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Issues in Palliative Care Research$
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Russell K. Portenoy and Eduardo Bruera

Print publication date: 2003

Print ISBN-13: 9780195130652

Published to Oxford Scholarship Online: November 2011

DOI: 10.1093/acprof:oso/9780195130652.001.0001

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Methodological Considerations in the Treatment of Fatigue

Methodological Considerations in the Treatment of Fatigue

(p.173) 11 Methodological Considerations in the Treatment of Fatigue
Issues in Palliative Care Research

Russell K. Portenoy

Eduardo Bruera

Oxford University Press

Due to recent medical advances, the life expectancy of people with chronic medical illness has been increasing. Fatigue is a symptom commonly associated with medical illness and has a high prevalence in palliative care settings. Fatigue is multidimensional in clinical expression and manifest in physical, emotional, and cognitive impairments. Fatigue is one of the most prevalent symptoms reported by patients with cancer, acquired immunodeficiency syndrome (AIDS), and multiple sclerosis. The presence of fatigue has been associated with functional limitations and impaired quality of life among chronically ill populations, including cancer and AIDS patients, and has been found to interfere with adherence to cancer treatment. This chapter holds that effective strategies for the clinical management of fatigue would reduce the overall symptom burden of many chronic illnesses.

Keywords:   fatigue management, medical illness, AIDS, cancer, multiple sclerosis, life expectancy

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