• You feel weary or exhausted. It may be physical, emotional, and/or mental exhaustion.
  
  
  
   
• Your body, especially your arms and legs, may feel heavy.
  
   
• You have less desire to do normal activities like eating or shopping.
  
   
• You may find it hard to concentrate or think clearly.

• REST
  Rest and sleep are important, but don't overdo it. Too much rest can decrease your energy level. In other words, the more you rest, the more tired you will feel. If you have trouble sleeping, talk to your doctor or nurse.
  
  
  
   
• ACTIVITY
  Stay as active as you can. Regular exercise like walking several times each week may help.
  
   
• NUTRITION
  Drink plenty of liquids. Eat as well as you can, and eat nutritious foods.
  
   
• ENERGY CONSERVATION
  You can do more by spreading your activities throughout the day. Take rest breaks between activities. Rest breaks save energy for the things you want to do. Let others help you with meals, housework, or errands. Do not force yourself to do more than you can manage.
  
   
• ENERGY RESTORATION
  Do activities that you enjoy and make you feel good. Many people enjoy nature activities such as bird watching or gardening. Try listening to music, or visiting with friends and family, or looking at pleasant pictures. Try to do these activities at least three times per week.

• If you have been too tired to get out of bed for the past 24 hours.
  
   
• If you feel confused or cannot think clearly.
  
   
• If your fatigue becomes worse.

Lack of understanding within a family about cancer fatigue can lead to communication problems, resentment, and feelings of guilt.