preview

Myeloma Case Study

Decent Essays

At all stages of MM, from treatment, relapse, remission to refractory, patients will face a high burden of biopsychosocial impacts. MM is characterised by the formation of tumours as a result of the overproduction and accumulation of malignant plasma cells in the bone marrow and other surfaces of bones in various parts of the body (Barber & Mullen, 2017; Dowling, Kelly, & Meenaghan, 2016). Consequently, these tumours causes the inhibition of osteoblasts and elevation of osteoclasts (Silbermann & Roodman, 2013). Thence, it is evident that up to 90% of individuals with MM suffer from hypercalcaemia and increased bone resorption (Silbermann & Roodman).

It is present in a prospective study investigating the quality of life and …show more content…

As the kidneys play a role in the maintenance of calcium in the blood, the vicious cycle of kidney dysfunction resulting in hypercalcaemia and bone resorption is apparent. Hence, causing urinary problems, the potential for dialysis, fatigue, compromising the quality of life of the individual and adding to the overall burden of physical impacts of MM (Faiman, Tariman, Mangan, & Spong, 2012).

The debilitating physical symptoms related to MM can generate various social and psychological challenges for the patient and their family caregivers. It is revealed in a phenomenological study of individual’s perception of how myeloma has affected their quality of life that one of the main concern is fear of the future (Maher & DeVries, 2011). Deterioration in mobility caused by the osteolytic lesions and fatigue resulted in decline in functional capacity and represented a physical restriction in being able to attend to their activities of daily living. The enormous shift of reliance on others may cause them to feel a loss of control over their lives, independence and privacy (Hauksdottir et al., 2017). Additionally, the dominating feeling of uncertainty is expressed among the patients as they knew the illness would eventually bring them to the inevitable and bleak relapse refractory stage (Hauksdottir et al., 2017). Hence, MM can lead to detrimental effects in

Get Access