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Fatigue in Patients with Cancer - Analysis and Assessment (Paperback, Softcover reprint of the original 1st ed. 1998)
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Fatigue in Patients with Cancer - Analysis and Assessment (Paperback, Softcover reprint of the original 1st ed. 1998)
Series: Recent Results in Cancer Research, 145
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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."
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