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Medical history, your current and past these abnormalities include hypothyroidism, hyperthyroidism, hyperlipidemia because of the multifactorial nature.

12.01.2014

Fatigue severity scale score, clinical depression is a type of - Review

Author: admin
If you decide to self-assess using the Fatigue Severity Scale, note that the scale is only assessing your experience of fatigue in the past week, not your beliefs about fatigue generally, which could give you an anomalously high score.
This paper focused on outcomes relating to fatigue, as “fatigue is one of the most disabling symptoms of MS”. For this reason, regardless of your chosen treatment, I believe it is helpful to have some kind of scoring system in place to track progress.
Tracking progress through symptom scoring is quick and easy and beneficial on so many levels. Symptom scoring helps us to monitor the many peripheral symptoms of CFS, many of which may only appear sporadically and tend to be easily forgotten when they haven’t been noticed in a while.
Scoring can help us confirm that we are still making progress with the more stubborn symptoms on the list, and later in the treatment course where the rate of change might potentially be slower.
Of course, one of the very frustrating things about chronic fatigue and associated illnesses is the potential time delay between cause and effect. An example is using scoring to help judge the response to the type and intensity of any physical activity you may be doing. One of the issues with selecting a recognised scale is many are focused on classifying people as having CFS or not. A scale like this can be used at the beginning of treatment, where fatigue is a major symptom, to provide a baseline for this particular symptom.


Because fatigue is but one symptom of chronic fatigue, and not always a particularly problematic one, a broader scoring system is more appropriate. This scoring method is not intended to diagnose, but rather monitor progress through treatment. The history is the most important part of the evaluation of fatigue, while the physical examination and laboratory studies provide supporting data. Since one quarter to one third of patients presenting with fatigue in a primary care setting are depressed, early diagnosis of depression is important in clinical practice.
The 2-question patient health questionnaire (PHQ-2) enquires about the frequency of depressed mood and anhedonia (if people are able to experience any joy or pleasure) over the past 2 weeks, scoring each as 0 ('not at all') to 3 ('nearly every day'). For the screening of obstructive sleep apnoea, the use of the Epworth Sleepiness Scale is advised. Performing a physical examination is important not only to rule out specific causes of fatigue, such as cancer or hypothyroidism, but also to ensure that the patient feels his or her complaint is being taken seriously and viewed as a health problem worth investigating.
Sometimes the early benefits are obvious, but when the symptom picture is complex, symptom scoring can help identify those early signs of change. Symptom scoring can help you make connections between certain activities and a subsequent health response. You might see that physical strength had been improving on a program of walking for 15 minutes a day, but now that you’ve stepped up to 20 minutes, your joint pain scores have gradually worsened.


When there is a scoring system in place, we can easily compare this one against the previous few.
These tend to include issues like gut sensitivities, sleep disturbances, brain fog, and the fatigue. If things are moving in the right direction, we should see the scores improving one down wave against the next.
A formal cardiopulmonary examination should focus on excluding CHF and chronic lung disease, both important causes of fatigue. If, through scoring, we see no or very little change to some of the primary symptoms, but we can see that many of the lesser symptoms are dropping away, we know we are on the right track, and we just need to give it more time. Finally, a preliminary neurological examination is warranted, including assessment of muscle bulk, tone, and strength; abnormalities would suggest an underlying neurological disorder accounting for the patient's fatigue.



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Comments to “Fatigue severity scale score”

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