Fatigue Care Pathway Template

Activity Action
AssessmentEvaluate and document fatigue using self-report wherever possible (usually in children 8 years of age and older) and by asking guardians where not possible (for children 2-8 years of age).
PreventionPromote routine physical activity.
Possible center decision: Offer physiotherapy, occupational therapy or child life services consultation.
Possible center decision: Orient family to available exercise equipment.
TreatmentOptimize sleep hygiene.

Care tips:
Sleep Hygiene Pamphlet
Increase physical activity – consult physiotherapy, occupational therapy or child life services (depending on institutional availability) for assessment and ongoing recommendations.
Promote relaxation – consult child life, nursing, psychology, psychiatry or social work (depending on institutional availability).
Promote mindfulness – consult child life, nursing, psychology, psychiatry, chaplain or social work (depending on institutional availability).
Possible center decision: offer cognitive behavioral therapy if other approaches not successful (provider type depending on institutional availability).

Sleep Hygiene Pamphlet

Reference: Narang, I. (October 9, 2013). Sleep Tips for Children and Teens.  AboutKidsHealth . Retrieved April 2, 2014. From  http://www.aboutkidshealth.ca/En/HealthAZ/HealthandWellness/Sleep/Pages/sleep-tips-for-children-and-teens.aspx

Reference: Narang, I. (October 9, 2013). Sleep Tips for Children and Teens. AboutKidsHealth. Retrieved April 2, 2014. From http://www.aboutkidshealth.ca/En/HealthAZ/HealthandWellness/Sleep/Pages/sleep-tips-for-children-and-teens.aspx