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Tiredness/fatigue in adults Tiredness/fatigue in adults - NICE CKS Clinical Knowledge Summaries Share Tiredness/fatigue in adults: Summary Tiredness (or fatigue) is often described as a lack of, or decreased, energy, and physical or mental exhaustion. Tiredness may be due to psychological, psychosocial, physical, or physiological causes or a combination of these. Between 10–18% of people in the UK report having tiredness lasting 1 month or longer, and 1.5% of people consult their GP with a new (...) Institute for Health and Clinical Excellence (NICE) uses the term chronic fatigue syndrome (CFS)/myalgic encephalomyelitis or encephalopathy (ME) however, for the purposes of this CKS topic, this will be referred to as chronic fatigue syndrome (CFS) . In adults, CFS should be considered if both of the following criteria are met: Fatigue that is persistent (for 4 months or longer) or recurrent; new or had a specific onset (not lifelong); unexplained by other conditions; has resulted in a substantial
Identification and Symptom Management of Myalgic Encephalomyelitis/Chronic Fatigue Syndrome IDENTIFICATION AND SYMPTOM MANAGEMENT OF MYALGIC ENCEPHALOMYELITIS/CHRONIC FATIGUE SYNDROME Clinical Practice Guideline | January 2016 These recommendations are systematically developed statements to assist practitioner and patient decisions about appropriate health care for specific clinical circumstances. They should be used as an adjunct to sound clinical decision making. OBJECTIVE Alberta clinicians (...) will have the information and tools necessary to detect key symptoms of myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS) and manage these symptoms over the long term. TARGET POPULATION Adults and children EXCLUSIONS None PRACTICE POINT Illness severity in ME/CFS ranges from mild (still able to work with effort) to extreme (bedbound needing 24 hour care). Pathological fatigue and post exertional malaise – out of proportion to exertion and taking more than 24 hours to recover – is the key
Determinants of compassion satisfaction, compassion fatigue and burn out in nursing: A correlative meta-analysis. Compassionate care is essential for better clinical and patient outcomes, but during healthcare provision it can be compromised by several factors. This study evaluates factors affecting compassion satisfaction, compassion fatigue and burnout in nursing.Literature search in electronic databases was followed by data extraction, conversion, and meta-analyses under random effect model (...) . Correlation coefficients (r) reported by individual studies were first converted to z-scores for meta-analyses and the overall effect sizes were then back-transformed into r.Eleven studies (4054 respondents; 64.34 [95% confidence interval: 38.82, 89.86] % response rate; age 39.81 [31.36, 48.27] years; 87.11 [79.48, 94.73] % females) were used for meta-analysis. There was a strong positive correlation between compassion fatigue and burnout (r = 0.59), whereas compassion satisfaction had weak negative
Alarm Fatigue: Use of an Evidence-Based Alarm Management Strategy. The purpose of this article is to describe the impact of an evidence-based alarm management strategy on patient safety. An alarm management program reduced alarms up to 30%. Evaluation of patients on continuous cardiac monitoring showed a 3.5% decrease in census. This alarm management strategy has the potential to save $136 500 and 841 hours of registered nurses' time per year. No patient harm occurred during the 2-year project.
Fatigue and Patient Safety Fatigue and Patient Safety - ACOG Menu ▼ Fatigue and Patient Safety Page Navigation ▼ Number 730, February 2018 (Replaces Committee Opinion No. 519, March 2012) Committee on Patient Safety and Quality Improvement This Committee Opinion was developed by the American College of Obstetricians and Gynecologists’ Committee on Patient Safety and Quality Improvement in collaboration with committee member Laurie C. Gregg, MD. This information is designed as an educational (...) , or otherwise, either express or implied. ACOG does not guarantee, warrant, or endorse the products or services of any firm, organization, or person. Neither ACOG nor its officers, directors, members, employees, or agents will be liable for any loss, damage, or claim with respect to any liabilities, including direct, special, indirect, or consequential damages, incurred in connection with this publication or reliance on the information presented. Fatigue and Patient Safety Abstract: Fatigue and sleep
Compassion Satisfaction and Compassion Fatigue Among Critical Care Nurses. Although critical care nurses gain satisfaction from providing compassionate care to patients and patients' families, the nurses are also at risk for fatigue. The balance between satisfaction and fatigue is considered professional quality of life.To establish the prevalence of compassion satisfaction and compassion fatigue in adult, pediatric, and neonatal critical care nurses and to describe potential contributing (...) demographic, unit, and organizational characteristics.In a cross-sectional design, nurses were surveyed by using a demographic questionnaire and the Professional Quality of Life Scale to measure levels of compassion fatigue and compassion satisfaction.Nurses (n = 221) reported significant differences in compassion satisfaction and compassion fatigue on the basis of sex, age, educational level, unit, acuity, change in nursing management, and major systems change.Understanding the elements of professional
