ACTION STAT: Malignant spinal cord compression
Stephanie M. Lucas MSN, RN, OCN

February 2012 
Volume 42  Number 2
Pages 72 - 72
  PDF Version Available!

MS. L, 63, ARRIVES in the outpatient chemotherapy clinic for her scheduled treatment. During your assessment, she tells you her back has been aching for the last 2 days. She's been taking acetaminophen at home with no relief. Ms. L was diagnosed with multiple myeloma 10 months ago and a recent bone scan revealed several new lesions. She's been coming to the clinic once a month for chemotherapy.Ms. L says her back pain woke her up during the night about 2 days ago. She denies any recent falls or trauma. The back pain originates in the lower thoracic region of her spine. She describes it as a constant ache that radiates to both legs and is exacerbated by ambulation or other movement. Ms. L also reports decreased sensation and tingling in both feet. Her gait appears ataxic. On exam, she has 3/5 muscle strength and decreased deep tendon reflexes in both legs. She denies any recent changes in bowel or bladder function.Multiple myeloma can cause skeletal destruction from the formation of osteolytic

Purchase Now !

To purchase this item, follow the instructions below. If you’re not already logged in, be sure to enter your login information below to ensure that your item is saved to your File Drawer after you purchase it.

Not a member? Join now for Free!

1) If you're not already logged in, enter your information below to save this item in your File Drawer for future viewing.

User name:


Forgot your user name or password?
2)  If you have a coupon or promotional code, enter it
here.(If not, just click Continue.

Digital Coupon: (optional)

3)  Click Continue to go to the next screen, where
you'll enter your payment details.

Featured Jobs

Benefits of Membership

FREE E-Newsletters
Sign up for our free enewsletters to stay up-to-date in your area of practice - or take a look at an archive of prior issues

Join our CESaver program to earn up to 100 contact hours for only $34.95
Register Now

Explore a world of online resources

Become a Member