TIME
ACTIVITY (PHYSICAL,MENTAL,EMOTIONAL)
©2011 by Selena of Oh My Aches and Pains!
ENERGY (A or T)
PAIN/FATIGUE LEVEL (0-10)
BODY POSITION
HEART RATE
FIBROMYALGIA TIME STUDY WORKSHEET Track your activities to get a better sense of how much activity you can tolerate in a day. The first time you use this form you’ll be assessing your baseline level of functioning. After that , use this worksheet on an ongoing basis to see if your energy, pain and fatigue levels change over time. Below is an example of how to use the form: TIME
8:00 8:30 9:00 9:30
am am am am
ACTIVITY (PHYSICAL,MENTAL,EMOTIONAL) Made and ate breakfast (physical) Rested with eyes closed Read a book (mental) Walked the dog (physical)
ENERGY (A or T) Takes Adds Takes Takes
PAIN/FATIGUE LEVEL (0-10) P=7, F=8 P=6, F=7 P=6, F=7 P=7, F=7
BODY POSITION stand, sit recline recline walking
HEART RATE 95 80 85 110
ACTIVITY: In addition to recording what you are doing, take the time to indicate the type of activity: physical, mental and/or emotional. You might discover that some “restful” activities like reading a book or watching TV actually require mental and/or emotional energy. When you have completed the form, you’ll want to total how much physical, mental and emotional activity you are able to do in a day. Also check and see if you are alternating between the activity types during the day to help conserve energy and pace yourself. ENERGY USED: Activities either Add or Take energy away from your daily allotment. Do you take time each day to add energy? One way is to schedule rest breaks where you recline or lay down in a quiet room with your eyes closed for 5 to 15 minutes. You can use your time study data to identify times during the day where rest breaks might be helpful. PAIN AND FATIGUE LEVEL: Tracking both pain and fatigue levels gives you feedback about the activities that increase and decrease these symptoms. Also look for delayed reactions to activities in the form of increased pain and fatigue. This can occur at anytime, sometimes up to 72 hours after an activity is completed. Looking for trend helps identify activities that might need to be modified so that they are more doable and fibro-friendly. BODY POSITION: To conserve energy, you want to recline more than you sit and sit more than you stand. Look to see if more activities can be done sitting, or if you can alternate between sitting and standing during an activity. You can also identify which combinations of activity and body position cause more pain and fatigue. Examples might be driving, grocery shopping or housework. This information can help you decide if changes need to be made in how you approach these tasks or if these tasks need to be time-limited or delegated to someone else. HEART RATE: Wearing a heart rate monitor, or simply taking your pulse rate throughout the day, is another way to assess how hard your body is working. Start by calculating 60% of your maximum heart rate by subtracting your age from 220 and multiply that number by .6 (60%). (So for example, if you are 45: 220 – 45 = 175, 175 x .6 = 105.) This number represents something called the anaerobic threshold. According to the Workwell Foundation, a heart rate higher than the anaerobic threshold increases fatigue for many people living with fibromyalgia and chronic fatigue syndrome. Use the heart rate information on your time study to identify activities and body position that are causing your body to work too hard and become more fatigued. For more information or to see if this type of monitoring is right for you, talk to your doctor or contact the Workwell Foundation in Ripon, CA. ©2011 by Selena of Oh My Aches and Pains! http:///www.ohmyachesandpains.info