Skip to main content

Building a Team to Improve Cancer Survivorship: Integrative Care’s Increasing Role

  • Chapter
  • First Online:
Quality Cancer Care

Abstract

An estimated 14.5 million cancer survivors live in the United States today and that number is expected to increase to 19 million by 2024. Increasingly, cancer survivors are seeking guidance and support as they transition out of active treatment into ongoing surveillance and a return to “normal” life. These patients seek services and tools to help them adjust while maintaining wellness in the posttreatment phase of life.

Research suggests that as many as 90% of cancer patients use some form of integrative medicine compared to 40% of the general population. Integrative approaches include mind-body interventions such as meditation, mindfulness-based stress reduction, and yoga. Touch therapies include massage or Reiki and massage. Creative therapies may include writing, art, and music. Still others choose to incorporate acupuncture, nutrition, fitness, and exercise. Support groups are another place where patients seek support.

Historically, cancer patients were challenged to find these services on their own. It has been important to build programs that are truly “integrative,” both for the health and well-being of patients, as well as for the providers, to be informed of the different practices being provided to the patients. This chapter describes some of these services.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 89.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 119.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. National Cancer Institute. Cancer statistics. cancer.gov/about-cancer/what-is-cancer/statistic. Accessed 28 May 2017.

  2. McCabe MS, Bhatia S, Oeffinger KC, Reaman GH, Tyne C, et al. American Society of Clinical Oncology statement: achieving high-quality cancer survivorship care. J Clin Oncol. 2013;31(5):631–40.

    Article  PubMed  PubMed Central  Google Scholar 

  3. Committee on Cancer Survivorship. Improving care and quality of life, national cancer policy board. In: Hewitt M, Greenfield S, Stovall E, Institute of Medicine and National Research Council of the National Academies, editors. From cancer patient to cancer survivor: lost in transition. Washington DC: The National Academies Press; 2005.

    Google Scholar 

  4. American Society of Clinical Oncology. cancer.net/survivorship/follow-care-after-cancer-treatment/asco-cancer-treatment-summaries-and-survivorship-care-plans; 2015.

  5. Cancercare. Patient access & engagement report; 2016.

    Google Scholar 

  6. Altice CK, Banegas MP, Tucker-Seeley RD, Yabroff KR. Financial hardship experienced by cancer survivors. J Natl Cancer Inst. 2016;109(2). pii: djw205. Print 2017 Feb.

    Google Scholar 

  7. Forsythe LP, Parry C, Alfano CM, Kent EE, Leach CR, Haggstrom DA, et al. Use of survivorship care plans in the United States, associations with survivorship care. J Natl Cancer Inst. 2013;105(20):1579–87.

    Article  PubMed  PubMed Central  Google Scholar 

  8. Kent EE, Arora NK, Rowland JH, Bellizzi KM, Forsythe LP, Hamilton AS, et al. Health information needs and health-related quality of life in a diverse population of long-term cancer survivors. Patient Educ Couns. 2012;89(2):345–52.

    Article  PubMed  PubMed Central  Google Scholar 

  9. Mols F, Husson O, Roukema JA, van de Poll-Franse LV. Depressive symptoms are a risk factor for all-cause mortality. J Cancer Surviv. 2013;7(3):484–92.

    Article  PubMed  Google Scholar 

  10. Jacobsen PB, Ransom S. Implementation of NCCN distress management guidelines by member institutions. J Natl Compr Cancer Netw. 2007;5(1):99–103.

    Article  Google Scholar 

  11. Margenthaler JA, Allam E, Chen L, Virgo KS, Kulkarni UM. Surveillance of patients with breast cancer after curative-intent primary treatment: current practice patterns. J Oncol Pract. 2012;8(2):79–83.

