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Doody's Review ServiceReviewer: Elliot Frohman, MD, PhD, FAAN (University of Texas Southwestern Medical Center at Dallas)
Description: This book presents a primer on the definition, pathophysiology, diagnosis and treatment of fatigue in Multiple sclerosis (MS) patients.
Purpose: The purpose of the book is to provide a cogent outline on how to approach the identification and management of fatigue in MS. The book emphasizes important practical tips recognizing the mutifactorial nature of this highly disabling symptom of MS. The author has succeeded in advancing these important concepts in a rather small, yet complete primer on the topic.
Audience: This book will have great value to patients and families with MS struggling to understand this difficult obstacle to quality of life, and to those who care for the MS community including physicians, physician assistants, nurses, physical and occupational therapists, and social workers. I believe that this short yet substantive book should be a mandatory read for all of us who struggle and search to understand and mitigate the suffering that is a byproduct of fatigue in MS. Dr. Krupp is an authority in the field whose work has added great practical value to our understanding of management principles for these very challenging patients.
Features: MS is the most common disabling neurological disorder of young people. While physical limitations secondary to the disease process can be substantial, the most common reasons why MS patients apply for disability include cognitive dysfunction and fatigue. In fact, fatigue constitutes the most common symptom complaint communicated to physicians. The underpinnings of fatigue in MS are manifold and are often multifactorial within the same patient. Many MS patients are afflicted with disease-related fatigue, but also are impacted by derangements in sleep, chronic pain, medication effects, depression, exercise and temperature intolerance, deconditioning, nutritional deficiencies, and superimposed medical illnesses. Effective management strategies for the treatment of fatigue can yield improvements in the a patient's ability to complete their activities of daily living, maintain gainful employment, experience an improved sense of well being and ultimately find new hope for today and the future. This is a delightful primer on an often very enigmatic subject. Lauren Krupp has succeeded in writing an invaluable resource on fatigue in MS. While the book covers a broad landscape of topics, it is remarkably telescoped on practical 'pearls' and 'pitfalls' that are germane to the understanding of how fatigue can be identified, analyzed, and effectively managed. Each chapter is tightly crafted and to the point. The references are extensive and provide the basis for more in-depth exploration of this challenging subject.
Assessment: While there have been other publishing products on the subject, this small book will eclipse the others by virtue of its economy of style, focused approach, and user-friendly structure.