Podcasts about cancer related fatigue

“Everyone's brain is extremely heterogenic, so it's different. You can put five of us in a room; we can all have the same diagnosis of a [glioblastoma multiforme], but all of ours can be different. They're highly aggressive biologically. It's a small area in a hard shell. So trying to get through the blood–brain barrier is different. There's a lot of areas of hypoxia in the brain. There's a lot of pressure there. The microbiology is very different—it's a cold environment versus a hot environment—and then the pathways are just different,” Lori Cappello, MSN, APN-C, CCRP, research advanced practice nurse at the John Theurer Cancer Center of Hackensack Meridian Health in New Jersey, told Jaime Weimer, MSN, RN, AGCNS-BS, AOCNS®, manager of oncology nursing practice at ONS, during a conversation about brain malignancies and caring for patients with them. Music Credit: “Fireflies and Stardust” by Kevin MacLeod Licensed under Creative Commons by Attribution 3.0  Earn 0.5 contact hours of nursing continuing professional development (NCPD) by listening to the full recording and completing an evaluation at courses.ons.org by April 25, 2027. The planners and faculty for this episode have no relevant financial relationships with ineligible companies to disclose. ONS is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center's Commission on Accreditation. Learning outcome: Learners will report an increase in knowledge related to brain malignancies and their diagnosis and treatment. Episode Notes  Complete this evaluation for free NCPD.  ONS Podcast™ episodes: Episode 235: Self-Advocacy Skills for Patients Episode 166: Cognitive Behavioral Interventions Help Patients With a Spectrum of Cancer Symptoms ONS Voice articles: Glioblastoma Diagnosis, Treatment, Side Effect Management, and Survivorship Recommendations Blocking Fatty Acid Storage May Induce Glioblastoma Apoptosis Brain Tumor Navigator Role Bridges the Intersection of Cancer and Neuroscience Researchers Tie More Cancers, Mortality to NF1 Disorders Larotrectinib and Other Tumor-Agnostic Targeted Therapies Are Leading Cancer Care Into the Next Frontier McCain Announcement Sheds Light on Nurses' Role in Advance Care Planning ONS book: Manual for Radiation Oncology Nursing Practice and Education (fifth edition) Clinical Journal of Oncology Nursing articles: Implementing a Standardized Educational Tool for Patients With Brain Tumors Undergoing Concurrent Temozolomide and Radiation Therapy Exercise Intervention: A Pilot Study to Assess the Feasibility and Impact on Cancer-Related Fatigue and Quality of Life Among Patients With High-Grade Glioma Society for Neuro-Oncology Musella Foundation End Brain Cancer Initiative Brain Tumor Network American Brain Tumor Association Glioblastoma Research Organization Brain Tumor Funders' Collaborative Optune Gio® website Nurse.org article: Mysterious Brain Tumor Cluster Grows: Another Nurse Diagnosed at Newton-Wellesley Lori Cappello's contact information: lori.cappello@hmhn.org To discuss the information in this episode with other oncology nurses, visit the ONS Communities. To find resources for creating an ONS Podcast Club in your chapter or nursing community, visit the ONS Podcast Library. To provide feedback or otherwise reach ONS about the podcast, email pubONSVoice@ons.org. Highlights From This Episode “A glioblastoma actually is the most predominant brain tumor that we do see. It is the most diagnosed of the brain tumors. And then I would say that an anaplastic astrocytoma is probably the second diagnosed. Historically a GBM, they used to say was probably an elderly patient for these. But we are definitely seeing it diagnosed at a much younger age now, definitely much more prevalent for people under 60.” TS 3:17 “Nine times out of ten, either a patient out of nowhere has a seizure, or they present with what they think are stroke-like symptoms. They noticed that they were slurring, or they were becoming more forgetful, or a family member noticed it and said, ‘Hey, what is going on with you?' But usually they present to the [emergency department], and a [computed tomography] scan is always done first. And lo and behold, something is seen.” TS 4:50 “The only other U.S. Food and Drug Administration-approved treatment that has come along in the last 20 years is a device called Optune Gio, which is an alternating electric field that stops cell division at the mitosis stage.” TS 7:45 “They lose so much of their independence, especially if they don't have a caregiver or help. That is huge. Medication management at home, to making sure that they're taking the medication properly, that they are actually taking their medication. Transportation is another huge problem. Getting to and from appointments is a challenge. Those are big issues—real, day-to-day, simple issues that people don't think about.” TS 17:11 “I think that having a brain tumor is very unique in the fact that you really need a dedicated neuro-oncologist. And depending on where you live, there are not a lot in the area. I actually had a patient that was moving out west, and the closest dedicated neuro-oncologist was four hours from them. … if you're not seeing dedicated neuro oncologists, you might not be getting the best treatment for yourself. So I think that having the resources and helping patients find the best care or the best brain tumor society—and there's a bunch of really good brain tumor groups to help patients find the best resources out there. I think that's really, really important for patients to know or for families to know.” TS 19:17 “So trying to help patients, there are always going to be challenges, and there are always going to be ups and downs. But finding that one person that they can go to, that they trust, that they have a great relationship with, whether at the doctor's office or whatever, and being available to them makes such a difference in their journey. I think that that is the most important for anybody in the journey.” TS 22:08 “With brain, there are going to be expectations. They are going to lose functionality at some point—and preparing them for that thing or preparing them for things that can help themselves. Like sometimes I say, ‘Go to the dollar store, get coloring books,' if they have weakness in one hand. Little tricks of the trade that can help them. About treatment options, going through the side effects, preparing them for whatever they can be prepared for.” TS 22:39 “It is not one of the better cancers to have, but it doesn't immediately mean it's a death sentence, and we shouldn't treat them like they're dying. We shouldn't take away their ability to live just because they were diagnosed with it. We shouldn't take away hope.” TS 25:35 “I think there's not enough discussed about [brain malignancies] and the lack of resources for this. These patients need a lot more resources and are available. There's just not enough available for it.” TS 26:59

Dive deep into the complexities of cancer-related fatigue experienced by palliative care patients. This episode explores the physical, emotional, and social impacts of fatigue, offering insights for caregivers and loved ones on how to support patients in their journey.

In this episode of Integrative Oncology Talk, hosts Dr. Judith Lacey and Karen discuss the role of integrative therapies in cancer care, focusing on the treatment and management of cancer-related fatigue. They examine the evolution of exercise and yoga in integrative oncology, the development of ASCO and SIO guidelines, and the efficacy of non-pharmacological approaches for cancer patients. Karen shares her extensive experience in yoga therapy, and exercise oncology, and discusses her studies and data supporting these practices. They also delve into the importance of personalized exercise prescriptions and the potential benefits of prehabilitation programs. This conversation sheds light on the need for diverse and patient-preferred treatment options in improving cancer care and patient quality of life.

How do you know & what can you do?Dr Anthony Perre is a City of Hope Expert.

This week's episode will be focusing on Cancer Related Fatigue (CRF). We will go over important details on the definition, diagnosis, and management options of this condition which affects >2/3 of patients with cancer.

Promising New Tool in the Battle against Cancer-related Fatigue with guest Dr. Rachel Perry January 14, 2024

Fatigue is one of the most common side effects of cancer treatment and yet patients with cancer-related fatigue are often left to fend for themselves. On this show, Karolyn talks with naturopathic oncologist Dr. Tina Kaczor about what can be done to address cancer-related fatigue. Dr. Kaczor will provide information about recognizing cancer-related fatigue and practical advice about how to increase energy levels naturally.Five To Thrive Live is broadcast live Tuesdays at 7PM ET.Five To Thrive Live Radio Show is broadcast on W4CS Radio – The Cancer Support Network (www.w4cs.com) part of Talk 4 Radio (www.talk4radio.com) on the Talk 4 Media Network (www.talk4media.com).Five To Thrive Live Podcast is also available on Talk 4 Podcasting (www.talk4podcasting.com), iHeartRadio, Amazon Music, Pandora, Spotify, Audible, and over 100 other podcast outlets.

