# PWR-060 — Energy conservation and pacing: learner worksheet Release: Revision 7T · Full Tutorial Edition Estimated time: Estimated 9 min reading; practical time is provider-set Difficulty: Intermediate Equipment: Basic stationery or digital tools — A one-day timeline with essential, optional and deferrable activities.; A simple personal energy-cost scale with fixed anchors.; Timers, seating, mobility aids and task tools.; A 24–48-hour symptom and recovery record when delayed exacerbation is relevant. Space: Desk / seated Automated structural checklist: 10 of 10 structural checks present Evidence quality/context: G4; Focused research depth Automated method-quality band: Comprehensive Method-rating basis: Structure coverage, instruction/check specificity, alternative distinctness, source troubleshooting, comparison depth and whether purpose/check fields are authored rather than derived. Editorial review: Pending manual editorial sign off ## Before you begin - [ ] I read the tutorial authority and stop conditions. - [ ] I have the required equipment/space or a declared accessible alternative. ## Canonical source context Pacing is not an automatic weekly increase. It uses available energy to protect meaningful life without triggering avoidable worsening. The learner maps one day, protects essential activity, breaks a task into parts, places rest before exhaustion and checks delayed symptoms. For post-exertional malaise or complex illness, the clinician controls the budget and progression. Target outcome: With an occupational therapist or qualified clinician, the learner completes one planned day segment within an agreed energy budget and records immediate and delayed response. ### Authority and setup conditions - The clinician checks diagnosis, post-exertional symptoms, orthostatic issues, nutrition/hydration needs and activities that cannot safely be deferred. - Do not use a fixed graded-exercise increase when symptoms worsen after exertion. - Identify essential self-care and caregiving needs before optional tasks. - Agree an abort plan for dizziness, collapse, severe symptom escalation or inability to complete basic care. ### Required or supplied materials - A one-day timeline with essential, optional and deferrable activities. - A simple personal energy-cost scale with fixed anchors. - Timers, seating, mobility aids and task tools. - A 24–48-hour symptom and recovery record when delayed exacerbation is relevant. ## 1. Map the day honestly List activities from waking through rest, including washing, thinking, travel, sensory load and emotional demands. Why: Energy use is broader than exercise and hidden tasks can exhaust the budget. Success check: The timeline contains physical, cognitive and social demands. Accessible alternative: Ask the qualified provider to adapt positioning, cue modality, pace, interface or rest while preserving this step’s declared check: “The timeline contains physical, cognitive and social demands.” If an adaptation changes the measured task or configuration, record it as a different configuration rather than an equivalent attempt. Alternative relationship: Conditional equivalence requires target and configuration check Learner notes: ________________________________________________________________________________ Completed: [ ] ## 2. Mark priorities Label each item essential today, important but movable, or optional. Why: Protecting meaningful essentials is different from trying to complete everything. Success check: Every activity has a priority label. Accessible alternative: Ask the qualified provider to adapt positioning, cue modality, pace, interface or rest while preserving this step’s declared check: “Every activity has a priority label.” If an adaptation changes the measured task or configuration, record it as a different configuration rather than an equivalent attempt. Alternative relationship: Conditional equivalence requires target and configuration check Learner notes: ________________________________________________________________________________ Completed: [ ] ## 3. Estimate personal cost Use the agreed scale to rate expected cost and note which symptoms appeared after similar tasks. Why: Personal cost and delayed response matter more than a generic calorie estimate. Success check: Ratings use the same anchors and cite recent experience. Accessible alternative: Ask the qualified provider to adapt positioning, cue modality, pace, interface or rest while preserving this step’s declared check: “Ratings use the same anchors and cite recent experience.” If an adaptation changes the measured task or configuration, record it as a different configuration rather than an equivalent attempt. Alternative relationship: Conditional equivalence requires target and configuration check Learner notes: ________________________________________________________________________________ Completed: [ ] ## 4. Break the chosen task Divide one essential task into setup, action, pause and finish; move supplies close and use aids. Why: Task design can remove avoidable demand. Success check: Each part can stop safely and necessary items are ready. Accessible alternative: Ask the qualified provider to adapt positioning, cue modality, pace, interface or rest while preserving this step’s declared check: “Each part can stop safely and necessary items are ready.” If an adaptation changes the measured task or configuration, record it as a different configuration rather than an equivalent attempt. Alternative relationship: Conditional equivalence requires target and configuration check Learner notes: ________________________________________________________________________________ Completed: [ ] ## 5. Place rest before the crash Schedule a low-demand rest or task switch at the planned point, not only after symptoms peak. Why: Pre-emptive rest can make the day more predictable. Success check: The rest point is on the timeline before activity begins. Accessible alternative: Ask the qualified provider to adapt positioning, cue modality, pace, interface or rest while preserving this step’s declared check: “The rest point is on the timeline before activity begins.” If an adaptation changes the measured task or configuration, record it as a different configuration rather than an equivalent attempt. Alternative relationship: Conditional equivalence requires target and configuration check Learner notes: ________________________________________________________________________________ Completed: [ ] ## 6. Alternate demand types Where helpful, alternate physical, cognitive, upright and sensory tasks rather than stacking one type. Why: Different demands can accumulate in different ways. Success check: The schedule avoids an unplanned cluster of high-cost tasks. Accessible alternative: Ask the qualified provider to adapt positioning, cue modality, pace, interface or rest while preserving this step’s declared check: “The schedule avoids an unplanned cluster of high-cost tasks.” If an adaptation changes the measured task or configuration, record it as a different configuration rather than an equivalent attempt. Alternative relationship: Conditional equivalence requires target and configuration check Learner notes: ________________________________________________________________________________ Completed: [ ] ## 7. Perform only the planned segment Use the aids and finish rule; defer the optional item rather than borrowing from tomorrow. Why: Staying inside the plan allows a fair delayed-response check. Success check: Actual activity and deviations are recorded. Accessible alternative: Ask the qualified provider to adapt positioning, cue modality, pace, interface or rest while preserving this step’s declared check: “Actual activity and deviations are recorded.” If an adaptation changes the measured task or configuration, record it as a different configuration rather than an equivalent attempt. Alternative relationship: Conditional equivalence requires target and configuration check Learner notes: ________________________________________________________________________________ Completed: [ ] ## 8. Check now and later Record function and symptoms immediately and at the agreed 24–48-hour times, then revise the budget with the clinician. Why: Post-exertional worsening may be delayed. Success check: No progression decision is made from immediate feeling alone. Accessible alternative: Ask the qualified provider to adapt positioning, cue modality, pace, interface or rest while preserving this step’s declared check: “No progression decision is made from immediate feeling alone.” If an adaptation changes the measured task or configuration, record it as a different configuration rather than an equivalent attempt. Alternative relationship: Conditional equivalence requires target and configuration check Learner notes: ________________________________________________________________________________ Completed: [ ] ## Reflection What changed? ________________________________________________________________________________ What remains difficult? ________________________________________________________________________________ What will I repeat, adapt, ask for help with, or stop? ________________________________________________________________________________ --- Completion of this worksheet demonstrates tutorial participation only. It does not establish capability, qualification, safety clearance, diagnosis, treatment or independent validation.