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Table 4 Representative Quotes of Symptom and Impact Concepts

From: Symptoms and impacts in anemia of chronic kidney disease

Feeling Weak or Lacking Strength Feeling Tired Shortness of Breath
Subject 1
“I don’t have the strength I used to have and it tires me.”
Subject 1
“The worst thing is the fact that I’m very tired. Why? Because I can’t do the things I’d like to do because I’m too tired.”
Subject 2
“The shortness of breath makes you tired and I have to sit down and catch my breath. Like now I’m talking too much so my breath is starting to get heavy.”
Difficulty Remembering Things Difficulty Sleeping Gastrointestinal Symptoms
Subject 3
“I don’t remember things as well as I used to. I write down a lot of things. I do write a lot of things down because I do forget.”
Subject 4
“That changes because there are nights I cannot fall asleep at all. I try to go to bed, do everything and nothing happens. Sometimes it be that way and then there are times where I could just doze off and keep waking up.”
Subject 5
“Constant constipation. It never goes away because number one, I’m not getting enough exercise and number two, I don’t drink enough fluid.”
Interference with Daily Activities Emotional Impact Social Impact
Subject 5
“There’s a lot of things like cooking, cleaning, just ordinary things, being able to go to the bathroom, a lot of things that people take for granted that I can’t do anymore.”
Subject 6
“Really like a burden on my family. It saddens me.”
Subject 7
“Sometimes, but for the most part no. I feel better when I’m with friends or relatives or even talking to neighbors, but like I said there’s times I don’t feel like making a call because I just don’t feel like talking on the phone. I just put it off for another day.”