Mobility and Safety in the Multiple Myeloma Survivor

Abstract

As in many other cancers, survivorship of multiple myeloma involves handling treatment, recovery from therapeutic interventions, the effects of the disease, and ongoing therapies. Although mobility challenges vary among survivors of multiple myeloma, these patients have an increased risk of impaired mobility because of side effects of therapy and the pathology of the disease, as well as other factors (e.g., increasing age). Health maintenance increasingly is becoming a part of the cancer control continuum, and nurses have the opportunity to help survivors of multiple myeloma optimize their functional mobility and safety, thereby preserving quality of life. The purpose of these practice recommendations is to provide the healthcare professional with information on mobility, fall risk, and planned activity as an integral part of the plan of care for patients with multiple myeloma. Tools for nurses and physicians for assessing and evaluating the newly diagnosed patient, the patient undergoing treatment, and the long-term survivor of multiple myeloma will be provided.

Perceived benefits and barriers to exercise for recently treated patients with multiple myeloma: a qualitative study

“…Examination of the specific benefits of physical activity for people with MM is a relatively new area of research, but one that is gaining increasing attention as the prevalence of MM increases and lifestyle behaviors, such as physical activity, are recognised as important factors in overall patient outcomes [18-20]. Research to date, albeit limited, has shown that physical activity is safe and feasible before, during and following treatment for MM; can alleviate some of the side effects of treatment, including fatigue; and can enhance the quality of life of patients [18,21,22].…”

Maintaining Bone Health in Patients With Multiple Myeloma

“…Compromised skeletal structure because of lytic lesions and vertebral compression fracture can result in altered mobility and function; therefore, early detection can offer potential benefits to patients. The life-altering mobility and functional aspects of myeloma are further described in Rome, Jenkins, Lilleby, and the International Myeloma Foundation Nurse Leadership Board (2011).…”

“…In addition to mobility and exercise, which are discussed in depth in another article in this supplement (Rome et al, 2011), nurses can assist patients to manage their bone health by maintaining proper diet and nutrition, undergoing radiation treatment or surgical procedures when necessary, and safely taking bisphosphonates and pain medications where appropriate.…”