ASCO: You're listening to a podcast from Cancer.Net. This cancer information website is produced by the American Society of Clinical Oncology, known as ASCO, the voice of the world's oncology professionals. The purpose of this podcast is to educate and to inform. This is not a substitute for professional medical care and is not intended for use in the diagnosis or treatment of individual conditions. Guests on this podcast express their own opinions, experience, and conclusions. Guests' statements on this podcast do not express the opinions of ASCO. The mention of any product, service, organization, activity, or therapy should not be construed as an ASCO endorsement. Cancer research discussed in this podcast is ongoing, so data described here may change as research progresses. Fatigue is a common symptom of cancer and its treatment, and it can be very difficult to treat. However, exercise is one simple method that's been shown to help people with cancer manage and cope with cancer-related fatigue. In this podcast, Dr. Anna Roshal talks with Dr. Tarah Ballinger and exercise physiologist Danielle Halsey about what people with cancer should know about cancer-related fatigue and the ways that exercise can help. Dr. Roshal is a medical oncologist and assistant professor of clinical medicine at the Indiana University School of Medicine. She is also a member of the Cancer.Net Editorial Board. Dr. Ballinger is a medical oncologist, an assistant professor of clinical medicine, and the Vera Bradley Foundation Scholar in Breast Cancer Research at the Indiana University School of Medicine. Ms. Halsey is the lead exercise physiologist at the Indiana University Melvin and Bren Simon Comprehensive Cancer Center. You can view disclosures for Dr. Roshal, Dr. Ballinger, and Ms. Halsey at Cancer.Net. Dr. Anna Roshal: Hello, my name is Dr. Anna Roshal. I am a medical oncologist at Indiana University, and I am very, very pleased to have 2 great guests today, Dr. Tarah Ballinger and Danielle Halsey, who is an exercise physiologist. And the topic of our podcast today is cancer fatigue. So before we start, I'm just going to disclose that none of us have any relevant conflicts to disclose today. So I will introduce our guests very briefly. So Dr. Ballinger is also a medical oncologist here at Indiana University. She is an assistant professor of medicine and also an associate director of our supportive oncology program. And like I said, Danielle Halsey is the lead exercise physiologist supporting our Multidisciplinary Oncology Vitality and Exercise (MOVE) program for patients with cancer. So my first question to start us, and I would direct to Dr. Ballinger, but Danielle, please jump in as well. We all know that cancer patients have a lot of fatigue, and there's many, many reasons why. And it's actually one of the most common, if not the most common concern and complaint that our cancer patients have as they're first diagnosed and as they're going through treatment, and also even after treatment. So it is something that specifically affects their quality of life, maybe more than any other symptoms. So, Dr. Ballinger, can you discuss what are some of the reasons cancer itself and cancer treatments can cause fatigue? Dr. Tarah Ballinger: Yeah, that's a great and somewhat difficult question. So as you mentioned, cancer-related fatigue is the most prevalent cancer-related symptom, both in patients going through treatment, but even for many years after experiencing cancer. Cancer patients have significantly more fatigue than someone who has not gone through the disease. The reason why it's so prevalent and so difficult to treat is because the causes of it are so multifactorial. There's, of course, physical symptoms from cancer that can cause fatigue, pain, shortness of breath, depending on where the cancer might be located. And there are psychological symptoms associated with cancer that can cause fatigue, like anxiety, depression. Definitely trouble sleeping is a big issue. But even beyond these symptoms from cancer, tumors themselves have direct effects that can cause fatigue. So cancer itself causes inflammation that can impact hormone production and other balances in the body that can certainly cause fatigue. And all of that is before we even start to talk about the other thing you mentioned, which is side effects of treatment. So that includes anemia, which means there's less red blood cells, so there's less oxygen delivery to tissues, and that can make people feel a lot more tired. We also have a lot of evidence that cancer treatments actually impact muscle function at the cellular level. Often what I hear from patients is that they feel sore, like they've worked out, but they haven't actually done anything. And that's really a real thing directly caused by cancer and its treatments. So again, the reason this is so hard to treat is because there are so many potential things that are kind of coming together to cause the problem. Dr. Anna Roshal: Yeah, that's certainly very interesting. And again, it's complex and lots and lots of factors contributing. I'm curious to hear how would you distinguish, we've all been tired, right? So there's regular tiredness and there is this relentless cancer fatigue that our patients experience. And it's, how do we tell the difference and how do our patients tell the difference? That's most important. How do your loved ones tell the difference of somebody just having a difficult day and they're tired, or is this cancer fatigue that we're talking about? Dr. Tarah Ballinger: Yeah, cancer-related fatigue is different from the fatigue I might have if I stayed up late or was in clinic all day. That fatigue you can push through and probably will get better if you take a nap. Cancer-related fatigue, classically, it somewhat feels like moving through sand, like you just can't get through it. Taking a nap tends to not be something that actually makes it better. And I think that can be a real struggle for patients in terms of their loved ones relating to them because a lot of people will think, oh, well just get some rest and you'll feel better. But that's not really how it works for cancer-related fatigue, which is why we try to look for other ways to try to improve this symptom. Dr. Anna Roshal: That's a great point. I certainly noticed that in my patients and certainly noticed it in my interactions with the loved ones of patients because that's one of the most common responses. So they just didn't get enough sleep or maybe they didn't drink enough water or anything like that. But we do know that it's much more complex than that. So maybe this is a good jumping point to talk about what kind of research has been done to look into how we can make this better. You know, since fatigue is this very complex symptom affecting our patients' quality of life, what can we do to make this better? Dr. Tarah Ballinger: Yeah, so that's one of the reasons I'm really excited that we're talking about this prevalent symptom today because one of the, or the best thing that we have found to help with cancer-related fatigue is actually exercise. And that can seem a little bit counterintuitive if you're fatigued that you should exercise, but even light movement can help. So what's really awesome about exercise is that it can target all of those different mechanisms for cancer-related fatigue that I mentioned. And that's really different from what we typically think of in treatment, which is medications. Medications have kind of 1 mechanism of action. They might treat 1 cause of something, but exercise is able to actually treat all those different potential causes of cancer-related fatigue. So it can help with physical symptoms from the cancer, the psychological symptoms from the cancer, and even those direct effects of the tumor and the treatment. So exercise, it's really one of the only things that's been proven to improve the symptoms of cancer-related fatigue. It helps with our muscle function. It helps improve oxygen delivery to tissues. And when you exercise, it actually changes your body's immune system and it's anti-inflammatory. So there are true scientific mechanistic reasons for why exercise can be helpful. And again, it's one of the only things that we've proven over and over again can and does improve these symptoms. Dr. Anna Roshal: That's great. And that's, yeah, like you said, it does seem counterintuitive. And I find that as an oncologist discussing this with patients in the clinic can be quite challenging. Because like, yeah, I'm tired. And you really want me to do what? So yeah. So maybe this would be a great point for Danielle to jump in and talk about what kind of exercise, right? Because when we talk exercise, there are so many different ways people can exercise and do exercise. So what kind of exercise? Is this walking? Is this weights? And can we talk about, maybe in detail, of what kind of exercise has been looked at and found beneficial or what you recommend for patients? Danielle Halsey: Yeah, of course. So exercise walking and resistance training have both been proven in lots of research that it is beneficial to patients and their cancer-related fatigue, but also in combination. And one of the big things