SCFS - Schwartz Cancer Fatigue Scale (37). ��-�����O����7G ��0)1p�(��1�1p\0u1���-(. Fatigue is an extreme feeling of tiredness or lack of energy, often described as being exhausted. Please answer ALL the questions by ticking the answer which applies to you most closely. Purpose Fatigue is a symptom with a relevant impact on the daily lives of cancer patients and is gaining importance as an outcome measure. 56 0 obj << /Linearized 1 /O 59 /H [ 1026 410 ] /L 137517 /E 76680 /N 10 /T 136279 >> endobj xref 56 26 0000000016 00000 n 0000000867 00000 n 0000000964 00000 n 0000001436 00000 n 0000001605 00000 n 0000001741 00000 n 0000002829 00000 n 0000003174 00000 n 0000003745 00000 n 0000004829 00000 n 0000005915 00000 n 0000006412 00000 n 0000009563 00000 n 0000010005 00000 n 0000011069 00000 n 0000011326 00000 n 0000033333 00000 n 0000058491 00000 n 0000058566 00000 n 0000058677 00000 n 0000058786 00000 n 0000058979 00000 n 0000076287 00000 n 0000076401 00000 n 0000001026 00000 n 0000001415 00000 n trailer << /Size 82 /Info 55 0 R /Root 57 0 R /Prev 136269 /ID[<770ebd47ab13c48e6085f08bc598fccf><770ebd47ab13c48e6085f08bc598fccf>] >> startxref 0 %%EOF 57 0 obj << /Type /Catalog /Pages 54 0 R /PageMode /UseThumbs /OpenAction 58 0 R >> endobj 58 0 obj << /S /GoTo /D [ 59 0 R /FitH -32768 ] >> endobj 80 0 obj << /S 290 /T 362 /Filter /FlateDecode /Length 81 0 R >> stream 4�.0,` �3p� ��H�.Hi@�A>� DEFINITION OF CANCER-RELATED FATIGUE Cancer-related fatigue is a distressing, persistent, subjective sense of physical, emotional, and/or cognitive tiredness or exhaustion related to cancer or cancer treatment that is not proportional to recent activity and interferes with usual functioning. H�c```f``ab`e`��� Ȁ �@1V� ~���#6~�>\gX�3mi``�|?�J�>�`���n�;��je���T�x*�S+6���r'Dڬ.-�ۖ-��-|�)g�2�U��}5�ڗR,}fk���~^x*����T����Ƌ5/yZ /-ݸ�FY��ׯ_�~�� ��őX�bO�9�=2�+�iQ � �x3�3�a�"�B���ǟ��$8X�Ƚ���:�� � For example, fatigue can be measured using the Quality of Life Questionnaire published by the European Organization for Research and Treatment of Cancer Questionnaire. We herein describe the development and validation of the Cancer Fatigue Scale (CFS) for assessment of fatigue in cancer patients. But people who have medical conditions like MS experience stronger feelings of fatigue more often and with greater impact than others. Cancer-related fatigue is one of the most common side effects of cancer and its treatment. Printed by Brian Hill on 10/1/2016 3:30:25 PM. %PDF-1.2 %���� endstream << /Length 5 0 R /Filter /FlateDecode >> Physical well-being (7 items) Social/Family well-being (7 items) Emotional well-being (6 items) Functional well-being (7 items) Fatigue (13 items) It can be caused by the cancer itself, or the side effects of treatments. As many as 9 out of 10 people with cancer (90%) get cancer-related fatigue (CRF). << /ProcSet [ /PDF /Text ] /ColorSpace << /Cs1 7 0 R >> /Font << /TT1 8 0 R endobj Fatigue is something that lasts even when a person seems to be getting enough sleep. Fatigue was specifically measured by the Schwartz Cancer Fatigue scale, a reliable and valid 6-item scale that assesses the level of subjective fatigue a person currently is experiencing [16]. For this purpose, a variety of tools have been developed one of the most credible which iscancer fatigue scale (CFS), which evaluates fatigue specifically in cancer patients. Strengths of these instruments are their qualitative development from actual experiences of children. ߏƿ'� Zk�!