    Article  PubMed  Google Scholar 

  12. Commission on Cancer, Cancer Program Standards. Ensuring patient-centered care; 2016 Edition.

    Google Scholar 

  13. Rollnick S, Miller W, Butler CC. Motivational interviewing in health care: helping patients change behavior. New York: Guilford Press; 2008.

    Google Scholar 

  14. Rosengren DB. Building motivational interviewing skills: a practioner workbook. New York: Guilford Press; 2009.

    Google Scholar 

  15. Yates JS, Mustian KM, Morrow GR, Gillies LJ, Padmanaban D, Atkins JN, et al. Prevalence of complementary and alternative medicine use in cancer patients during treatment. Support Care Cancer. 2005;13(10):806–11.

    Article  PubMed  Google Scholar 

  16. Chan CLW, Dickens R. Oncology social work practice in integrative medicine. In: Christ G, Messner C, Bhear L, editors. Handbook of oncology social work: psychosocial care for people with cancer. New York: Oxford University Press; 2015. p. 872.

    Google Scholar 

  17. Consortium of Academic Health Centers for Integrative Medicine. imconsortium.org. Accessed 20 May 2017.

  18. MacDonald G. Medicine hands: massage therapy for people with cancer. Scotland: Findhorn Press; 2014.

    Google Scholar 

  19. Würtzen H, Dalton SO, Christensen J, Andersen KK, Elsass P, Flyger HL, et al. Effect of mindfulness-based stress reduction on somatic symptoms, distress, mindfulness and spiritual well-being in women with breast cancer. A randomized controlled trial. Acta Oncol. 2015;54(5):712–9.

    Article  PubMed  Google Scholar 

  20. Bower JE, Crosswell AD, Stanton AL, Crespi CM, Winston D, et al. Mindfulness meditation for younger breast cancer survivors: a randomized controlled trial. Cancer. 2015;121(8):1231–40.

    Article  PubMed  Google Scholar 

  21. Chin HY, Shyu YK, Chang PC, Tsai PC. Effects of acupuncture on menopause-related symptoms in breast cancer survivors: a meta-analysis of randomized controlled trials. Cancer Nurs. 2016;39(3):228–37.

    Article  Google Scholar 

  22. Mao JJ, Bowman MA, Xie SX, Bruner D, De Micele A, Farriar JT. Electroacupuncture vs. gabapentin for hot flashes among breast cancer survivors: a randomized placebo-controlled trial. J Clin Oncol. 2015;33(31):3615–20.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  23. Pennebaker JW. Opening up: the healing power of expressing emotions. New York: Guilford Press; 1990.

    Google Scholar 

  24. Winters-Stone KM, Dobek J, Bennett JA, Nail LM, Leo MC, Schwartz A. The effect of resistance training on muscle strength and physical functioning in older post-menopausal breast cancer survivors: a randomized controlled trial. J Cancer Surviv. 2012;6(2):189–99.

    Article  PubMed  Google Scholar 

  25. Davis C. Oncology social work practice in the care of breast and ovarian cancer survivors. New York: Nova Science Publishers; 2009.

    Google Scholar 

  26. Davies NJ, Batchup L, Thomas R. The role of diet and physical activity in breast, colorectal, and prostate cancer survivorship; a review of the literature. Br J Cancer. 2011;105(Suppl 1):S52–73.

    Article  PubMed  PubMed Central  Google Scholar 

  27. Spiegel D, Classen C. Group therapy for cancer patients: a research-based handbook of psychosocial care. New York: Basic Books Publishers; 2000.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Susan Hedlund LCSW, OSW-c .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2018 Springer International Publishing AG, part of Springer Nature

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Hedlund, S. (2018). Building a Team to Improve Cancer Survivorship: Integrative Care’s Increasing Role. In: Hopewood, P., Milroy, M. (eds) Quality Cancer Care . Springer, Cham. https://doi.org/10.1007/978-3-319-78649-0_10

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-78649-0_10

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-78648-3

  • Online ISBN: 978-3-319-78649-0

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics