Bury Integrated Pain Service ACTIVITY PACING FACETSCOMPONENTS STAGES

Bury Integrated Pain Service ACTIVITY PACING FACETS/COMPONENTS & STAGES

Facets/Components of Activity Pacing • Pacing is a multidimensional strategy • Comprised of different facets/components • Relevance will vary between people

Facets/Components of Activity Pacing • • • Breaking down tasks Spreading out activities Alternating activities Scheduled breaks Finding baselines Undertaking some activities despite symptoms Not overdoing it on a ‘good’ day Having consistent activity levels Establishing routines

Facets/Components of Activity Pacing • • • Acceptance of abilities Allowing flexibility Setting realistic goals Delegating tasks Asking for help Planning / prioritising Setting meaningful goals Undertaking meaningful activities Gradual increases

Stages of Activity Pacing • • Introduce Baseline Adjust Plan Consistent Learning Progress

Stages of Activity Pacing Introduce • • Context and aims Types of behaviour Potential barriers including beliefs/fears Impact of different activities (mental and physical)

Stages of Activity Pacing Baseline • • Current manageable baselines Activity diaries Acceptance of symptoms & current abilities Self-compassion & self-care

Stages of Activity Pacing Adjust • Work towards a stable baseline of activities • Facets include breaking down tasks, spreading out activities, alternating activities with rest, switching between different types of tasks, scheduling rest breaks, changing positions

Stages of Activity Pacing Plan • Plan activities & set quotas • Set realistic & meaningful goals • Prioritise activities, balance essential & meaningful activities • Be assertive, say ‘no’, delegate, ask for help

Stages of Activity Pacing Consistent • • Consistent levels of activity Some activity on a ‘bad’ day Similar amount on a ‘good’ day Develop a routine

Stages of Activity Pacing Learning • Flexible approach : gain control and choice • Problem solving, experiential learning • Adjust goals, re-establish baselines

Stages of Activity Pacing Progress • Gradually progress as able: increase activities (duration/frequency/level), recommence previously avoided/new activities • Introduce new goals • Improve the range & balance of different activities