Assessment and management of fatigue and dyspnea in pediatric palliative care.
Fatigue is one of the most prevalent symptoms in patients with a life-threatening illness. Untreated, fatigue can impair quality of life and prohibit addressing practical needs, psychosocial and spiritual distress, and opportunities for growth and closure at life's end. To this end addressing fatigue is a crucial component of the provision of effective palliative care. Dyspnea is the sensation of breathlessness. The challenge in treating it, however, is that it can come from various different abnormalities so understanding the underlying disorder and the acute abnormality are critical. With that understanding several different treatments can be offered to treat the cause of the dyspnea or palliate the symptom itself.
Ullrich
Christina K
CK
Harvard Medical School, 25 Shattuck Street, Boston, MA 02115, USA. christina_ullrich@dfci.harvard.edu
Mayer
Oscar H
OH
D000740:Anemia / Q000175:diagnosis / Q000453:epidemiology; D002648:Child; D002908:Chronic Disease / Q000628:therapy; D003937:Diagnosis, Differential; D004417:Dyspnea / Q000175:diagnosis* / Q000453:epidemiology / Q000628:therapy*; D004700:Endocrine System Diseases / Q000175:diagnosis / Q000453:epidemiology; D005221:Fatigue / Q000175:diagnosis* / Q000453:epidemiology / Q000628:therapy*; D006801:Humans; D009135:Muscular Diseases / Q000175:diagnosis / Q000453:epidemiology; D010166:Palliative Care / Q000379:methods*; D011584:Psychology; D012893:Sleep Wake Disorders / Q000175:diagnosis / Q000453:epidemiology