scholarly journals From fatigued to fit: an investigation of the impact of physical exercise in the management of radiotherapy-induced fatigue in prostate cancer patients

Author(s):  
Sarah Kelly ◽  
Paul Henry Shepherd ◽  
Terri Flood

Abstract Aim: The aim of this paper is to investigate the effectiveness of physical exercise in managing fatigue during radiotherapy for prostate cancer patients. It explores the impact of various physical exercise regimes and their role in the prevention and management of fatigue to help inform best practice. Method: A literature search was conducted on OVID Medline database with a follow-up search on google scholar to include relevant references found during the initial search. Relevant systematic reviews and randomised controlled trials (RCTs) arising from this search were reviewed. Findings: There is evidence to support the notion that physical exercise in all its forms is an effective and safe intervention for fatigue management for prostate cancer patients undergoing radiotherapy. Although widely studied, there is limited evidence of fatigue management strategies being clearly implemented into current radiotherapy practice for patients with prostate cancer. This information is essential to enable therapeutic radiographers to educate prostate cancer patients regarding effective exercise strategies and ensure that fatigue is managed optimally. Conclusion: Further research is required into the optimum physical exercise prescription to reduce radiation-induced fatigue, and standardised best practice guidelines should be developed nationally. A future move toward patient education into physical exercise and wellbeing should be a central component of the therapeutic radiographer role with specialist advice offered by review radiographers, empowering patients to become more physically active during treatment. Therapeutic radiographers have a unique opportunity to educate and promote physical exercise through a holistic wellbeing approach that aims to mitigate fatigue and improve quality of life.

2010 ◽  
Vol 94 ◽  
pp. S35
Author(s):  
L. Van den Bergh ◽  
C. Deroose ◽  
S. Joniau ◽  
T. Budiharto ◽  
F. Mottaghy ◽  
...  

Urology ◽  
2007 ◽  
Vol 70 (3) ◽  
pp. 1-2
Author(s):  
M.F. Al Otaibi ◽  
N. Fahmy ◽  
P. Ross ◽  
W. Kassouf ◽  
S. Jeyaganth ◽  
...  

2019 ◽  
Vol 19 (4) ◽  
pp. 365-369 ◽  
Author(s):  
Leona McAlinden ◽  
Andrea Mullan ◽  
Paul Shepherd

AbstractAim:Breast cancer patients experience skin reactions during radiotherapy. Radiation-induced skin reactions can result in treatment delivery being interrupted. The aim of this paper is to evaluate the skincare management of patients receiving radiotherapy for breast cancer in order to inform best practice.Method:A literature search was undertaken using USearch and HONNI in support of the first-hand evidence gained from the supervised on-treatment review of patients receiving radiotherapy for breast cancer.Results:There is evidence to suggest that the skincare advice given to patients varies widely between departments in the UK with many not following nationally recommended guidelines. Studies demonstrate that there are ways to reduce skin reactions and that there are a range of effective management strategies being adopted. Prophylactic skincare has been explored to improve the resilience of the skin prior to commencing radiotherapy.Findings:Further investigation is required in order to clearly establish the optimum national skincare management for breast cancer patients. More studies are required to test the effectiveness and viability of prophylactic measures. Skincare guidance needs to be robustly developed and effectively promoted by therapeutic radiographers for radiotherapy patients to benefit from reduced, radiation-induced, skin reactions.


1999 ◽  
Vol 1 (2) ◽  
pp. 23-31 ◽  
Author(s):  
A Chan

Abstract Fatigue is the most common symptom experienced by individuals with multiple sclerosis (MS), regardless of their disability level or the severity of the disease. The Fatigue Severity Scale and the Fatigue Impact Scale are standardized tools designed to measure the impact of fatigue on an individual's life. In addition to the use of medications, other fatigue management strategies include education, modification of activities and environment, compensation, and participation in physical exercises. Because the patient is required to take an active role in the implementation of these fatigue management strategies, his or her sense of control in disease management is enhanced, resulting in empowerment of the individual. According to the World Health Organization (WHO), empowerment is a health-promotion strategy for the individual and for populations. Therefore, having options and control in fatigue management is empowering and promotes health for individuals with MS.


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