Greenville Health System’s Center for Integrative Oncology and Survivorship (CIOS) is a new patient-centered program that integrates evidenced-based complementary therapies with traditional cancer care to treat the “whole patient,” encompassing mind, body and spirit.
CIOS is one of the first of its kind in the nation; providing a holistic approach to increase quality of life and decrease potential cancer risks. The center houses a multidisciplinary team of professionals consisting of physicians, nurses and other health professionals that either provide direct services or referrals for patients throughout their cancer experience.
The healthcare team assists the patient with the many choices in complementary and supportive therapies available to each patient and their caregivers. Although we frequently receive questions about complementary and alternative medicines, or CAM therapies, we do not typically use alternative therapies to treat cancer at our facility. However, complementary therapies, such as acupuncture, nutrition counseling, yoga, oncology rehabilitation, massage and music therapies, are used primarily to treat the symptoms associated with cancer. Supportive therapies focus on emotional and physical health. At CIOS, we recognize that these supportive therapies are essential for each cancer survivor and their caregivers both during and after their cancer experience.
“Survivorship begins when a patient is diagnosed and continues throughout treatment and beyond. That is why it’s important to treat the whole patient – not just their physical needs,” says Dr. Mark O’Rourke, medical director of CIOS. “Cancer is not a simple disease. Survivorship care is about healing each person and helping improve their quality of life.” (Click here to watch a brief introduction video of Dr. O’Rourke.)
Integrative Oncology Survivorship Clinic
When faced with a cancer diagnosis and treatment plan, many questions may come to mind:
- What supplements should I be taking or not taking – phytoestrogens, antioxidants, vitamins?
- What should I eat to stay healthy?
- What can I do about fatigue? Where does exercise fit in?
- Can I prevent “chemo-brain”?
An Integrative Oncology & Survivorship (IOS) visit is a consult with an oncology nurse practitioner to answer questions on integrative therapies and help guide your choices. The visit includes evaluation, screening and referral to all services available at CIOS. The nurse practitioner will not only address your physical needs, but your emotional and social needs as well. You will be educated on long-term side effects of treatment and national guideline recommendations for cancer screenings. CIOS services your nurse practitioner may recommend include:
- Nutritional counseling
- Individual social work counseling
- Smoking cessation
- Referrals to integrative therapies such as acupuncture or yoga
- Massage therapy
- Oncology rehabilitation
- Lymphedema Management
- Free support groups and classes within the Cancer Support Community (CSC)
If appropriate, at your first IOS visit, the nurse practitioner will explain and initiate your Survivorship Care Plan (SCP) or treatment summary. You will take home a copy of the incomplete care plan to have as a guide until you complete your cancer treatment. At that time, you will receive a copy of your complete care plan in the mail and an opportunity for a follow up IOS visit to review the completed care plan and discuss your follow-up plan of care.
The clinic is designed to empower the patient to navigate through the cancer experience and have the best quality of life possible. To schedule a visit, have your provider refer you, or for more information, call (864) 455-1346. Depending on your policy, a co-payment may be required at the visit.
The Lifetime Clinic is an alternative service offered at the Greenville Health System Cancer Institute that offers long-term healthcare maintenance for cancer survivors. The Lifetime Clinic provides cancer check-ups for survivors in remission who are typically 3-5 years or longer after treatment. Research has shown that many cancer patients have ongoing survivorship needs. The Lifetime Clinic follows patients for the rest of their life to monitor cancer specific issues. The important message to each patient is that you remain at arm’s length from your oncology treatment team if ever needed.
Listen in as LeAnn Perkins, MSN, ARNP explains how The Lifetime Clinic can help survivors get the long-term expert care and screenings they need to help ensure that they thrive, not just survive.
Adult Lifetime Clinic
Patients must be in the third stage of survivorship, which means they have completed therapeutic treatments (surgery, chemotherapy, radiation) but still may be on hormonal therapy and have no evidence of active cancer.
Gynecological Oncology Lifetime Clinic
This clinic includes all curable women’s primary cancers (ovarian, uterine and cervical). Survivors are provided follow-up gynecologic exams and may get help regarding issues specific to the treatment of these cancers from the clinic’s knowledgeable staff.
Adolescent and Young Adult (AYA) Lifetime Clinic
As with the other lifetime clinics, patients must have completed therapeutic treatments.
This clinic provides care for two populations:
- Survivors diagnosed and treated between the ages of 15-39.
- Survivors treated for childhood cancers who are currently adults between the ages of 15-39.
While managing patients the Nurse Practitioner will follow national guidelines tailored to the patient’s age, diagnosis, and treatment received.