that I talked to you about with patients is just finding the exercise that works best for them and something that they're going to stick to. And so the actual “dosage,” and I say that with air quotes as I say it, but what the research has shown or what strong evidence has shown is that at least 3 times a week of some sort of aerobic activity, so that can be swimming, walking, if you like running, running, if it's biking, some sort of aerobic activity at a moderate intensity that will get your heart rate up for 30 minutes, has been linked to a decrease in cancer-related fatigue. And then at least 2 days a week of resistance training for at least 2 sets at 12 to 15 reps is going to have a positive impact on cancer-related fatigue as well. Dr. Anna Roshal: So speaking of types of exercise, you have mentioned walking and resistance training, and even swimming. Are there any other exercises? I know a lot of people like to do yoga or Pilates, especially before, and that's a different form of exercise than maybe going for a walk. What are the patients or people enjoy this more? Is there data for doing more of that type of exercise rather than traditional, let's go for a walk? Dr. Tarah Ballinger: Yeah, there is data that exists for some of these other forms of movement to improve cancer-related fatigue. So we do have evidence that yoga can help with cancer-related fatigue. Even massage therapy can help with cancer-related fatigue. Tai Chi, we have data for that as well. So I think those are important adjuncts. I think whether or not they can replace traditional aerobic exercise depends a little bit on how you're doing it. For a lot of the benefits of aerobic exercise, like Danielle mentioned, it's just about increasing your heart rate a bit or increasing your breathing a bit. So for some patients, that's happening when they're doing something like yoga, but for others it's not. So I still think that while those things can be important adjuncts and they can help with a whole comprehensive plan to treat cancer-related fatigue, I think traditional forms of aerobic exercise are still important and getting your heart rate up is important. However, things like yoga, they're still resistance exercise depending on how you're doing them because you are loading parts of your body with your body weight. So there are muscular benefits to doing that as well. So it's all, again, it's all an individualized thing depending on how people are doing it, what they like to do, what they're able to achieve in each of those exercises. Dr. Anna Roshal: So anything that they can do, but definitely having that emphasis on increasing the heart rate and using your muscles, regardless what that is. Yeah. Dr. Tarah Ballinger: Yep, exactly. Exactly. And that's really the difference. A lot of times people, we debate as exercise oncology researchers and a lot of people debate the difference between the term “physical activity” and the term “exercise.” So both of them are important in different ways. So physical activity is really any type of movement. So if I walk from my office to clinic, I'm doing physical activity. But I'm not doing exercise because exercise is done with a specific purpose to achieve a specific goal. So to really be exercising, I have to go out for a walk and say, “I'm gonna do this for 5 minutes because I know it's gonna make my cancer-related fatigue better.” Then that becomes exercise. So that's an important nuance and a different way to think about it, again, more like a prescription, a medication, something you're doing for a specific purpose. Danielle Halsey: Yeah, adding that intention where like going for a walk is, you know, a very important thing and being more active throughout the day and getting up and getting steps and things like that, it's going to benefit you. It's going to be a good thing. But adding intentional movement with a goal in mind of that 5-minute walk that is a challenging 5-minute walk versus the 5-minute walk with your, you know, dog who's stopping and sniffing every 2 minutes is going to have a different impact than the exercise that is intentional to get that heart rate up and you're like, speed walking to the stop sign and speed walking back to your door and, you know, little things like that where it's just intentional movement. Dr. Anna Roshal: Got you. And are there any guides for patients for the information that you just mentioned? Where can they go to find this? Danielle Halsey: Yeah, there's some really good resources using the American College of Sports Medicine, both their website and finding a health care provider that can get them more information as well. There's actually, on their website, a search bar to find different exercise physiologists or cancer exercise programs like myself that are in your area. Dr. Tarah Ballinger: I agree. The American College of Sports Medicine probably has the most good resources available online for patients. They have a program called Exercise is Medicine, which is perfect in terms of what I was explaining for how exercise can actually work like a medicine to help with cancer-related fatigue. If you just Google “Exercise is Medicine from the American College of Sports Medicine,” you'll find it. And then they have a search area where you can look for professionals like Danielle that might be in your area. There are a couple of other national programs. The YMCAs have a program called Livestrong. Most all of them carry that program, and they have trainers that will work with cancer survivors at any point in their disease journey. I also work with another program called Maple Tree Alliance. If you Google that resource as well, they have several cancer exercise programs across the country. They also have some exercise videos available online. But like Danielle said, I think the first thing to do is advocate for this resource for yourself and ask your oncology care team about where you might be able to get help with this type of thing. Oftentimes, I think patients can get a little frustrated because they need the type of specific information that someone like Danielle can provide rather than just, oh, you should move around, or you should do aerobic exercise. A lot of patients need to know, how long can I do this? How long should I be doing it? How high should my heart rate be getting? And a lot of those more specific questions need to be answered by a specialist. Dr. Anna Roshal: Yeah, that's definitely true. And that's, yeah, like you mentioned, it's difficult maybe for just oncology professionals in the clinic to know all of this and have time to consult patients on this. So maybe, Danielle, I know we mentioned a few times that you're an exercise physiologist, but can you explain what you do on a regular basis and who is the exercise physiologist? How is it different maybe from a trainer at the gym? Which is maybe more patients are maybe associating that, but I know that's not what you do. Danielle Halsey: Yes, yes. It's very funny because when I want to tell people what I do, like random people I meet on the street, I say, “I'm an exercise physiologist.” I do put it in layman terms. I say, “I'm a very fancy, well-educated personal trainer some days.” But you're not totally off. But generally, what it is, is exercise physiologists are individuals that are highly trained, I have a background in chronic diseases. I have a background in physiology. I have a background in chemistry and all of the similar education as a physical therapist might have had, but my education stopped at a master's comparative to physical therapists who go into a DPT school. And they are more focused on injury where exercise physiologists are going to be more focused on chronic illness and patients who have chronic illnesses. Or, where we typically see exercise physiologists working in health care systems is in cardiovascular departments. My job on the day to day is utilizing the structure of cardiac rehab to develop a cancer rehabilitation program here at IU. And we've seen how beneficial that exercise can be in the cardiac population. And we've also seen how beneficial exercise can be in cancer rehabilitation, but it's not as well known or established. And so my day to day can vary dependent upon the number of patients that I have coming in, but in an ideal day, I'll see 4 to 5 patients individually. I help them with aerobic endurance. So, we do have a target heart rate and duration on a treadmill or a bike if they prefer one or the other. And then we do about 20 to 30 minutes of resistance training based off of where their baseline is and their overall comorbidities and range of motion and things like that. I spend time in clinic also talking to patients about different exercise modalities that might be beneficial for them, doing a little bit of health coaching, I guess you could say, in the sense of talking to them about what they're currently doing, what they might be able to add to their day-to-day activities, and what would help them maintain their physical activity if they're doing that outside of our program. And then I do assessments with all of our patients as well to just see where their baseline physical function is. And we use that as the means to build them an exercise