Keywords

bone metastasis, cancer, end-of-life care, pain management

 

Authors

  1. Coyne, Paul Ensom MBA, MSF, MSN, AGPCNP-BC

Abstract

Caring for persons with bone metastasis at the end of life is complex. There are a variety of pharmacologic and nonpharmacologic measures that have been shown to provide patients with relief and comfort. Through the use of a case narrative, this article demonstrates the complexity of palliative care as it relates to the pain management of bone metastasis at end of life from both the pharmacological and psychosocial perspectives. Treatment interventions for pain in each of these domains is explored, illustrating that metastatic bone pain at end of life is a multifaceted experience and therefore requires a multimodal approach to care.