Discharge Planning for a Patient with Multiple Myeloma

  • Zerlyn Hui Yi Lee The University of British Columbia School of Nursing


Discharge planning, in relation to cancer and chronic pain, is especially important in providing pain relief, education, and support programs that foster meaningful connections; however, the biggest challenge for patients and families as they approach discharge is the establishment of attainable goals due to the uncertainty and ambiguity awaiting them upon returning home (Molassiotis, Wilson, Blair, Howe, & Cavet, 2011; Mor & Besdine, 2011). Consequently, the establishment of community support and achievable goals is essential, especially in the context of cancer care as partners are at greater risk of psychological distress due to competing demands (Molassiotis et al., 2011). Nurses play a central role in coordinating proposed discharge plans and evaluating ongoing responses. They also significantly impact patient discharge goals by identifying barriers, needs, and opportunities for discharge planning, improving communication and congruence in discharge needs, and providing direct patient education; however, they do not work alone, but as part of an interdisciplinary team (Nosbusch et al., 2011; Saint Paul’s Hospital (SPH), 2001). Through proper education and support systems, key factors in adequate discharge planning, stress can be minimized and expectations managed thereby preventing complications and reducing rates of readmission (Jack et al., 2009; Rini et al., 2007). This is clearly exemplified in the following case analysis.


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