� $l$T����4Q��Ot"�y�\b)���A�I&N�I�$R$)���TIj"]&=&�!��:dGrY@^O�$� _%�?P�(&OJEB�N9J�@y@yC�R �n�X����ZO�D}J}/G�3���ɭ���k��{%O�חw�_.�'_!J����Q�@�S���V�F��=�IE���b�b�b�b��5�Q%�����O�@��%�!BӥyҸ�M�:�e�0G7��ӓ����� e%e[�(����R�0`�3R��������4�����6�i^��)��*n*|�"�f����LUo�՝�m�O�0j&jaj�j��.��ϧ�w�ϝ_4����갺�z��j���=���U�4�5�n�ɚ��4ǴhZ�Z�Z�^0����Tf%��9�����-�>�ݫ=�c��Xg�N��]�. 12 0 obj It is possible to manage fatigue. The FS-A was devel-oped by Hinds et al. 5 0 obj The best measure of fatigue comes from the way you describe your fatigue level to your cancer care team. �FV>2 u�����/�_$\�B�Cv�< 5]�s.,4�&�y�Ux~xw-bEDCĻH����G��KwF�G�E�GME{E�EK�X,Y��F�Z� �={$vr����K���� [4,13] Most of the research describing the fatigue trajectory during radiation therapy has been conducted with women who have breast cancer and men who have prostate cancer. II. FATIGUE SEVERITY SCALE (FSS) Date _____ Name _____ Please circle the number between 1 and 7 which you feel best fits the following statements. 2 0 obj Fatigue has long been associated with radiation exposure and is reported as being one of the most common and activity-limiting side effect of radiation therapy for cancer. The Perform Questionnaire (PQ) is a new scale originally developed among Spanish-speaking patients for the assessment of perception and beliefs about fatigue in cancer … endobj stream Printed by Eliot Williams on 6/11/2014 11:17:18 AM. The medical term for this is "cancer-related fatigue." џH�3��t�`�35zq ��$y�,�".��Eaƣ ����^��p~��#R�7�y̞���5���g� �F ��'�����d1yK�N]�s����v����#�$IJ�}���=:�;�r���\�}�E#�c�[�VD�Dz� stream Ⱦ�h���s�2z���\�n�LA"S���dr%�,�߄l��t� DEFINITION OF CANCER-RELATED FATIGUE Cancer-related fatigue is a distressing, persistent, subjective sense of physical, emotional, and/or cognitive tiredness or exhaustion related to cancer or cancer treatment that is not proportional to recent activity and interferes with usual functioning. 998 6 0 obj >> [ /ICCBased 12 0 R ] x��wTS��Ͻ7��" %�z �;HQ�I�P��&vDF)VdT�G�"cE��b� �P��QDE�k �5�ޚ��Y�����g�} P���tX�4�X���\���X��ffG�D���=���HƳ��.�d��,�P&s���"7C$ Cancer 2000;89:1634-1646, with permission from John Wiley & Sons, Inc. << /Length 13 0 R /N 3 /Alternate /DeviceRGB /Filter /FlateDecode >> In recent years, much effort has been directed to designing fatigue measures which are psychometrically appropriate as well as easily administered. << /Length 16 0 R /Filter /FlateDecode >> A1�v�jp ԁz�N�6p\W� p�G@ << /Type /Page /Parent 3 0 R /Resources 6 0 R /Contents 4 0 R /MediaBox [0 0 612 792] x�XKO�0��WLo�Rk��m�VmUD*�!^UYl[�����c6�8N�p� ���|���ഁ�s8���=H8{ ��>��/���{g7�۰��� �4� �,` �7x۴���H�����+DZ*�� C{T�=���})6�/t��Wu���М�5���`j�u�r&x��y9�X���5�,6HV��4G���OX�q���#�(�&J�=�Q��9�(0X#75+��0L�k^k�nS����:�f0� Cancer, fatigue, assessment, scale, validation, symptom management Introduction Fatigue is one of the most pervasive symp-toms experienced by patients with cancer. 