Question

In this 5 - 7 page paper, you are to describe Multiple myeloma. This selected topic of this paper must have prior approval by the faculty. The following content areas are to be included in this paper: I. Describe at the cellular level, the pathophysiology of this disease process. II. Describe the clinical manifestations III. Discuss pertinent diagnostic testing IV. Explain current treatment options and best practices, emphasizing evidence based practice. Discuss any complementary or alternative therapy techniques which might be used along with scientific, evidence-based interventions. V. Describe potential ethical concerns related to treatment. Consider the cost of treatment, medications, co-pays and the financial impact to the family. Describe any financial impact of caregiving. VI. An introduction and conclusion, as well as strict adherence to APA format are required. VII. A minimum of three current references required, one must be evidence based practice. Please provide references in APA. Thank you.

Answer 1

I.Pathophysiology of the disease process:

Unusual multiplication of plasma cells[type of WBC]------------>crowding of plasma cells in normal blood cells------->Release chemicals------->triggers other cells to dissolve bones-------->resulting in lytic lesions--------->Release of excessive protein[immunoglobulins] into bones and blood---------->Builds up in body----------->Organ damage

II. Clinical manifestations:

No symptoms in early stages

In later stages, patient may have,

Bone pain

Weakness and fatigue

Weight loss

Nausea

Constipation

loss of apetite

Mental confusion

Frequent infections

excessive thirst

numbness in legs

Excessive thirst

III. Diagnostic testing:

Blood tests showing:

Hypercalcemia

Anaemia

High protein levels in blood

Low albumin in blood

Kidney problems

Current treatment options:

Chemotherapy

Corticosteroids

Targeted therapies

Stem cell transplant

Radiation therapy

Healthy diet

Exercise

Plenty of rest

Family support