Cancer-Related Fatigue. Objective The learner will be able to discuss the nursing management of...
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Transcript of Cancer-Related Fatigue. Objective The learner will be able to discuss the nursing management of...
![Page 1: Cancer-Related Fatigue. Objective The learner will be able to discuss the nursing management of cancer-related fatigue.](https://reader035.fdocuments.in/reader035/viewer/2022072006/56649f575503460f94c7b8c8/html5/thumbnails/1.jpg)
Cancer-Related Fatigue
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ObjectiveThe learner will be able to discuss the nursing
management of cancer-related fatigue.
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ProblemFatigue is a distressing, persistent, and subjective sense of tiredness or exhaustion that is not proportional to recent activity and interferes with usual functioning.
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Incidence• Often cited as the most common symptom• Occurs with other symptoms in a cluster• Contributing factors:– Anemia– Sleep disturbances– Poor nutrition– Fluid/electrolyte abnormalities
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Pathophysiology• Elevated cytokine release • Altered skeletal muscle metabolism• Dysregulation of the hypothalamic pituitary-
adrenal (HPA) axis • Sickness behavior
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Assessment• Elevated cytokine release • Altered skeletal muscle metabolism• Dysregulation of the hypothalamic pituitary-
adrenal (HPA) axis • Sickness behavior
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Evidence-Based Interventions• Recommended for practice:– Exercise
• Likely to be effective– Energy conservation– Education– Measures to optimize sleep quality– Complementary therapies (massage, relaxation)
• Balance benefit with harms.– Correction of anemia
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ReferencesIrwin, M., Poirier, P., & Mitchell, S.A. (2014). Fatigue. In M. Irwin & L. Johnson (Eds.). Putting evidence into practice: A pocket guide to cancer symptom management (pp. 111-117). Pittsburgh, PA: Oncology Nursing Society.Mitchell, S.A. (2015). Fatigue. In C.G. Brown (Ed.). A guide to oncology symptom management. (2nd ed., pp. 385-407). Pittsburgh, PA: Oncology Nursing Society. National Comprehensive Cancer Network. (2015). NCCN clinical practice guidelines in oncology: Cancer-related fatigue [V.2.2015]. Fort Washington, PA: Author.