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9780192630940

Fatigue in Cancer

by ; ;
  • ISBN13:

    9780192630940

  • ISBN10:

    0192630946

  • Format: Hardcover
  • Copyright: 2004-06-03
  • Publisher: Oxford University Press

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Summary

Fatigue in Cancer provides a comprehensive review of the key issues involved in the research and practical application of current evidence and best practice guidelines for addressing cancer-related fatigue. An international group of contributors draw together core topics relating to thiscomplex area of cancer management, focusing on issues of definition, patho-physiology, treatment related variables and the psychological, social and emotional impact on patients, families and carers. Critical reviews of practical management strategies for both adults and children are included, asare the current approaches to the measurement of cancer-related fatigue in clinical and research contexts. The book contributes a multi-disciplinary overview of a problem increasingly overlooked by cancer scientists, researchers, and clinicians. This book demonstrates the considerable capacity of cancer-related fatigue to impact on quality of life. Its multi-disciplinary focus and consideration of prioritised areas of future research will ensure that it is will prove invaluable for all health professionals and researchers in oncology andpalliative care.

Table of Contents

List of contributors
xiii
Introduction xvii
Irene J. Higginson
Jo Armes
Meinir Krishnasamy
Why consider fatigue in cancer? xvii
What is fatigue and what causes it? xviii
How important is fatigue in cancer? xviii
Fatigue: a complex symptom with wide-reaching effects xix
Uncertainties regarding assessment, treatment, and future care xix
Part 1 The nature and pathophysiology of fatigue
Definitions, epidemiology, and models of fatigue in the general population and in cancer
1(28)
Matthew Hotopf
Introduction
3(1)
Definitions
3(1)
Epidemiology of fatigue in the general population
4(5)
The epidemiology of fatigue in cancer
9(7)
Models of fatigue
16(4)
Future research
20(1)
Conclusions
20(9)
A critical appraisal of the factors associated with fatigue
29(22)
Alison Richardson
Introduction
29(1)
Treatment-related fatigue
29(12)
Relationship of cancer-related fatigue with side-effects and symptoms of disease and treatment
41(1)
Implications for practice and research
42(2)
Conclusion
44(7)
Mechanisms and models of fatigue associated with cancer and its treatment: evidence of preclinical and clinical studies
51(38)
Paul Andrews
Gary Morrow
Jane Hickok
Joseph Roscoe
Paddy Stone
Introduction
51(2)
Is fatigue a biologically appropriate response to cancer and therapy?
53(2)
Challenges in studying the mechanism(s) of fatigue
55(3)
What is the origin of the sensation of fatigue?
58(3)
Mechanisms and models of cancer-related fatigue
61(11)
Conditions that may covary with fatigue
72(4)
Closing comment
76(13)
Cancer cachexia and anorexia and their role in cancer fatigue
89(34)
Monica Castro
Eduardo Bruera
Introduction
89(1)
Definitions and frequency of anorexia/cachexia and cancer-related fatigue
89(1)
Mechanisms of cachexia/anorexia and their relationship with fatigue
90(9)
Clinical assessment
99(3)
Management of cancer anorexia/cachexia syndrome with reference to cancer-related fatigue
102(6)
Approaches to fatigue management
108(1)
Psychological and spiritual issues
109(1)
Future perspectives
110(13)
Part 2 The experience of fatigue
Fatigue in lay conceptualizations of health and illness
123(14)
Meinir Krishnasamy
David Field
Introduction
123(1)
Lay perceptions and the potential for contextually relevant healthcare
124(1)
Fatigue, health, and well-being
125(4)
Constructing the fatigue experience
129(2)
Lay perceptions of cancer-related fatigue: an emergent model
131(6)
The experience of cancer-related fatigue
137(20)
Jo Armes
Introduction
137(6)
The nature of fatigue
143(1)
Cancer-related fatigue and alterations in bodily awareness
144(1)
Physical and cognitive effects of cancer-related fatigue
145(1)
Social effects of fatigue
146(1)
Effect of cancer-related fatigue on perceptions of self
147(1)
The emotional experience of cancer-related fatigue: suffering
148(2)
Coping with cancer-related fatigue
150(1)
Implications for practice and research
151(1)
Conclusion
152(5)
Carers, caring, and cancer-related fatigue
157(18)
Meinir Krishnasamy
Hilary Plant
Introduction
157(1)
Caring and carers
158(1)
Cancer and caring
159(1)
Factors affecting carers' perceptions of fatigue
160(3)
Emotions: sustaining caring and emotion work
163(2)
Caring in isolation
165(3)
The exhaustion of uncertainty
168(2)
Recommendations for research and practice
170(1)
Conclusion
171(4)
The experience of cancer-related fatigue in children, adolescents, and their families
175(18)
Marilyn Hockenberry
Pamela Hinds
Patrick Barrera
Cindy Burleson
Jami Gattuso
Nancy Kline
Sarah Bottomley
Patricia Alcoser
Jill Brace O'Neill
Introduction
175(1)
The research
176(1)
Fatigue in children and adolescents with cancer: definitions, causes, and coping
176(4)
Impact of the child's fatigue on the family
180(4)
Coping strategies
184(1)
Implications for practice development
185(2)
Future directions for practice and research
187(6)
Part 3 The assessment and management of fatigue
The assessment and measurement of fatigue in people with cancer
193(30)
Horng-Shiuann Wu
Maryellen McSweeney
Introduction
193(1)
Clinical assessment of fatigue and weakness
194(5)
The validity and reliability of fatigue questionnaires
199(12)
A critique of the methodology of fatigue research
211(3)
Implications for practice and research
214(1)
Conclusion
215(8)
Fatigue and depression in cancer patients: conceptual and clinical issues
223(20)
Paul Jacobsen
Michael Weitzner
Introduction
223(1)
What are the conceptual similarities and differences between fatigue and depression?
223(4)
To what extent are fatigue and depression related and how might they be distinguished?
227(4)
What are the causal relationships between fatigue and depression?
231(2)
What are the treatment implications of relationships between fatigue and depression?
233(3)
Conclusions
236(7)
Mental fatigue and cognitive dysfunction
243(12)
Christina A. Meyers
Introduction
243(1)
Components of mental fatigue
243(1)
Components of cognitive dysfunction
244(3)
Aetiology of mental fatigue
247(1)
Assessment and measurement
248(1)
Interventions
249(1)
Conclusion
250(5)
Clinical interventions for fatigue
255(24)
Emma Ream
Paddy Stone
Introduction
255(1)
Purpose of interventions for fatigue
256(1)
Pharmacological interventions
256(6)
Non-pharmacological interventions
262(6)
Future directions for research
268(3)
Future directions for practice
271(1)
Conclusion
271(8)
Fatigue and everyday function in people living with cancer
279(12)
Trudy Mallinson
David Cella
Introduction
279(1)
A model of the relationship between capacity and performance
280(3)
Why distinguish between capacity and performance?
283(1)
The observation of skilled performance
284(1)
Implications for the evaluation/measurement of fatigue and function
285(1)
Importance for developing effective intervention strategies
286(5)
The therapeutic effects of exercise on fatigue
291
Davina Porock
Mei Fu
Introduction
291(1)
The physiological effects of exercise
292(4)
The psychological effects of exercise
296(2)
Forms of exercise
298(1)
Implications for practice and research
298(3)
Conclusion
301

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