Covid-19 Supplementary Form Questions for those who have had Covid Supplementary form to be sent to those who have had Covid diagnosed Name First Last Date DD slash MM slash YYYY What does your medical doctor say about your risk of passing Covid on??*(Rationale: If the client has been cleared to return to work or to end self-isolation, then the risk of communicability should be over. If not, we need to delay, for their benefit and ours.)What does your doctor advise about being physically active?*(Rationale: If the client is advised to return to normal activity levels as soon as possible, then massage is more likely to be safe. However, if the client is advised to be careful about exercise—as might be seen with a cardiac or pulmonary rehabilitation program—then the intensity of massage therapy must also be scaled back.)What do you do in terms of physical activity?*(Rationale: We need a clear sense of what kinds of physical challenges people put their bodies through on a daily basis. This might range from someone who is essentially sedentary but takes a hot shower each morning, to someone who walks a few times a week, to someone who is training for an event with newly scarred lungs or potentially inflamed blood vessels. Within these questions we must dig out the most specific information we can find: “walking for 20 minutes” might mean a leisurely stroll on a smooth sidewalk, or it might mean a quick jaunt up a hill that raises the heart rate. That makes a difference in a client’s ability to adapt to environmental challenges. Further, many COVID-19 survivors have widely varying and unpredictable levels of fatigue and energy. We must not risk overwhelming someone’s physical capacity with overenthusiastic massage.)Do you have any new (that is, since your infection) skin marks, lesions, or rashes, especially on the toes, but anywhere on the body?*(Rationale: If yes, delay the session until these have cleared OR use very light work everywhere, and especially in the area of any discoloration—this may be a sign of microvascular clotting/ bleeding, especially if the lesions don’t blanch with finger pressure.)Do you have any new (that is, since your infection) experience of severe deep muscle or joint pain—unrelated to recent physical activity?*(Rationale: If yes, do very light pressure work, and refer them to their primary care provider. This symptom might prompt people to seek massage, but it can be an indicator of acute inflammation, muscle damage, or poor tissue perfusion.)Do you have any new (that is, since your infection) discomfort with exertion?*(Rationale: We are looking most specifically for chest pain, shortness of breath, dizziness, headache, or cramping in a new pattern. If the answer is yes, refer them to their primary care provider, who should know about this, because it may be a sign of cardiovascular or respiratory distress.) Are you taking any drugs to manage blood clotting?*(Rationale: If yes, delay massage until this is finished, OR use very light work because of blood clotting and bruising risk.What other long-term consequences of your infection affect your life?*(Rationale: This could include relapsing symptoms, kidney dysfunction, gut pain, headaches, heart problems, debilitating fatigue, seizures, PTSD related to the trauma of surviving a life-threatening infection, or things we haven’t even thought of yet. Decisions about bodywork must be made with these complications in mind, so you might want to have a decent pathology reference at hand.) Δ