Cancer develops when cells in a part of the body begin to grow out of control. Although there are many kinds of cancer, they all start because of out-of-control growth of abnormal cells. Normal body cells grow, divide, and die in an orderly fashion. During the early years of a person's life, normal cells divide more rapidly until the person becomes an adult. After that, cells in most parts of the body divide only to replace worn-out or dying cells and to repair injuries. Because cancer cells continue to grow and divide, they are different from normal cells. Instead of dying, they outlive normal cells and continue to form new abnormal cells. Cancer cells often travel to other parts of the body where they begin to grow and replace normal tissue. This process, called metastasis, occurs as the cancer cells get into the bloodstream or lymph vessels of our body. Treatment options may include surgery, radiation, chemotherapy, hormone therapy, immunotherapy, and targeted therapy.
Some generalized symptoms and signs such as unexplained weight loss, fever, fatigue, or lumps may be seen in several types of cancer; however, other signs and symptoms are relatively specific to a particular type of cancer. Staging is the process of finding out how much cancer there is in the body and where it is located. Doctors use this information to plan treatment and to help determine a person's outlook (prognosis). Cancers with the same stage usually have similar outlooks and are often treated the same way. Staging is also a way doctors can communicate with each other about a person's case. For most cancers, the stage is based on three main factors: the original (primary) tumor's size and whether the tumor has grown into other nearby areas, whether the cancer has spread to the nearby lymph nodes, and whether the cancer has spread to distant areas of the body.
Questions to Consider:
- What limitations is the employee experiencing?
- How do these limitations affect the employee and the employee’s job performance?
- What specific job tasks are problematic as a result of these limitations?
- What accommodations are available to reduce or eliminate these problems? Are all possible resources being used to determine possible accommodations?
- Has the employee been consulted regarding possible accommodations?
- Once accommodations are in place, would it be useful to meet with the employee to evaluate the effectiveness of the accommodations and to determine whether additional accommodations are needed?
- Do supervisory personnel and employees need training?
Situations and Solutions:
A psychiatric nurse with cancer was experiencing difficulty dealing with job-related stress.
He was accommodated with a temporary transfer and was referred to the employer’s employee assistance program for emotional support and stress management tools.
A lawyer with cancer was experiencing lapses in concentration due to the medication she was taking.
Her employer accommodated her by giving her uninterrupted time to work. She was also allowed to work at home two days a week.
A secretary with cancer was having difficulty working full-time due to fatigue from chemotherapy treatments.
Her employer accommodated her by allowing her to work part-time and allowing her to take frequent rest breaks while working.
A machine operator who was undergoing radiation therapy for cancer was accommodated by having his workstation moved.
The move transferred the individual to an area of the plant where no radiation exposure existed.
A security guard with breast cancer was burned from radiation treatment.
She had difficulty wearing the polyester uniform with embroidered insignia that was required by company policy. The employer modified the dress code policy by having a uniform made of cotton material with the logo and employee name added with a no-sew iron-on adhesive.
A child care worker with cancer had difficulty walking through a campus environment.
The employee requested the ability to stay in one building. The employer contacted JAN for options. JAN suggested a mobility aid that the individual used solely for job functions.
A warehouse worker whose job involved maintaining and delivering supplies was having difficulty with the physical demands of his job due to fatigue from chemotherapy treatment.
The individual was accommodated with a three-wheeled scooter to reduce walking. The warehouse was also rearranged to reduce the individual’s climbing and reaching.
An engineer working for a large industrial company had to undergo radiation treatment for cancer during working hours.
She was provided a flexible schedule in order to attend therapy and also continue to work full-time.
JAN Publications & Articles Regarding Cancer
Consultants' Corner Articles
- A Support Person as an Accommodation
- Accommodations for Housekeeping/Janitorial Workers with Industrial Injuries
- Accommodations Related to Commuting To and From Work
- Best Practices for Addressing Requests for Ergonomic Chairs
- Confidentiality of Medical Information under the ADA
- Hidden Disabilities: Confidentiality and Travel
- Using Ergonomics to Accommodate Limitations from Breast Cancer
- No Articles available for Cancer