Fatigue in multiple sclerosis: guidelines for nursing care.

Fatigue is a common chronic symptom of multiple sclerosis (MS) that can have disabling effects on the patient's quality of life. The cause of this fatigue is unknown, and there is no specific treatment for it. This article presents the major problem areas and manifestations associated with fatigue and incorporates suggested guidelines for the rehabilitation nurse to use in helping patients with MS manage this symptom. Major symptom areas include (a) physiological problems, (b) affective/behavioral/cognitive problems, and (c) environmental problems. Comprehensive intervention is addressed and the concept of fatigue as a nursing diagnosis is presented.