ANSWERS GRADED A+
✔✔Treatment related exemplars of fatigue - ✔✔-Chemo
-Radiation
-Surgery
-Side effects of medicine
✔✔unknown etiology exemplars of fatigue - ✔✔-Idiopathic chronic fatigue
-Chronic fatigue syndrome
✔✔Causes of fatigue - ✔✔Waste product accumulation
Insufficient supply of substances
Inflammatory process
✔✔Populations at risk for fatigue - ✔✔-Older Adults
-Woman
✔✔Individual risk factors - ✔✔-underlying conditions
-treatment related factors
-nutritional status
-Life style choices
✔✔Underlying conditions of fatigue - ✔✔-anemia
-depression
-multiple sclerosis
-Lupus
-heart, liver, kidney, or thyroid disease
-eating disorders
-infections
✔✔Treatment related factors of fatigue - ✔✔-Beta Blockers
-Anti depressants
-Psychoactive substances
-Chemo
-Radiation
✔✔Nutritional status of fatigue - ✔✔-Nutritional deficiencies
-Protein calorie malnutrition
-Due to chronic or acute conditions
✔✔Lifestyle choices of fatigue - ✔✔-exercising excessively
-poor diet
-Not sleeping
-working too much
,✔✔Assessment of fatigue history - ✔✔-description
-onset/course
-duration
-factors
-impact on daily life
✔✔Assessment of fatigue exam findings - ✔✔-Inspection
-palpation
-Auscultaltion
✔✔Assessment of fatigue Diagnostic test - ✔✔-CBC with differential
-thyroid function test
-Liver/renal function test
-ESR
-chemistry
-Pregnancy test
✔✔self-report instruments fatigue - ✔✔Brief fatigue inventory (BFI)- measures amount,
activities affected by fatigue
ex Cancer patients
Multidimensional Fatigue Inventory (MFI)- Measures general, physical, mental, reduced
motivation, and reduced activity
ex COPD
Multidimensional Assessment Fatigue (MAT)- measures severity, distress, degree of
interference in activities of daily living, timing (Frequency of occurrence and
changeability)
ex arthritis
Fatigue severity- measures severity, how fatigue interferes with certain activities
developed for patients with multiple sclerosis and lupus
✔✔Clinical management primary prevention - ✔✔-good nutrition
-exercise
-adequate sleep
-manage stress
-patient teaching for individual risk factors
✔✔Clinical management secondary prevention - ✔✔-No population- wide screening
efforts since fatigue associated with multiple conditions
-Nurses to screen patients at risk for fatigue
-using self report instruments
✔✔interventions; manage physiological fatigue - ✔✔-Balanced nutrition
-Adequate sleep
-Manage stress
, ✔✔interventions; manage secondary fatigue - ✔✔-Manage chronic conditions
-Patient education for individual risk factors
✔✔interventions; exercise and rest therapy - ✔✔-Walking 30 minutes/ day
-yoga
- Avoid over-exertion
-Planned rest breaks
✔✔interventions; pharmacological agents - ✔✔-medications to treat underlying
conditions
-Medications for fatigue
✔✔interventions; Psychological - ✔✔-establish therapeutic relationship
-cognitive behavioral therapy (CBT)
✔✔Interrelated concepts of fatigue - ✔✔1. Mobility, cognition, functional ability
2. Mood and affect, nutrition, pain
3. Stress, sleep, gas exchange, perfusion, cellular respiration
✔✔Development - ✔✔-the sequence of physical, psychosocial, and cognitive
development changes that take place over the human lifespan.
✔✔three aspects of change; development - ✔✔Occurs as a simultaneous, ongoing,
interrelationship
1.physical growth
2.Differentiation
3.Maturation
✔✔Normal human development - ✔✔organized
progressive
follows a predictable sequence across life stages
✔✔order and progression of development - ✔✔-The order of skill development is more
important than chronological age
-development is ongoing and speed varies
ex baby walking can be anywhere up to two years
✔✔Understanding development - ✔✔-growth and development are not the same
-must adopt a life span perspective of human development
-takes in to account all developmental stages
-includes development through adult years
✔✔Development theories - ✔✔-provide framework for examining, describing, and
appreciating human development