Background: Multiple Myeloma is almost often discovered when a patient has abnormal blood and urine specimen results. Patients presenting with chronic bone pain as well as anemia are always suspicious of multiple myeloma. Also pathological as well as general fatigue will always be suspicious of this condition. The duties of nursing team when caring for a multiple myeloma includes but not limited to formulating a Nursing Care Plan by creating a nursing diagnosis for chronic pain, impaired physical mobility and anxiety related to this new diagnosis and its prognosis. It is important to mention that like with most orthopedic conditions; chronic pain cannot necessarily be resolved within 30 minutes of administration of analgesia. These patients benefit immensely through the collaboration of the members of the multidisciplinary team. Methods: A case study was conducted when doing this research about Multiple Myeloma. Patient first presented at a Johannesburg Hospital in a trauma Casualty Department. Patient met with the researcher in an orthopedic ward in June 2024. Data was collected through interviews, observation and comprehensive physical examination of an orthopedic patient. Attending orthopedic surgeons, palliative team, dietician, physical therapists as well medical oncologists were also interviewed. Conclusion: Nursing problems were only resolved after almost two months of admission. The patient’s pain intensity was reduced from7/10 to 3/10 on a pain scale after bilateral femur nailing and the adjustment of analgesics from Tramadol to morphine sulphate. The patient also benefited from palliative care counselling as well as chemotherapy.
| Published in | World Journal of Medical Case Reports (Volume 6, Issue 1) |
| DOI | 10.11648/j.wjmcr.20250601.12 |
| Page(s) | 5-9 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2025. Published by Science Publishing Group |
Multiple Myeloma, Pathological Fracture, Chronic Pain, Nursing Care Plan
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APA Style
Mbatha, P. B. S. (2025). Management of Chronic Pain in Multiple Myeloma. World Journal of Medical Case Reports, 6(1), 5-9. https://doi.org/10.11648/j.wjmcr.20250601.12
ACS Style
Mbatha, P. B. S. Management of Chronic Pain in Multiple Myeloma. World J. Med. Case Rep. 2025, 6(1), 5-9. doi: 10.11648/j.wjmcr.20250601.12
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Download@article{10.11648/j.wjmcr.20250601.12,
author = {Princess Busisiwe Siphiwe Mbatha},
title = {Management of Chronic Pain in Multiple Myeloma
},
journal = {World Journal of Medical Case Reports},
volume = {6},
number = {1},
pages = {5-9},
doi = {10.11648/j.wjmcr.20250601.12},
url = {https://doi.org/10.11648/j.wjmcr.20250601.12},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.wjmcr.20250601.12},
abstract = {Background: Multiple Myeloma is almost often discovered when a patient has abnormal blood and urine specimen results. Patients presenting with chronic bone pain as well as anemia are always suspicious of multiple myeloma. Also pathological as well as general fatigue will always be suspicious of this condition. The duties of nursing team when caring for a multiple myeloma includes but not limited to formulating a Nursing Care Plan by creating a nursing diagnosis for chronic pain, impaired physical mobility and anxiety related to this new diagnosis and its prognosis. It is important to mention that like with most orthopedic conditions; chronic pain cannot necessarily be resolved within 30 minutes of administration of analgesia. These patients benefit immensely through the collaboration of the members of the multidisciplinary team. Methods: A case study was conducted when doing this research about Multiple Myeloma. Patient first presented at a Johannesburg Hospital in a trauma Casualty Department. Patient met with the researcher in an orthopedic ward in June 2024. Data was collected through interviews, observation and comprehensive physical examination of an orthopedic patient. Attending orthopedic surgeons, palliative team, dietician, physical therapists as well medical oncologists were also interviewed. Conclusion: Nursing problems were only resolved after almost two months of admission. The patient’s pain intensity was reduced from7/10 to 3/10 on a pain scale after bilateral femur nailing and the adjustment of analgesics from Tramadol to morphine sulphate. The patient also benefited from palliative care counselling as well as chemotherapy.
},
year = {2025}
}
TY - JOUR T1 - Management of Chronic Pain in Multiple Myeloma AU - Princess Busisiwe Siphiwe Mbatha Y1 - 2025/05/14 PY - 2025 N1 - https://doi.org/10.11648/j.wjmcr.20250601.12 DO - 10.11648/j.wjmcr.20250601.12 T2 - World Journal of Medical Case Reports JF - World Journal of Medical Case Reports JO - World Journal of Medical Case Reports SP - 5 EP - 9 PB - Science Publishing Group SN - 2994-726X UR - https://doi.org/10.11648/j.wjmcr.20250601.12 AB - Background: Multiple Myeloma is almost often discovered when a patient has abnormal blood and urine specimen results. Patients presenting with chronic bone pain as well as anemia are always suspicious of multiple myeloma. Also pathological as well as general fatigue will always be suspicious of this condition. The duties of nursing team when caring for a multiple myeloma includes but not limited to formulating a Nursing Care Plan by creating a nursing diagnosis for chronic pain, impaired physical mobility and anxiety related to this new diagnosis and its prognosis. It is important to mention that like with most orthopedic conditions; chronic pain cannot necessarily be resolved within 30 minutes of administration of analgesia. These patients benefit immensely through the collaboration of the members of the multidisciplinary team. Methods: A case study was conducted when doing this research about Multiple Myeloma. Patient first presented at a Johannesburg Hospital in a trauma Casualty Department. Patient met with the researcher in an orthopedic ward in June 2024. Data was collected through interviews, observation and comprehensive physical examination of an orthopedic patient. Attending orthopedic surgeons, palliative team, dietician, physical therapists as well medical oncologists were also interviewed. Conclusion: Nursing problems were only resolved after almost two months of admission. The patient’s pain intensity was reduced from7/10 to 3/10 on a pain scale after bilateral femur nailing and the adjustment of analgesics from Tramadol to morphine sulphate. The patient also benefited from palliative care counselling as well as chemotherapy. VL - 6 IS - 1 ER -
Department of Nursing-Surgery, Charlotte Maxeke Johannesburg Academic Hospital, Johannesburg, South Africa
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