Bone Health, Pain, and Mobility: Evidence-Based Recommendations for Patients With Multiple Myeloma

Clin J Oncol Nurs. 2017 Oct 1;21(5 Suppl):47-59. doi: 10.1188/17.CJON.S5.47-59.

Abstract

Background: About 85% of patients with multiple myeloma develop bone disease. In these patients, lytic bone lesions can cause fractures, poor circulation, blood clots, pain, poor mobility, and decreased quality of life. .

Objectives: This article presents consensus statements to guide nurses in the assessment and management of bone disease, pain, and mobility in patients with multiple myeloma at varying points in their disease trajectory. .

Methods: Members of the International Myeloma Foundation Nurse Leadership Board reviewed previously provided recommendations, current recommendations based on literature review, and evidence-based grading. .

Findings: Oncology nurses play a key role in maximizing bone health, minimizing skeletal injury, maximizing pain control, and improving quality of life in patients by enhancing patient mobility and safety. Clinician assessment accompanied by effective interventions reduces patient injury and optimizes functioning in patients with multiple myeloma.

Keywords: bone health; functional mobility; multiple myeloma; pain.

MeSH terms

  • Bone and Bones / physiology*
  • Evidence-Based Medicine*
  • Humans
  • Movement*
  • Multiple Myeloma / nursing
  • Multiple Myeloma / physiopathology*
  • Multiple Myeloma / therapy
  • Oncology Nursing
  • Pain / physiopathology*