BeatCancer.org PATIENT
SERVICES PROGRAM RATIONALE
The Center for Advancement in Cancer Education (CACE) is a
well established and innovative 501(c)(3) nonprofit organization devoted to preventing
cancer, reducing suffering from cancer and treatment side effects, and preventing
disease recurrence. CACE serves
English-speaking adults with cancer through education, coaching, counseling,
resources, referrals and support, with a particular focus on those who have
become emotionally or physically disenfranchised as a result of their treatment.
The organization’s Patient Services Program, implemented by a well-trained and
knowledgeable staff, offers to the individuals we serve many opportunities to
attain high quality of life and sustained wellness through personalized
guidance. Supporting self-sufficiency and patient empowerment through personalized
cancer education and innovative, science-based resources, the Center for
Advancement in Cancer Education provides hundreds of individuals annually with
improved quality of life and a thorough foundation for future health success.
For more than 35 years, we at CACE have provided expert
one-on-one, individualized nutritional, immunological, and psychological
guidance to our clients facing cancer -- all on a donation basis.
Our average patient costs us more than $2000, yet we charge no fee for
service, receive no government funding, and get no insurance reimbursement.
Some patients do make a small contribution, but many are without financial
means. Regardless of whether a patient donates, we have never turned anyone away for inability to pay. We
are dependent on corporate sponsorships, foundation grants and individual
donors to make up the difference.
Problem Statement
Over 1.5 million Americans are diagnosed with cancer annually. Despite an annual cost of billions of dollars for cancer research and treatment, more than 500,000 Americans lose their lives to cancer every year.[1] Hundreds of thousands more experience disease recurrence.
As reported in the National
Cancer Institute’s SEER (Surveillance Epidemiology and End Results) Incidence
Report, it is estimated that 1,638,910 men and women will be diagnosed with
cancer in 2012, and 577,190 men and women will die of cancer in
2012.[2] Data collected by the American Cancer
Society shows that cancer of any kind is the second leading killer of Americans
behind only heart diseases.[3]
In addition to the problems of high cancer incidence and
high cancer mortality, there are significant challenges experienced by cancer
survivors. Over 19 million
Americans are living with cancer[4],
but not all are living well.
The National Cancer Institute
lists the following common chemotherapy side effects[5]:
Anemia,
appetite
changes, bleeding
problems, constipation,
diarrhea,
fatigue,
hair loss,
infection,
memory
changes, mouth and throat changes, nausea and
vomiting, nerve changes,
pain,
sexual and fertility changes, skin and nail
changes, swelling (fluid
retention), and urination
changes.
The American Cancer Society lists
the following common side effects of radiation[6]:
Fatigue, skin problems, hair loss, blood count changes, and eating problems. Radiation
can damage normal cells, and sometimes this damage can have long-term effects.
For instance, radiation to the chest area may affect the lungs or heart. Radiation to the abdomen or pelvis can
lead to bladder, bowel, or sexual problems in some people. Radiation in certain
areas can also lead to fluid build-up and swelling (lymphedema), particularly
common after breast irradiation.
Of additional
concern to patients treated for cancer is the risk of recurrence or risk for
another cancer. The recurrence rate for breast cancer, for example, is between
10% and 20%, according to the American Cancer Society. In a new report from the
National Cancer Institute’s Division of Cancer Epidemiology, researchers
reviewed the cases of more than two million cancer survivors and concluded that
those treated for cancer have a 14% higher risk of developing a subsequent new
malignancy than would be expected in the general population.[7]
One
of the most pressing issues faced by cancer patients is quality of life, or
lack thereof. Millions of U.S. cancer survivors have a lower-than-normal
quality of life, according to a study published in the Oct. 30, 2012 issue of
the journal Cancer Epidemiology, Biomarkers & Prevention. The
investigators found that 25 percent of cancer survivors had lower than normal
physical-health-related quality of life, and 10 percent had lower than normal
mental-health-related quality of life. In all, about 3.3 million U.S. cancer
survivors have a below-average physical quality of life, and nearly 1.4 million
have a below-average mental quality of life, the researchers estimated.[8]
The
American Cancer Society Behavioral Research Center has concluded that quality
of life is an important outcome in assessing the long term impact of the
diagnosis and treatment of cancer.[9]
According to researchers from the Mayo Clinic in Rochester, Minnesota, a
therapy program focused on improving quality of life can help people being
treated for advanced cancer.[10]
Optimal
diet and nutritional supplementation have been proven to have a beneficial
effect on cancer patients experiencing compromised immune function and poor
quality of life. Researchers have found over 20 times increased lifespan among
cancer patients supported by proper nutrition.[11]
For all of
the above-stated reasons, cancer patients often look for holistic, integrative,
complementary and alternative approaches (CAM) to improve quality of life and
disease outcome. In fact,
approximately 83 percent of persons with cancer use at least one complementary
and alternative
medicine (CAM) modality.[12] However, most patients, confused or
overwhelmed by the nearly 13 million resources for alternative cancer therapy
available on the internet (www.Google.com), turn for support to cancer coaches
or consultants to help them navigate their choices. The typical charge for such services may be hundreds of
dollars, unattainable for many patients.
