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Symptom Management of Bone Metastasis at End of Life

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

Journal of Hospice & Palliative Nursing: May/June 2015 - Volume 17 - Issue 3 - p 183–186
doi: 10.1097/NJH.0000000000000152
Symptom Management Series

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.

Paul Ensom Coyne, MBA, MSF, MSN, AGPCNP-BC, is DNP candidate, Columbia University, New York.

Address correspondence to Paul Ensom Coyne, MBA, MS, BS, RN, 1313 Grand Street Apt 504, Hoboken, NJ 07030 (

The author has no conflicts of interest to disclose.

© 2015 by The Hospice and Palliative Nurses Association.