1. The child should get up, get dressed, and perform normal activities of daily living.  The child should progressively increase his activity and rest when he is tired.  With increased activity, muscle and bone discomfort should gradually decrease.

2. Children tend to restrict themselves well, however, safety should always be considered.  Special attention should be given to the prevention of falls and injuries since the breastbone does not heal for several weeks.

3. More frequent nap periods may be necessary, as the child warrants.

4. If your child does not seem to be progressing in strength, please notify the physicians of The Sanger Clinic.

5. Keep the child at home with few visitors the first 2 weeks.  Your cardiologist will decide at your return visit when your child may return to school, daycare or nursery.