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The Many Different Kinds of Sleep Disorders

Feb 02

by Beth Ibarra

Sleep is something that many people tend to take for granted. They go to bed after a long day of school or work, and they expect to wake up the next day refreshed. Well, for every person that does, there are many more people who do not, or even go to sleep at all.

People with sleeping problems are generally thought to be suffering from one of the many sleep disorders that have been classified throughout the years. If a person thinks that he or she is indeed faced with a significant sleeping problem, it is important that they first consult their doctor, because what they think might be the result of one of the sleep disorders, might actually be something else.

Take, for example, what is considered to be the most common of sleep disorders: Insomnia. This particular problem is marked by either not being able to sleep for long periods of time, or not being able to fall asleep at all for days at a time. This is actually not a disorder in itself, but instead a symptom of a more serious medical condition.

It goes without saying, but if a person is unable to breathe well, that would definitely hinder sleeping. Insomnia is thus often caused when people with asthma, emphysema, or another breathing problem are not given the right medication. It is also important to keep in mind that sometimes the medication might be alright, but the side effects could cause this sleeping problem.

Also, sleeplessness might be a sign of poor behavioral habits. For example, if a person is in the habit of drinking lots of coffee each day, the amount of caffeine in a regular cup of coffee is enough to keep anyone awake for a long period of time! Caffeine can also be found in soda, as well as even some foods.

Speaking of food, if a person eats right before they go to sleep, that will automatically cause them to stay awake. Why? Because energy is given from ingesting food, so the body, although tired, simply will not act like it is tired at all. In order to prevent gas, and to facilitate the best digestion possible, it is best to eat at least two hours before going to sleep.

All of this having been said, one of the most prevalent actual sleep disorders that people suffer from is sleep apnea. In this sleeping problem, people stop breathing for anywhere from a minute at a time, to several minutes at a time. In order for the brain to remain functioning at all times, it is very important that it get the necessary amount of full oxygen.

So, how can a person tell if he or she is suffering from this condition? When they wake up in the morning exhausted and forgetful, even after getting what they think is a full night’s rest. Thus, it is very important that a sleep study be done on such a person to ensure a proper and timely diagnosis.

More information on sleep disorders, snoring and a sleep disorder treatment options at a sleep clinic in your area is just a click away.

Article Source: http://www.articlesnatch.com/Article/The-Many-Different-Kinds-of-Sleep-Disorders/412626

Popularity: 1% [?]

Side Effects of Chemotherapy

Jan 15

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You can imagine a situation where apart from the anguish of having cancer, patients receiving chemotherapy for it find that they also have to deal with the side effects of the treatment which can be fairly devastating.Fortunately like most things in life, understanding the side effects and the causes for it is an excellent place to start in alleviating the suffering. And understanding the basic reason for the side effects of chemotherapy is not as difficult as most people think it is. All you need to grasp is what chemotherapy does to the body. The whole idea behind chemotherapy is to kill cancer cells. However in the course of destroying the deadly cancerous cells the treatment also damages other normal cells. The unavoidable harming of these normal cells is what causes the side effects associated with chemotherapy.

The cells that are usually affected include bone marrow blood cells, cells of hair follicles, cells lining the digestive tract and cells lining the reproductive tract. Looking at this list of the cells that are usually destroyed, one can start to recognize some the ailments that cause so much suffering to people going through chemotherapy treatment. Now you understand exactly why people end up losing their hair for instance. This is as a result of the cells of hair follicles being damaged by chemotherapy.

Bone marrow cells being affected during cancer treatment is one of the most common causes of many of the side effects of chemotherapy. Bone marrow is a thick liquid in the inner part of some bones which usually produces white blood cells. This damage leads to low white blood cell counts or what doctors call neutrophil. The kind of signs and symptoms that follow include fever, sore throat, coughs, shortness of breath, nasal congestion, burning during urination, shaking chills as well as redness, swelling, pain, and warmth at the site of an injury amongst other symptoms.

Usually because of the high risk of infections, doctors may need to delay further chemotherapy doses. These are some of the factors that cause so much suffering amongst cancer patients.

