Multiple myeloma in older adults

Age alone does not describe how someone will cope with myeloma or its treatment. The care team may review walking, balance, memory, nutrition, hearing, home support, other illnesses, and every medicine being taken. They also consider anaemia, infection risk, bone weakness, kidney function, and the person’s priorities. This helps match treatment intensity and support to the individual, while protecting independence where possible.

Bring a complete medicine list, details of falls or weight change, and information about who can help at home. Ask about transport, appointment support, food and fluid needs, safe activity, and how side effects will be handled. Report new numbness, pain, constipation, tiredness, or confusion early. A clinician may adjust medicines or schedules when kidney function, frailty, or other conditions affect safety.

Contact the care team quickly after a fall, new confusion, fever, reduced urine, worsening breathlessness, or inability to manage usual medicines and meals. Emergency help is appropriate for severe breathing difficulty, fainting, sudden weakness, or new loss of bladder or bowel control. A trusted family member or caregiver can help notice changes, but the older adult’s preferences should guide decisions.

Ask what the treatment aims to achieve, how it may affect strength and independence, which symptoms are urgent, and how kidney function and medicines will be checked. Ask whether a geriatric, rehabilitation, nutrition, or symptom-support review would help with the plan.