Making cancer bearable: The Interlink Community Cancer Nurses model of supportive care

Doris Howell, Jean Jackson


Most cancer patients and their families experience the full impact of their diagnosis and the disruptions cancer brings to their lives in their own homes and communities. Access to supportive care programs within the community is critical if we are to assist these individuals in coping and adjusting to the realities of cancer.

Interlink Community Cancer Nurses, a nonprofit nursing agency, provides supportive care across the continuum of cancer care from early diagnosis and treatment through to remission and/or palliative care through its independent model of supportive care delivered by expert oncology nurses. The program utilizes a unique, client-centred model of care delivery to ensure that needs are met, and to link patients to community services which promote their ability to meet the demands of cancer.

Interlink’s program of supportive care demonstrates that oncology nurses can make a significant impact on the outcomes of cancer for individuals and their families which may impact on cost, influence survival and enhance quality of life.

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Bennett, P. (1984). A care team for terminally ill children. Nursing

Times, 80(10), 26-27.

Browne, G., Arpin, K., Corey, P., Fitch, M., Gafni, A. (1990).

Individual correlates of health service utilization and the cost of

poor adjustment to chronic illness. Medical care 28(1), 1399-

Browne, Roberts, Gafni, Weir, Watt, Byrne (1995). More effective

and less expensive: lessons learned from five studies examining

community approaches to care. Health Policy, 34, 95-112.

Bunn, F. (1988). An exploratory study of the role of the Macmillan

nurse. Unpublished study, King’s College, University of London.

Cancer 2000 Task Force Report, 1992. A Report of the Canadian

Cancer Society and Health Canada.

Corner, J. (1996). Beyond survival rates and side effects: cancer

nursing as therapy. Cancer Nursing, 20(1), 3-11.

Crawley, N., Till R. (1995). Case management: more population

based data. Clinical Nurse Specialist 9(2), 116-120.

Ell, K., Nishimoto, R., Mediansky, L., Mantell, J. (1992). Social

relationships, social support and survival among patients with

cancer. Journal of Psychosomatic Research, 36, 531-541.

Ethridge, P. (1991). A nursing HMO: Carondolet St. Mary’s

experience. Nursing Management 22, (7)22-27.

Fawzy, F., Fawzy, N., Hyun, C., Elashoff, R., Guthrie, D., Fahey, J.,

Morton, D. (1993). Malignant melanoma: effect of an early

structured psychiatric intervention, coping and affective state on

recurrence and survival 6 years later. Archives General

Psychiatry, 50, 681-689.

Fitch, M. (1994). Supportive care: what patients and families need in

the community. Oncology Advisor 3(4), 3-6.

Forsyth, L. (1992). Children with cancer: supporting the family.

Nursing Standard, 6(15), 26-7.

Funch, D., Mettlin, C. (1982). The role of social support in relation to

recovery from breast cancer. Social Science Medicine, 16, 19-98.

Greer, S., Watson, M. (1987). Mental adjustment to cancer: its

measurement and prognostic importance. Cancer Surveys, 6,


Havermans, T., Eiser, C. (1994). Siblings of a child with cancer. Child

Care Health Development, 20, 309-322.

Heslop, A., Bagnall, P. (1988). A study to evaluate the intervention of

a nurse visiting patients with disabling chest disease in the

community. Journal of Advanced Nursing, 13(1), 71-77.

Irvine, D., Brown, B., Crooks, D., Roberts, J., Browne, G. (1991)

Psychosocial adjustment in women with breast cancer. Cancer 67,


Kissane, D., Block, S., Burns, I., McKenzie, D., Posterino, M. (1994).

Psychological morbidity in the families of patients with cancer.

Psycho-Oncology, 3, 47-56.

Lamerton, R. (1992). Effective relief of symptoms in palliative care

removes the need and the patient’s cry for euthanasia.

Correspondence. Alert 3 (Summer).

MacKintosh, D., Bowles, S. (1997). Evaluation of a nurse-led acute

pain service: can clinical nurse specialists make a difference?

Journal of Advanced Nursing, 25, 30-37.

Maguire, P., Pentol, A., Allen, D., Tait, A., Brooke, M., Sellwood, R.

(1982). Cost of counselling women who undergo mastectomy.

British Medical Journal 284, 1933-55.

Maunsell, E., Brisson, J., Deschenes, L. (1995). Social support and

survival among women with breast cancer. Cancer, 76, 631-637.

McCardle, J., George, W., McArdle S., Smith, D., Moodie, A.,

Hughson, A., Murray, G. (1996). Psychological support for

patients undergoing breast cancer surgery: a randomized study for

patients undergoing breast cancer surgery. British Medical

Journal 312, 813-6.

McCorkle, R., Benoliel, J., Donaldson, G., Georgiadon, F., Moinpour,

C., Godell, B. (1989) A randomized clinical trial of home nursing

care for lung cancer patients. Cancer 64, 1375-1382.

Nash, A. (1992). Patterns and trends in referrals to a palliative nursing

service. Journal of Advanced Nursing, 17, 432-40.

National Cancer Institute of Canada (1997). Canadian cancer

statistics 1997. Toronto, Canada.

Ontario Cancer Treatment and Research Foundation. (1994, May)

Providing supportive care for individuals living with cancer.

Toronto, Canada: Author.

Padilla, G., Grant, M. (1985). Quality of life science as a cancer nursing

outcome variable. Advances in Nursing Science 8(1), 45-60.

Report on the National Forum on Breast Cancer, 1994. Health

Canada: Ottawa, Ontario.

Rowland, J. (1990) Psychosocial issues in the cancer patient: Impact

on care. In McGarvey C. (ed) Physical Therapy for the cancer

patient. Publisher: Churchill Livingstone, New York.

Seigel, K., Raveis, V., Houts, P., Mor, V. (1991). Caregiver burden and

unmet patient needs. Cancer 68(9),1131-1140.

Speigel, D. (1989). Effects of psychosocial treatment on survival of

patients with metastatic breast cancer. The Lancet 10, 888.

Wodinsky, H. (1992). The costs of caring for cancer patients. Journal

of Palliative Care, 8(1), 24-27.

Wuest, J. (1991). Empowerment in primary health care: the challenge

for nurses. Quality Health Research, 1(1), 80-89.


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