This could be achieved by referring patients to community physical activity programs or even by providing a simple exercise prescription and follow-up (stricker, Drake, Hoyer, & mock, 2004). Data from the present study suggest that exercises that promote muscle strength be included in physical activity programming for older breast cancer survivors experiencing persistent fatigue. strengthening exercises make sense for the older patient and can be readily prescribed (schlicht, 2000). For nurses who do not feel competent making these recommendations, at least being able to educate a patient on the short- and long-term benefits of exercise during and following cancer treatment is critical (mcneely et al.; mock). Exercise studies clearly document the numerous benefits of exercise, and yet this simple, cost-effective intervention has not been consistently integrated into cancer care.