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Post-stroke fatigue — DGM MCQ

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ModerateStroke and rehabilitationPost-stroke fatigueDGM

An 86-year-old woman after stroke has severe fatigue limiting therapy sessions. Blood tests, oxygen saturation and mood screen do not reveal another cause. She sleeps poorly on the ward and feels overwhelmed by long therapy blocks. What is the most appropriate management?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: B — Plan graded rehabilitation with rest breaks and fatigue education

Post-stroke fatigue is common and should be assessed and managed with pacing, education and individualised therapy scheduling. Doubling therapy intensity may worsen engagement if it ignores fatigue. Rehabilitation should be sufficient but tailored to the person's tolerance and goals.

Reference: NICE NG236