Fatigue (PDQ®): Supportive care - Patient Information [NCI] - Treatments for Fatigue
Mind and body exercises such as qigong, tai chi, and yoga may help relieve fatigue. These exercises combine activities like movement, stretching, balance, and controlled breathing with spiritual activity such as meditation.
A schedule of activity and rest
Changes in daily routine make the body use more energy. A regular routine can improve sleep and help the patient have more energy to be active during the day. A program of regular times for activity and rest help to make the most of a patient's energy. A health care professional can help patients plan an exercise program and decide which activities are the most important to them.
The following sleep habits may help decrease fatigue:
- Lie in bed for sleep only.
- Take naps for no longer than one hour.
- Avoid noise (like television and radio) during sleep.
Cancer patients should not try to do too much. Health professionals have information about support services to help with daily activities and responsibilities.
Therapists use talk therapy (counseling) to treat certain emotional or behavioral disorders. This kind of therapy helps patients change how they think and feel about certain things. Talk therapy may help decrease a cancer patient's fatigue by working on problems related to cancer that make fatigue worse, such as:
- Stress from coping with cancer.
- Fear that the cancer may come back.
- Feeling hopeless about fatigue.
- Not enough social support.
- A pattern of sleep and activity that changes from day to day.
Self-care for fatigue
Fatigue is often a short-term side effect of treatment, but in some patients it becomes chronic (continues as a long-term condition). Managing chronic fatigue includes adjusting to life with fatigue. Learning the facts about cancer-related fatigue may help you cope with it better and improve quality of life. For example, some patients in treatment worry that having fatigue means the treatment is not working. Anxiety over this can make fatigue even worse. Some patients may feel that reporting fatigue is complaining. Knowing that fatigue is a normal side effect that should be reported and treated may make it easier to manage.
Working with the health care team to learn about the following may help patients cope with fatigue:
- How to cope with fatigue as a normal side effect of treatment.
- The possible medical causes of fatigue such as not enough fluids, electrolyte imbalance, breathing problems, or anemia.
- How patterns of rest and activity affect fatigue.
- How to schedule important daily activities during times of less fatigue, and give up less important activities.
- The kinds of activities that may help you feel more alert (walking, gardening, bird-watching).
- The difference between fatigue and depression.
- How to avoid or change situations that cause stress.
- How to avoid or change activities that cause fatigue.
- How to change your surroundings to help decrease fatigue.
- Exercise programs that are right for you and decrease fatigue.
- The importance of eating enough food and drinking enough fluids.
- Physical therapy for patients who have nerve problems or muscle weakness.
- Respiratory therapy for patients who have trouble breathing.
- How to tell if treatments for fatigue are working.