15 0 obj The first step in managing fatigue is to treat any medical condition causing or worsening your fatigue, such as pain, depression or anxiety, lack of sleep, poor nutrition, anemia, cancer treatment, or other medical conditions. [7A�\�SwBOK/X/_�Q�>Q�����G�[��� �`�A�������a�a��c#����*�Z�;�8c�q��>�[&���I�I��MS���T`�ϴ�k�h&4�5�Ǣ��YY�F֠9�=�X���_,�,S-�,Y)YXm�����Ěk]c}džj�c�Φ�浭�-�v��};�]���N����"�&�1=�x����tv(��}�������'{'��I�ߝY�)� Σ��-r�q�r�.d.�_xp��Uە�Z���M�v�m���=����+K�G�ǔ����^���W�W����b�j�>:>�>�>�v��}/�a��v���������O8� � Fatigue is one of the most frequently reported symptoms by cancer patients. 4 0 obj Patients often assume that fatigue is an inevitable part of cancer and cancer therapy and may not offer information voluntarily. chalder fatigue scale name: _____ date: _____ We would like to know more about any problems you have had with feeling tired, weak or lacking in energy in the last month. endobj Effects of an energy conservation course on fatigue impact for … E�6��S��2����)2�12� ��"�įl���+�ɘ�&�Y��4���Pޚ%ᣌ�\�%�g�|e�TI� ��(����L 0�_��&�l�2E�� ��9�r��9h� x�g��Ib�טi���f��S�b1+��M�xL����0��o�E%Ym�h�����Y��h����~S�=�z�U�&�ϞA��Y�l�/� �$Z����U �m@��O� � �ޜ��l^���'���ls�k.+�7���oʿ�9�����V;�?�#I3eE妧�KD����d�����9i���,�����UQ� ��h��6'~�khu_ }�9P�I�o= C#$n?z}�[1 ͙�u@ݏR-��5h�=���Y����@ì��0c�3���a�����꒹h�*U���,dݸ���ۼ����{P����#3z���52��@���h��Ļ$ ��Z�[p���y�r( �Ǝ!3̓�� Y�-VY����zk��] /� ��*��s?��6ŶM�r�+� Bge5���*偗�@� �����(�>%��"�$��ʦ��� ����Ͼ�w��wuh�5�Q�f�Y�)˕�Ż!���%�:�n������gu4q�&N2Tr����K:`sj�;,rgJf��sA�� �e��QT!��q��E�>�8g�T�j�� �ל�+s�a���1���k�b׀l^:C����. x�]m��q�>�b���Ҝw��7�D�ɉOL���K��=[���Y����IUW?O��r�Ї%{����z��������Oi�K�mZ�MږUz���wzJ}�9O�N������o�)*���۴��6�&}�)��!����s����p(�<=���!�^�H�d|�mR~����ӿ��Y�����p����i&t�7=�[����鳙�M��E6�l�M�����OF���n�]�)UB;��~���~�V�GC�~J��M��k%5�A"p�� ��� I���ߧ���?w�?�O��_a�.6��|�ޡh|�>�8���B�͘dO��?z������Nki����SEڷA �?-����ͮ�Z�W���v�-���I�zl��.A�C�.�bS�eާ. ��0�k*7'@t,g���,:9��Di��$��Fa��$��P�Օ�H�b��y����v���qC�ϭZ_����}{��9 |OM}�m�=K��_)���B���ӏ�j�KH����� Moffitt Cancer Center and University of South Florida The Fatigue Symptom Inventory (FSI) , is a 14-item self-report measure designed to assess the severity, frequency, and daily pattern of fatigue as well as its perceived interference with quality 13 0 obj Impact of fatigue in Parkinson’s disease: the fatigue impact scale for daily use (D-FIS). Modified Fatigue Impact Scale (MFIS) Fatigue is a feeling of physical tiredness and lack of energy that many people experience from time to time. Among these, the Revised Or you can use a scale of 0 to 10, where 0 means no fatigue at all, and 10 means the worst fatigue you can imagine. And, some people may experience this kind of fatigue for months or years after finishing treatment. endobj endobj Holley SK. endstream �$g�=z�W�p�b^^����{�����~�/l�O %��������� We designed this scale specifically to reflect the nature of fatigue experienced by cancer patients, by using factor analysis; the CFS is a 15-item scale composed of 3 subscales (physical, affective, and cognitive subscales). Scoring Items use an 11-point, Lik ert-type scale that ranges from one fatigue-related extreme to another (lower points on the scale denote less acute problems with fatigue). Cancer and cancer treatment may cause fatigue. [25] based on a conceptual model derived from a qualitative study about fatigue during treatment of cancer in adolescents. The Childhood Fatigue Scale (CFS), Parent Fatigue Scale (PFS), and the Staff Fatigue Scale (SFS) are the first to be specifically developed for use with children receiving treatment for cancer. You can describe your level of fatigue as none, mild, moderate, or severe. H��W�r�8��v��- !x�̓cO&�r⊜�J�� K���D��^���HQ���$UEu��O7��NK�`��I�|���i����g�ɛ��Әͳ��B��jr���`����KY,U�n�.