program and an exercise prescription to make sure we get them either maintaining their physical function throughout treatment or improving and exceeding their goals, I guess you could say, in the stages after treatment. Dr. Tarah Ballinger: Ideally, we want to be identifying patients and working with them from the time of diagnosis. So we think of it more like prehabilitation rather than rehabilitation, because if you're able to integrate physical activity and exercise as part of your cancer treatment from the very beginning, we know there are so many benefits to that, not just in terms of your fatigue and quality of life, but also a lot of other cancer outcomes in terms of responding to treatment. So it's really important, but I think the onus is on us as the health care team to help be able to deliver those services directly to patients. And again, we want to do this in a way that is almost like a prescription, very individualized. Like Danielle mentioned, there are guidelines for 30 minutes, 3 times a week, resistance exercise, this many reps of this many things. But for a lot of patients, that might be something they can't do. So your prescription, maybe 5 minutes of walking is enough to get your heart rate up. So you're just doing that every day. Next week, maybe a couple of the days, you can increase to 7 minutes or 10 minutes. So for every single patient, it's different, and we need to provide that support so patients know what to do and have a prescription to follow. Dr. Anna Roshal: Great description. And then hopefully those services will be available, are available to more of the patients around the country and around the world. Can you speak to other certain types of patients that in your experience benefit more from this exercise-based prehabilitation and rehabilitation? Or is that really all cancer patients? Dr. Tarah Ballinger: Yeah, so like most things, most of the evidence that exists for the support of exercise and cancer-related fatigue exists in breast cancer, but that's primarily because breast cancer is so prevalent. So it's more well-studied in breast cancer. There's good evidence for exercise preventing or treating cancer-related fatigue when it's done during chemotherapy, when it's done after chemotherapy. But also there's a lot of evidence in patients with lung cancer who have unique reasons for cancer-related fatigue, especially with all of the respiratory symptoms that those patients can have. But I think ultimately, the patients who benefit are the patients who do it. So the patients, yeah, the patients who do it benefit. What we find the barrier is, is just getting patients through the door in the first place and getting them over that hurdle of understanding the importance of this, not being afraid to do it and kind of trying to find a reason to make this a part of their treatment plan. I always encourage people, again, I sound like a broken record, but I think thinking of this as a medication or a prescription is really important because it should just be a habitual part of what you're doing as part of your treatment. I think cancer patients and people in general wait for some type of magical motivation to exercise. And people always say, “I'm not motivated today. I can't find the motivation.” But if you think about it as just something that you need to do every day, like brushing your teeth and taking your medicines, and just get out and go for your walk and try to reframe it a little bit differently, that can be very helpful and very important. Dr. Anna Roshal: That's great advice. I was thinking about this, making this part of routine, not just in cancer patients, but in all of us. For some reason, the image of the pill box, like many of our older patients use, came to mind. So your morning pills, your evening pills, and there is a box, go out for a walk. Something like that. We need to design that. Dr. Tarah Ballinger: Yes. Danielle Halsey: Yeah, I would say that's a big thing. Like in the general population, it's this, a lot of the barriers that general population have to exercise, you'll see the same exact thing with cancer patients. And they're just, they just might be exacerbated a little bit more by this fatigue and the amount of appointments they have and other aspects of their life adding on to, oh, this is one other thing I have to do. And it is extremely interesting to see the differences in some of my patients who have been active prior to treatment and their diagnosis compared to those who were not active before. And I have 1 patient in particular who was not active before her treatment and any other patient that she's met who was active before her or who was active before their diagnosis, I hear her say, “I wish I had been active sooner. I wish I had been active prior to being diagnosed because I think it would have made a world of a difference in coming back.” And so I love the idea of making it a habitual thing. I like the idea of making physical activity something that isn't necessarily like a, “I have to do it” kind of thing, but something I get to do because I need to do it or it's something that's going to help me in the long run as well. And it's something that all of us, no matter our disease status, could benefit from making more of a habitual thing and an everyday task. Dr. Anna Roshal: Thank you, both of you. I know we talked mostly about exercise as a prescription for cancer fatigue. And I know in the beginning, Dr. Ballinger, you mentioned that really that's the only proven way to really reduce cancer fatigue. Are there any other things that our patients can do to try to cope with the fatigue in addition to the exercise? Obviously not instead, but in addition, are there any other tips that you have? Dr. Tarah Ballinger: Yeah, so like I mentioned, there are a lot of causes of cancer-related fatigue. So I think thinking about some of those other causes. So mental health is a huge one. So if depression or anxiety are something that you're experiencing, then treating that is going to make your cancer-related fatigue improve. So I always encourage talking to a therapist, a psychologist, if you want to consider taking a medication to help with depression or anxiety, all of those things can help. Sleep hygiene is really important. So again, thinking back to the naps, I encourage people to go for a short walk when they're tired as opposed to taking a nap so that it doesn't disrupt their nighttime sleep quite as much. Better sleep hygiene can help a lot with cancer-related fatigue. We mentioned other things like yoga, acupuncture, massage therapy. For some patients, there are stimulant medications that can help with severe cancer-related fatigue. I've certainly had some patients with debilitating cancer-related fatigue who have benefited from those as additional parts of their treatment. And that brings up the point that I think if the cancer-related fatigue is really severe, then it's definitely something that you need to discuss with your oncologist. You might need other blood work to make sure there's not something else causing you to be very fatigued. Or even sometimes we have to adjust the doses of a patient's medication so that they can better tolerate the treatment if the treatment is causing a lot of the cancer-related fatigue. So I think, again, this is a very complicated, difficult symptom, but there are a lot of ways to address it from multiple aspects that can make things better for patients. Dr. Anna Roshal: I think that's a very important point, right? Because there could be other reasons besides what we talked about, just the cancer diagnosis and its physiological effects. So I definitely agree with the comprehensive evaluation by the patient's oncologist who then can determine how it was really causing the fatigue and make the appropriate determination for other things, maybe in addition to exercise. Well, I think this has been very wonderful and extremely informative. I learned a lot. Are there any other things that, Dr. Ballinger or Danielle, you guys want to add for listeners? Dr. Tarah Ballinger: I think this is really important, and would encourage everyone to empower themselves and believe that they can and should be doing exercise and every little bit counts. Dr. Anna Roshal: Well, thank you very much, both of you. That's been wonderful. Thank you. Danielle Halsey: Thank you. Dr. Tarah Ballinger: Thank you. ASCO: Thank you, Dr. Roshal, Dr. Ballinger, and Ms. Halsey. You can learn more about exercise during cancer on the Cancer.Net Blog. Cancer.Net Podcasts feature trusted, timely, and compassionate information for people with cancer, survivors, and their families and loved ones. Subscribe wherever you listen to podcasts for expert information and tips on coping with cancer, recaps of the latest research advances, and thoughtful discussions on cancer care. And check out other ASCO Podcasts to hear the latest interviews and insights from thought leaders, innovators, experts, and pioneers in oncology. Cancer.Net is supported by Conquer Cancer, the ASCO Foundation, which funds lifesaving research for every type of cancer, helping people with cancer everywhere. To help fund Cancer.Net and programs like it, donate at CONQUER.ORG/Donate.

