A 78-year-old patient deconditioned from prolonged bed rest is preparing for discharge. Using the FITT (Frequency, Intensity, Type, Time) framework, which exercise prescription ensures safety while promoting functional recovery?
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✓ Correct answer: A. Walking 10 minutes daily at a conversation paceThe correct answer is walking 10 minutes daily at a conversation pace. For deconditioned patients, the FITT framework prioritizes low intensity (permitting conversation) and manageable duration to build tolerance without exceeding pain thresholds or cardiac reserves. High-intensity interval training or working to the point of fatigue (distractors) increases injury risk in this population. Focusing solely on bed rest fails to reverse deconditioning. The prescription must balance activity with the patient's low baseline tolerance.
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