An overwhelming sustained sense of exhaustion and decreased
capacity for physical and mental work at usual level
• Decreased libido or performance
• Disinterest in surroundings
• Failure of sleep to restore energy
• Lack of energy
• Guilt for not meeting responsibilities
• Inability to maintain usual routines
• Impaired concentration
• Increased need for rest
• Increased physical complaints
• Lethargy or listlessness
• Perceived need for more energy for routine tasks
• Verbalization of overwhelming lack of energy
• Psychological, e.g., anxiety,
• Environmental, e.g., humidity,
lights, noise, temperature
• Physiological, e.g., anemia, dis-
• Situational, e.g., negative life
ease states, malnutrition, preg-
nancy, poor physical condition
ASSESSMENT FOCUS (Refer to comprehensive assessment parameters.)
• Cardiovascular function
• Respiratory function
• Risk management
The patient will
• Identify and employ measures to prevent or modify fatigue.
• Explain relationship of fatigue to disease process and activity level.
• Verbally express increased energy.
• Articulate plan to resolve fatigue problems.
SUGGESTED NOC OUTCOMES
Activity Tolerance; Endurance; Energy Conservation; Nutritional Sta-
tus: Energy; Psychomotor Energy; Personal Well-Being
INTERVENTIONS AND RATIONALES
Determine: Assess usual patterns of sleep and activity to establish a
Perform: Conserve energy through rest, planning, and setting priori-
ties to prevent or alleviate fatigue. Alternate activities with periods
of rest. Avoid scheduling two energy-draining procedures on the
same day. Encourage activities that can be completed in short peri-
ods. These measures help to avoid overexertion and increase stamina.
Reduce demands placed on patient (e.g., ask one family member
to call at speciﬁed times and relay messages to friends and other
family members) to reduce physical and emotional stress.
Structure environment (e.g., set up daily schedule on the basis of
patient needs and desires) to encourage compliance with treatment
Postpone eating when patient is fatigued, to avoid aggravating
condition. Provide small, frequent feedings to conserve patient’s
energy and encourage increased dietary intake.
Establish a regular sleeping pattern. Getting 8–10 hr of sleep
nightly helps reduce fatigue.
Inform: Discuss effect of fatigue on daily living and personal goals.
Explore with patient relationship between fatigue and disease
process to help increase patient compliance with schedule for activ-
ity and rest.
Attend: Encourage patient to eat foods rich in iron and minerals,
unless contraindicated to help avoid anemia and demineralization.
Manage: Encourage patient to explore feelings and emotions with a
supportive counselor, clergy, or other professional to help cope with
illness and avoid aggravating fatigue.
SUGGESTED NIC INTERVENTIONS
Activity Therapy; Coping Enhancement; Energy Management;
Exercise Promotion; Sleep Enhancement
Barsevick, A. M., et al. (2006, September–October). Cancer-related fatigue,
depressive symptoms, and functional status: A mediation model. Nursing
Research, 55(5), 366–372.