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Working with Chronic Fatigue Syndrome

IMAGINE combining: . The worst jet lag you may have experienced after a long haul flightThe most anxiety provoking situationThe feeling that a bulldozer has been through your bedroom in the night and ploughed over you". Lucy. Community Health Professional working long hours for NHSClini

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Working with Chronic Fatigue Syndrome

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    1. Working with Chronic Fatigue Syndrome Mel Terry Specialist Occupational Therapist Cornwall & IOS Chronic Fatigue/ME Service Well Being at Work Conference 8-9th March 2011

    2. IMAGINE – combining: The worst jet lag you may have experienced after a long haul flight The most anxiety provoking situation The feeling that a “bulldozer has been through your bedroom in the night and ploughed over you”

    3. Lucy Community Health Professional working long hours for NHS Clinics, driving, computer, teaching, managing staff. Glandular Fever, ill for a year, diagnosed CFS/ME, post exertion fatigue, malaise, severe headaches, balance problems, cognitive deficits, depression. Previously friends with manager, now changed. Work important for keeping her home for her family (single mother) Enjoys her work when team fully staffed Previously very active, loves the outdoors, water sports. Frustrated by the restrictions on her life and worried by the prospects she faces – change/loss of job, relocation, leaving partner in Cornwall LATER – Rehab programme

    4. Aims of the Session Brief overview of CFS/ME symptoms/effects on function Role of OT and employer Unique rehabilitation programme Relapse prevention/contingency management

    5. Symptoms of CFS/ME Post exertion fatigue Malaise Pain – generalised/specific Disturbance in Sleep-Wake rhythm Cognition deficits – memory/concentration

    6. Symptoms of CFS/ME Anxiety Depression Musculoskeletal problems Nausea Nutritional problems Sensitivities/intolerances

    7. Functional effects of CFS/ME Disrupted routine Change in roles – relationships Reduced skill performance – motor, process, communication & interaction (ADL, Leisure, Productivity, Rest) Difficulties with environment – physical & social Poor self esteem – reduced motivation

    8. Overall Effect on Work Difficulty maintaining schedule previously required Poor attention/concentration on previously required tasks Reduced performance in work abilities Difficulty being in specified environment

    9. Role of OT with Employer

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