Pre‐procedure

ActionRationale

1. 1.Show
   Introduce self to patient, either in the inpatient or outpatient setting.
   To establish professional and clinical rapport. E
2. 2.Show
   Gain consent from the patient for the intervention.
   To ensure the patient understands the procedure and provides verbal consent (NMC [202], E).

Procedure

1. 3.Show
   Assess the impact of fatigue on the patient using a tool, e.g. the Fatigue Severity Scale (Figure 27.33).
   To obtain a baseline assessment of fatigue and sleep disturbance (Gascon et al. [110], Minton and Stone [174]; E).

   To enable expert assessment and a relevant treatment programme. E
2. 4.Show
   Identify what effects the fatigue is having on the individual's ability to carry out daily activities by discussing this with the patient, identifying their daily activity pattern.
   To obtain a baseline assessment of fatigue and sleep disturbance (Gascon et al. [110], Minton and Stone [174]; E).
3. 5.Show
   Advise on using the 5 Ps for fatigue management (Box 27.10).
   To introduce basic principles of energy conservation (Ewer‐Smith [101]; C).

Post‐procedure

1. 6.Show
   Document assessment.
   Legal requirement of professional body and employing institution.
2. 7.Show
   Make a follow‐up appointment.
   To ensure engagement in the programme. C

   To review and monitor progress. C
3. 8.Show
   Review the programme.
   To establish how the patient is coping. C