The picture – what greeted us as we walked through the front door – and that sparkly stuff on the ground? It’s all my crystal in tiny sharp shards…The wooden thing you can see is the bottom of our sideboard, and to the far right, the doorway.
It’s not often I post with a specific focus on ‘occupation’ as the occupational therapy profession defines it. This is not, I hasten to add, because I don’t think it’s important, it’s more a case of my posts being about the processes that underlie effective engagement in ‘occupation’ for people with chronic pain.
But today, in the aftermath of the horrific earthquake in Christchurch one week ago, I’m taking time to reflect on some aspects of the earthquake that people have commented on, but possibly won’t reach the attention of the media, or even health care commentators generally. I wasn’t in Christchurch for the actual quake, we arrived home on Thursday, the second day after it, but even I have found this experience unsettling and perhaps even ‘traumatic’, to use an over-used term.
These are the things that have struck me:
Our normal routines are anchored in the rhythms of sunrise, sunset, temperature, wind, sunshine (or not). They’re also tied to hunger, thirst, need for sleep and need to socialise. In my return to home, I still have these routines to sustain me.
What has gone are many of the other routines that are present but taken for granted. Things like the sound of vehicles in the morning, the thud of the newspaper as it is delivered outside, the beep of the alarm clock as it goes off in the morning. Without power and roads that are broken and cracked, these cues are no longer present. I wake in the quiet of a morning without vehicles. It’s like a Sunday morning or a public holiday.
Manly Jack has already got up and out in the dark, waking to his wristwatch alarm, and heading off to Burnham Military Camp to start his day’s work with the Disaster Victim Identification Teams. It’s a drive of about 35 minutes normally, but takes another 15 minutes longer right now, depending on the state of the roads.
Getting up used to be a relatively leisurely affair – morning paper, coffee, breakfast, blog a bit, then rush around having a shower, doing face, hair, getting dressed and getting out the door. Now I make coffee using the gas camp cooker, no paper so I’m reading a book. No shower, so I have a wash (with twice-boiled water – water is unsanitary at present and we need to boil it well). I don’t bother with makeup or fussing with my hair – I’m not working currently, I’m on annual leave.
The constant rumble of heavy earthmoving equipment, along with the sound of someone’s diesel power generator and an occasional car is present all day. This noise doesn’t stop until well after dark. It accompanies me wherever I go, as does the dust from settling silt. Dust is everywhere.
Things can take a lot longer now. While cooking is no different, apart from the gas camp cooker sitting on top of the stove, cleaning takes greater priority. Because there is no power, and the water is not safe, and we have no sewerage system (just the porta-potty!), it’s vital to keep things clean. And I mean really clean. This is not easy – we have two 20 litre containers of water, and a collection of old 2 litre plastic milk bottles filled with water picked up from the corner where the Church people have been providing food, water and other essentials. That’s it for water supply. The water shortage applies across the city, even in areas that have water… I’m using a powerful spray and making sure every surface is dried.
I wash my hands multiple times a day. I mainly use alcohol-based hand gel so my hands are cracking. It’s the cleaning thing – without power or water, it’s really difficult to clean up the contents of my pantry that were hurled to the floor. Washing dishes is about using the smallest amount of water to get the maximum cleaning – and remembering to heat the water while eating so it’s ready for cleaning afterwards. Not so different from camping, but unfamiliar in my home.
It’s difficult to get out and about to buy things like milk, bread, fruit. While some supermarkets are open, my local one is not. It takes longer to figure out a menu so that it’s made of things that don’t need refrigerating. Ice is not so easy to find – I use it to keep the food chilled in the camping chilly-bin (Eski to you Ozzies).
The end of the day comes quickly. It’s now tied more to sunset than the time TV programs finish. It’s dark and I stop reading about 7.30pm because light has faded and the gas light isn’t bright enough to continue. We sit in the ‘romantic’ light until it’s time to get to bed – Manly Jack usually having arrived home about 8.00pm or so. Once again, night sounds are different. No noisy boy racers! Just that rumble of heavy equipment until 9.30pm.
What I’ve learned is that I rely on habits and routines to keep my life organised without having to really think. When the cues that help keep routines and habits in place are gone, it takes longer to think and plan and get organised. When the things we take for granted such as power, water, heating, light are different – more difficult to do, take longer, use different skills – the toll is taken in fatigue, a feeling of ‘dis-location’, confusion and a sense of both loss and derealisation.
I usually live with pretty regular routines. They make my life much easier in that I don’t need to think ‘where did I leave my car keys?’, or ‘when do I need to get ready to go to work?’. When everything is different including basics like water, food, power, toilet, roading, shopping – then it requires far more energy.
We call this ‘self regulation’. The ability to organise oneself to achieve what is important, and to adapt to suit changing circumstances. All of us develop self regulatory skills as we mature. Some commentators go as far as to say that maturity is all about the ability to self regulate. Without the ability to decide what is important – then proceed to engage in behaviour to support that goal or value, life can be pretty chaotic and fatiguing.
Perhaps one of the most important aspects of human functioning that occupational therapists can support is the development of effective self regulatory behaviour. And in this earthquake aftermath, let’s not forget that for most people in Christchurch, self regulatory fatigue is likely to occur. This is when occupational therapists can (and should) be visible and available to the most vulnerable people in our community.
McClelland, M. M., Ponitz, C. C., Messersmith, E. E., & Tominey, S. Self-regulation: Integration of cognition and emotion. The handbook of life-span development, Vol 1: Cognition, biology, and methods (pp. 509-553). Hoboken, NJ: John Wiley & Sons Inc; US.