Identifying Potential Sources of Fatigue in Patients Receiving Hospice Care
Daniel Johnson, MD (PI), Jean Kutner, MD, MSPH (Co-PI), John Steiner, MD, MPH (Co-PI)
Division of General Internal Medicine, University of Colorado Denver
Fatigue is the most prevalent and distressing symptom in patients with terminal illness. Despite this, fatigue has only recently become a topic for study and remains poorly understood. Little is known about the mechanisms or causes of end-of-life fatigue, and few interventions have been developed or tested in terminally ill patients. Efforts to improve the quality of life in dying patients may depend on the development of effective interventions for fatigue.
This study will provide preliminary insight into some of many factors that may contribute to patient fatigue in hospice. Specifically, we aim to describe the frequency and severity of selected "fatigue-related" laboratory (e.g., hemoglobin, albumin) and clinical (e.g. physical symptoms and depression) abnormalities in hospice. We will examine the association between these potential sources and patient-reported fatigue severity and fatigue "disruption". In addition to much-needed descriptive data, this study will provide an estimate of the relative value of obtaining screening laboratory data when assessing fatigue in patients with terminal illness. These pilot data inform ongoing efforts to develop more focused fatigue assessment tools and targeted fatigue interventions for patients at the end of life.
Study Results Slide Show
If you have questions regarding this study, please contact Dr. Daniel Johnson or Dr. Jean Kutner.