Fortunately new research and clinical trials offers some hope in greatly alleviating problems related to cancer and cancer treatment. For example natural herbal medicines have been used for hundreds of years and now regularly complement mainstream care in managing symptoms, boosting the immune system and greatly enhancing the quality of life. Actually many cancer patients going through chemotherapy have reported impressive results from natural herbal medicine in addressing the side effects of chemotherapy.

Get more information on the Side Effects Of Chemotherapy

Popularity: 8% [?]

Therapy Pain

Jan 15

Therapy Pain   by Billy Fischer

Where traditional forms of medicine do not work alternative therapies are resorted to. When there is a combination or integrated medical system that is followed, how to blend both the alternative and the conventional needs expertise. Alternative therapies make available services which are not offered in conventional medicine. These treatments could involve homeopathy, new age healing, faith healing and naturopathy. Some diseases might warrant alternative methods of healing rather than the conventional and more and more people seem to be becoming aware of this.

Not only can alternative health therapies help you to improve the quality of your life and feel better, they can also help you to improve your overall general health in order to provide you with a sense of control. It relaxes you by reducing your anxiety, stress, depression, sleeplessness and tension. They reduce some of the side effects, which are normally noticed in the usual cancer treatments and also help in reducing some of the symptoms like poor appetite, tiredness, pain, sickness, diarrhea, constipation and breathlessness.

Alternative health therapies can be very effective at masking pain, which can sometimes hide a more serious underlying condition and are often used in conjunction with conventional medicine. Some cancer support groups for example, offer these therapies for free or make a small charge and some hospitals and hospices provide as part of cancer care, alongside conventional cancer treatments such as chemotherapy or radiotherapy. Many cancer patients to support themselves in their fight against cancer now use these therapies. These therapies are very valuable in that they identify and support spiritual and emotional characteristics and physical features, but they should not be used as the only alternative line of treatment.

More than billion is spent by the Americans annually on vitamins and herbs which are alternative health products. The recent studies that were conducted by Phillips, Tindle, Eisenberg and Davis, reflected that there was roughly seventy two million adults within the United States that use alternative and complementary therapies. The studies conducted by Herman, Craig and Caspi in 2005 also show an out of pocket spend of about billion annually on these therapies.

It is very essential to find out which treatments offered by alternative health therapies are more effective and at the same time making you feel much better and comfortable. The quality of life for many people has improved especially those who have Motor Neuron Disease. It is always advisable to check with your doctor before starting with any of the alternative health therapies and you should also remember to check whether any such treatment adapted would have adverse effect on any of the treatment programs which are already being undertaken.

In case you are thinking of using any alternative health therapy along with your contemporary medication then you must talk to you doctor and find about the pros and cons that are related. You could even find out from your physician if he is qualified to practice any of these therapies. Today doctors are more and more convinced that alternative therapy does have a place in the overall healing of a patient; this gives them the ability to maybe recommend alternative therapy practitioners. For some people, these types of therapies are helpful in coping with effects of conventional treatments, reducing anxiety and giving them back some control over their lives.

Popularity: 2% [?]

Everyday ways to boost immunity: taking a few simple defense measures can help fight infections like strep throat, plus colds and flu

Nov 13

Emily Kane

Q: I was just diagnosed with strep throat. I am taking antibiotics, but is there anything natural that can help speed my recovery? I seem to get sick a lot, and I’m wondering what I can do to reduce my susceptibility to colds, infections, and other bugs.

–Becky, Boston

A: Strep (and staph) are bugs that are constantly with us. These microscopic critters are crawling all over your skin and mucous membranes–right now. To prevent colds that begin with a sore throat, begin gargling daily. Try a mouthwash with eucalyptus, which is a potent antimicrobial. You can find herbal mouthwashes without alcohol or preservatives at health food stores.

Other solutions for your susceptibility to illness include adequate rest–sleeping no less than 7 1/2 hours every night–vitamin C, and an appropriate diet. Vitamin C is the single most important nutrient for tissue repair and connective tissue maintenance. I personally like powdered, buffered C (not chewable tabs, which can be hard on dental enamel and harder to digest). Capsules are OK. If your vitamin C gives you a stomachache, use a buffered form such as Ester-C. Consider taking 2-3 g (2,000-3,000 mg) of vitamin C daily until you haven’t had a cold or flu for a year; then you can drop down to a maintenance dose of 1,000 mg daily.

