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The actual treatment provided varies between different providers and parts of the country, depending on local traditions and resources, including access to multimodal rehabilitation (MMR). [54] [55] Since the symptoms are long-lasting it is generally considered appropriate to start partial return to work before complete remission of symptoms. [56]
[54] [55] Compared to treatment with younger patients, ECT appears to work more effectively in the older patients. [56] A typical course of ECT treatment ranges from 6 to 12 treatments, with some requiring more or less. [57] A normal treatment schedule in the United States might include three treatments a week on Monday, Wednesday, and Friday.
Frailty or frailty syndrome refers to a state of health in which older adults gradually lose their bodies' in-built reserves and functioning. This makes them more vulnerable, less able to recover and even apparently minor events (infections, environmental changes) can have drastic impacts on their physical and mental health.
Management of ME/CFS (myalgic encephalomyelitis/chronic fatigue syndrome) focuses on symptoms management, as no treatments that address the root cause of the illness are available. [ 1 ] : 29 Pacing, or regulating one's activities to avoid triggering worse symptoms, is the most common management strategy for post-exertional malaise .
Fatigue in a medical context is used to cover experiences of low energy that are not caused by normal life. [2] [3]A 2021 review proposed a definition for fatigue as a starting point for discussion: "A multi-dimensional phenomenon in which the biophysiological, cognitive, motivational and emotional state of the body is affected resulting in significant impairment of the individual's ability to ...
The Canadian Consensus Criteria require "post exertional malaise and/or [post exertional] fatigue" instead. [21] [22] [23] [19] [24] On the other hand, the older Oxford Criteria lack any mention of PEM, [25] and the Fukuda Criteria consider it optional. Depending on the definition of ME/CFS used, PEM is present in 60 to 100% of ME/CFS patients.
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