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
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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
Breast cancer is a complex disease that will affect around 1 in 9 Canadian women during their lifespan. According to the latest statistics, it is found that around
The CDC estimates that each year, more than eight million people are diagnosed, and consequently died from cancer, and this statistic was even higher in the 1950s. During this period, little was known of cancer’s effects on the
| The latest figures show that almost two-thirds of men diagnosed with prostate cancer are still alive five years later, twice as many as in the early 1970s. More than three-quarters of women diagnosed with breast cancer are still alive after five years, an increase of 50 percent
Cancer is one of the leading cause of death in Australia and has a considerable social and economic influence on individuals, families and the community. Statistics shows that Australia has third highest cancer rate approximately 323 people being diagnosed per 100,000 in the world. (Begg & etal, 2007, pg.116). According to the recent disease study in burden of disease by WHO and Global Burden of disease study 2012, the findings of study showed 16% and 19% of the total disease burden in Australia (Moore & et al, 2007 pg.88)). Cancer is the sixth most expensive chronic disease due to the high expenditure of treatment and management compared to other chronic disease. It has been further described that approximately $4.5 billion were spent on cancer in 2008-09, accounting for 7% of total healthcare expenditure on chronic disease (Australian Institute of Health and Welfare, 2013b, p.7) and 79% of total expenditure that spent on cancer patients who were admitted in hospital which is 20% more than the same expenditure that was spent on all
According to the American Cancer Society, half of all men and one third of all women will develop cancer within their lifetime (Cancer.org). These figures are staggering. Cancer is a leading cause of morbidity and mortality worldwide and is a terrifying and unpredictable disease for many cancer sufferers. As such, it is imperative that healthcare workers have a thorough understanding of the various cancer diagnoses, treatments, and preventative strategies necessary to combat this devastating plague. Skills at managing not only the illness itself, but also the psychological and social side effects
Hearing a diagnosis of cancer leaves most patients in a state of shock and unsure of what their next step should be. While they are still wrapping their brain around the diagnosis, they are being bombarded with information, testing, and multiple physician appointments. They need guidance and support to direct them through the complicated health care system in a timely fashion that reduces the delay in their treatment, as well as assist them in identifying and overcoming any barriers to these delays.
Due to extensive research on the extent of the problem and how to prevent cancer, greater detection is now available and accessible. For example, mammograms (screening), regular check ups that aren’t paid for on the spot and easy readily products such as sunscreen and hats. Also, awareness for all types of cancers has increased, such as campaigns, advertisements and organisations which has enabled and empowered individuals to more frequent visits to GP’s, for example, Relay for Life, Cancer Council, smoking advertisements and Jane Mcgrath foundation. The problem still with new cases of cancer arising, 1 in 3 males and 1 in 4 males will get cancer by the time they reach the age of 85 years old. Although there is better detection and campaigns, cancer is still a major problem within Australia and it needs to be included as a priority health issue to be able to improve Australia’s health.
One-third of patients with metastatic cancer die in the ICU and one-fifth of Americans die using ICU services (Angus et al., 2004). The goal of ICU care is to save lives, however in many patients death becomes an inevitable outcome (Danis et al., 1999). While critical care physicians are trained to save lives they should also be familiar with the dying experience.
Cancer is the main cause of death in the world, estimating 8.2 million fatalities in 2012 alone
According to the Canadian Cancer Statistics (2015), “about 2 in 5 Canadians will develop cancer in their lifetime, and about 1 in 4 Canadians will die of cancer” (p. 6). In 1971, President Nixon and Congress declared a war on cancer. Since then, the U.S Federal government has spent over 105 billion on the effort. Dr. Spector and Dr. Kolata, a noted professor of medicine, pharmacology and biochemistry, have noted that since 1950, the cancer death rate, adjusted for the size and age of the population has decreased by only 5%. They argue that there has been little progress on the war against cancer.
Caring for cancer patients can be very complex at times. According some, the availability of a range of health care providers hones poor communication and
People all over the world are affected by cancer everyday. It is estimated that every day of 2015, 68 Canadian women are diagnosed with breast cancer. Breast cancer affects people of all ages in a direct or indirect way. Every 23 seconds someone gets breast cancer, and every 59 seconds someone dies from breast cancer. Breast cancer is a very large topic around the world
Oncologic Emergencies are both life threatening and detrimental to a patient’s health. As stated by (Tan), “An oncologic emergency is a clinical condition resulting from a structural or metabolic change caused by cancer or its treatment that requires immediate medical intervention to prevent loss of life or quality of life.” Oncologic emergencies can be further classified as metabolic, hematologic, neurologic, or cardiovascular. Superior vena cava syndrome and spinal cord compression can be considered oncologic emergencies. Superior vena cava syndrome is classified as cardiovascular while spinal cord compression is classified as neurologic and/or structural. Treatment options vary depending on the severity of the disease. When
According to the Canadian Cancer Society, it is estimated that in 2016; 196,900 Canadian men and women will be diagnosed with some form cancer and 78,000 will die from it. On average, 539 Canadians will be diagnosed with cancer, and 214 Canadians will die from cancer every single day. This makes cancer the leading cause of death in Canada and responsible for 30% of all deaths.
“When it comes to cancer care, studies suggest that survival rates improve for patients when they are cared for by a multidisciplinary team” (Approach to Care, 2012, p. 1). This quote from the Wilmot Cancer Center’s article on how to approach care with cancer patients sums up two key pieces in approaching cancer care. First is survival. When a patient first hears the word cancer survival is the one thing they want addressed; this identifies the emotional approach to care that is needed. The second key piece is the word team. A cancer patient, much like any patient, does not fit a diagnosis mold and requires input from many disciplines; this identifies the physical approach to care. Care needs to be tailored and customized to fit the patients’ needs. Individualized care is done through multidisciplinary teams that function under the direction of a primary doctor ensuring emotional and physical needs are met. Upon creation of a multidisciplinary team, staff works with patients to form a treatment plan that balances the best outcomes and patients’ consent. It is important the patient agrees with the care plan and the approach set forth by the team in order to ensure maximum compliance. It is also important the patient understands the diagnosis and staging of the cancer