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Patients' experiences of fatigue in the end stages of renal disease
Key words:
End-of-life care
End-stage renal disease
Symptom burden
Clinical review
First published in this online journal
Declaration of interests:
Kate Critchley
Author profile (accurate when this article was originally published):
Kate Critchley is a Clinical Nurse Specialist (Community Palliative Care), St Joseph’s Hospice, Hackney, London, and MSc Student, Department of Palliative Care, Policy and Rehabilitation, King’s College London. Email:
Download pdf:
Patients' experiences of fatigue in the end stages of renal disease
The number of patients diagnosed with end-stage renal disease (ESRD) is increasing annually and will continue to rise as a result of the ageing population. Research exploring the symptom burden in ESRD has shown it to be equal to that of the symptom burden experienced by patients with terminal cancer. Fatigue is one of the most prevalent symptoms experienced by ESRD patients. It is very debilitating. The severity of fatigue in ESRD has been found to be associated with loss of physical function, reduced activity levels, sleep disturbance and depression. Causal mechanisms of ESRD-related fatigue are essentially unknown. However, they are thought to be multidimensional, including sociodemographic, physical and psychological factors. This article provides an overview of ESRD and...