Adopt an immune-boosting diet. This means eating three or more daily servings of vegetables, especially dark leafy greens. Chop bunches of spinach, kale, or chard, and steam for 5-10 minutes. Don’t let them turn brown. They’re yummy as is, or with a squeeze of lemon and drizzle of olive or flax oil.

Consider familiarizing yourself with blood-type dietary suggestions. Eat Right 4 Your Type: The Individualized Diet Solution to Staying Healthy, Living Longer & Achieving Your Ideal Weight by Peter J. D’Adamo, ND, is an informative resource. You can also get information on the author’s Web site, dadamo.com, where you’ll learn that individual blood types have different dietary and even supplement requirements. If your type is O, for example, the well-known immune boosting herb echinacea may not work well for you. Instead, you would want to take adaptogens (herbs that provide slow and steady toning to white blood cells) such as astragalus, isatis, Siberian ginseng, and larch. Vitamin A (25,000 IU daily) and zinc (30-50 mg daily) are potent antivirals, and often deficient in folks eating a lot of fast food. Do not take more than 10,000 IU of vitamin A if you are pregnant or nursing.

Lastly, try finishing showers with a burst of cold water to tighten up pores, improving resistance to bugs via that all-important immune organ, the skin.

QUICK TIP

Sore or scratchy throat? Gargle with garlic, which has potent antiviral and antibacterial properties: Simmer 4-5 chopped garlic cloves in 1 cup water for 10 minutes: strain out garlic and add pinch of sea salt. Let cool before gargling with solution.

By Emily Kane, ND, LAc

Do You Have a Health Question? E-mail Dr. Em at editorial@betternutrition. com with “Ask the Naturopath” in the subject line.

Emily Kane, ND, LAc, (aka Dr. Em) received her naturopathic training at Bastyr University in Seattle. She is the author of Managing Menopause Naturally and Ask Doctor Em (a compilation of short essays). She lives in Juneau, Alaska, with her husband and daughter, and enjoys helping patients achieve optimal wellness. Visit her online at the following Web site: dremilykane.com.

COPYRIGHT 2007 PRIMEDIA Intertec, a PRIMEDIA Company. All Rights Reserved.
COPYRIGHT 2008 Gale, Cengage Learning

Popularity: 1% [?]

Older women who sleep little tend to fall more, study finds

Nov 13

Women age 70 and older who sleep five hours or less per night may be more likely to experience falls than those who sleep more than seven to eight hours per night, says a report in the Sept. 8 issue of a journal called Archives of Internal Medicine.

Additionally, the use of sleep medications doesn’t appear to influence the association between sleep and risk of falling, it says.

Falls pose a major health risk among older adults and are a leading cause of death, illness, and premature nursing home placement, according to back-ground information in the article. About one-third of adults older than age 65 experience a fall each year. Insomnia and disturbed sleep as well as the use of benzodiazepines, medications used to treat insomnia, are increasingly common in older adults.

The article says, though, that, “It is not established whether it is poor sleep or medications used to treat sleep disturbances that explain the increased risk of falls in those who are prescribed such medications.”

Katie L. Stone, of the California Pacific Medical Center Research Institute, in San Francisco, and colleagues used wrist actigraphies, or watch-like devices, and sleep diaries to measure sleep, the percentage of time in bed spent sleeping, and frequency of falls in nearly 3,000 women age 70 and older.

Questionnaires were used to determine demographic information and use of benzodiazepines.

Participants averaged 6.8 hours of sleep per night and spent an average 77.2 minutes awake after initial sleep onset. The average number of falls one year after the collection of sleep data was 0.84. A total of 549 women, or 18.4 percent, had two or more falls during the year after the sleep assessments.

The risk of having two or more falls during the following year was higher for women who slept five hours or less per night compared with women who slept more than seven to eight hours per night. Compared with those with a sleep efficiency of 70 percent or higher, those with a sleep efficiency of less than 70 percent were 1.36 times more likely to experience a fall.

Similarly, women with greater wake time after sleep onset (120 minutes or more) were 1.33 times more likely to fall than those who spent less than 120 minutes awake after sleep onset.

In all, 214 subjects, or 7.2 percent, reported they currently use benzodiazepines. Use of any benzodiazepine (short and long combined) was associated with a 1.34-fold increase in risk of falls.

