Management of Chronic Pain in Multiple Myeloma

<i>Background</i>: 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. <i>Methods:</i> 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. <i>Conclusion</i>: 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.