Exploring the symptom of fatigue in patients with end stage renal disease

Catherine McAuley School of Nursing and Midwifery, Cork, Ireland.
Nephrology nursing journal: journal of the American Nephrology Nurses' Association (Impact Factor: 0.62). 01/2009; 36(1):37-9, 47.
Source: PubMed


End stage renal disease and renal replacement therapies predispose individuals to a multitude of unwanted symptoms. Fatigue is one of the most frequently reported and disruptive symptoms experienced by patients with ESRD. Living with fatigue places added burdens on individuals and can impact negatively on quality of life. Nephrology nurses must ensure that patients'fatigue is managed effectively. Researching interventions to reduce fatigue among patients with ESRD should therefore become a priority. This article provides a review of research on the symptom of fatigue in individuals living with ESRD.

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    • "In ESRD patients, untreated fatigue may highly affect the quality of life and lead to patients’ increased dependency on others, weakness, loss of physical and psychological energy, social isolation, and depression. The elements that can affect the level of fatigue include depression, anemia, sleep disorders, and restless leg syndrome.[9] Medicational interventions such as consumption of growth hormone, anti-depressant and anti-anxiety medications, and levocarnitine and erythropoietin stimulating hormone, as well as non-medicational interventions such as nutrition therapy, sleep disorder treatment, stress management, sport, Yoga, depression treatment, drug abuse, and acupressure are used to lower hemodialysis patients’ fatigue.[7] "
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