Care at the Close of Life: Evidence and Experience
Stephen J. McPhee, Margaret A. Winker, Michael W. Rabow, Steven Z. Pantilat, Amy J. Markowitz
Part B Symptom Management
Chapter 9. Palliative Management of Fatigue at the Close of Life: “It Feels Like My Body Is Just Worn Out”
Sriram Yennurajalingam, MD, Eduardo Bruera, MD
Causes of Fatigue
Topics Discussed:
fatigue
Excerpt:
"
Fatigue is a multidimensional syndrome, often with multiple contributing
causes.16-19 Physiologic, psychological, and situational
factors can contribute to fatigue, as exemplified by Mrs D's
anemia, weight loss, depression, dyspnea, deconditioning, isolation,
and polypharmacy. Chronic diseases can produce factors, such as
circulating cytokines, inflammation, and autonomic failure, that
may mediate fatigue.20-24..."
Log in to read the full chapter:
Get full access to JAMAevidence two ways:
Subscribe to JAMAevidence
JAMAevidence is a subscription-
based website dedicated to the learning, teaching, and practicing of evidence-based medicine.
Pay Per View
Timed access to all of JAMAevidence
24 hours for $29.95
48 hours for $49.95