The authors of the article said future studies are needed to determine how newer drugs and cognitive behavioral therapy used to treat insomnia affect the risk of falls. Additional studies also are needed, they said, to determine whether things such as hypoxia, sleep-related breathing problems, and sleep disruption contribute independently toward risk of falls.

The study was supported by Public Health Service grants.

Copyright Northwest Business Press Inc. Sep 25, 2008
Provided by ProQuest Information and Learning Company. All rights Reserved

Popularity: 1% [?]

Sleep disorder linked to “hardening” of the arteries

Nov 13

Treating obstructive sleep apnea (OSA) with continued positive airway pressure (CPAP) reduces early indications of atherosclerosis (”hardening” of the arteries), according to a study published in October in the American Journal of Respiratory and Critical Care Medicine. Researchers randomized 24 men with severe OSA and no other atherosclerosis risk factors to four months of CPAP or no treatment, and tracked changes in the carotid (neck) arteries and measures of atherosclerosis. Those in the CPAP group experienced significant reductions in arterial thickness and stiffness, along with decreases in C-reactive protein (a marker of inflammation associated with greater risk of cardiovascular disease) and catecholamines, compounds that constrict blood vessels and raise blood pressure, the researchers noted.

COPYRIGHT 2007 Belvoir Media Group, LLC
COPYRIGHT 2008 Gale, Cengage Learning

Popularity: unranked [?]

How Stress Affects the Immune System

Sep 26

We have known for some time that stress affects our immune systems. Many studies have shown that stress can suppress the immune system, but other studies have shown boosts in the immune system under stress. A July 2004 meta-analysis of 293 studies conducted over the past 30 years puts the pieces of the puzzle together. Psychologists Suzanne Segerstrom, Ph.D., and Gregory Miller, Ph.D. found the following:

  • Stress does indeed affect the immune system in powerful ways.
  • Short-term stressors boost the immune system. It seems that the “fight or flight” response prompts the immune system to ready itself for infections resulting from bites, punctures, scrapes or other challenges to the integrity of the body.
  • Chronic, long-term stress suppresses the immune system. The longer the stress, the more the immune system shifted from they adaptive changes seen in the “fight or flight”1 response to more negative changes, first at the cellular level and later in broader immune function. The most chronic stressors – stress that seems beyond a person’s control or seems endless – resulted in the most global suppression of immunity. Almost all measures of immune system function dropped across the board.
  • The immune systems of the elderly or those already sick are more subject to stress-related changes.

In reaching these conclusions the authors looked at the effects of the various stressors on different immune responses, such as “natural” and “specific” immunity. They summarized the results of the studies that looked at each of these types of stress:

Natural immunity produces quick-acting, all-purpose cells that can attack many pathogens; they bring fever and inflammation.

The body takes a few days to mount a more specific attack on particular invaders with specific immunity. This response includes lymphocytes (T-cells and B cells). Specific immunity has both cellular responses, which fight pathogens that get inside cells (such as viruses), and humoral responses, which fight pathogens that stay outside cells, such as bacteria and parasites. Segerstrom and Miller were able to assess how different types of immune response correlated with different types of stress because researchers have identified the blood markers of these different immune responses.

They divided stressors into different types:

Acute time-limited stressors: lab challenges such as public speaking or mental math.

Brief naturalistic stressors: real-world challenges such as academic tests.

Stressful event sequences: a focal event such as loss of a spouse or major natural disaster gives rise to a series of related challenges that people know at some point will end.

Chronic stressors: pervasive demands that force people to restructure their identity or social roles, without any clear end point – such as injury resulting in permanent disability, caring for a spouse with severe dementia, or being a refugee forced from one’s native country by war.

Distant stressors: traumatic experiences that occurred in the distant past yet can continue modifying the immune system because of their long-lasting emotional and cognitive consequences, such as child abuse, combat trauma or having been a prisoner of war. Much of their analysis goes on to review the similarities and differences among the 293 studies that they examined. These studies included a total of 18,941 subjects. “Stressful event sequences” appeared to be weakly associated with different immune consequences, depending on the type of event. There appeared to be different patterns for grief than for trauma, for example, but the associations weren’t strong enough for the authors to make new claims. They recommended further study.