Cancer-related fatigue can be a tremendous burden on patients and caregivers. In this episode, we speak to Dr. Mariam Nawas… The post Quality-of-Life: Managing Cancer-Related Fatigue appeared first on The Bloodline with LLS.

Cancer-related fatigue can be a tremendous burden on patients and caregivers. In this episode, we speak to Dr. Mariam Nawas… The post Quality-of-Life: Managing Cancer-Related Fatigue first appeared on The Bloodline with LLS.

“For those without cancer or other illnesses, we often have a resolution or relief of this fatigue. ‘Oh, I'm just going to go to bed early and get a couple more hours of sleep tonight.' Or ‘I'm going to have a cup of coffee.' But for people with cancer, it's not an easy fix. People with cancer describe fatigue as something much more long-lasting,” ONS member Paula Anastasia, MN, RN, AOCN®, clinical nurse specialist for UCLA Health in Los Angeles, CA, told Jaime Weimer, MSN, RN, AGCNS-BC, AOCNS®, oncology clinical specialist at ONS. Anastasia discussed fatigue in patients with cancer undergoing PARP inhibitor maintenance therapy, management strategies, and nursing considerations. This podcast episode is supported by a sponsorship from AstraZeneca. ONS is solely responsible for the criteria, objectives, content, quality, and scientific integrity of its programs and publications. Music Credit: "Fireflies and Stardust" by Kevin MacLeod Licensed under Creative Commons by Attribution 3.0 Episode Notes NCPD contact hours are not available for this episode. Clinical Update: Ovarian Cancer Focus Group Summary ONS Get Up, Get Moving resources ONS Guidelines™ on Fatigue Oncology Nursing Podcast Episode 227: Biomarker Testing, PARP Inhibitors, and Oral Adherence During Ovarian Cancer Maintenance Therapy ONS Voice articles: Symptom Assessments: Use a Team-Based Approach to Inform Care and Optimize Outcomes Master the Essentials of Effective Communication What the Evidence Says About Music Therapy for Cancer-Related Fatigue Acupuncture for Cancer-Related Fatigue Biomarkers Are Advancing Understanding of Cancer-Related Fatigue Clinical Journal of Oncology Nursing articles: The Impact of a Nurse-Led Exercise Activity for Cancer-Related Fatigue in Patients With Leukemia Exercise Intervention: A Pilot Study to Assess the Feasibility and Impact on Cancer-Related Fatigue and Quality of Life Among Patients With High-Grade Glioma Oncology Nursing Forum article: The Effectiveness of Yoga on Cancer-Related Fatigue: A Systemic Review and Meta-Analysis National Comprehensive Cancer Network Guidelines > Supportive Care > Cancer-Related Fatigue ASCO Answers: Cancer-Related Fatigue To discuss the information in this episode with other oncology nurses, visit the ONS Communities. To provide feedback or otherwise reach ONS about the podcast, email pubONSVoice@ons.org. Highlights From Today's Episode “Fatigue is not necessarily life threatening, so I think unfortunately, it's underplayed at how disruptive it can be in somebody's quality of life and day-to-day life.” Timestamp (TS) 03:10 “For those without cancer or other illnesses, we often have a resolution or relief of this fatigue. ‘Oh, I'm just going to go to bed early and get a couple more hours of sleep tonight.' Or ‘I'm going to have a cup of coffee.' But for people with cancer, it's not an easy fix. . . . People with cancer describe fatigue as something much more long lasting.” TS 04:02 “I think it's really important when we educate our patients to let them know that this is a common side effect. Research tells us, and also patient experience, that fatigue does plateau after about four to eight weeks. It's not zero, but it gets much more manageable for our patients. So, I think priming our patients with what to expect can be very helpful.” TS 07:48 “I want patients to have some sort of physical activity. It doesn't have to be hours or marathons. Just a 10-minute walk in the morning and then maybe a 10-minute walk in the afternoon. Things like that. We try to, if possible, refer patients to a physical therapy-type setting initially, and that will help give them tools on how to be active and safe activities, and also gets them motivated. So, that's really helpful for patients.” TS 09:41 “I think it's important to assess the cause of the fatigue. Ruling out anemia, hypothyroidism, vitamin deficiencies, things like that. So, that is ruled out and we know what we're doing to our poor patient with the interventions; they've had surgery, they've had chemotherapy, now we're going to put them on a PARP inhibitor, all of these lifestyle changes.” TS 12:20 “I think since COVID-19, there's a lot more awareness of how much people have anxiety and depression. I think we're more in tune with that and how stressful life is, and that's not even having cancer and all of the challenges with that. So, I think that plays into it. Depression and anxiety can contribute to fatigue.” TS 16:53  “One of the biggest misconceptions about fatigue is that there's nothing that you can do about it. Just accept it. And I totally disagree with that. It's an undervalued side effect. It's not necessarily life threatening, but it's definitely something that can interfere with patients' day-to-day quality of life. So, we really need to address it. We need to assess, communicate, and plan for it.” TS 28:39

Joy Cohn, PT, provides insights into the newest APTA Oncology clinical practice guideline for screening and assessing cancer-related fatigue. Valuable information on which tools are best to use and how to implement the clinical practice guideline are discussed with podcast host, Dr. Stephen Morris.

Coauthors Dori Beeler, PhD, of the Levine Cancer Institute; Shelley Wang, MD, MPH, of The University of Texas MD Anderson Cancer Center; and Viraj A. Master, MD, PhD, of the Winship Cancer Institute of Emory University, spoke with CancerNetwork® about their review published in the journal ONCOLOGY® titled Cancer-Related Fatigue Outcome Measures in Integrative Oncology: Evidence for Practice and Research Recommendations. In the article, the authors and their colleagues explored negative impacts, mechanisms, and measurement concerns surrounding cancer-related fatigue. They also proposed strategies for standardization and future directions in the space.   

This week Bobbi Conner talks with Dr. Katie Schmitt about physical therapy and occupational therapy to help with cancer related fatigue. Dr. Schmitt is a physical therapist at MUSC Hollings Cancer Center.

Dr. Lisa Wood Magee and Dr. Stephen Wechsler present exciting findings about how cancer-related fatigue can result in physical impairments among those treated for cancer, and the need to address this through exercise aimed at large muscle groups of the lower extremity.

This week Bobbi Conner talks with Dr. Stacey Maurer about strategies to help manage cancer related fatigue. Dr. Maurer is an Assistant Professor in the College of Medicine and a Clinical Psychologist at Hollings Cancer Center at MUSC.

Cancer-related fatigue is one of the most common symptoms after a cancer diagnosis. Patients experience reduced ability to carry out daily activities and often experience loss of motivation. As soon as patients are diagnosed with cancer, we should be screening patients for side effects, including cancer-related fatigue. We must then continue monitoring for symptoms throughout treatment & well after treatment finishes. In last week's episode, we covered what is cancer-related fatigue, so if you haven't checked that out yet, do that first. In today's episode, we dive into what can PTs do for the person experiencing cancer-related fatigue.   TheOncoPT Patreon: https://patreon.com/theoncopt

Side effects are sometimes glossed over as buzzwords, and we tend to ignore that fact. As a result, we may actually be harming our patients and underestimating the effects on their independence and mobility. Cancer related fatigue is probably the most common impairment cancer survivors experience. An estimated 80% of survivors suffer from cancer-related fatigue! As defined by the NCCN, cancer-related fatigue is a "distressing, persistent, subjective sense of physical, emotional, and cognitive tiredness or exhaustion related to cancer treatment that is not proportional to activity and interferes with usual function."

Dr. Mary Hidde discusses the role of high intensity interval training for reducing cancer-related fatigue with an emphasis on moving evidence into clinical practice.

Cancer-related fatigue (CRF) is one of the most prevalent, debilitating symptoms for patients with cancer. It is also a multifactorial problem for which there is no one solution. Emily A. Lemke, DNP, AGPCNP-BC, AOCNP, of the Medical College of Wisconsin, summarizes data on one potential option: 2,000 mg of American ginseng daily. She reviews the safety and efficacy, where to source it, and tools to measure fatigue in patients.Related Content:Ginseng for the Management of Cancer-Related Fatigue: An Integrative Review. J Adv Pract Oncol 2021;12(4):406–414Ginseng (American) in About HerbsGinseng Board of WisconsinEvaluation of the psychometric properties of the PROMIS Cancer Fatigue Short Form with cancer patients. J Psychosom Res. 2016 Feb;81:9-13MFSI (Multidimensional Fatigue Symptoms Inventory)ESAS (Edmonton Symptom Assessment System)

Cancer fatigue is a commonly described symptom after Allogeneic BMT and can be very distressing.  Dr Elizabeth Pearson answers questions about managing cancer & treatment related fatigue 

Dr. Mary Kennedy is a physical activity and nutrition specialist, researcher, author and coach. Dr. Kennedy is a Postdoctoral Research Fellow at the Institute for Nutrition Research at Edith Cowan University. Her research focus is integrating exercise and nutrition into standard healthcare practice. In her doctoral research she has been studying the implementation barriers to integrating exercise as medicine in oncology. She is also passionate about coaching people to run marathons. She has served as a technical assistant for the scientific committee responsible for the creation of the 2008 National Physical Activity Guidelines. Additionally, she has served on the American College of Sports Medicine's (ACSM) Exercise is Medicine Education Committee and is currently the Physical Activity Advisor for the American Institute of Cancer Research. In addition to her national level policy work, Mary is a physical activity and nutrition researcher and consultant.   The links to the ACSM exercise oncology program directory and the current exercise guidelines are below: Directory: https://www.exerciseismedicine.org/cancer_exercise.php Guidelines: https://journals.lww.com/acsm-msse/Fulltext/2019/11000/Exercise_Guidelines_for_Cancer_Survivors_.23.aspx     --- ACSM exercise oncology program directory and the current exercise guidelines: Directory: https://www.exerciseismedicine.org/cancer_exercise.php Guidelines: https://journals.lww.com/acsm-msse/Fulltext/2019/11000/Exercise_Guidelines_for_Cancer_Survivors_.23.aspx --- This podcast episode is sponsored by Fibion Inc. | The New Gold Standard for Sedentary Behaviour and Physical Activity Monitoring Learn more about Fibion: fibion.com/research --- Collect, store and manage SB and PA data easily and remotely - Discover new Fibion SENS Motion: https://sens.fibion.com/ ---

Join us as we speak to Melina Ladouceur, cancer coach at the Ottawa Regional Cancer Foundation. We'll be talking about cancer-related fatigue, what it is, and what you can do to manage it and increase your energy during and following cancer treatment. Melina will provide insights into what cancer coaching is and share tips so you can create a game plan that works for YOU and your life to have more energy, make the transition back to work, and to move forward towards the life you want after treatment.    Thank you to our partners at CIBC for supporting this web series!          

