Study for ELNEC 4: Symptom Management in Palliative Care Test with flashcards and multiple choice questions. Hints and explanations included! Get ready for your exam!

Multiple Choice

Which component is included in fatigue management for palliative care?

Fatigue management in palliative care centers on addressing reversible contributors and using strategies that preserve energy and function to improve quality of life. Start with a thorough assessment to identify factors that can be changed, such as anemia, dehydration, electrolyte imbalances, infections, uncontrolled pain, sleep disturbances, depression, or medications that contribute to tiredness. Treat or adjust these contributors when possible, since even small fixes can yield meaningful relief. In addition, applying energy-conserving techniques helps patients do what matters most with less effort. This includes prioritizing tasks, planning and pacing activities, sitting or using assistive devices to reduce energy expenditure, and scheduling rest breaks so activity doesn't trigger excessive fatigue. Encouraging light activity as tolerated is beneficial. Gentle movement—short walks, stretching, or chair-based exercises—supports circulation, preserves muscle strength, and can lift mood without overwhelming the patient. Sleep hygiene is essential because poor sleep often fuels fatigue. Maintain regular sleep and wake times, create a comfortable sleep environment, limit daytime naps or keep them short, and reduce stimulants like caffeine late in the day. Nutrition plays a role as well. Aim for regular meals and adequate hydration, with small, frequent portions if appetite is limited. Addressing nutrition proactively helps sustain energy levels and overall well-being. Avoid strategies that can worsen fatigue, such as prolonged bed rest, complete fasting, or relying on high-dose stimulants like caffeine without considering sleep impact and other effects. This balanced approach, tailored to the individual, supports sustained energy and improves daily functioning in palliative care.

Fatigue management in palliative care centers on addressing reversible contributors and using strategies that preserve energy and function to improve quality of life. Start with a thorough assessment to identify factors that can be changed, such as anemia, dehydration, electrolyte imbalances, infections, uncontrolled pain, sleep disturbances, depression, or medications that contribute to tiredness. Treat or adjust these contributors when possible, since even small fixes can yield meaningful relief.

In addition, applying energy-conserving techniques helps patients do what matters most with less effort. This includes prioritizing tasks, planning and pacing activities, sitting or using assistive devices to reduce energy expenditure, and scheduling rest breaks so activity doesn't trigger excessive fatigue.

Encouraging light activity as tolerated is beneficial. Gentle movement—short walks, stretching, or chair-based exercises—supports circulation, preserves muscle strength, and can lift mood without overwhelming the patient.

Sleep hygiene is essential because poor sleep often fuels fatigue. Maintain regular sleep and wake times, create a comfortable sleep environment, limit daytime naps or keep them short, and reduce stimulants like caffeine late in the day.

Nutrition plays a role as well. Aim for regular meals and adequate hydration, with small, frequent portions if appetite is limited. Addressing nutrition proactively helps sustain energy levels and overall well-being.

Avoid strategies that can worsen fatigue, such as prolonged bed rest, complete fasting, or relying on high-dose stimulants like caffeine without considering sleep impact and other effects. This balanced approach, tailored to the individual, supports sustained energy and improves daily functioning in palliative care.