Katherine Anderson, ND FABNO National Director Naturopathic ...

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Can be self limited or persistent for years (7) • Acute: < 1 month; Chronic: > 1 month • Fatigue is common in people with advanced cancer who are not receiving cancer treatment • CRF is associated with increased mortality • Clinical history taking plays a key role in diagnostic assessment
Uni-‐dimensional tools: Measure one dimension of CRF (i.e. intensity) Accurate, simple, quick, easy to use/understand May have a verbal rating scale (i.e. none, mild, moderate, severe) Examples: 0-‐10 scale, VAFS, EORTC, MDASI, Rotterdam. Multi-‐dimensional tools: Cover qualitative and quantitative fatigue aspects Useful if multiple causes are suspected Require patients to use verbal skills and sustained concentration; take longer to complete Example: Fatigue Journal
Page 1 and 2: Katherine Anderson, ND FABNO Nat
Page 3 and 4: “Although the world is full
Page 5 and 6: National Comprehensive Cancer Net
Page 7: CRF is more than regular tired
Page 11 and 12: Reasons for patients to under-
Page 13 and 14: 1. Conventional Cancer Therapies
Page 15 and 16: CRF can have serious implicatio
Page 17 and 18: Frequency of side effects experienc
Page 19 and 20: Questionnaires and blood samples
Page 21 and 22: Treatments that act on processe
Page 24 and 25: Often transfusion given when Hb
Page 26 and 27: Gastrointestinal Dysfunction Hepa
Page 28 and 29: Loss of appetite or insufficien
Page 30 and 31: Chronic severe pain increases f
Page 32 and 33: The impact of cancer-related fatigu
Page 34 and 35: Problems range from hypersomnia
Page 36 and 37: 3. Proton pump inhibitors Patie
Page 38 and 39: Lack of physical activity tir
Page 40 and 41: “the combination of the best
Page 42 and 43: 1. Lifestyle Modifications 2. Sl
Page 44 and 45: Sleep hygiene, including: Avoida
Page 46 and 47: Exercise has the best evidence
Page 48 and 49: Studies have confirmed it is c
Page 50 and 51: RCT w/ 78 breast cancer surviv
Page 52 and 53: RCT, 162 patients; Qigong deliv
Page 54 and 55: Adequate vitamins. multivitamin
Page 56 and 57: © 2008 Rising Tide, Kft. 56
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RCT; 47 fatigued patients with
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Several meta-‐analyses evalua
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Study investigated relationship
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Rhodiola (46) . Methodological f
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Randomly assigned 152 fatigued
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Mayo clinic conducted a prospec
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New treatment options will like
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Katherine Anderson, ND FABNO National Director Naturopathic ...

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