Lifetime clinic offerings include:
- Screening for delayed toxicities and management of long term effects from treatments
- Specialty referrals (if needed) for post treatment issues
- Orders and coordinates recommended follow-up tests for each particular cancer and treatment based on national guidelines
- Assessment and recommendations for healthy life style modifications regarding nutrition and exercise
- Screening recommendations and counseling to minimize risk of second independent cancers
- Cancer prevention counseling including risk reduction for environmental risk factors
- Cancer genetic testing and cancer genomics referrals as appropriate based on latest research recommendations
- Survivorship research opportunities as available (quality of life, integrative therapies)
An office visit charge and insurance co-payment may apply.
For more information, contact:
Stephanie Hoopes, BSN, RN, OCN
Nurse Navigator, Cancer Institute
(864) 455-5219 • firstname.lastname@example.org
Jo Weathers, BSN, RN, OCN, CBCN
Nurse Navigator, Cancer Institute
(864) 455-1392 • email@example.com
The Cancer Genetics Program of Greenville Health System’s Cancer Institute is led by Dr. Carla Jorgensen and staffed by three board-certified genetic counselors. The goals of the program are to identify individuals and families who are at increased risk for hereditary cancer; offer options for genetic testing, screening, and medical management based on the individual and family histories; and reduce the chance for developing certain types of cancer by individualizing screening and risk-reduction plans.
To make an appointment, please request that your physician refer you for cancer genetic counseling. To contact the Cancer Genetics Program, call (864) 455-5836.
Moving On Program
Oncology Rehabilitation houses CIOS’ Moving On Program, which is a 12-week exercise program tailored to an individual patient’s needs. This program is located at the GHS Life Center and focuses on aerobic conditioning and strength training. The program is supervised by our rehabilitation nurse, Noreen Denham R.N., and certified trainers for cancer survivors.
Yoga for Cancer Survivors
Yoga is specifically geared to cancer survivors and is open to all Oncology Rehabilitation participants and graduates. Check the CSC calendar at the bottom of the page to learn the times and locations for yoga classes offered at CIOS.
We now house two certified lymphedema physical therapists. Kathie Beldon, PT, CLT and Beth Alexander, PT, CLT treat patients with lymphadema to help prevent further damage and educate on skin care. More information about this program can be found on the Oncology Rehabiliation page.
Integrative Oncology Therapies
Complementary therapies, in concert with traditional therapies, provide holistic, patient-centered care encompassing mind, body and spirit. The Center for Integrative Oncology and Survivorship at GHS offers the following integrative oncology therapies:
Free 15 minute consultations for cancer survivors with Will Hendry DOM from Oriental Medicine Associates CIOS , GHS Cancer Institute, Cancer Treatment Center, 1st Floor, 900 W. Faris Rd. Staff are also welcome to meet Dr. Hendry and answer questions on acupuncture/oriental medicine. He is in the CIOS office weekly – please call (864) 455-1346 to confirm dates he is available.
The Center for Integrative Oncology and Survivorship (CIOS) endorses acupuncture in clinical research trials at the GHS Cancer Institute and by referrals to Oriental Medicine Associates located at 20 Creekview Ct, Ste B, Greenville, SC 29615. For additional info on Oriental medicine Associates, visit GreenvilleOrientalMedicine.com. Appointments can also be made directly by calling Oriental Medicine Associates at (864) 365-6156.
Massage Therapy is a systematic manipulation of muscles and connective tissues that improves blood flow to the heart and lymph flow throughout the body. Massage therapy is provided by a certified oncology-trained massage therapist. To schedule an appointment or for additional information regarding cost, call (864) 455-4231.
Music therapy is the use of music to achieve non-musical goals such as:
- Promoting wellness
- Managing stress
- Improving communication
- Alleviating pain
What does a music therapy group session look like?
This will involve several musical activities that may include lyric analysis, songwriting, playing various instruments, singing, dancing, passive music listening, and realization to music.
What does an individual music therapy session look like?
These sessions can be personalized to what the patient needs and can be guided by the patient with the help of our music therapist, Meredith Bowden, MT, BC. Music and music activities will be structured around the individual’s preferred music.
Music therapy provides a safe environment to allow you to address stress and anxiety in a fun and expressive way. To learn more about different techniques involved in music therapy you may call (864) 455-5809 for times, locations, and more information. See video below for more information on the Music Therapy Program at GHS and to also get a glimpse of the healing powers of music.
