CLIP 15 Minute Online Tutorial

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CURRENT LEARNING IN PALLIATIVE CARE

15 Minute Online Tutorials

Helping patients with symptoms other than pain

2: Fatigue, lethargy, drowsiness and weakness

Intermediate Level

CLIP Index

How to use this tutorial

Case study

Activities

Further activity

FURTHER READING

Papers

Aapro MS. Cella D. Zagari M. Age, anemia, and fatigue. Seminars in Oncology. 2002; 29(3 Suppl 8):55-9.

Dimeo F. Radiotherapy-related fatigue and exercise for cancer patients: a review of the literature and suggestions for future research. Frontiers of Radiation Therapy & Oncology. 2002; 37:49-56,.

Fulton C. Knowles G. Cancer fatigue. European Journal of Cancer Care. 2000; 9(3):167-71.

Gall H. The basis of fatigue: where does it come from? European Journal of Cancer Care 1996; 5: 31 - 34.

Glaus A, Crow R, Hammond S. A qualitative study to explore the concept of fatigue / tiredness in cancer patients and healthy individuals. European Journal of Cancer Care 1996; 5: 8 - 23.

Håvard Loge J. Unpacking fatigue. European Journal of Palliative Care, 2003; 10(2) Suppl: 14-20.

Kirsh KL. Passik S. Holtsclaw E. Donaghy K. Theobald D. I get tired for no reason: a single item screening for cancer-related fatigue. Journal of Pain & Symptom Management, 2001: 22(5):931-7.

Mock V, Dow KH, Meares CJ, Grimm PM, Dienemann JA, Haisfield-Wolfe ME, Quitasol W, Mitchell S, Chakravarthy A, Gage I. Effects of exercise on fatigue, physical functioning, and emotional distress during radiation therapy for breast cancer. Oncology Nursing Forum, 1997: 24 (6):991–1000.

Nail LM. Fatigue in patients with cancer. Oncology Nursing Forum. 29(3):537, 2002

Richardson A, Ream E. The experience of fatigue and other symptoms in patients receiving chemotherapy. European Journal of Cancer Care 1996; 5: 24 - 30.

Richardson A. Fatigue in cancer patients: a review of the literature. European Journal of Cancer Care 1995; 4: 20 - 32.

Stone P. The measurement, causes and effective management of cancer-related fatigue. International Journal of Palliative Nursing. 2002: 8(3):120-8.

Winningham ML. Nail LM. Burke MB. Brophy L. Cimprich B. Jones LS. Pickard-Holley S. Rhodes V. St Pierre B. Beck S. Fatigue and the cancer experience: the state of the knowledge. Oncology Nursing Forum. 1994: 21(1):23-36.

Yarbro CH. Interventions for fatigue. European Journal of Cancer Care 1996; 5: 35 - 38.

Resource books and websites

Fatigue in Cancer: a Multidimensional Approach. Winningham ML, Barton-Burke M. Boston: Jones and Bartlett, 2000.

A Guide to Symptom Relief in Palliative Care, 5^th ed. Regnard C, Hockley J. Abingdon: Radcliffe Medical Press, 2004

Oxford Textbook of Palliative Medicine 3rd ed. Doyle D, Hanks G, Cherny NI, Calman K eds. Oxford : Oxford University Press, 2003.

PCF2- Palliative Care Formulary, 2^nd ed. Twycross RG, Wilcock A, Charlesworth S. Abingdon: Radcliffe Medical Press, 2003. Also on www.palliativedrugs.com

Symptom Management in Advanced Cancer, 3rd edition. 2001. Twycross RG, Wilcock A. Abingdon: Radcliffe Medical Press.

www.cancerfatigue.org Information on fatigue set up by the Oncology Nursing Society, US.

www.oncolink.upenn.edu/support/fatigue Tips on managing fatigue and anaemia.

www.cancerbacup.org.uk/info/fatigue.htm Online version of patient information booklet on fatigue.

www.oncolink.upenn.edu/support/fatigue Focus on fatigue as part of OncoLink, a comprehensive oncology information service