Effectiveness of energy conservation treatment in reducing fatigue in multiple sclerosis: a systematic review and meta-analysis Effectiveness of energy conservation treatment in reducing fatigue in multiple sclerosis: a systematic review and meta-analysis Effectiveness of energy conservation treatment in reducing fatigue in multiple sclerosis: a systematic review and meta-analysis Blikman LJ, Huisstede BM, Kooijmans H, Stam HJ, Bussmann JB, van Meeteren J CRD summary This review concluded (...) that energy conservation management for fatigued patients with multiple sclerosis could have greater short-term efficacy in reducing the impact of fatigue and improving quality of life (with better scores on three out of eight questionnaire subscales) than no treatment. The authors' conclusions may not be sufficiently cautious, although their recommendation for further trials appear appropriate. Authors' objectives To assess the effects of energy conservation management treatment for fatigue in multiple
Technologic Distractions (Part 2): A Summary of Approaches to Manage Clinical Alarms With Intent to Reduce Alarm Fatigue. Alarm fatigue is a widely recognized safety and quality problem where exposure to high rates of clinical alarms results in desensitization leading to dismissal of or slowed response to alarms. Nonactionable alarms are thought to be especially problematic. Despite these concerns, the number of clinical alarm signals has been increasing as an everincreasing number of medical (...) technologies are added to the clinical care environment.PubMed, SCOPUS, Embase, and CINAHL.We performed a systematic review of the literature focused on clinical alarms. We asked a primary key question; "what interventions have been attempted and resulted in the success of reducing alarm fatigue?" and 3-secondary key questions; "what are the negative effects on patients/families; what are the balancing outcomes (unintended consequences of interventions); and what human factor approaches apply to making
Reducing the Risk of Alarm Fatigue Through the Use of Focused Management in Safety Huddles Reducing the Risk of Alarm Fatigue Through the Use of Focused Management in Safety Huddles - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more (...) studies before adding more. Reducing the Risk of Alarm Fatigue Through the Use of Focused Management in Safety Huddles The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our for details. ClinicalTrials.gov Identifier: NCT02319421 Recruitment Status : Completed First Posted : December 18, 2014 Last Update Posted : April 19, 2017 Sponsor: Children's
Mindfulness-based stress reduction (MBSR) improves long-term mental fatigue after stroke or traumatic brain injury. Patients who suffer from mental fatigue after a stroke or traumatic brain injury (TBI) have a drastically reduced capacity for work and for participating in social activities. Since no effective therapy exists, the aim was to implement a novel, non-pharmacological strategy aimed at improving the condition of these patients.This study tested a treatment with mindfulness-based (...) stress reduction (MBSR). The results of the programme were evaluated using a self-assessment scale for mental fatigue and neuropsychological tests. Eighteen participants with stroke and 11 with TBI were included. All the subjects were well rehabilitated physically with no gross impairment to cognitive functions other than the symptom mental fatigue. Fifteen participants were randomized for inclusion in the MBSR programme for 8 weeks, while the other 14 served as controls and received no active
FatigueFatigue (PDQ®)—Health Professional Version - National Cancer Institute Menu Search Search Search Overview Fatigue is the most common side effect of cancer treatment with chemotherapy, radiation therapy, or selected biologic response modifiers.[ ] Cancer treatment–related fatigue generally improves after therapy is completed, but some level of fatigue may persist for months or years following treatment. Research indicates that for at least a subset of patients, fatigue may (...) be a significant issue long into survivorship.[ , ] Fatigue is also seen as a presenting symptom in cancers that produce problems such as anemia, endocrine changes, and respiratory obstruction and is common in people with advanced cancer who are not undergoing active cancer treatment. Cancer treatment–related fatigue is reported in 14% to 96% of patients undergoing cancer treatment [ - ] and in 19% to 82% of patients posttreatment.[ , ] Several studies have documented significantly worse fatigue in cancer
False Alarms and Overmonitoring: Major Factors in Alarm Fatigue Among Labor Nurses. Nurses can be exposed to hundreds of alarms during their shift, contributing to alarm fatigue.The purposes were to explore similarities and differences in perceptions of clinical alarms by labor nurses caring for generally healthy women compared with perceptions of adult intensive care unit (ICU) and neonatal ICU nurses caring for critically ill patients and to seek nurses' suggestions for potential (...) improvements.Nurses were asked via focus groups about the utility of clinical alarms from medical devices.There was consensus that false alarms and too many devices generating alarms contributed to alarm fatigue, and most alarms lacked clinical relevance. Nurses identified certain types of alarms that they responded to immediately, but the vast majority of the alarms did not contribute to their clinical assessment or planned nursing care.Monitoring only those patients who need it and only those physiologic values
