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.
Mara nyingi watu wenye ulemavu huchoka. Uchovu wa kimwili na kihisia unaweza kusababishwa na usumbufu na maumivu yanayohusiana na tatizo la afya la muda mrefu, deconditioning inayohusishwa na vipindi vya muda mrefu vya kupumzika kitandani na kutotembea, kazi ya gari iliyoharibiwa inayohitaji matumizi ya kupita kiasi ya nishati, na kukata tamaa ya kufanya ADLs. Kushindwa kukabiliana na ulemavu, huzuni isiyoweza kutatuliwa, na mshuko wa moyo pia zaweza kusababisha uchovu. Mgonjwa anaweza kutumia mikakati ya kukabiliana na kusimamia athari za kisaikolojia za ulemavu na mbinu za usimamizi wa maumivu kudhibiti usumbufu unaohusiana. Kwa kuongezea, muuguzi aweza kumfundisha mgonjwa kusimamia uchovu kupitia kuweka vipaumbele na mbinu za kuhifadhi nishati. Mifumo maalum ya ufundishaji kwa wagonjwa wenye ulemavu imeorodheshwa katika Chati ya 11-10.