Managing one of the most common side effects of treatment, Cancer Related Fatigue, can be difficult. Join us as we discuss this cumbersome side effect with Dr. Leigh Kinczewski, from Fox Chase Cancer Center in Philadelphia, and provide you with real-life ways to combat Cancer Related Fatigue.

Cancer treatment can bring with it many side effects and symptoms, and one of the most common is fatigue. Physical Therapist Jennifer Root, D.P.T., explains how she works with patients who have cancer-related fatigue and helps achieve their goals when it comes to returning to activity.

This case study aimed to identify and describe meaningful physical occupations used by a cancer survivor to increase or maintain levels of participation during active chemotherapy and subsequent cancer related fatigue.

On this Episode JT discusses CANCER Related Fatigue! He'll identify what it is, what causes it, how to manage it & share with you 8 areas He focuses on in order to stay in front of CANCER Related Fatigue! -- JT can be reached via email – JT@CancerandChill.com www.CancerandChill.com Facebook - Group Cancer and Chill Instagram - Cancer and Chill Official

Rachelle Ramsay is a Registered Nurse with her Certification in Oncology, currently working at the Tom Baker Cancer Centre on the Outpatient Systemic Treatment unit. She completed her Bachelor of Science in Nursing at St. Francis Xavier University in Nova Scotia. Rachelle began her career as an oncology nurse at the Victoria General Hospital in Halifax, Nova Scotia in 2012, and her passion for oncology has continued to grow ever since. Rachelle is also an active member of the Leukemia and Lymphoma Society of Canada. Kent Parlee recently celebrated 36 years of marriage to his wife and best friend Cheryl. They have three children – Sean and his wife Kathleen and their 2 children; Mitch and his partner Heather and their youngest, a daughter Alanna. Kent and Cheryl enjoy spending time with family, travelling and volunteering at home and abroad. Kent is a CLL survivor. yourlifeaftercancer.ca

Welcome to the Third Annual Cancer Conference - Beyond Rest: A Rehabilitative Approach to Managing Cancer-Related Fatigue sponsored by Kessler Institute Rehabilitation and Kessler Foundation. In this lecture podcast Didier Allexandre, PhD, Research Scientist at Kessler Foundation presents “Cancer-Related Fatigue - A Research Prospective”. View the transcript at https://kesslerfoundation.org/sites/default/files/2019-11/Cancer-Related%20Fatigue%20Part%205%20of%205-A-Research-Perspective-FINAL-Transcript.pdf Cancer-related fatigue is an issue that often develops during treatment and can last for months or even years. This live course will focus on the impact, screening and management of the physical, psychological, emotional and cognitive sequelae. Participants will gain understanding of various evidence-based therapeutic interventions and the overall benefits of a multi-professional approach. Topics to be discussed will include current research and practice guidelines, as well as the unique role that rehabilitation can play in managing and reducing signs of cancer-related fatigue. This presentation was recorded, produced, and edited by Joan Banks-Smith, Creative Producer for Kessler Foundation on Thursday, August 8, 2019 at the Kessler Institute for Rehabilitation, West Orange Campus, New Jersey. To listen to more conference podcasts, go to https://soundcloud.com/kesslerfoundation/sets/cancer-research For more information about Kessler Institute for Rehabilitation, go to kessler-rehab.com (www.kessler-rehab.com) For more information about Kessler Foundation and our researchers, go to KesslerFoundation.org (KesslerFoundation.org). Follow us on Facebook, Twitter, and Instagram. Listen to us on Apple Podcasts, Spotify, SoundCloud, or wherever you get your podcasts.

Welcome to the Third Annual Cancer Conference - Beyond Rest: A Rehabilitative Approach to Managing Cancer-Related Fatigue sponsored by Kessler Institute Rehabilitation and Kessler Foundation. In this lecture podcast Brooke Laster, oncology social worker from Valley Hospital presents “Psychosocial Interventions for Cancer-Related Fatigue”. View the transcript at https://kesslerfoundation.org/sites/default/files/2019-09/Cancer-Related%20Fatigue%20Part%204%20of%205-Psychosocial-Interventions-FINAL-Transcript.pdf Cancer-related fatigue is an issue that often develops during treatment and can last for months or even years. This live course will focus on the impact, screening and management of the physical, psychological, emotional and cognitive sequelae. Participants will gain understanding of various evidence-based therapeutic interventions and the overall benefits of a multi-professional approach. Topics to be discussed will include current research and practice guidelines, as well as the unique role that rehabilitation can play in managing and reducing signs of cancer-related fatigue. This presentation was recorded, produced, and edited by Joan Banks-Smith, Creative Producer for Kessler Foundation on Thursday, August 8, 2019 at the Kessler Institute for Rehabilitation, West Orange Campus, New Jersey. To listen to more conference podcasts, go to https://soundcloud.com/kesslerfoundation/sets/cancer-research For more information about Kessler Institute for Rehabilitation, go to kessler-rehab.com (www.kessler-rehab.com) For more information about Kessler Foundation and our researchers, go to KesslerFoundation.org (KesslerFoundation.org). Follow us on Facebook, Twitter, and Instagram. Listen to us on Apple Podcasts, Spotify, SoundCloud, or wherever you get your podcasts.

Welcome to the Third Annual Cancer Conference - Beyond Rest: A Rehabilitative Approach to Managing Cancer-Related Fatigue sponsored by Kessler Institute Rehabilitation and Kessler Foundation. In this lecture podcast Tiffany Kendig, physical therapist, Kelly Walloga, Senior Occupational Therapist, and Sara Ilenko, Senior Speech-Language Pathologist, all from Kessler Institute for Rehabilitation present “Rehabilitation to Manage Fatigue in Patients with Cancer”. Tiffany Kendig presents from 01:58 - 22:00 Kelly Walloga presents from 22:01 - 34:34 Sara Ilenko presents from 34:35 - 45:47 View the transcript at https://kesslerfoundation.org/sites/default/files/2019-09/Cancer-Related%20Fatigue%20Part%203%20of%205-Rehabilitation-to-Manage-Fatigue-FINAL-Transcript.pdf Cancer-related fatigue is an issue that often develops during treatment and can last for months or even years. This live course will focus on the impact, screening and management of the physical, psychological, emotional and cognitive sequelae. Participants will gain understanding of various evidence-based therapeutic interventions and the overall benefits of a multi-professional approach. Topics to be discussed will include current research and practice guidelines, as well as the unique role that rehabilitation can play in managing and reducing signs of cancer-related fatigue. This presentation was recorded, produced, and edited by Joan Banks-Smith, Creative Producer for Kessler Foundation on Thursday, August 8, 2019 at the Kessler Institute for Rehabilitation, West Orange Campus, New Jersey. To listen to more conference podcasts, go to https://soundcloud.com/kesslerfoundation/sets/cancer-research For more information about Kessler Institute for Rehabilitation, go to kessler-rehab.com (www.kessler-rehab.com) For more information about Kessler Foundation and our researchers, go to KesslerFoundation.org (KesslerFoundation.org). Follow us on Facebook, Twitter, and Instagram. Listen to us on Apple Podcasts, Spotify, SoundCloud, or wherever you get your podcasts.