Differential effects of exercise on cancer-related fatigue during and following treatment: a meta-analysis Differential effects of exercise on cancer-related fatigue during and following treatment: a meta-analysis Differential effects of exercise on cancer-related fatigue during and following treatment: a meta-analysis Puetz TW, Herring MP CRD summary The authors concluded that exercise reduced cancer-related fatigue among patients both undergoing and following cancer treatment. Exercise had (...) a palliative effect in patients undergoing treatment and a restorative effect following treatment. Limitations of the included studies and the review reporting mean that the reliability of the results is uncertain. Authors' objectives To determine the extent to which the effect of exercise on cancer-related fatigue varied across the time course of treatment and recovery. Searching Published studies were identified through searches of PubMed, PsycINFO and Web of Science to August 2011. Brief search terms
Treatment of fatigue in amyotrophic lateral sclerosis/motor neuron disease. Amyotrophic lateral sclerosis (ALS), also known as motor neuron disease (MND), is terminal, progressive neurological condition for which there are no curative treatments. Among people with ALS/MND, fatigue is a common and debilitating symptom, which is characterised by reversible motor weakness and whole-body tiredness that is only partially relieved by rest. The effectiveness of pharmacological or non-pharmacological (...) treatments for fatigue in ALS/MND is not yet established.To assess the effects of pharmacological and non-pharmacological interventions for fatigue in ALS/MND.We searched the following databases on 5 September 2017: Cochrane Neuromuscular Specialised Register, CENTRAL, MEDLINE, Embase, PsycINFO, CINAHL Plus, and ERIC. We also searched two clinical trials registries.We selected randomised and quasi-randomised controlled trials of any intervention which sought to reduce fatigue for people with ALS/MND. We
Exercise therapy for fatigue in multiple sclerosis. Multiple sclerosis (MS) is an immune-mediated disease of the central nervous system affecting an estimated 1.3 million people worldwide. It is characterised by a variety of disabling symptoms of which excessive fatigue is the most frequent. Fatigue is often reported as the most invalidating symptom in people with MS. Various mechanisms directly and indirectly related to the disease and physical inactivity have been proposed to contribute (...) to the degree of fatigue. Exercise therapy can induce physiological and psychological changes that may counter these mechanisms and reduce fatigue in MS.To determine the effectiveness and safety of exercise therapy compared to a no-exercise control condition or another intervention on fatigue, measured with self-reported questionnaires, of people with MS.We searched the Cochrane Multiple Sclerosis and Rare Diseases of the Central Nervous System Group Trials Specialised Register, which, among other sources
Canadian stroke best practice recommendations: mood, cognition and fatigue following stroke practice guidelines Canadian Stroke Best Practice Recommendations: Mood, Cognition and Fatigue Following Stroke practice guidelines, update 2015 - Eskes - 2015 - International Journal of Stroke - Wiley Online Library The full text of this article hosted at iucr.org is unavailable due to technical difficulties.
Compassion fatigue, moral distress, and work engagement in surgical intensive care unit trauma nurses: a pilot study. Preparation for replacing the large proportion of staff nurses reaching retirement age in the next few decades in the United States is essential to continue delivering high-quality nursing care and improving patient outcomes. Retaining experienced critical care nurses is imperative to successfully implementing the orientation of new inexperienced critical care nurses (...) satisfaction, compassion fatigue, moral distress, and level of nursing education on critical care nurses' work engagement. This is a partial replication of Lawrence's dissertation. The study also asked nurses to describe sources of moral distress and self-care strategies for coping with stress. This was used to identify qualitative themes about the nurse experiences. Jean Watson's theory of human caring serves as a framework to bring meaning and focus to the nursing-patient caring relationship.A
Compassion fatigue and substance use among nurses This study aimed to detect if there were differences in compassion fatigue (CF) among nurses based on substance use and demographic variables of gender, marital status, type of health institution and income.Compassion fatigue is considered an outcome of poorly handled stressful situations in which nurses may respond with self-harming behaviours like substance use. Evidence in this area is critically lacking.This study used a descriptive design (...) to survey differences in CF of 282 nurses. The participants completed a demographic survey and indicated whether they consume any of the following substances on a frequent basis: cigarettes, sleeping pills, power drinks, anti-depressant drugs, anti-anxiety drugs, coffee, analgesics, amphetamines and alcohol. Compassion Fatigue scores were surveyed using CF self-test 66 items developed by Stamm and Figely (Compassion satisfaction and fatigue test. http://www.isu.edu/~bhstamm/tests.htm, 1996).There were