Pacing for PEM
Post-Exertional Malaise (PEM)
PEM is the worsening of symptoms & function after exertion/stressor (physical, cognitive, emotional, sensory) that were previously tolerated.
Pacing for PEM is a complex specialized strategy for managing exertion over time for individuals with impaired metabolism functioning
Pacing for PEM must account for exertion prior to task, during task and post task.
Pacing for PEM is a lifestyle for symptom management.
Pacing
A strategy used for managing exertion over time.
3 Categories of Pacing
Pacing for individuals without significant health concerns
Pacing for therapeutic strategy
Pacing for PEM: specialized strategies for individuals with impaired metabolism functioning
What does OT look like for people with PEM?
How can OT support people with PEM?
Restore, Rebuild, Redefine OCCUPATIONS lost due to the unique characteristics of PEM
Task Analysis
must do, might do, may do
Prioritize: Where is this task on your To Do list?
Is this task meaningful and purposeful?
Activity Analysis
Plan
What will it take to get the activity done?
Pace
How can I get this done with my energy & symptoms?
Adaptations & Modifications