The authors did find that the most chronic stressors – those which change people’s identities or social roles, are more beyond their control and seem endless – were associated with the most global suppression of immunity. In such situations almost all measures of immune function dropped across the board. The longer the stress, the more the immune system shifted from potentially adaptive changes (such as those in the acute “fight or flight” response) to potentially detrimental changes, at first in cellular immunity and then in broader immune function. This analysis suggests that stressors that turn a person’s world upside down and appear to offer no hope for the future probably have the greatest psychological and physiological impact.

The authors also found that age and disease status affected a person’s vulnerability to stress-related decreases in immune function. It seems that illness and age make it harder for the body to regulate itself.

This is a ground-breaking meta-analysis that helps us understand the complex relationship between stress and the immune system. It should lead to new treatments and to better stress management programs, especially for patients with HIV or other disorders that compromise immunity.

Reference: Segerstrom & Miller, 2004. Psychological Stress and the Human Immune System: A Meta-Analytic Study of 30 Years of Inquiry Psychological Bulletin, 130, 4.

This About.com page has been optimized for print. To view this page in its original form, please visit: http://mentalhealth.about.com/od/stress/a/stressimmune604.htm

©2008 About.com, Inc., a part of The New York Times Company. All rights reserved.

Popularity: 4% [?]

Cancer survivors: Take care of your body after treatment

Sep 26

From MayoClinic.com
Special to CNN.com

After your cancer treatment, you were eager to nurse your body back to health. But beyond your initial recovery, you might be interested in ways to improve your long-term health so that you can enjoy the years ahead as a cancer survivor.

The advice for cancer survivors is no different than the advice for anyone who wants to improve their health: Exercise and improve your diet. But for cancer survivors these strategies have added benefits — research shows these simple steps can improve your quality of life, smoothing your transition into survivorship. Follow this guide to what you can do to take care of your body after cancer treatment.

Exercise

Regular exercise increases your sense of well-being after cancer treatment and can speed your recovery. Cancer survivors who exercise often experience:

  • Increased strength and endurance
  • Stronger immune systems
  • Fewer signs and symptoms of depression
  • Less anxiety
  • Reduced fatigue
  • Less difficulty sleeping
  • Improved mood
  • Higher self-esteem

Adding physical activity to your daily routine won’t take a lot of extra work. Focus on small steps to make your life more active. Take the stairs more often or park farther from your destination and walk the rest of the way. Check with your doctor before you begin any exercise program.

With your doctor’s approval, start slowly and work your way up. The American Cancer Society recommends adult cancer survivors exercise for at least 30 minutes five or more days a week. As you recover and adjust, you might find more exercise makes you feel even better.

Sometimes you won’t feel like exercising, and that’s OK. Don’t feel guilty if lingering treatment side effects, such as fatigue, keep you sidelined. When you feel up to it, take a walk around the block. Do what you can, but know that rest is important to your recovery as well.

While exercise has many benefits, there’s no evidence that exercise can keep your cancer from coming back. Many cancer survivors are concerned about cancer recurrence and want to do all they can to avoid it. It’s not clear why cancer recurs in some people but not in others. Exercise won’t stop your cancer from recurring, but it can make you feel better and help prevent other diseases, such as heart disease.

Eat a balanced diet

Vary your diet to include lots of fruits and vegetables, as well as whole grains. When it comes to selecting your entrees, the American Cancer Society recommends that cancer survivors:

  • Eat five or more servings of fruits and vegetables every day
  • Choose healthy fats, including omega-3 fatty acids, rather than saturated fats or trans fats
  • Select proteins that are low in saturated fat, such as fish, lean meats, eggs, nuts, seeds and legumes
  • Opt for healthy sources of carbohydrates, such as whole grains, legumes, and fruits and vegetables

This combination of foods will ensure that you’re eating plenty of the vitamins and nutrients you need to help make your body strong.

While it may be tempting to supplement your diet with a host of vitamin and mineral supplements, resist that urge. Some cancer survivors think that if a small amount of vitamins is good, a large amount must be even better. But that isn’t the case. In fact, large amounts of certain nutrients can hurt you. If you’re concerned about getting all the vitamins you need, ask your doctor if taking a daily multivitamin is right for you.

