Cancer & Illness Related Fatigue: Surprising evidence-based treatments that work! ASCO-SIO update

Описание: Fatigue is one of the most common and distressing symptoms of cancer and advanced organ illnesses, often leaving patients feeling drained and unable to perform simple tasks.

In part 1 of this series, we discussed the potential causes of fatigue in the setting of cancer or advanced organ illnesses. In this part 2 video, I will discuss the most effective, evidence-based strategies and treatments to reduce persistent, debilitating fatigue related to cancer and advanced organ illnesses. The top recommendations might surprise you!

Link to part 1 of this series:    • Causes of Fatigue in Cancer, Advanced Illn...  


ASCO-SIO 2024 Guideline Update: Integrative Strategies
Based on the latest American Society of Clinical Oncology (ASCO) and Society for Integrative Oncology (SIO) guidelines, we review which integrative practices are backed by research:

Exercise (Aerobic & Resistance)

CBT and Mindfulness-Based Programs

Qigong and Tai Chi (During treatment)

Yoga, Acupressure, and Moxibustion (After treatment)

American Ginseng and a short course of corticosteroids may be helpful.

Medications to avoid: Wakefulness agents, anti-depressants, and psycho-stimulants are generally NOT recommended as first-line treatments for CRF.


🔗 Links and References:
Link to ASCO-SIO Fatigue Guidelines:
https://ascopubs.org/doi/10.1200/JCO....

https://my.clevelandclinic.org/health...

Link to the introductory/welcome video for this channel:
   • Welcome to Palliative Care Explained! Decl...  

00:00 Intro & declarations
01:24 First steps in treating fatigue
01:55 Managing energy and pacing
03:27 Sleep hygiene
04:51 Poly-pharmacy
05:24 Treating medical causes
06:08 Managing symptom burden
06:30 Cancer related fatigue ASCO-SIO update
07:17 Summary of results from update
08:34 Exercise
09:54 Qigong, Tai Chi and Yoga
11:17 Mindfulness interventions
12:06 Cognitive Behavioural Therapy (CBT)
12:38 Traditional practices
13:23 Ginseng
14:08 Corticosteroids
14:52 Stimulant medications
15:21 Treating fatigue from non-cancerous organ illness
16:24 Conclusion


About this channel:
Welcome to Palliative Care Explained - a channel aimed at answering your questions about palliative care and end of life care. My name is Dr. Jonathan Wong (MD, FRCPC) and I am a palliative care doctor based out of Winnipeg, Canada.
Brought online March 28, 2025, Palliative Care Explained is a channel aimed at answering your questions about palliative care. My formal medical training is in internal medicine and palliative care and I have been working in the field of palliative care since 2011. It is my hope that this channel will better inform viewers about palliative care, end of life care and living with a serious illness.

#palliativecare #endoflifecare #palliative

Intro music written & recorded by: Jonathan Wong

Committee advisors:
Dr. P. Daeninck MD, MSc, FRCPC
Dr. E. Giannouli MD, FRCPC
Dr. J. Strutinsky-Mason MD, MSc, MRCP (UK)

Disclaimer and medical-legal statements:
*As a medical professional speaking to you, I hereby declare that I do not have any conflicts of interest that would compromise the integrity of the presented information.
*I do not have any financial sponsors nor am I receiving any funding from the pharmaceutical industry.
*This channel and its production, is my own undertaking, with support from other palliative care experts.
*This video series is for educational purposes only and is intended for audiences in Canada.
*The presented information may not be applicable to all viewers.
*I am not providing any direct medical treatment or advice to the viewer.
*These videos are not meant to imply or establish a therapeutic relationship with the viewer.
*These videos are not to replace or subvert the advice from the viewer’s own doctor or health care provider team.
*Any further questions should be directed to the medical team most familiar with the viewer’s unique situation.



References and further reading:

Palliative Medicine – A Cased Based Manual
Fourth Edition
MacDonald S, Herx L, Boyle A
Copyright Oxford University Press 2022. Published by Oxford University Press.

Oxford Textbook of Palliative Medicine
Sixth Edition
Cherny N, Fallon M, Kaasa S, Portenoy R, Currow D.
Copyright Oxford University Press 2021. Published by Oxford University Press.

JAMA Evidence
Care at the close of life – Evidence and Experience
McPhee S, Winker M, Rabow M, Pantilat S, Markowitz A
Copyright American Medical Association 2011. Published by McGraw-Hill.



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