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Marilyn Kirshbaum
British Journal of Community Nursing, Vol. 17, Iss. 2, 22 Feb 2012, pp 49

'I am so, so, so tired... I have no energy at all... If I could only sleep just a bit longer.' As a byproduct of our busy, sometimes stressful and hopefully fulfilling lives, we have all experienced aspects of extreme tiredness and lethargy. We might just be doing too much, not sleeping or eating enough, or perhaps have become a bit disinterested or bored with our day-today existence. For most people, sleep, food, hydration, and maybe a change of scenery is enough to get us back 'on track'. However, for those with a long-term illness such as chronic obstructive pulmonary disease (COPD), multiple sclerosis, congestive heart failure, chronic pain or cancer, extreme tiredness or fatigue can not be relieved so easily.

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