Charlotte-Anne Wells Senior Occupational Therapist Craigavon Area Hospital Fatigue Management in...
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Transcript of Charlotte-Anne Wells Senior Occupational Therapist Craigavon Area Hospital Fatigue Management in...
Charlotte-Anne WellsSenior Occupational Therapist
Craigavon Area Hospital
Fatigue Management
in Phase III
Cardiac Rehabilitation
FatigueFatigue
Frequent & distressing symptom (Brink et al, 2002)
Reported to be the most frequent symptom before Acute MI (McSweeney et al, 2003)
‘Vital Exhaustion’: unusual fatigue, increased irritability, feelings of demoralisation (Appels and Mulder, 1988; Shuitemaker et al 2004)
FatigueFatigue
Living with Incomprehensible Fatigue after Recent MI (Alsen et al, 2008. Advanced Journal of Nursing)
Description: ‘‘A different kind of
tiredness’ ‘Incomprehensible’ ‘Unpredictable’ ‘Not related to effort’
Effects: Daily functioning Ability to work Physical functioning Intellectual and
emotional function Social activity
Fatigue Management & Energy Conservation(Craigavon Area Hospital)
Fatigue Management & Energy Conservation(Craigavon Area Hospital)
Fatigue in relation to Activities of Daily Living, Work & Leisure
Activity Analysis Use of METS Activity Grading Use of Borg Scale in relation to Daily Activities Advice on Energy Conservation/Fatigue Management Psychological effect of Fatigue and MI
Audit AimsAudit Aims To ascertain the proportion of programme attendees who
felt that fatigue was a major symptom of their condition To establish how those individuals felt fatigue impacted
upon their daily functional ability To examine how useful individuals found the advice
given To establish what, if any, aspects of the session they
incorporated into daily life
To identify areas for improvement and development
MethodologyMethodology Study Design
Recruitment of Research Team
Sampling Size
Timescale
Data Collection
Demographics
Percentage of patients who felt that Fatigue was a major symptom of their
condition
Percentage of patients who felt that Fatigue was a major symptom of their
condition
40%60%
Yes No
Areas of Daily Life affected by FatigueAreas of Daily Life affected by Fatigue
43%49%
36%
45%
21%
40%
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
PersonalActivities ofDaily Living
Mobility DomesticChores
Leisure Work Not Applicable
N=20 N=23 N=17 N=21 N=10 N=19
Topics within the session which participants found useful
Topics within the session which participants found useful
68%
81%
49%57%
68%
51%
68%73%
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
ActivityAnalysis
Grading Use of Mets Borg Scale FatigueManagement
Equipment/Home
Adaptations
PsychologicalImpact
InformationLealfet
N=25 N=30 N=18 N=21 N=25
N=19
N=25 N=27
How participants rated the session on Fatigue Management
How participants rated the session on Fatigue Management
60%
32%
8% 0%0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Excellent Very Good Average Poor
N=22 N=12N=3 N=0
Topics within the session which participants introduced into daily life
Topics within the session which participants introduced into daily life
41%
57%
14% 19%
38%
8%
41%46%
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
ActivityAnalysis
Grading Use of Mets Borg Scale FatigueManagement
Equipmenet/Home
Adaptations
PsychologicalImpact
InformationLeaflet
N=15 N=21 N=5 N=7 N=14 N=3 N=15 N=17
Qualitative FeedbackQualitative Feedback
‘Relevant’ ‘Interesting’‘It increased my confidence to complete my daily activities’
‘It enabled me to manage my condition with confidence’
‘My family was able to relate to the information provided’
‘It increased my confidence to complete my daily activities’
Study LimitationsStudy Limitations
Study is based on patient reporting alone – no objective measurement
Timeframe
Retrospective
RecommendationsRecommendations Further study
Larger sample size
The use of an objective measurement tool
Administer questionnaire or assessment tool within a set timeframe pre or post Phase III