No special diet is known to prevent cancer from recurring. However, some preliminary research in breast cancer survivors indicates that a low-fat diet may reduce the chance of breast cancer recurring. In this study, which has yet to be completed, it isn’t clear whether the slight reduction in breast cancer recurrence was from women eating less fat or from women losing weight on the restricted diet. It also isn’t clear if a low-fat diet has any application to other cancer survivors.

Maintain a healthy weight

You may have gained or lost weight during treatment. Try to get your weight to a healthy level. Talk to your doctor about what a healthy weight is for you and the best way to go about achieving that goal weight.

For cancer survivors who need to gain weight, this will likely involve coming up with ways to make food more appealing and easier to eat. You and your doctor can work together to control nausea, pain or other side effects of cancer treatment that are preventing you from getting the nutrition you need. Losing even more weight can reduce your quality of life and make recovery more difficult.

For cancer survivors who need to lose weight, take steps to lose weight slowly — no more than 2 pounds a week. Control the number of calories you eat and balance this with exercise. If you need to lose a lot of weight, it can seem daunting. Take it slowly and stick to it. Any amount of weight loss can help you feel better about yourself and improve your health.

Stop using tobacco

Kick the habit once and for all. Smoking or using chewing tobacco puts you at risk of several types of cancer. Stopping now could reduce your risk of cancer recurrence and also reduce your risk of developing a second type of cancer (second primary cancer).

If you’ve tried quitting in the past but haven’t had much success, seek help. Talk to your doctor about resources to help you quit.

Drink alcohol in moderation, if at all

If you choose to drink alcohol, keep it to a minimum. At most, women and anyone over 65 should drink no more than one drink a day, and men should drink no more than two drinks a day.

Alcohol does have health benefits in some people — for instance, consuming a drink or two a day can reduce your risk of heart disease. But it also increases the risk of certain cancers, including those of the mouth, throat, liver and breast. While it isn’t clear whether drinking alcohol can cause cancer recurrence, it can increase your risk of a second primary cancer.

Weigh the risks and benefits of drinking alcohol carefully and talk it over with your doctor.

Do what you can

While you may fear it will take an entire overhaul of your lifestyle to achieve all these goals, do what you can and make changes slowly. Easing into a healthy diet or regular exercise will make it more likely that you’ll stick with these changes for the rest of your life.

· Cancer survivors: What to expect with follow-up care

· On the job with cancer: Managing common workplace challenges

· Cancer survivors: Relationships with family and friends after treatment

· Cancer survivors: Late effects of cancer treatment

· Cancer survivors: Managing your emotions after cancer treatment

· Sexuality after cancer treatment: What women can expect

· Sexuality after cancer treatment: What men can expect

· Cancer recurrence: What it means and how to cope

October 05, 2005

Popularity: 2% [?]

Fatigue Affects Breast Cancer Patients Even Before First Chemotherapy Treatment

Apr 25

ScienceDaily (Apr. 27, 2007) — A University of Nebraska Medical Center study has found that even before women with breast cancer undergo chemotherapy, they experience fatigue and disruptions in sleep and activity levels. Researchers say their findings suggest health professionals should address fatigue following breast cancer surgery.

Researchers say controlling fatigue after surgery — before starting chemotherapy — is important because fatigue typically increases during chemotherapy. Between 70 to 95 percent of breast cancer patients experience fatigue while undergoing chemotherapy.

The study was published in the current issue of the Journal of Pain and Symptom Management. Having studied 130 women with early stage breast cancer (stage I, II, IIIA), it the largest study to document the prevalence of fatigue associated with altered sleep and activity patterns before chemotherapy treatment. The data confirms what was reported in a previous smaller study funded by the National Institutes of Health.

“We found women are not going into chemotherapy in the best possible shape,” said Ann Berger, Ph.D., Niedfelt Professor of Nursing, UNMC College of Nursing, who has conducted several studies over the past 15 years related to fatigue in cancer patients. “It makes it that much more difficult to reduce the fatigue during treatment. If you start out with some fatigue, it will probably increase.”

“We as health professionals need to address potential fatigue and sleep issues sooner,” said Dr. Berger, principal investigator of the study. “If women are having sleep problems after surgery, we need to address this symptom before women begin chemotherapy. “What we’ve learned might explain why we’re having problems reducing fatigue in breast cancer patients during chemotherapy.”

