I'm reviving this thread because I've been reflecting on how compliance with pacing advice can be assessed, and what stops us being able to pace effectively. Rather than starting yet another pacing thread, I think the comments on this thread are relevant. So I'm adding a different slant to the thread by asking 3 questions: What prevents you pacing? What helps you most with pacing? What change would enable you to pace more effectively?
And my answers: What prevents you pacing? Physically - self care and caring responsibilities Cognitively - boredom - I'm not good at completely resting What helps you most with pacing? Step and heart rate monitoring Using ready meals rather than trying to cook from scratch What change would enable you to pace more effectively? Help with showering, cooking, household management, but the downsides at the moment outweigh sorting this help, due to ongoing Covid shielding and past experience of interaction with multiple carers being itself exhausting.
What prevents me from pacing are my desires and needs, my urge to LIVE! What helps me most with pacing is remembering how much I hate the payback of not doing so, how I then feel sick, how it puts my life on hold. What change would enable me to pace more effectively? - Learning evermore from point 2... I never seem to learn… (and of course, having others help me with my needs if possible)
Getting it into my head *permanently* that pacing works and going over my energy boundary isn't ever going to change. I'm still in PEM 5 days later after getting up and down on my chair (10 times) to take down my sheers and blinds for cleaning and putting them back up again hoping I'll skip PEM this time around just because I want to look at nice clean wall hangings.
Reaching up and lifting heavy things above head is worst thing you can do if you have orthostatic intolerance ie standing especially standing still gives you PEM. Hope it resolves soon.
What stops me pacing well Unexpected energy demand later in day, plus needing to do more because carers so shorthanded, nearing retirement and many going off sick trying to fit in all the calls to make up Also need to listen to talking book to rest as mind too busy to rest What helps me pace Awareness of payback what would help Having carers at regular times not in such a rush fitting in extra calls but no new younger ones coming forward.
A good mindset for good energy management is to do things for fun and personal satisfaction. That avoids falling into the trap of becoming ambitious and setting goals to do and achieve more. Too much fun can also lead to overexertion. If the focus is on "how am I feeling while doing this, does it still feel good" it helps pay attention to current energy levels and whether they are getting low.