{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T18:20:48Z","timestamp":1791397248972,"version":"4.3.3"},"reference-count":21,"publisher":"Scientific Scholar","content-domain":{"domain":["jpalliativecare.com"],"crossmark-restriction":true},"short-container-title":["IJPC"],"abstract":"\n Objectives:<\/jats:title>\n Cancer-related fatigue (CRF) is a debilitating symptom that significantly affects the quality of life of patients with cancer. Effective management requires accurate documentation and timely implementation of non-pharmacological interventions (NPIs), which are considered first-line strategies. This study aimed to assess the documentation of CRF and NPIs in palliative care and evaluate the impact of a standardized operating procedure (SOP) on documentation compliance. The aim of the study is to assess the documentation of CRF and NPIs in palliative care and evaluate the impact of implementing a standardised operating procedure (SOP) on documentation compliance.<\/jats:p>\n <\/jats:sec>\n \n Materials and Methods:<\/jats:title>\n A retrospective audit was conducted in two phases: pre\u2013multidisciplinary team (MDT) induction and post-MDT induction, followed by a re-audit after six months. Documentation rates for CRF and NPIs were statistically analysed, and associated symptom clusters were identified using Epi Info software (Version 7.6.2).<\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n \n CRF documentation improved from 67% in 2021 to 84% in 2022, and further to 98.5% (February 2023) and 89.3% (March 2023) and 96.7% (September 2023). NPI documentation increased from 0% in 2021 to 36% in 2022, and subsequently to 86.5%, 89.9%, and 86.5% in re-audits. Significant symptom clusters associated with CRF included loss of appetite (\n p<\/jats:italic>\n < 0.01), loss of well-being (\n p<\/jats:italic>\n < 0.001), and breathlessness (\n p<\/jats:italic>\n < 0.01).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n Implementation of an SOP significantly improved CRF and NPI documentation. Identification of key symptom clusters provides important insights for targeted interventions and future research in palliative care.<\/jats:p>\n <\/jats:sec>","DOI":"10.25259\/ijpc_440_2025","type":"journal-article","created":{"date-parts":[[2026,5,13]],"date-time":"2026-05-13T06:02:15Z","timestamp":1778652135000},"page":"207-211","update-policy":"https:\/\/doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Utilisation of Non-pharmacological Interventions for Management of Cancer-related Fatigue in Palliative Care Services \u2013 An Audit Cycle"],"prefix":"10.25259","volume":"32","author":[{"given":"Priyanshu","family":"Priyanshu","sequence":"first","affiliation":[{"name":"Department of Palliative Medicine, Homi Bhabha Cancer Hospital and Research Centre, Visakhapatnam, Andhra Pradesh, India,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alisha","family":"Karim","sequence":"additional","affiliation":[{"name":"Department of Clinical Psychology, Homi Bhabha Cancer Hospital and Research Centre, Visakhapatnam, Andhra Pradesh, India,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vidya","family":"Viswanath","sequence":"additional","affiliation":[{"name":"Department of Palliative Medicine, Homi Bhabha Cancer Hospital and Research Centre, Visakhapatnam, Andhra Pradesh, India,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dharun Prasad","family":"Ramani","sequence":"additional","affiliation":[{"name":"Department of Preventive Oncology, Homi Bhabha Cancer Hospital and Research Centre, Visakhapatnam, Andhra Pradesh, India,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dolorosa","family":"Fernandes","sequence":"additional","affiliation":[{"name":"Department of Preventive Oncology, Homi Bhabha Cancer Hospital and Research Centre, Visakhapatnam, Andhra Pradesh, India,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raviteja","family":"Miriyala","sequence":"additional","affiliation":[{"name":"Department of Radiation Oncology, Homi Bhabha Cancer Hospital and Research Centre, Visakhapatnam, Andhra Pradesh, India,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Neeharika","family":"Alapati","sequence":"additional","affiliation":[{"name":"Department of Clinical Medical, Homi Bhabha Cancer Hospital and Research Centre, Visakhapatnam, Andhra Pradesh, India,"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"10894","published-online":{"date-parts":[[2026,5,12]]},"reference":[{"key":"10.25259\/IJPC_440_2025\/ref-1","first-page":"1539","article-title":"Bone tired: The experience of fatigue and its impact on quality of life","volume":"23","author":"Ferrell","year":"1996","journal-title":"Oncol Nurs Forum"},{"key":"10.25259\/IJPC_440_2025\/ref-2","article-title":"NCCN Clinical Practice Guidelines in Oncology: Cancer-Related Fatigue, Version I","year":"2017"},{"key":"10.25259\/IJPC_440_2025\/ref-3","doi-asserted-by":"publisher","first-page":"971","DOI":"10.1023\/A:1008318932641","article-title":"Cancer-related fatigue: Inevitable, unimportant and untreatable? 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