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People with disabilities frequently experience fatigue. Physical and emotional weariness may be caused by discomfort and pain associated with a chronic health problem, deconditioning associ-ated with prolonged periods of bed rest and immobility, impaired motor function requiring excessive expenditure of energy to am-bulate, and the frustrations of performing ADLs. Ineffective cop-ing with the disability, unresolved grief, and depression can also contribute to fatigue. The patient can use coping strategies to manage the psychological impact of the disability and pain man-agement techniques to control the associated discomforts. In addition, the nurse can teach the patient to manage fatigue through priority setting and energy-conserving techniques. Special teaching strate-gies for patients with disabilities are included in Chart 11-10.
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