Energy Conservation Techniques to Decrease Fatigue

Vatwani, Archana; Margonis, Rania

doi:10.1016/j.apmr.2019.01.005

Cited by 7 publications

(5 citation statements)

References 3 publications

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“…Stress is also known to increase fatigue, through its effect on the mental load [ 95 , 96 ]. Prescribing physical activity [ 119 ], relaxation and mindfulness practices [ 120 ], stress reduction [ 95 , 96 ], cognitive behavioral therapy [ 121 ], and energy-preservation techniques [ 122 ] may go a long way in reducing the impact of fatigue in PwMS.…”

Section: Discussionmentioning

confidence: 99%

Resilience, Stress, Well-Being, and Sleep Quality in Multiple Sclerosis

Novak

Lev-Ari

2023

JCM

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(1) Background: Multiple Sclerosis (MS) is a chronic, progressive, immune-mediated disorder that affects the Central Nervous System and is the most common cause of non-traumatic neurological disability in young adults. The study aimed to assess the levels of stress, resilience, well-being, sleep quality, and fatigue in Israeli people with MS (PwMS), and to examine the associations between these factors and the sociodemographic and clinical characteristics. These factors had never before been studied in conjunction in PwMS, nor had they been systematically addressed in Israel, the unique geopolitical situation of which may pose unique challenges. (2) Methods: This was a survey-based, cross-sectional study conducted through an Internet platform. (3) Results: Israeli PwMS who participated in the study were experiencing relatively high levels of stress and low resilience, poor sleep quality, and severe fatigue. The analysis revealed significant associations between resilience and stress, well-being, and anxiety, as well as stress and well-being, resilience, sleep quality, fatigue, and Clinically Isolated Syndrome (CIS). (4) Conclusions: the Israeli PwMS who participated in the study were experiencing higher levels of stress, lower resilience and worse sleep quality than PwMS in other countries, as compared to results previously reported in literature. The findings of this study ought to serve as a call to action for the MS care providers in Israel and warrant further research into the possible causes of the phenomenon and strategies to address it.

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Section: Discussionmentioning

confidence: 99%

Resilience, Stress, Well-Being, and Sleep Quality in Multiple Sclerosis

Novak

Lev-Ari

2023

JCM

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“…It is important that patients have individualized exercise programs matched to their age, gender, type and stage of cancer, and personal fitness level (Sandler et al, 2021 ). Practical interventions recommended in the NCCN guidelines (NCCN, 2022a ) include energy conservation techniques (ECTs) (Vatwani & Margonis, 2019 ), yoga (Lin et al, 2018 ), tai chi, qigong (Wayne et al, 2018 ), distraction, listening to music, reading or meditating (Gok et al, 2019 ). However, the efficacy of these strategies has only been validated in other solid tumours.…”

Section: Resultsmentioning

confidence: 99%

Symptom management in adult brain tumours: A literature review

et al. 2023

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Aim To review the literature related to symptom management, clinical significance and related theoretical framework systems in adult patients with brain tumours. Background As understanding of symptoms or symptom clusters and underlying biologic mechanisms has grown, it is apparent that symptom science is moving forward. Although some progress has been made in the symptom science of solid tumours such as breast and lung neoplasms, insufficient attention has been paid to symptom management for patients suffering from brain tumours. Further research is needed to achieve effective symptom management for these patients. Design A literature review with a systematic search of symptom management in adult brain tumours. Methods Electronic data bases were searched to obtain relevant published literature on symptom management in adults with brain tumours. This was then analysed and a synthesis of relevant findings is presented. Findings Four significant general themes relating to symptom management of brain tumours in adults were identified: (1) The potential theoretical foundation related to symptom management was revealed. (2) Widely accepted validated scales or questionnaires for the assessment of single symptoms or symptom clusters were recommended. (3) Several symptom clusters and the underlying biologic mechanisms have been reported. (4) Specific symptom interventions for adults with brain tumours were collected and classified as evidence‐based or insufficient evidence. Conclusion There are still many challenges in the effective management of symptoms in adults with brain tumours. The guiding role of theoretical frameworks or models related to symptom management should be utilized in future research. Using the concept of symptom clustering for research into symptoms found in patients with brain tumours, exploring common biological mechanisms for specific symptom clusters and making full use of modern big data resources to build a strong evidence base for an effective intervention or management program may inform the management of symptoms among these patients leading to better results. No Patient or Public Contribution This is a literature review. Implications for Symptom Management The ultimate goal is obviously not only improving the survival rate of patients with brain tumours, but also enhancing their quality of life. Several important findings from our review include the theoretical foundations, validated assessment tools, the assessment of symptom clusters and the underlying biologic mechanism, and the identification of the evidence base for symptom interventions. These are of relevance for managers, researchers and practitioners and may function as a reference to help the effective symptom management for adults with brain tumours.

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“… 49–56 An explanation is that patients with a high educational level may be better able to employ energy conservation techniques. Energy conservation techniques decrease the amount of energy required to complete a task by changing actions or the environment (ie, task delegation, time management), 57 and if used correctly, can ultimately lead to lower levels of overall fatigue. 57 , 58…”

Section: Discussionmentioning

confidence: 99%

“…Energy conservation techniques decrease the amount of energy required to complete a task by changing actions or the environment (ie, task delegation, time management), 57 and if used correctly, can ultimately lead to lower levels of overall fatigue. 57 , 58…”

Section: Discussionmentioning

confidence: 99%

The prevalence and severity of fatigue in meningioma patients and its association with patient-, tumor- and treatment-related factors

Quach,

Dirven,

Vingerhoed

et al. 2023

Neuro-Oncology Advances

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Background Fatigue is a commonly reported and severe symptom in primary brain tumor patients, but the exact occurrence in meningioma patients is unknown. This study aimed to determine the frequency and severity of fatigue in meningioma patients as well as associations between the level of fatigue and patient-, tumor-, and treatment-related factors. Methods In this multicenter cross-sectional study, meningioma patients completed questionnaires on fatigue (MFI-20), sleep (PSQI), anxiety and depression (HADS), tumor-related symptoms (MDASI-BT) and cognitive functioning (MOS-CFS). Multivariable regression models were used to evaluate the independent association between fatigue and each patient-, tumor-, and treatment-related factor separately, corrected for relevant confounders. Results Based on predetermined in- and exclusion criteria, 275 patients, on average 5.3 (SD=2.0) years since diagnosis, were recruited. Most patients had undergone resection (92%). Meningioma patients reported higher scores on all fatigue subscales compared to normative data and 26% were classified as fatigued. Having experienced a complication due to resection (OR 3.6, 95% CI: 1.8-7.0), having received radiotherapy (OR 2.4, 95% CI: 1.2-4.8), a higher number of comorbidities (OR 1.6, 95% CI: 1.3-1.9) and lower educational level (low level as reference; high level OR 0.3, 95% CI: 0.2-0.7) were independently associated with more fatigue. Conclusions Fatigue is a frequent problem in meningioma patients even many years after treatment. Both patient- and treatment-related factors were determinants of fatigue, with the treatment-related factors being the most likely target for intervention in this patient population.

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Energy Conservation Techniques to Decrease Fatigue

Cited by 7 publications

References 3 publications

Resilience, Stress, Well-Being, and Sleep Quality in Multiple Sclerosis

Resilience, Stress, Well-Being, and Sleep Quality in Multiple Sclerosis

Symptom management in adult brain tumours: A literature review

The prevalence and severity of fatigue in meningioma patients and its association with patient-, tumor- and treatment-related factors

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