Welcome to the Third Annual Cancer Conference - Beyond Rest: A Rehabilitative Approach to Managing Cancer-Related Fatigue sponsored by Kessler Institute Rehabilitation and Kessler Foundation. In this session, nurse clinician Linda Schmidt from the John Theurer Cancer Center at Hackensack University Medical Center presented “Screening for Cancer-Related Fatigue”. View the transcript at https://kesslerfoundation.org/sites/default/files/2019-09/Cancer-Related%20Fatigue%20Part%202%20of%205%20Screening-FINAL-Transcript.pdf Cancer-related fatigue is an issue that often develops during treatment and can last for months or even years. This live course will focus on the impact, screening and management of the physical, psychological, emotional and cognitive sequelae. Participants will gain understanding of various evidence-based therapeutic interventions and the overall benefits of a multi-professional approach. Topics to be discussed will include current research and practice guidelines, as well as the unique role that rehabilitation can play in managing and reducing signs of cancer-related fatigue. This presentation was recorded, produced, and edited by Joan Banks-Smith, Creative Producer for Kessler Foundation on Thursday, August 8, 2019 at the Kessler Institute for Rehabilitation, West Orange Campus, New Jersey. To listen to more conference podcasts, go to https://soundcloud.com/kesslerfoundation/sets/cancer-research For more information about Kessler Institute for Rehabilitation, go to kessler-rehab.com (www.kessler-rehab.com) For more information about Kessler Foundation and our researchers, go to KesslerFoundation.org (www.KesslerFoundation.org). Follow us on Facebook, Twitter, and Instagram. Listen to us on Apple Podcasts, Spotify, SoundCloud, or wherever you get your podcasts.

Welcome to the Third Annual Cancer Conference - Beyond Rest: A Rehabilitative Approach to Managing Cancer-Related Fatigue sponsored by Kessler Institute Rehabilitation and Kessler Foundation. Welcome and case study presented by Michael Stubblefield, MD (https://www.kessler-rehab.com/patient-center/staff/DoctorDetails.aspx?ID=65) followed by Ashish Khanna, MD on “Cancer-related Fatigue: A brief Overview of a Common Complaint”, both are from Kessler Institute for Rehabilitation. View the transcript at https://kesslerfoundation.org/sites/default/files/2019-09/Welcome-and-Cancer-Related-fatigue_a-brief-overview-of-a-common-complaint-FINAL-Transcript.pdf Cancer-related fatigue is an issue that often develops during treatment and can last for months or even years. This live course will focus on the impact, screening and management of the physical, psychological, emotional and cognitive sequelae. Participants will gain understanding of various evidence-based therapeutic interventions and the overall benefits of a multi-professional approach. Topics to be discussed will include current research and practice guidelines, as well as the unique role that rehabilitation can play in managing and reducing signs of cancer-related fatigue. This presentation was recorded, produced, and edited by Joan Banks-Smith, Creative Producer for Kessler Foundation on Thursday, August 8, 2019 at the Kessler Institute for Rehabilitation, West Orange Campus, New Jersey. To listen to more conference podcasts, go to https://soundcloud.com/kesslerfoundation/sets/cancer-research For more information about Kessler Institute for Rehabilitation, go to kessler-rehab.com (https://www.kessler-rehab.com) For more information about Kessler Foundation and our researchers, go to KesslerFoundation.org (https://KesslerFoundation.org). Follow us on Facebook, Twitter, and Instagram. Listen to us on Apple Podcasts, Spotify, SoundCloud, or wherever you get your podcasts.

  David Cella, PhD, and Lisa Wu, PhD, both of Northwestern University in Chicago, discuss fatigue and sleep disturbance related to cancer – its prevalence and possible treatments -- in this episode of Blood & Cancer.   In Clinical Correlation (29:45), Ilana Yurkiewicz, MD, of Stanford (Calif.) University, shares a case that highlights the resilience that patients show in the face of cancer, and asks: Can a positive attitude improve outcomes?   Show notes By Hitomi Hosoya, MD, PhD, resident in the department of internal medicine, University of Pennsylvania, Philadelphia  Cancer-related fatigue is prevalent in cancer patients and cancer survivors. Sleep disturbance also is prevalent in this population and can be related to fatigue. In breast cancer patients, for instance, fatigue during treatment can be as high as 80%. Even after 7-9 years of treatment, more than 50% of breast cancer patients reported sleep disturbances, according to one study. Cancer-related fatigue is different from usual daily fatigue; it is more severe, more distressing, and not relieved by rest. Cancer-related fatigue and sleep disturbance are thought to be related to pro-inflammatory cytokines, endocrine dysfunction, and possibly to circadian rhythm. Cancer-related fatigue should be evaluated from treatment regimen perspectives, metabolic perspectives, or other underlying medical problems. If the above conditions are ruled out, psychosocial therapy (exercise, cognitive behavioral therapy) should be considered. Recently, light therapy using broad-spectrum bright light to correct circadian rhythm has been studied. The gold standard treatment for sleep issues in cancer is cognitive behavioral therapy for insomnia.  

Dr. Lise Alschuler discusses Fatigue in Cancer Patients with Dr. Ben Weitz. [If you enjoy this podcast, please give us a rating and review on Itunes, so more people will find The Rational Wellness Podcast. Also check out the video version on YouTube at https://www.youtube.com/user/weitzchiro/]   Podcast Highlights 1:45   Fatigue in cancer is under reported, […]

In this podcast series, episode 2 of “Topics in Breast Cancer Rehabilitation”, Dr. Ashish Khanna presented “Cancer Related Fatigue” to the staff at Kessler Foundation on February 8, 2018. Dr. Khanna is a cancer rehabilitation attending physician at Kessler Institute for Rehabilitation in West Orange, NJ Dr. Khanna completed his residency in Physical Medicine and Rehabilitation at the Kingsbrook Jewish Rehabilitation Institute in Brooklyn, NY, where he became interested in cancer rehabilitation early on. He presented several posters and lectures during his time as a resident and was actively involved in attaining CARF certification in Cancer for his hospital, the first in the Northeast United States to achieve this certification. He was a Cancer Rehabilitation Fellow at Medstar Georgetown University/National Rehabilitation Hospital in Washington, DC. This podcast was produced and edited by Joan Banks-Smith, Creative Producer for Kessler Foundation on February 8th, 2018 at Kessler Foundation, West Orange, NJ For more information about our breast cancer studies, go to http://kesslerfoundation.org/breastcancer To join our research studies, go http://www.kesslerfoundation.org/joinourresearchstudies.php

The overall state of cancer care has improved over the past two decades through the widespread use of traditional therapies such as surgery, medications, and chemotherapy. Improved cancer therapy has led to an increased life expectancy and cure rates. The good news is that in most types of cancers, the survival rate has increased dramatically. The not so good news for the more than 10 million survivors of cancer in the United States of America is that when most returned to a normal life, 20% will have functional limitations up to five years later, and some of that may persist indefinitely without proper treatment. One of the greatest challenges presented to this growing patient population of survivors is that of cancer-related fatigue and pain. Dr. Nalini Chilkov speaks about creating a body where cancer cannot thrive as well as how to heal from cancer-related fatigue and pain. Sign up for the latest episode at www.drjoetatta.com/podcasts.   Love the show? Subscribe, rate, review, and share! Here’s How » Join the Healing Pain Podcast Community today: drjoetatta.com Healing Pain Podcast Facebook Healing Pain Podcast Twitter Healing Pain Podcast YouTube Healing Pain Podcast LinkedIn

When we support a cancer patient and survivor’s full body systems, we can help to improve their outcomes, not just for a long life, but for a life with less of the debilitating symptoms of the all-too-common impacts of cancer related fatigue. Dr. Chilkov weaves the matrix of what to consider in this week’s episode.

Fatigue is the symptom most frequently reported by individuals with cancer. However, cancer-related fatigue (CRF) is very different from daily… The post Cancer-Related Fatigue: Syndrome Not Symptom first appeared on The Bloodline with LLS.

Fatigue is the symptom most frequently reported by individuals with cancer. However, cancer-related fatigue (CRF) is very different from daily… The post Cancer-Related Fatigue: Syndrome Not Symptom appeared first on The Bloodline with LLS.

