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Published on: July 24, 2013
Fatigue in frail elderly people
Christine Toye1, Kate White, Karen Rooksby
1School of Nursing, Midwifery and Postgraduate Medicine, Edith Cowan University, Pearson Street, Churchlands, Western Australia, 6018. c.toye@ecu.edu.au
Frail older adults experience fatigue, but measurement tools are scarce. This study developed the Frail Elder Fatigue Assessment Tool, aiding research and clinical assessment of fatigue in this population.
Area of Science:
- Gerontology
- Nursing
- Rehabilitation
Background:
- Frail older adults frequently experience fatigue.
- Existing tools for measuring fatigue in this demographic are insufficient.
- Understanding the lived experience of fatigue is crucial for developing effective interventions.
Purpose of the Study:
- To explore and describe the experiences of fatigue in frail older people.
- To develop and refine a measurement tool for assessing fatigue in frail elders.
- To provide a tool for both research and clinical use.
Main Methods:
- Qualitative exploration of fatigue experiences in 12 residents of Australian aged care facilities.
- Development of a fatigue measure based on qualitative findings and literature review.
- Panel review, piloting, and refinement of the developed tool (Frail Elder Fatigue Assessment Tool).
Main Results:
- Identified key themes in fatigue experiences: pacing, battling on, hitting rock bottom, feeling safe, and moving on.
- Developed the Frail Elder Fatigue Assessment Tool with 20 items across three subscales: fatigue effects, fatigue resources, and adaptation to fatigue.
- Initial refinement indicates potential utility, though further psychometric validation is needed.
Conclusions:
- Frail elders may manage fatigue effects with adequate support.
- The Frail Elder Fatigue Assessment Tool shows promise for assessing fatigue in this population.
- Further research is required to establish the psychometric properties of the tool.
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