�W��j�.��^R3��?�"�s�ϲx�A������>|�[WeQ���}5���#v�.��mt�{8��vF=iU��g�̾��c��]�@d�͇lq��������0�Gv��n'� 23 Alternatively, fatigue can be measured with unidimensional scales, such as the Rhoton Fatigue Scale, 24 or multidimensional scales, such as the Piper Fatigue Scale 25 and the Multidimensional Fatigue Inventory. Furthermore, the Kaiser-Meyer-Olkin Measure of Sampling Adequacy (KMO value) was found to be 0.743 and considered to be satisfactory (>0.5). 20 endobj ��K0ށi���A����B�ZyCAP8�C���@��&�*���CP=�#t�]���� 4�}���a � ��ٰ;G���Dx����J�>���� ,�_@��FX�DB�X$!k�"��E�����H�q���a���Y��bVa�bJ0c�VL�6f3����bձ�X'�?v 6��-�V`�`[����a�;���p~�\2n5������ �&�x�*���s�b|!� This refers to your usual way of life within the last week. Evaluating patient distress from cancer-related fatigue: an instrument development study. /TT4 11 0 R /TT2 9 0 R >> >> ���Mc���٭��Z��Q҂�K�����h�OcD`�Gž�\�'��b��8+��� �1, �9.���K�,w��Ȯ����c��� ������7~?rֲ��s�8��P7r���~"RUS�z�V!���~+t W��{]�k��gKLP���%Ȁ���(Z/�[��0���Z�ߤ�g�r���J`���gc��qطj+�tYa���[�A*��{ϱW>J̀�IUF�G8m�ҪĵZ�. The psychometric The Schwartz Cancer Fatigue Scale (SCFS) was developed specifically to measure cancer-related fatigue. Extract from the Visual Analog Fatigue Scale reproduced from Glaus A. Oncol Nurs Forum. Scale.42-44 Multidimensional measures include the Cancer Fatigue Scale,44,45 Fatigue Assessment Questionnaire,44,46 andtheRevisedPiperFatigueScale.47-49 Single-andmulti-item measures embedded in other scales include the Profile of Mood States Fatigue and Vigor subscales,50 the Symptom Distress Scale,41,51 and the Edmonton Symptom Assess- 2612 d����H�ٷ&FU!L��U�T&Y(�`$Üs�Oˠ;X����������?�����6�{�7��e,�ʳ�p}��W���=ᯯ�|�N��0����c�)�]̨���0�WR>�]j��f����� ����x"��H���uܑ�?��u�/9{����GN�[��q-�w��i��2�M�� �TP�����a ��{qTP, ��I�5g*��/�%�3�T���3RP���47�](; �v����b��I/�:^����r�+���'b�/ S����U����+��O�� �&�`II��i�����]���(�^�H����G�4炣�A��LQ����R, �������WN3թi��rMm)��U� 4jZy���3��iYq�i��p�4 �}0f��*�Q�]��.OwH�r��!��� c�䫌݆|�V[���~�UK�,� �Wz� �b�ڂ|�U]G>&_�ËLx,��8���C One promising scale for measuring fatigue in adolescents is the Fatigue Scale for Adolescents (FS-A), which has been widely used in clinical settings and research [24]. the Cancer Fatigue Scale (9), the Revised Schwartz Cancer Fatigue Scale (10), the Multidimensional Fatigue Inventory (11), and the Multidimensional Fatigue Symptom Inventory (12). How is cancer-related fatigue treated? It is a reliable, valid and parsimonious, 6-item, instrument that measures cancer-related fatigue on a physical and perceptual dimension. %PDF-1.3 fatigue. 2000 Oct;27(9):1425-31 (PubMed Abstract) Quality of Life Research, 15, 597–606. Prior studies showed that the prevalence of fa-tigue is greater than 50% for advanced cancer patients 1–3 and for cancer patients who have undergone chemotherapy, Fatigue is a feeling of tiredness or exhaustion. Quality of … Your healthcare team may be able to help prevent or relieve fatigue and improve your quality of life. The study of fatigue and its diagnosis in cancer patients is very important. S���䈡�ٸ88b�T�?