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Palliative Care



Non-Pain Symptoms



Fatigue is one of the most important symptoms because it has a high prevalence, a large impact on the child's quality of life and the lack of therapeutic interventions that provide effective relief.


Etiology is usually multifactorial and these different causes should be considered:

  • Natural disease progression
  • Anemia
  • Poor nutrition
  • Insomnia
  • Metabolic derangement
  • Increased work of breathing in patients with dyspnea
  • Side effects of medication
  • Depression



Treatment will depend on the etiology.

Although there may be no effective therapy for some of the factors, there is evidence that the treatment of some of he causes of fatigue can relieve suffering(1).


Painting - "Spring".  Edvard Munch 1889







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