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Fatigue in Multiple Sclerosis: A Guide to Diagnosis and Management
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Fatigue in Multiple Sclerosis
A Guide to Diagnosis and Management
Lauren B. Krupp, MD
Demos Medical Publishing, Feb 2004, 96 pages
ISBN: 1-888799-81-1 (Softcover)
Price: $19.95
Discount Price: $16.96
Posted: 04/15/2004

Editorial Review
This practical guide for physicians and other health care professionals   discusses the impact of fatigue on the individual with MS, the potential etiologies   underlying MS-related fatigue, its workup and diagnosis, and pharmacologic and   nonpharmacologic management strategies.
  Fatigue is perhaps the single most prevalent and disabling symptom of the multiple   sclerosis, and limits patients" activity more than any other MS symptom. The   identification of fatigue as a distinct clinical entity requires both art and   science, and most of all a willingness and ability to listen carefully to patients   and their families. The physician"s ability to obtain a comprehensive history   requires a full understanding of the circumstances in which fatigue occurs (physical,   cognitive, and psychosocial), and demands consideration of the large number   of disorders, including anxiety, depression, excessive daytime sleepiness, pain,   and spasticity, all of which may mimic or contribute to fatigue.
  While fatigue is almost exclusively a subjective experience, depending on the   patient"s ability to understand and report this symptom, there are effective   methods for identifying the existence of fatigue, determining its severity,   and distinguishing it from related or contributing disorders such as depression,   pain, and sleep disorders.
  Readers will learn that fatigue need not be tolerated by the MS patient. Various   therapies, support systems, and treatment of underlying affective disorders   can all alleviate fatigue or reduce its impact, restoring the patient"s energy   levels and ability to participate in life. Virtually every MS patient with fatigue   can benefit from intervention, and failing to treat the symptom of fatigue with   the respect that it deserves is a serious detriment to patient care.
  Introduction; What is Multiple Sclerosis-related fatigue?; The Measurement of   Fatigue; The Pathophysiology of Multiple Sclerosis-Related Fatigue; Depression   and Fatigue; The Examination and Diagnosis of Fatigue; Nonpharmacologic Approaches   to Fatigue Management; The Pharmacologic Management of Fatigue; Appendix. Ensuring   Patient Adherence to an Exercise Program
  About the Author:
  Dr. Lauren B. Krupp is Professor of Neurology at the State   University of New York"s Stony Brook Multiple Sclerosis Center. She lectures   widely on the management of multiple sclerosis.

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