• Think of your personal energy stores as a "bank." Deposits and withdrawals have to be made over the course of the day or the week to ensure a balance between energy conservation, restoration and expenditure.
  • Keep a diary for one week to identify the time of day when you are either most fatigued or have the most energy. Note what you think may be contributing factors.
  • Be alert to the warning signs of impending cancer fatigue - tired eyes, tired legs, whole-body tiredness, stiff shoulders, decreased energy or a lack of energy, inability to concentrate, weakness or malaise, boredom or lack of motivation, sleepiness, increased irritability, nervousness, anxiety or impatience.

Last reviewed by a Cleveland Clinic medical professional on 08/16/2017.


  • ONS PEP card for Fatigue 2005
  • NCCN Guidelines for Cancer Related Fatigue 2010
  • Berger, A.M. (2009) Update on the State of the Science: Sleep-Wake Disturbances in Adult Patients with Cancer. Oncology Nursing Forum Vol. 36, No 4, P E165-177.
  • Mustian,K.M. et al. Effect of YOCAS yoga on sleep, fatigue, and quality of life: A URCC CCOP randomized, controlled clinical trial among 410 cancer survivors. J Clin Oncol 28:15s, 2010 (suppl; abstr 9013)

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