Nutrition Counseling is important during and after treatment for cancer. For cancer survivors, shifting towards a plant based diet with less animal products and more plant based foods such as fruits, vegetables, legumes, and whole grains can provide health benefits in disease prevention and weight management. Nutritional counseling can be scheduled with our Registered Dietitian Nutritionist, Jessica Menig, RDN, CSP, LD by calling (864) 455-1346.
Patient Education Documents:
Nutrition counseling is useful to support optimal nutrition during and after cancer therapy and includes strategies for managing constipation, diarrhea, fatigue, and nausea and vomiting, as well as nutrition for cancer survivors by stressing the importance of following a plant-based diet. For information on portions and how to balance a plant based, follow the healthy plate model.
Tips and Menu Planning for Specific Diets
QuitSmart Smoking Cessation Program
Breathe Easy with Healthier Lungs
The Center for Integrative Oncology and Survivorship (CIOS) at GHS’s Cancer Institute now offers the QuitSmart Smoking Cessation Program. QuitSmart nurse practitioners (NPs) at CIOS will manage medications for smoking cessation and work with your GHS network of care. Smoking cessation is associated with many health benefits including a reduced risk of lung cancer, coronary heart disease, stroke, and other respiratory symptoms like coughing and wheezing.
For an appointment with our QuitSmart-certified NPs, call (864) 455-1346. When you make your commitment to stop smoking, you will receive a FREE Quit Smart Guidebook that the NP will use to help you successfully stop smoking.
For more information, please call our smoking cessation nurse navigator, Stephanie Hoopes, BSN, RN, OCN, at (864) 455-5219. You may also visit the QuitLine website for more information at http://www.scdhec.gov/quitforkeeps/HelpYourPatientsQuit/. Our offices are located at the GHS Cancer Institute, 900 W. Faris Rd, 1st floor, Greenville, SC 29605. An office visit charge or insurance co-payment may apply.
Low Dose CT Lung Cancer Screening Program
Screening examinations are tests performed to find disease before symptoms begin. The goal of any screening is to detect disease at its earliest and most treatable stage. Current recommendations for lung cancer screening are based on risk factors for lung cancer. Lung cancer risk factors include: smoking tobacco; exposure to radon, asbestos or other cancer-causing agents; family history of lung cancer; personal history of a smoking related cancer; certain chronic lung diseases.
Who is Eligible?
Individuals at an increased risk of developing lung cancer should meet the following criteria:
- 55-77 years old with 30 pack years smoking history*
- Current smoker or one who has quit within the last 15 years
- No symptoms of lung cancer and willing and able to undergo treatment if necessary
*To calculate pack years multiply years smoked x average packs/day smoked
As a part of our comprehensive lung cancer screening program, we have been recognized as a Screening Center of Excellence by the Lung Cancer Alliance for our commitment to responsible lung cancer screening. More information about the Lung Cancer Alliance can be found at www.lungcanceralliance.org.
To learn more about our low dose CT lung cancer screening program and about scheduling a visit please follow this link http://ghsorg.wpengine.com/healthcareservices/cancer/prevention-detection-education/lungcancerscreening.
Psychosocial Supportive Services
Psychosocial care is an integral part of survivorship!
From the moment of diagnosis, through treatment and beyond, the effects of cancer aren’t only physical there is a profound emotional and social impact as well. In addition, we recognize that cancer adds yet another difficult layer to the many layers one is already dealing with in life. Kerri Susko, MSW, LISW-CP,OSW-C offers individual counseling to help navigate this journey. She accepts most insurance including Medicaid and Medicare. Please call 864-455-1346 to make an appointment.
Research has shown that psychotherapy may improve a patient’s quality of life. It can help reduce anxiety and depression that sometimes occur in people with cancer. It can also help people cope with cancer and the changes in their lives.
Distress Management Services
The Suscro Distress Inventory (SDI) is used to assess individual’s distress levels in multiple facets of life. If an individual scores high on this inventory he or she is referred to the Distress Management Coordinator, Candace Sprouse, MSW, LMSW, OSW-C who will further assess his or her needs. She will provide assistance and connect with services, resources and community support.
Cancer Support Community
CIOS is pleased to integrate the evidence-based programs and services of Cancer Support Community (CSC), a leader in psychosocial oncology, into our cancer care delivery model to ensure our patients get the best psychosocial care available. Greenville Health System Cancer Institute is proud to have been the first hospital to partner with CSC in June of 2012. The mission of CSC perfectly complements that of GHS to ensure that all people impacted by cancer are empowered by knowledge, strengthened by action and sustained by community.
