Current literature shows that there is a gap in our knowledge about how tired ness/fatigue in cancer patients should be defined and measured. Existing fa tigue-related research in cancer patients shows conceptual and measurement differences (Piper 1993). There is no continuum of tiredness/fatigue in univer sal use. What do patients mean if they fill in a visual analogue scale indicating that they feel "very tired"? Is it an indicator of general well-being, and thus an 1993)? Most articles estimate of general quality of life (Hiirny and Bernhard written by English authors use the word fatigue to identify extreme tired ness. It could be said that in the English language, tiredness that is perceived as unusual, continuing distress is fatigue rather than tiredness. In the German language, tiredness (Mudigkeit) is not primarily a term for distress attributed to disease or unusual effort. But tiredness becomes a distressing phenomenon when it no longer regulates a healthy balance between rest and activity but represents unusual, abnormal or excessive whole-body tiredness that is dis proportionate to or unrelated to activity or excessive exertion (Piper 1993). As there is no word for fatigue in the German language, the definition "extreme, unusual tiredness" (in German: extreme, unubliche Mudigkeit), is used to explain the term "fatigue:' This clarification is needed to ensure that future fatigue research conducted in German-speaking countries can be com pared with such research carried out elsewhere.

Symptom control, management of psychosocial and spiritual concerns, decision-making consistent with values and goals, and care of the imminently dying that is appropriate and sensitive are among the critical issues in palliative care. This book explores progress made and future goals.

'. . . worthy, scientifically-founded... will do a lot to reinvigorate clinicians who have tired of fatigue and help get this complex symptom out of the too-hard baskcet.' -IAHPC WebsiteFatigue in Cancer provides a comprehensive review of the key issues involved in the research and practical application of current evidence and best practice guidelines for addressing cancer-related fatigue. An international group of contributors draw together core topics relating to this complex area of cancer management, focusing on issues of definition, patho-physiology, treatment related variables and the psychological, social and emotional impact on patients, families and carers. Critical reviews of practical management strategies for both adults and children are included, as are the current approaches to the measurement of cancer-related fatigue in clinical and research contexts. The book contributes a multi-disciplinary overview of a problem increasingly overlooked by cancer scientists, researchers, and clinicians.This book demonstrates the considerable capacity of cancer-related fatigue to impact on quality of life. Its multi-disciplinary focus and consideration of prioritised areas of future research will ensure that it is will prove invaluable for all health professionals and researchers in oncology and palliative care.Readership: Palliative medicine and oncology physicians and other professionals caring for advanced stage cancer patients.

The Key Aspects books, each of which has won a Book-of-the-Year Award from the American Journal of Nursing, are designed to move the ideas and findings of nursing research into the practice setting. Each volume distills dozens of studies into a readable, jargon-free format with immediate relevance to nursing practice, and includes suggestions for implementation.

Cancer care today often provides state-of-the-science biomedical treatment, but fails to address the psychological and social (psychosocial) problems associated with the illness. This failure can compromise the effectiveness of health care and thereby adversely affect the health of cancer patients. Psychological and social problems created or exacerbated by cancer-including depression and other emotional problems; lack of information or skills needed to manage the illness; lack of transportation or other resources; and disruptions in work, school, and family life-cause additional suffering, weaken adherence to prescribed treatments, and threaten patients' return to health. Today, it is not possible to deliver high-quality cancer care without using existing approaches, tools, and resources to address patients' psychosocial health needs. All patients with cancer and their families should expect and receive cancer care that ensures the provision of appropriate psychosocial health services. Cancer Care for the Whole Patient recommends actions that oncology providers, health policy makers, educators, health insurers, health planners, researchers and research sponsors, and consumer advocates should undertake to ensure that this standard is met.

Holland-Frei Cancer Medicine, Ninth Edition, offers a balanced view of the most current knowledge of cancer science and clinical oncology practice. This all-new edition is the consummate reference source for medical oncologists, radiation oncologists, internists, surgical oncologists, and others who treat cancer patients. A translational perspective throughout, integrating cancer biology with cancer management providing an in depth understanding of the disease An emphasis on multidisciplinary, research-driven patient care to improve outcomes and optimal use of all appropriate therapies Cutting-edge coverage of personalized cancer care, including molecular diagnostics and therapeutics Concise, readable, clinically relevant text with algorithms, guidelines and insight into the use of both conventional and novel drugs Includes free access to the Wiley Digital Edition providing search across the book, the full reference list with web links, illustrations and photographs, and post-publication updates

Recognize and treat fatigue as a major symptom of cancer and cancer treatment! The Handbook of Cancer-Related Fatigue, by Dr. Roberto Patarca-Montero, the editor of the Chronic Fatigue Syndrome series from The Haworth Medical Press, focuses exclusively on fatigue as it relates to oncology. As more people every year are affected by cancer, treating the leading symptom becomes as important as treating the disease itself. Written by one of the world’s leading experts in the study of fatigue, this detailed work studies the causes, impact, and treatment of fatigue before, during, and after cancer treatment. Considered one of the most distressing yet common symptoms of cancer, fatigue must be allayed to improve the patient’s quality of life. The Handbook of Cancer-Related Fatigue studies the close relationship between fatigue and cancer, as well as cancer therapies that cause fatigue. This book identifies fatigue’s devastating effects on the body and mind and offers solutions to maximize care for all types of cancer victims using documented clinical studies from around the world. For those interested in pursuing more information, an extensive bibliography is included for all relevant text. The Handbook of Cancer-Related Fatigue provides extensive research on: determining a diagnosis of cancer-related fatigue and recognizing the syndrome at all stages of treatment long-term and short-term effects of fatigue on the cancer victim’s body and its impact on the patient’s care and treatment, even after the cancer goes into remission the underlying factors within the body systems that contribute to cancer-related fatigue numerous beneficial intervention techniques to allay the effects of cancer-related fatigue on the patient’s quality of life clinical studies showing the statistics of cancer-related fatigue in the United States and around the world identifying the relationship between cancer and fatigue using tables, references, sidebars, and an extensive bibliography and much more! Focused and thorough, The Handbook of Cancer-Related Fatigue is written for both cancer patients and health-care providers of all disciplines. Whether you are an oncologist, a therapist, or a patient, vital information is not only accessible but made easier to understand with handy charts, tables, and referenced clinical studies throughout the chapters. With fatigue categorized as one of the most important symptoms of cancer, it becomes imperative for anyone touched by this disease—personally or professionally—to keep a copy of this book at hand.