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Cancer Infection Rates

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In the last 20 years, Cancer diagnosis rates have been constantly increasing. As rates incline, prehospital clinicians are beginning to see an increase in patients requiring assistance for cancer related illnesses, side effects and complications. Knowing how prevalent various types of cancers are, who is affected, and treatment methods that are available will ensure that prehospital clinicians know what to expect and how they can help these patients manage their symptoms and feel comfortable while battling this disease.
Cancer and the Prehospital Setting
Cancer is an extremely common disease that almost every person could admit to being affected by, whether it be directly or indirectly. Health Canada (2012) states that in 2016 over 200,000 …show more content…

Given that these statistics are for one province, the rates are staggering. Luckily with technology and knowledge increasing at an exponential rate, Canadian Cancer Statistics (2016) demonstrates that although Cancer mortality rates are not declining, trends are showing that people are living longer after being diagnosed with certain cancers. Figure 2 demonstrates the relationship between net survival percentage and survival duration in years. Taking a closer look at the diagram, prostate cancer has a high net percentage survival rate up to ten years therefore men diagnosed with prostate cancer show high survival rates up to ten years post diagnosis. Unfortunately, that is not the case for all types of cancer, as cancer of the lung and bronchus shows a drastic drop between 1 and 3 years of the net survival percentage. In other words, survival rates of lung and bronchus cancer are slim up to and after 1 year post diagnosis and continue to decrease up to 10 years post diagnosis with only 13% survival …show more content…

As Carter et. al (2013) explains, a growing number of palliative patients are asking to die in their homes as opposed to in a clinical environment. They go on to explain that when paramedics are called to a patient who is choosing to have end of life care at home, the calls generally relate to a patient who is not coping well at home whether it be emotionally or physically (side effects, complications). Some common side effects of cancer therapy that are frequently come across in the pre hospital setting include, “loss of appetite, constipation, delirium, nausea, vomiting, diarrhea, fatigue, alopecia, infection, pain, bladder problems, edema” (National Cancer Institute, 2012). Although paramedics are unable to directly treat or control many of the common side effects, there are some side effects that can be controlled such as nausea and vomiting, and pain. According to ALS PCS (2016) handbook for paramedics, it states that as long a patient meets certain criteria and does not meet any contraindications for the drug, a Primary Care Paramedic (PCP) may administer ibuprofen and acetaminophen for mild to moderate pain related to cancer or ketorolac for mild to severe pain related to cancer. ALS PCS (2016) further states that a patient may receive dimenhydrinate for nausea and vomiting as long as all criteria is met. Although pre hospital clinicians have treatments

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