bristol UHB NHS

5 minute relaxation exercise

Relaxation Track 2

Video | Bristol UHB NHS

A longer 20 minute relaxation exercise

Relaxation Track 3

Video | Bristol UHB NHS

20 minute relaxation exercise with music

Yoga

10 Minute Yoga For Beginners

Video | Yoga with Adriene

10 minute intro to yoga

20 Minute Yoga For Beginners

Video | Yoga with Adriene

20 minute intro to yoga

30 Minute Yoga For Beginners

Video | Yoga with Adriene

30 minute intro to yoga

There are more variations on the yoga videos below, continue to activate these as needed:
 

Meditation

5 Minute Meditation

Video | Yoga with Adriene

5 minute intro to meditation

Meditation for Anxiety

Video | Yoga with Adriene

Short guided meditation

Morning Meditation

Video | Yoga with Adriene

Short guided meditation

Meditation for Stress

Video | Yoga with Adriene

Short guided meditation

Flex: To Read

Please activate as many of these as you think the Client will find useful (min 3, max 6)

How to Conserve Your Energy

Article | RCOT

Top tips for energy 

3Ps approach to Self Care
 

Article | RCOT

Top tips for every day tasks

3Ps Approach to Daily Activities

Article | RCOT

Top tips for everyday tasks

Physical Activity Advice

Article | Homerton NHST

Building activity levels in a safe way 

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