Article

Improving Cancer-Related Fatigue Outcomes: Walking Patients Through Treatment and Beyond

Julie Griffie

Jean Godfroy

breast cancer, fatigue, cancer program quality
CJON 2014, 18(5), 21-24. DOI: 10.1188/14.CJON.S2.21-24

Participation in the ONS Foundation-supported Breast Cancer Care Quality Measures Set pilot study defined areas of need for compliance with proposed standards. Key outcomes were the revision of nursing assessment and documentation tools. Subsequent to those efforts, a walking track was made available for patients within the clinical cancer center. The track serves as an exercise resource for patients and family members to use while waiting for and after appointments. The planning involved multiple disciplines, and criteria established by the multidisciplinary team defined what group of patients should be advised of or encouraged to use the walking track without provider consultation. The scheduled nurse-patient education appointment prior to start of chemotherapy provides the venue for the discussion. The goal is to assist patients in staying active during and after treatment.

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    References

    Bernardo, L.M., Abt, K.L., Ren, D., & Bender, C. (2010). Self-reported exercise during breast cancer treatment. Cancer Nursing, 33, 304-309. doi:10.1097/NCC.0b013e3181cdce2c
    Eaton, L.H., & Tipton, J.M. (Eds.). (2009). Fatigue. In Putting Evidence Into Practice: Improving oncology patient outcomes (p. 153). Pittsburgh, PA: Oncology Nursing Society.
    Haas, B.K. (2000). Focus on health promotion: Self-efficacy in oncology nursing research and practice. Oncology Nursing Forum, 27, 89-97.
    Mock, V., Dow, K.H., Meares, C.J., Grimm, P.M., Dienemann, J.A., Haisfield-Wolfe, M.E., … Gage, I. (1997). Effects of exercise on fatigue, physical functioning, and emotional distress during radiation therapy for breast cancer. Oncology Nursing Forum, 24, 991-1000.
    Mock, V., Frangakis, C., Davidson, N.E., Ropka, M.E., Pickett, M., Poniatowski, B., … McCorkle, R. (2005). Exercise manages fatigue during breast cancer treatment: A randomized controlled trial. Psycho-Oncology, 14, 464-477. doi:10.1002/pon 863
    Mock, V., Pickett, M., Ropka, M.E., Muscari Lin, E., Stewart, K.J., Rhodes, V.A., … McCorkle, R. (2001). Fatigue and quality of life outcomes of exercise during cancer treatment. Cancer Practice, 9, 119-127.
    National Comprehensive Cancer Network. (2013). NCCN Clinical Practice Guidelines in Oncology: Distress management [v.1.2013]. Retrieved from http://www.nccn.org/professionals/physician_gls/pdf/distress.pdf
    National Comprehensive Cancer Network. (2014). NCCN Clinical Practice Guidelines in Oncology: Cancer-related fatigue [v.1.2014]. Retrieved from http://www.nccn.org/professionals/physician_gls/pdf/fatigue.pdf
    Schmitz, K.H., Courneya, K.S., Matthews, C., Demark-Wahnefried, W., Galvão, D., Pinto, B.M., … Schwartz, A.L. (2010). American College of Sports Medicine roundtable on exercise guidelines for cancer survivors. Medicine and Science in Sports and Exercise, 42, 1409-1424. doi:10.1249/MSS.0b013eOc112
    Stricker, C.T., Drake, D., Hoyer, K.A., & Mock, V. (2004). Evidence-based practice for fatigue management in adults with cancer: Exercise as an intervention. Oncology Nursing Forum, 31, 963-976. doi:10.1188/04.ONF.963-976