Trista graduated from the University of Northern Colorado, where she spent a lot of her time working in the Rocky Mountain Cancer Rehabilitation Institute. In this episode, we chat about Trista’s PhD dissertation where she looked at the difference between perceptual fatigue and muscular fatigue to try and get a deeper understanding of cancer related fatigue.   We also spend a lot of time chatting about a phased approach to cancer-rehabilitation. This approach, divides the rehabilitation into different stages based on where the patient is during their treatment and how they are responding to the rehab protocol. This is some really cool stuff that the RMCRI have been working on for a while and may very well serve as a model of cancer rehab in the future.   You can find Trista on facebok here or email here at tolson@stcloudestate.edu for more infor on what’s she’s up to. Follow me on twitter @CiaranFairman to hear about more things exercise and cancer.   Enjoy!   Show notes    6:05     What is cancer related fatigue?          7:45     What causes cancer related fatigue?   10:45     Does cancer type have any effect on fatigue?             12:00     The difference between normal tiredness and fatigue           13:00     How exercise can help alleviate fatigue   18:10   Why it is important to educate patients about the symptoms they will face from treatment         21:00   Trista’s Dissertation     30:00   Phased approach to cancer rehab        32:15   What does a phase one patient’s exercise program look like?           37:15   Moving to phase two   44:00   Dealing with muscular imbalances and other complications from treatment           49:00   Phase three       51:00   The importance of working towards independence    53:45   Frequently asked questions by patients as they start to do more on their own   56:15   Common misconceptions about cancer and exercise   57:15   Trista’s advice for upcoming professionals and for patients/survivors    

Patricia is a PhD researcher at Waterford Institute of Technology in Ireland. Patricia is finishing up her dissertation, where she looked at a physical activity program to improve symptoms of cancer-related fatigue.   In this episode, we focus on cancer-related fatigue, what it is, how it’s different from regular tiredness and how it can affect different people. We chat about Patrica’s dissertation work and how physical activity can improve fatigue. We also chat about the state of cancer rehabilitation in Ireland and what services are out there for cancer patients/survivors.   You can find Patricia on twitter @FERNTRI or through email at patricia.sheehan@postgrad.wit.ie   You can also find the MedEx program in Waterford here: https://www.wit.ie/schools/health_sciences/medexwit.   Find me on twitter at @CiaranFairman or go to reachbeyondcancer.com to find out more about what we do.   This episode doesn’t have an intro, I came down with a devastating case of the man-flu over the weekend, so I’m not able to speak to put one up. This episode is sponsored by Lampstrong.com. The LampStrong Foundation is a non-profit organization founded by Major League Soccer Goalkeeper and Stage Four Hodgkin Lymphoma Survivor Matt Lampson. The mission of The LampStrong Foundation is to provide difference-making financial, emotional and motivational support to cancer patients and families in all the stages of cancer treatment and recovery as well as to fund proven cancer researchers. For more information and regular updates on the LampStrong Foundation follow the LampStrong Foundation on Facebook or visit LampStrong.com.       1.00 – What is Cancer Related Fatigue, what are the symptoms, how long does it last, what causes it etc.   5.00 – Where should exercise advice for cancer patients/survivors come from?   7.00 – Different dimensions of cancer-related fatigue, whether its emotional, cognitive or physical fatigue, and how those patterns fluctuate during treatment.   11.29 – The transition from active treatment to survivorship and how patients/survivors can feel lost and isolated.   15.35 – Patricia’s study looking at physical activity and cancer-related fatigue.   28.45 – Fit and active cancer patients – dealing with exercise tolerance going down.   36.00 – Turning her research into a public service program at Waterford Institute of Technology.   44.00 – State of cancer rehab in Ireland. Where the field is and what is available for patients/survivors.   51.00 – The influence of policy on establishing exercise oncology as a standard of care. 

June 15, 2017: The fatigue felt by people with cancer is so common that it has a name. Cancer-related fatigue isn’t unique to 1 type of cancer or cancer treatment, and it can occur even after treatment is complete. When cancer-related fatigue strikes, it’s often extremely debilitating, significantly impacting quality of life, and creating a … Continue reading Cancer-Related Fatigue and Physical Therapy

Thanks to advances in cancer treatment, there are now more than 10 million cancer survivors in the U.S. Many survivors, up to 30%, report experiencing a loss of energy following their treatment. Dr. Ellen Manzullo, Professor of General Internal Medicine and Associate Medical Director of Ambulatory Treatment and Emergency Care at The University of Texas MD Anderson Cancer Center, explores why in this lecture.

Thanks to advances in cancer treatment, there are now more than 10 million cancer survivors in the U.S. Many survivors, up to 30%, report experiencing a loss of energy following their treatment. Dr. Ellen Manzullo, Professor of General Internal Medicine and Associate Medical Director of Ambulatory Treatment and Emergency Care at The University of Texas MD Anderson Cancer Center, explores why in this lecture.

Cancer survivors describe cancer-related fatigue as "paralyzing." When combined with a sleep disorder, cancer-related fatigue can zap energy and motivation to do simple daily tasks. Dr. Dave Balachandran, Associate Professor of Pulmonary Medicine at The University of Texas MD Anderson Cancer Center, discusses several case studies in the second part of this lecture.

Cancer survivors describe cancer-related fatigue as "paralyzing." When combined with a sleep disorder, cancer-related fatigue can zap energy and motivation to do simple daily tasks. Dr. Dave Balachandran, Associate Professor of Pulmonary Medicine at The University of Texas MD Anderson Cancer Center, discusses several case studies in the second part of this lecture.

Dr. Carmen Escalante, Professor and Chair of General Internal Medicine, Ambulatory Treatment, and Emergency Care at The University of Texas MD Anderson Cancer Center, presents the lecture, "Cancer-related Fatigue." Cancer-related fatigue is one of the most common symptoms experienced by cancer patients and cancer survivors. Dr. Escalante's lecture provides a multidisciplinary perspective on cancer-related fatigue and focuses on the prevalence, characteristics, hypothesized pathophysiology, and common causes of this condition.

Dr. Carmen Escalante, Professor and Chair of General Internal Medicine, Ambulatory Treatment, and Emergency Care at The University of Texas MD Anderson Cancer Center, presents the lecture, "Cancer-related Fatigue." Cancer-related fatigue is one of the most common symptoms experienced by cancer patients and cancer survivors. Dr. Escalante's lecture provides a multidisciplinary perspective on cancer-related fatigue and focuses on the prevalence, characteristics, hypothesized pathophysiology, and common causes of this condition.

Dr. Stephanie Harman, Director of Palliative Care at Stanford University Medical Center, reviews the challenges of depression and fatigue related to cancer, and treatment approaches for these issues.

Dr. Stephanie Harman, Director of Palliative Care at Stanford University Medical Center, reviews the challenges of depression and fatigue related to cancer, and treatment approaches for these issues.

Paddy Stone of St. George's Hospital, University of London, & David Cella from Northwestern University Feinberg School of Medicine about the effective use of questionnaires for assessing, screening, and perhaps diagnosing cancer-related fatigue syndrome.

Paddy Stone of St. George's Hospital, University of London, & David Cella from Northwestern University Feinberg School of Medicine about the effective use of questionnaires for assessing, screening, and perhaps diagnosing cancer-related fatigue syndrome.

Oncology Times Broadcast News with the Audio Journal of Oncology Reporting from: 10th European Congress Perspectives in Lung Cancer, Brussels March 6-7, 2009 and Journal of Clinical Oncology Cancer Related Fatigue Questionnaires Assessed Paddy Stone of St George's Hospital, University of London and David Cella from Northwestern University Feinberg School of Medicine, in Evanston Ilinois about the efficacy of questionnaires for assessing, screening and perhaps diagnosing cacer-related fatigue syndrome.

An Alegent Health Physical Therapist and breast cancer survivor talk about how they became involved in the program. Learn how exercise can help fight fatigue and various forms of complementary therapies Alegent Health offers to breast cancer survivors including - Yoga, T’ai Chi, Massage & Meditation.