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Fatigue - What Physicians Need to Know Ernest H Rosenbaum, MD; Barbara F. Piper, RN, OCN, DNSc.; Marilyn Dodd RN, PhD; Kathleen Dzubur, MS; Michael Glover, Pat Kramer, RN, MSN, AOCN; RoseAnn Kurshner, RN, BSN, MEd; Francine Manuel, RPT Fatigue - What a Patient Needs to Know Fatigue Facts Fatigue Problems What Causes Fatigue Fatigue Associated with Medical Therapy: Causes and Solutions Tips For Reducing Fatigue Fatigue Reduction Program for Improved Quality of Life Fatigue Diagram

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Managing fatigue begins with talking to your doctor. Physicians frequently don't ask about fatigue. Patients often have the misconception that fatigue is just something that they must endure and they don't ask for a treatment plan to help with the fatigue. Recent awareness about the negative effects of fatigue on quality of life has led to new efforts and programs to help relieve symptoms of fatigue.

Medical Evaluation

- 1. A careful history to define the extent of fatigue.
- 2. A physical examination to look for abnormal physical or neurological findings.
- 3. Blood tests to assess hemoglobin levels and chemistries such as potassium, sodium and magnesium.
- 4. Check for metabolic abnormalities; measure thyroid and adrenal functions and serum chemistry profiles including albumen, liver and renal functions and calcium.

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