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Charlotte-Anne Wells Senior Occupational Therapist Craigavon Area Hospital

Charlotte-Anne Wells Senior Occupational Therapist Craigavon Area Hospital. Fatigue Management in Phase III Cardiac Rehabilitation. Fatigue. Frequent & distressing symptom (Brink et al, 2002) Reported to be the most frequent symptom before Acute MI (McSweeney et al, 2003)

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Charlotte-Anne Wells Senior Occupational Therapist Craigavon Area Hospital

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  1. Charlotte-Anne WellsSenior Occupational TherapistCraigavon Area Hospital Fatigue Management in Phase III Cardiac Rehabilitation

  2. Fatigue • Frequent & distressing symptom (Brink et al, 2002) • Reported to be the most frequent symptom before Acute MI (McSweeney et al, 2003) • ‘Vital Exhaustion’: unusual fatigue, increased irritability, feelings of demoralisation (Appels and Mulder, 1988; Shuitemaker et al 2004)

  3. Fatigue Effects: • Daily functioning • Ability to work • Physical functioning • Intellectual and emotional function • Social activity Description: • ‘‘A different kind of tiredness’ • ‘Incomprehensible’ • ‘Unpredictable’ • ‘Not related to effort’ Living with Incomprehensible Fatigue after Recent MI (Alsen et al, 2008. Advanced Journal of Nursing)

  4. Fatigue Management & Energy Conservation(Craigavon Area Hospital) • Fatigue in relation to Activities of Daily Living, Work & Leisure • Activity Analysis • Use of METS • Activity Grading • Use of Borg Scale in relation to Daily Activities • Advice on Energy Conservation/Fatigue Management • Psychological effect of Fatigue and MI

  5. Audit Aims • To ascertain the proportion of programme attendees who felt that fatigue was a major symptom of their condition • To establish how those individuals felt fatigue impacted upon their daily functional ability • To examine how useful individuals found the advice given • To establish what, if any, aspects of the session they incorporated into daily life • To identify areas for improvement anddevelopment

  6. Methodology • Study Design • Recruitment of Research Team • Sampling Size • Timescale • Data Collection • Demographics

  7. Results

  8. Percentage of patients who felt that Fatigue was a major symptom of their condition

  9. Areas of Daily Life affected by Fatigue N=20 N=23 N=17 N=21 N=10 N=19

  10. Topics within the session which participants found useful N=21 N=18 N=25 N=30 N=25 N=25 N=27 N=19

  11. How participants rated the session on Fatigue Management N=3 N=0 N=22 N=12

  12. Topics within the session which participants introduced into daily life N=15 N=21 N=5 N=7 N=14 N=3 N=15 N=17

  13. Qualitative Feedback ‘Relevant’ ‘Interesting’ ‘It increased my confidence to complete my daily activities’ ‘It increased my confidence to complete my daily activities’ ‘My family was able to relate to the information provided’ ‘It enabled me to manage my condition with confidence’

  14. Study Limitations • Study is based on patient reporting alone – no objective measurement • Timeframe • Retrospective

  15. Recommendations • Further study • Larger sample size • The use of an objective measurement tool • Administer questionnaire or assessment tool within a set timeframe pre or post Phase III

  16. …. and finally

  17. Thank You

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