Cancer-related fatigues (CRF) is multifactorial and all potential contributing factors are needed to be assessed to understand the unique presentation on the individual’s life. This framework proposes a number of factors associated with CRF. Of these factors, the medical status of fatigue, which is predetermined and cannot be modified by therapists, includes disease-related factors (e.g., type of disease), treatment-related factors (e.g., treatment required), comorbidities, and underlying biomedical factors. However, different from the medical status of fatigue, the fatigue experience is correlated to and can be modified by the patient’s own unique factors. These factors unique to the patient are physical/behavioral factors (e.g., poor nutrition, decreased activity, sleep disturbance, pain), psychological factors (e.g., anxiety and depression), and sociodemographic factors (e.g., social support, employment, education). As the experience of CRF varies in each individual, it is essential to assess these key factors to examine the potential contributing factor(s). The functional impacts of CRF also affects the client’s performance in one or more of life domains, such as activities of daily living, work, and health-related quality of life. These areas can be addressed by occupational therapists as part of other occupational therapy frameworks and models such as occupational performance model. Occupational therapists should examine the complex conditions of CRF in order to consider the unique presentation in the clients and to determine the optimal approaches for intervention management.
- Macey Cho
Domain of occupation
This framework serves as a guide for therapists to ensure that all key variables are considered when working with patients with CRF, and as a guide for research in this field.
Pureell, A., Fleming, J., Haines, T., & Bennett, S. (2009). Cancer-related fatigue: A review and a conceptual framework to guide therapists' understanding. British Journal of Occupational Therapy, 72(2), 79-86.
- Amanda Purcell
Primary Developer Email