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Experiencing fatigue before treatment, being depressed or anxious, getting too little exercise, and having other medical conditions are all associated with higher levels of fatigue in post-treatment cancer survivors. [2] Receiving multiple types of treatments, such as chemotherapy and radiation, is associated with more fatigue. [3]
The systems of the body most affected by chemotherapy drugs include visual and semantic memory, attention and motor coordination and executive functioning. [9] [10] These effects can impair a chemotherapy patient's ability to understand and make decisions regarding treatment, perform in school or employment and can reduce quality of life. [10]
These symptoms generally begin with the or third cycle of treatment and can last long after treatment completion. Indeed, the “coasting” phenomenon mentioned in the Symptoms section is a direct effect of platinum agents. Of the platinum compounds, research has shown cisplatin to be the most frequently involved in peripheral neuropathy. [3]
Patient has no additional treatment for 12 days, after which, the cycle is repeated. If the patient has a central line, the infusions of fluorouracil may be administered at home through a small pump. The patient can retain mobility during infusion by putting the pump in a pouch or bag on a belt (like a bum bag). The patient must return to the ...
[6] [4] Though typically cast as a worsening of existing symptoms, patients may experience some symptoms exclusively during PEM. [6] Patients often describe PEM as a "crash", "relapse", or "setback". [6] Symptoms typically begin 12–48 hours after the triggering activity, [5] but may be immediate, or delayed up to 7 days. [6]
Compassion and empathy are wonderful qualities to have, but they can also cause burnout, anxiety and depression.
Fatigue may be a consequence of the cancer or its treatment, and can last for months to years after treatment. One physiological cause of fatigue is anemia, which can be caused by chemotherapy, surgery , radiotherapy , primary and metastatic disease or nutritional depletion.
Earlier in the pandemic, COVID rebound was thought to be mostly caused by taking the antiviral treatment Paxlovid, as many of these patients would notice symptoms returning a few days after ...
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