title: Fatigue in frail elderly people.
abstract: Many frail older people are likely to suffer from fatigue, but tools to measure fatigue in this population are lacking. Stage one of this study explored and described the experiences of fatigue of 12 older people from Australian residential aged care facilities. Themes identified were pacing yourself, battling on, hitting rock bottom, feeling safe, and moving on. Findings indicated that, with support, frail elders may be able to manage fatigue effects themselves. A measure of fatigue was developed from stage one findings, with reference to the literature. In stage two of the study, the Frail Elder Fatigue Assessment Tool was subjected to panel review, piloting, and refinement. The refined tool comprises 20 items in three subscales: fatigue effects; fatigue resources; and adaptation to fatigue. Further work is required to establish the tool's psychometric properties, but it should then be useful for both research and clinical assessment purposes.
authors.affiliation: School of Nursing, Midwifery and Postgraduate Medicine, Edith Cowan University, Pearson Street, Churchlands, Western Australia, 6018. c.toye@ecu.edu.au
authors.forename: Christine
authors.initials: C
authors.lastname: Toye
authors.forename: Kate
authors.initials: K
authors.lastname: White
authors.forename: Karen
authors.initials: K
authors.lastname: Rooksby
mesh_terms: D000203:Activities of Daily Living; D000223:Adaptation, Psychological; D000368:Aged; D000369:Aged, 80 and over; D001294:Attitude to Health; D005221:Fatigue / Q000175:diagnosis / Q000517:prevention & control / Q000523:psychology; D005260:Female; D016330:Frail Elderly / Q000523:psychology*; D015577:Geriatric Assessment / Q000379:methods*; D005851:Geriatric Nursing; D006801:Humans; D008297:Male; D008960:Models, Psychological; D009730:Nursing Assessment / Q000379:methods* / Q000592:standards; D015403:Nursing Evaluation Research; D009735:Nursing Homes; D015404:Nursing Methodology Research; D010865:Pilot Projects; D036301:Qualitative Research; D011788:Quality of Life; D012648:Self Care / Q000379:methods / Q000523:psychology; D012720:Severity of Illness Index; D012944:Social Support; D011795:Surveys and Questionnaires; D014904:Western Australia