2017
DOI: 10.1188/17.cjon.s5.47-59
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Bone Health, Pain, and Mobility: Evidence-Based Recommendations for Patients With Multiple Myeloma

Abstract: 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.

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Cited by 22 publications
(19 citation statements)
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“…3. At multiple myeloma diagnosis, consider having a conversation focused on bone health, covering lifestyle changes, physical activities as prevention techniques, supplements and medications to support bone health and prevent bone complications [26] 4. As recommended by clinical guidelines, initiate denosumab, pamidronate or zoledronate at diagnosis of multiple myeloma [27] 5.…”
Section: Discussionmentioning
confidence: 99%
“…3. At multiple myeloma diagnosis, consider having a conversation focused on bone health, covering lifestyle changes, physical activities as prevention techniques, supplements and medications to support bone health and prevent bone complications [26] 4. As recommended by clinical guidelines, initiate denosumab, pamidronate or zoledronate at diagnosis of multiple myeloma [27] 5.…”
Section: Discussionmentioning
confidence: 99%
“…HOM may be associated with generalized bone and/or fracture pain. Analgesia may be needed (Rome, Noonan, Bertolotti, & Miceli, 2017), but both HOM and opioid analgesics can cause constipation. Patient education should include the caregiver and should be reinforced with the patient when their calcium levels decrease to normal range (Faiman & Bilotti, 2014;Kaplan, 2012a;Pace, 2015;Shane & Berenson, 2015) (see Table 4).…”
Section: Signs and Symptomsmentioning
confidence: 99%
“…The incidence of multiple myeloma worldwide ranges from 6-7 / 100,000, which is 1% of all neoplasms [4]. The main symptoms of multiple myeloma include: bone pain, pathological fractures associated with progressive bone destruction, kidney problems and anemia, as a result of which the patient may experience excessive fatigue and shortness of breath during exercise [6,7]. Despite significant progress in the diagnosis and treatment methodology of this type of cancer, multiple myeloma is still a difficult disease in the management [8,9].…”
Section: Introductionmentioning
confidence: 99%