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Fatigue

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Symptom: Primary (neurologic)

Description

  • Overwhelming lassitude or tiredness that can strike at any time of day, regardless of activity level or amount of sleep, and is often exacerbated by heat

Treatment

Interventions:
  • Address secondary contributing factors (primary sleep disturbance, nocturia, pain, spasticity, periodic limb movements); refer to PT (energy conservation; moderate aerobic exercise; mobility aids) and OT (work simplification/energy conservation; nap schedule; use of assistive devices at home/work; cooling strategies/devices
Medications:
  • amantadine, modafinil, armodafinil, fluoxetine
Psychosocial Implication
  • Inability to carry out activities at home and at work (a major factor in early departure from the workforce and changes in family roles)
  • Fatigue of this magnitude affects mood and quality of life
  • Invisible symptom that is easily misinterpreted by others as laziness or disinterest

Symptom: Secondary

Description

  • Resulting from disturbed sleep; depression; extra exertion due to impairments; medications

Treatment

Interventions:
  • Address secondary contributing factors (primary sleep disturbance, nocturia, pain, spasticity, periodic limb movements); refer to PT (energy conservation; moderate aerobic exercise; mobility aids) and OT (work simplification/energy conservation; nap schedule; use of assistive devices at home/work; cooling strategies/devices
Medications:
  • Medications as appropriate to treat secondary causes
Psychosocial Implication
  • Inability to carry out activities at home and at work (a major factor in early departure from the workforce and changes in family roles)
  • Fatigue of this magnitude affects mood and quality of life
  • Invisible symptom that is easily misinterpreted by others as laziness or disinterest

 

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