TABLE 4-10 Survivorship Services in Selected ACCC Cancer Centers

Survivorship Service

Number (n = 56)

Percentage

At least one survivorship service

47

84

No survivorship services

9

16

Lymphedema services

21

38

Genetic counseling

19

34

Support groups, professionally run

All cancer

19

34

Breast

13

23

Prostate

8

14

Gynecologic

4

7

Brain

2

4

Lymphoma/leukemia

2

4

Support groups, peer led

13

23

Sexuality counseling

4

7

Yoga/relaxation

2

4

Symptom management

2

4

Prevention

2

4

Prosthesis lending

1

2

SOURCE: Winn (2002).

American Cancer Society Programs

The American Cancer Society provides extensive information on cancer patient support and special topics in survivorship issues and sponsors several programs for cancer survivors (see Table 4-11; Box 4-5). Detailed guides on what to expect after treatment for the most common cancers, including surveillance practices, are available at the ACS website. Also available is information on adopting healthy lifestyles after cancer treatment. The ACS’s Cancer Survivors Network is a web-based program supporting online interaction among cancer survivors. Participants can create a personal website; post pictures, poems, and other expressions; listen to or read prerecorded stories of other survivors; and engage in online discussions in English, Spanish, and Chinese.

The I Can Cope program started as a series of classes for individuals with cancer, but has been adapted for use as multiple standalone modules on a variety of topics ranging from financial management to coping with side effects. A health care navigator program is under development by ACS that will direct individuals to resources within their community.

The Reach to Recovery program, offered since 1960, provides peer support to women with breast cancer. Initially designed for women in the hospital after mastectomy, the program is now offered largely in the com-



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