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Boundaries Start with U: Protecting Your Health with RA

It was my nap that taught me about boundaries and my role in maintaining them.

Years ago, my rheumatoid arthritis (RA) progressed to the point that I needed a daily rest to manage fatigue and pain. And that’s when I banged hard up against other people’s preconceptions.

“It must be wonderful to have a nap every day,” said many. “I wish I could indulge in a nap,” said others.

I’m sure I don’t need to mention that none of the speakers had a chronic illness?

Not just a nap

My daily nap was not an indulgence. It was — and remain — a necessity. Because of it, my fatigue and pain levels are more manageable, which enables me to have a higher quality of life and to actually have one. A life, that is.

I very quickly got fed up with constantly having to explain this and renamed it, using a term that reflects why I need to sleep for an hour and a half in the late afternoon. It is not a nap. It’s my Mandatory Rest Period.

When people wanted to arrange a meeting, phone call, or activity around that time, I explained simply and factually that that was when I took my Mandatory Rest Period, an important (and immovable) part of managing fatigue and pain, and that we’d have to find another time.

The impact of my decision to use different terminology was immediate and very educational. Although some tried to push a bit against this boundary, most just accepted it and suggested a different time. More than that, those who tried to push me to change, very quickly adapted and accepted.

That, I realized, was not just because of the different wording. It was because I stuck to my boundary. I didn’t twist myself into a pretzel of apologetic explanations, I didn’t get hurt, I was just pleasantly and politely inflexible to change, protecting that boundary.

And the world didn’t end. None of my family disowned me, none of my friends disappeared, and I continued working and volunteering with a number of organizations.

Boundaries start with you

This experience emphasized that my words and actions are an essential cue in guiding others to accept and respect my boundaries and my needs. Because — light bulb moment — if I don’t respect my boundaries, I show others they don’t have to, either.

For example: if I have told someone that my Mandatory Rest Period is sacred and I am not available, but I answer the phone or allow them to book a meeting (“just this one time”), I teach them that this boundary is not actually real. If I asked my partner to put dirty towels in the laundry, then continue to pick said towels off the floor while muttering invective, I play a role in his continued stomping on my boundaries.

In his defense, I should note that The Boy is very good at respecting my boundaries once I have told them where they are and I have never once picked up his towels.

And that’s another element to this thing about boundaries: you have to tell people where they are. We — and here I am mostly talking to women — are often taught to submerge our needs in favour of meeting those of others and makes it very hard to set a boundary, say it out loud, and stick to it.

But it’s important and although this can apply to any boundary set by anyone, it’s especially so for those of us who live with RA and other types of chronic illness. When you are constantly juggling pain, fatigue, and life, identifying what you need to do in order to continue to do that is an important step towards creating a better life. You may be able to survive without boundaries, but you can’t thrive.

You want to do that, right?

Think about what you need. Is it a nap, a particular type of diet, delegating household chores, or getting accommodations at work to make the job easier for your body? Figure out what you need, then say it to yourself and out loud, and then protect that boundary like your life depended on it.

Because it does.

12 Comments

  1. Scott DeNicola on February 25, 2020 at 5:11 pm

    It is important to set boundaries in all aspects of your life and even more improtant to abide by the boundaries set by others. I schedule in specific times of the day when I can’t be bothered or to just take a break. You need to set boundaries and stick to them. Human nature is such that if you say yes once people will expect it next time and it sets up a vicous cycle.



  2. Rick Phillips on February 25, 2020 at 8:47 pm

    Respect for boundaries is an adult outcome. If we get to point where we can respect and communication boundaries we then have grown up a great deal.



  3. Sarah Emery on February 26, 2020 at 3:42 am

    I have found that setting boundaries in my friend relationships, has evolved so much over the years. While I want to be supportive, it’s important to acknowledge and discuss boundaries.



  4. Geneva on February 26, 2020 at 11:13 am

    Very informative article! It helps us understand better what you experience living with RA. And what a good lesson you’ve taught with this article. If we want others to respect our boundaries, we need to respect them too.



  5. Kelly Martin on February 26, 2020 at 7:39 pm

    Mandatory rest period is a great name for it and it’s important for people to understand that when you have rheumatoid arthritis, rest is essential for pain management.



  6. Luna S on February 27, 2020 at 3:28 pm

    I like the term you use for this, my step-dad is the same way. He has a bad heart and problems with it that make it to where he needs a Mandatory rest period as well, always the same time every day and we’ve all grown accustomed to working around it because we know it is important.



  7. Ivana Mearns on February 27, 2020 at 3:28 pm

    Boundaries are definitely important in all aspects of our lives. It was really interesting to read your reflections on this topic, thanks!



  8. Britt K on February 28, 2020 at 12:07 am

    It is SO important to not only set but to stick to our boundaries in order to protect our physical, mental and emotional health. We need to remember that it isn’t selfish to stand up for what we need and when we need space, it’s important and necessary!



  9. Lyosha on February 28, 2020 at 5:18 am

    I agree: everything starts with yourself. you you are not kind and attentive to yourself nothing will work, ever



  10. Erica (The Prepping Wife) on February 28, 2020 at 10:00 am

    Boundaries are so important in all aspects of our lives! I am so proud of you for not only setting them, but sticking to them. Sticking to boundaries and keeping them is the hardest part, yet the single most important as well. Nothing good is easy, right? It is just too easy to think and say “just this once” but it never really is just this once. Thank you for the great reminder.



  11. Krystel | Frugal Living on February 29, 2020 at 10:06 am

    You are so right and this is something that I am trying to teach my boss right now. People have boundaries and priorities.



  12. Lyanna Soria on March 3, 2020 at 11:36 am

    This was a wonderful read that we should all learn from. Setting boundaries is quite important thing to set up in our everyday life.