A patient who had a supraglottic partial laryngectomy with a right sided radical neck dissection 4 weeks ago is now receiving radiation therapy. He has lost 24 pounds since his surgery, which makes him 15 pounds less than his ideal weight. He tells you that he has no appetite and that what food he does eat “has no taste”. In addition although he expresses that he is glad to be alive he does not want friends to visit because it takes so much energy to interact with them. He also says that he can no longer play the piano because of difficulty moving his right arm and shoulder. What factors are contributing to his fatigue? Is the weight loss a concern? If so, what should you do about it? Should you further press the issue of not wanting to visit with friends? Why or why not? What other health care professionals or resources would be appropriate at this time?