�'�W_�֭��isi����2-7��b'��Z�y`��W2|ELj��jާ��u�0���Ү�0iF2����W���(٣��x�})+S�������RW�k�^����j�$��ɹ� �����k�f��)�I�c���ګ�>Sô���e}!ȫ74z�����u� A global score can ... of fatigue in cancer patients: development and valida-tion of the fatigue symptom inventory. �c�ڝ�,Vlq��rϮe!7j�����b��7�2�O� >��HH�'��=R��q�����M .�Z/w��Nl�n�Ⱥ ܲ!O� `�gi�2�J=�]y �6�?�q�ɝ^�Z�XoUǺ�0-��w��4�-�r�~a�mN����Rj~����Br7�n�3�j���_�qnl]V��e�ŁM�e������Z���u�A��z;�}����9ʽ���+����6M�.�r���G]I����ckx�����n���.�VcI�o�3K�} ���b��ͮ�� A recent publication provides information about the format of these and other measures and summarizes their psychometric Jb @�, endstream endobj 81 0 obj 297 endobj 59 0 obj << /Type /Page /Parent 54 0 R /Resources 60 0 R /Contents 67 0 R /Thumb 31 0 R /MediaBox [ 0 0 594 792 ] /CropBox [ 0 0 594 792 ] /Rotate 0 >> endobj 60 0 obj << /ProcSet [ /PDF /Text ] /Font << /F3 69 0 R /F6 64 0 R /F7 65 0 R /F8 61 0 R >> /ExtGState << /GS2 73 0 R >> >> endobj 61 0 obj << /Type /Font /Subtype 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/JHCPDM+NewBaskerville-Italic /FontDescriptor 66 0 R >> endobj 66 0 obj << /Type /FontDescriptor /Ascent 669 /CapHeight 660 /Descent -274 /Flags 98 /FontBBox [ -138 -274 1347 906 ] /FontName /JHCPDM+NewBaskerville-Italic /ItalicAngle -16 /StemV 85 /XHeight 432 /CharSet (/y/M/period/x/copyright/H/b/o/N/Y/B/eight/z/c/p/nine/O/K/C/zero/T/e/D/P/\ fi/parenleft/one/A/space/r/f/a/E/semicolon/two/parenright/h/s/g/R/F/fl/t\ hree/endash/i/t/S/quoteright/q/colon/four/j/u/U/I/d/five/k/J/V/v/comma/s\ ix/m/w/hyphen/W/l/seven/n) /FontFile 71 0 R >> endobj 67 0 obj << /Length 3076 /Filter /FlateDecode >> stream For example, guidelines developed by the National Comprehensive Cancer Network recommend that fatigue severity be rated on a 0-10 scale and that patients reporting “moderate” or “severe” fatigue (identified as 4-6 and 7-10, respectively), but not “mild” fatigue (identified as 1-3), receive further evaluation and treatment. It is a feeling of physical, emotional, and mental exhaustion even though you are getting enough rest and sleep.Cancer-related fatigue can affect your daily life. endobj 7 0 obj O*��?�����f�����`ϳ�g���C/����O�ϩ�+F�F�G�Gό���z����ˌ��ㅿ)����ѫ�~w��gb���k��?Jި�9���m�d���wi獵�ޫ�?�����c�Ǒ��O�O���?w| ��x&mf������ ��.3\����r���Ϯ�_�Yq*���©�L��_�w�ד������+��]�e�������D��]�cI�II�OA��u�_�䩔���)3�ѩ�i�����B%a��+]3='�/�4�0C��i��U�@ёL(sYf����L�H�$�%�Y�j��gGe��Q�����n�����~5f5wug�v����5�k��֮\۹Nw]������m mH���Fˍe�n���Q�Q��`h����B�BQ�-�[l�ll��f��jۗ"^��b���O%ܒ��Y}W�����������w�vw����X�bY^�Ю�]�����W�Va[q`i�d��2���J�jGէ������{������m���>���Pk�Am�a�����꺿g_D�H��G�G��u�;��7�7�6�Ʊ�q�o���C{��P3���8!9������-?��|������gKϑ���9�w~�Bƅ��:Wt>���ҝ����ˁ��^�r�۽��U��g�9];}�}��������_�~i��m��p���㭎�}��]�/���}������.�{�^�=�}����^?�z8�h�c��' The Schwartz Cancer Fatigue Scale is a 28-item scale and 1–5 rating scale with 1, “not at all,” to 5 “extremely”, that was validated in a mixed cancer population undergoing treatment. 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