Because we charge no fees, this valuable guidance is available to every
patient.
Patients undergoing treatment for cancer often suffer from
compromised immune function, low blood cell counts, lack of appetite, poor
energy, weight loss, digestive disturbances, pain, anxiety and depression. Other patients are not candidates for,
have failed on, or refuse conventional oncologic treatment. In either case,
patients seeking to enhance their ability to heal are often hampered by
physical, geographic, and financial limitations. Our unique model of no-fee telephone counseling makes our
potentially life-saving assistance accessible to all. Our experience providing individualized guidance for nearly
30,000 patients has been shown to impact significantly our patients’ quality of
life, risk for recurrence, and survival.
Goals and
Objectives
The Center for Advancement in Cancer Education is committed
to providing expert one-on-one, individualized nutritional, immunological, and
psychological guidance to our clients facing cancer. The
goals of CACE are simple. As a counseling service for the
vast population of individuals dealing with the negative impacts of cancer, we
continue to work to make patients more successful than they might otherwise be
without our help. We help further the health and wellness opportunities of our
participants by providing access to valuable educational and consultative
services, services which are not available directly through their limited or
non-existent health insurance. Our unique counseling and support service for diagnosed patients and those who would prevent
recurrence helps to decrease mortality, increase the disease-free
interval, and improve quality of life.
Our organization emphasizes support for individuals
struggling with their cancer diagnosis and treatment, as well as tools for
preventing recurrence. As a nonprofit that has specialized in cancer control
through diet and lifestyle education for over three decades, CACE has
tremendous expertise in delivering educational services focusing on nutritional
guidance and disease protection. By
providing patient support services that address the individual’s particular
needs, we hope to ease some of the burden of cancer and to help individuals
achieve wellness with as little physical and emotional stress as possible. Recognizing
the importance of adequate nutrition and lifestyle education, CACE works to
address the multiple problems of access, instruction and resources for individuals
fighting cancer.
Although modern oncologic treatment methods have increased
survival for a host of cancer patients, it is the vision of CACE to provide to
these and other patients the tools to understand, evaluate, and access
additional therapeutic options that can further improve disease outcome. Our
counseling, information and referral service provides individualized telephone
guidance to patients and caregivers nationwide to help enhance
nutritional, psychological and immune status, prevent recurrence, minimize
treatment side effects, improve quality of life, and optimize survival.
Our organization’s key staff has a history of success as
consulting and counseling experts for adults dealing with cancer. Our
counselors provide individualized guidance, coaching, and resources for diet
and lifestyle modification to help improve disease outcome and prevent
recurrence. Our consultative services also provide referrals for
immune-enhancing programs. Additionally, CACE helps clients develop creative
ways to manage the side effects of conventional cancer treatments.
We at CACE take a highly personalized approach to our
service. Although the information we provide is science-based, it is
patient-driven. Our service is provided mostly through telephone counseling
which allows us to reach a national audience one person at a time. Clients initially reach the
organization through email correspondence or telephone contact. This initiates
the intake process and a thorough explanation of our consultation services.
During this process, our skilled and experienced counselors establish the needs
of each patient. We collect background information including the type of
cancer, previous treatments, and the most pressing issues of the patient.
We schedule telephone and in-person appointments to help
clients explore holistic, complementary and alternative treatment options. These
sessions help guide patients to practical and manageable solutions while paying
special consideration to their logistical, financial, and geographic
limitations, as well as their belief systems. Furthermore, we help to filter
the complexity of informational resources for our clients, creating simple,
easy to follow guides for recovery and prevention of recurrence. We work to
provide the highest quality and most targeted information to each individual.
The Center for Advancement in Cancer Education believes that
by empowering individuals with cancer to take charge of their health and
wellness, many will be able to lead more productive lives and avoid much of the
emotional, physical, and financial trauma often experienced by cancer patients
and their families. Ultimately,
the implementation of the organization’s mission, goals, objectives, and methodology
could dramatically improve the prospects of the individuals we reach and the
communities in which they live.
[1]
American Cancer Society’s 2010 Presentation of Cancer Statistics
[2]
http://seer.cancer.gov/statfacts/html/all.html
[3] US Mortality
Data 2007, National Center for Health Statistics, Centers for Disease Control
and Prevention, 2010
[6]http://www.cancer.org/treatment/treatmentsandsideeffects/treatmenttypes/radiation/understandingradiationtherapy
aguideforpatientsandfamilies/understanding-radiation-therapy-common-side-effects
[9]http://www.cancer.org/research/researchprogramsfunding/behavioralresearchcenter/whatthebehavioralresearchcenterdoes/quality-of-life
[10]Fri Sep 14,
2012 2:48pm EDT http://www.reuters.com/article/2012/09/14/us-cancer-idUSBRE88D1ED20120914
[11] Hoffer and
Pauling. J. Orthomolecular Medicine Vol 5, no 3, p143, 1990
[12] Richardson
MA, Mâsse LC, Nanny K, Sanders C. Discrepant views of oncologists and cancer
patients on complementary/alternative medicine. Support Care Cancer. 2004 Nov12(11):797-804.PMID:
15378417
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