The Costs of Exertion
When I moved into my first apartment, I quickly learned the meaning of “cost of exertion” every time I had to do laundry. The process would take me nearly all day, involving a full weekend if you also included the recovery time from lifting, transferring, folding, and putting my clothes away.
Immediately I had to reconsider my priorities. What was the cost of this task and could I pay a different price rather than one of time and energy?
To this day, considering the cost of exertion is a priority for my everyday life.
First, I learned that I could either hire someone to do the laundry or I could send it out with a service. To me, this was very worthwhile because I didn’t spend a day doing a task I don’t enjoy and also another day trying to recover from it. My laundry was done quickly and easily by someone else and to me the bill was worth the investment.
When I really think about it, just about any task I undertake involves more exertion than most people have to think about. Getting ready in the morning involves time and patience because my joints are stiff and slow. Basic tasks are harder because I can’t stand for long at one time or need a bench to sit in my shower.
Obviously, many tasks are worth the exertion. Showering may take effort, but I am glad for the warm water on my joints and for making myself presentable to leave the house. While I don’t cook as much anymore (thanks to my husband, Richard!), I do enjoy it and don’t mind spending my energy this way.
On the flip side, many times strangers assume that I don’t have the ability to work, get out in my community, and be an active person. I try to patiently explain that despite my rheumatoid arthritis and subsequent disability, I do in fact have a life. While I may grapple with the illness, the cost of exertion does not deny me the ability to live fully.
Increasingly I am thinking about energy. How do I conserve energy? How do I prioritize what’s important to maximize my energy resources? How do I measure costs of exertion and keep a balance that works for me?
Sometimes it is a struggle—there are days where I cannot win. But other days the daily costs are not bad and I work a full day, come home to my husband and have energy to spare for him, my family, and friends. These are the best days!
But I do need to respect the cost of exertion and understand it. I have to recognize where I lose the most energy and find solutions to make these exhausting tasks even a little bit easier. Assistive devices, tricks or techniques, and careful planning can all help with managing or minimizing exhaustion.
One huge game changer for me was when I started using a wheelchair. While we had avoided it as long as possible, when I did start to use one it made a huge difference in conserving my energy. I was able to do more throughout the day by getting help with an activity (walking) that really drained me and also caused me pain.
What are the costs of exertion that you experience throughout the day? What tactics have you tried to help minimize or manage these costs?
Does your RA impact you financially?