The published study comes from initial results of a five-year, $1.5 million grant Dr. Berger and her team received in 2003. The purpose of the study, which was funded by the National Institute of Nursing Research, a division of the National Institutes of Health, was to determine the best ways to reduce fatigue during chemotherapy and to prevent chronic fatigue after treatment.

Researchers measured sleep and activity patterns during the 48 hours prior to the first chemotherapy treatment using wristwatch-sized activity monitors called actigraphs.

Fatigue, the most prevalent and distressing symptom for breast cancer patients receiving chemotherapy, has long been accepted by health professionals and patients alike as a side effect of treatment. Researchers say there are ways to intervene, and now they have found it may be important to intervene during the recovery period after breast cancer surgery.

Researchers say disrupted sleep, low daytime activity and/or reduced activity are likely to contribute to mild fatigue before chemotherapy and moderate to severe fatigue after chemo. They say fatigue should be addressed before and after surgery. Women typically begin chemotherapy three to four weeks after surgery.

Dr. Berger said because inactivity contributes to fatigue, she and colleagues say though women need to rest for several days after surgery, they should try to regain activity when they’re able. “We’ve been telling patients for years to rest and take it easy, but in some cases, we’re finding the patients who remain inactive are the one who report higher fatigue.”

Cancer-related fatigue can have a profound impact on an individual’s life, with significant physical, emotional, social, and economic consequences that may persist for months or years after completing treatment. Even after treatment ends, between 30 and 50 percent of patients say their fatigue remains at least six months or doesn’t ever go away.

Fatigue related to cancer treatment is described as a distressing, persistent, sense of tiredness or exhaustion that is not proportional to activity. The factors associated with fatigue are the presence and severity of anxiety, pain, lower sleep quality, physical inactivity, and poor performance status, leaving little desire to work or socialize.

Dr. Berger said the findings provide an important benchmark to begin looking for interventions to reduce cancer-related fatigue.

The study was undertaken to further establish values for sleep, wake, activity, rest, circadian rhythms and fatigue and how they interrelate in women before and during the first year after chemotherapy.

University Of Nebraska (2007, April 27). Fatigue Affects Breast Cancer Patients Even Before First Chemotherapy Treatment, According To Study. ScienceDaily. Retrieved December 4, 2007, from http://www.sciencedaily.com­ /releases/2007/04/070426135536.htm

Popularity: 1% [?]

Nervous System Changes

Apr 25

Nervous System Changes

What they are and why they occur

Chemotherapy can cause damage to your nervous system. Many nervous system problems get better within a year of when you finish chemotherapy, but some may last the rest of your life. Symptoms may include:

  • Tingling, burning, weakness, or numbness in your hands or feet
  • Feeling colder than normal
  • Pain when walking
  • Weak, sore, tired, or achy muscles
  • Being clumsy and losing your balance
  • Trouble picking up objects or buttoning your clothes
  • Shaking or trembling
  • Hearing loss
  • Stomach pain, such as constipation or heartburn
  • Fatigue
  • Confusion and memory problems
  • Dizziness
  • Depression

Ways to manage

  • Let your doctor or nurse know right away if you notice any nervous system changes. It is important to treat these problems as soon as possible.
  • Be careful when handling knives, scissors, and other sharp or dangerous objects.
  • Avoid falling. Walk slowly, hold onto handrails when using the stairs, and put no-slip bath mats in your bathtub or shower. Make sure there are no area rugs or cords to trip over.
  • Always wear sneakers, tennis shoes, or other footwear with rubber soles.
  • Check the temperature of your bath water with a thermometer. This will keep you from getting burned by water that is too hot.
  • Be extra careful to avoid burning or cutting yourself while cooking.
  • Wear gloves when working in the garden, cooking, or washing dishes.
  • Rest when you need to.
  • Steady yourself when you walk by using a cane or other device.
  • Talk to your doctor or nurse if you notice memory problems, feel confused, or are depressed.
  • Ask your doctor for pain medicine if you need it.

Let your doctor or nurse know right away if you notice any nervous system changes. It is important to treat these problems as soon as possible.

Popularity: 2% [?]

 
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