title: Cancer-related tasks involving employment: opportunities for clinical assistance.
abstract: Many cancer survivors experience unmet psychosocial needs related to their jobs, and women often fare worse than men in this regard. However, little research exists on ways to assist patients with cancer in preventing or managing common job problems. We conducted focus groups and a survey among 73 women who were employed at the time of presentation of a gynecologic cancer. We compared the findings with existing recommendations and professional standards for occupational rehabilitation. Participants described different cancer-related employment tasks in three time periods: just after diagnosis, during primary treatment, and after primary treatment is completed. The more difficult tasks included communicating with supervisors and coworkers, determining company policies, applying for employer-sponsored benefits, handling finances, managing symptoms on returning to work, finding effective solutions to cancer-related job problems, leaving the job with dignity if too sick or if the job ended, and making career plans. The cancer care team may be able to help meet the psychosocial needs of employed cancer survivors by screening for job concerns, providing information, formulating a return-to-work plan, treating symptoms, consulting with professionals who have employment-related expertise, and giving other forms of assistance.
authors.affiliation: Department of Obstetrics and Gynecology, University of Kansas School of Medicine-Wichita, 1010 N. Kansas Avenue, Wichita, KS 67214-3199, USA. lfrazier@kumc.edu
authors.forename: Linda M
authors.initials: LM
authors.lastname: Frazier
authors.forename: Virginia A
authors.initials: VA
authors.lastname: Miller
authors.forename: Brigitte E
authors.initials: BE
authors.lastname: Miller
authors.forename: Douglas V
authors.initials: DV
authors.lastname: Horbelt
authors.forename: James E
authors.initials: JE
authors.lastname: Delmore
authors.forename: Carolyn R
authors.initials: CR
authors.lastname: Ahlers-Schmidt
mesh_terms: D000223:Adaptation, Psychological; D003695:Delivery of Health Care; D016832:Employment, Supported / Q000458:organization & administration*; D016889:Endometrial Neoplasms / Q000523:psychology / Q000534:rehabilitation*; D005260:Female; D017144:Focus Groups; D006306:Health Surveys; D006801:Humans; D008875:Middle Aged; D009788:Occupational Therapy / Q000458:organization & administration; D010051:Ovarian Neoplasms / Q000523:psychology / Q000534:rehabilitation*; D012917:Social Adjustment; D002583:Uterine Cervical Neoplasms / Q000523:psychology / Q000534:rehabilitation*