Cancer Support Community (CSC) at GHS offers support programs to address the social and emotional needs of all cancer survivors. An individual is a cancer survivor from the time of diagnosis, and not only is the individual who is diagnosed a survivor, but anyone who is affected by an individual’s cancer be it a family member, friend, or voluntary caregiver. The programs offered through CSC are open to anyone impacted by a cancer diagnoses, all programs are all free of charge, evidence based and facilitated by licensed professionals.
Survive and Thrive Resource Directory
The World Health Organization defines health as “a state of social well-being and not merely the absence of disease or infirmity.” At the Center for Integrative Oncology and Survivor ship we work to encourage every individual and family affected by cancer to have the best quality of life possible. Our hope is that the resources in the following guide will help you achieve that goal.
Download the Survive and Thrive Resource Directory here-English.
Download the Survive and Thrive Resource Directory here-Spanish.
Cancer Caregivers Toolkit
Most caregivers go above and beyond to provide care for their loved ones, and sometimes their own needs can be overlooked. We understand the weight and responsibility of being a caregiver, so we created a booklet specifically to address issues and answer questions related to that task. This booklet may not have the answer to every question, but it will provide some direction, resources and, hopefully, comfort. As you begin or continue this journey, we encourage you to explore these resources. We hope this tool will help you gain knowledge about your loved one’s diagnosis and become an active supporter in understanding treatment and side effects. Download the Cancer Caregivers Toolkit here.
Referrals and Scheduling Appointments
Patients & Caregivers
If you are a patient or caregiver and would like to learn more about CIOS, please contact Survivorship Nurse Navigators, Trish Leighton, RN, MSN, at (864) 455-1346 or Stephanie Hoopes, RN, BSN,OCN at (864) 455-5219.
If you are a physician and would like to make a referral, please complete the CIOS patient referral form.
Get Involved with CIOS!
GHS Cancer Institute Calendar Link below:
Survive and Thrive Blog
Visit our Survive and Thrive blog to learn how to survive and thrive during and after a cancer diagnosis.
Philanthropy and Partnership
CIOS is advancing cancer care through donor gifts and partnerships. The Office of Philanthropy & Partnership, the philanthropic arm of Greenville Health System, seeks gifts of time, talent and treasure from the community. Click here to learn more.
Stay connected by joining the GHS Cancer Registry. The Cancer Registry provides a connection between cancer survivors and the GHS Cancer Institute. For more information click here.
The gift of your time is invaluable. To learn more about volunteering for CIOS, visit ghs.org/volunteering.
CIOS in the News
Bringing your Voice to the White House
Cancer Support Community leadership, along with Dr. Mark O’Rourke, our partner from Greenville Health System Cancer Institute, had the opportunity to meet with representatives from the Office of President Obama, the Office of Vice President Biden and leaders from other governmental agencies on January 28, 2016 to discuss the Cancer Moonshot Initiative. We applaud the White House for deploying the resources of the federal government to explore ways in which they can work with the cancer community to accelerate innovative solutions for patients and families impacted by cancer.
We are energized by the interest we share with this team in advancing clinical research in cancer, and increasing patient engagement and enrollment in clinical trials. We know firsthand that high quality patient education efforts, alongside treatment decision tools and social and emotional care are fundamental to the engine which drives innovation and cures. We also know that real innovation cannot be delivered without keeping the patient as the True North in these collective efforts.
We look forward to working with this team of leaders and all of you to ensure that the patient voice is a fundamental component of the Vice President’s vision of a moonshot to cure cancer.
Click here to read Vice President Biden’s Cancer Moonshot Task Force article.
Thank you, Dr O’Rourke for being our ambassador with Cancer Support Community – our national partner that we were the 1st collaborative hospital partner!
CIOS in the News Continued…
- GREAT story in the Greenville Journal concerning the Cancer Institute Music Therapy Program!
- Lifetime clinic is a great fit for cancer survivors
- Cancer survivors need care after treatment, too(Greenville Journal, December 7, 2013)
- Guest column: Cancer patients may have help fighting fatigue (Greenvilleonline.com, December 7, 2013)
- The Next Front Cancer Care (Wall Street Journal, December 10, 2013)
- GHS Cancer Institute and USC School of Medicine partner on nation’s first human performance lab to tackle cancer fatigue. (ghs.org, November 21, 2013)
- To Treat the Cancer, Treat the Distress (Wall Street Journal, August 28, 2012)
Patient Support Links
CIOS Medical Director
Mark A. O’Rourke, MD
Genetics Medical Director
Lindsay Metcalf, MS, CGC
Kara Bui, MS, CGC
Ledare Finley, MS, CGC
Kathie Beldon, PT, CLT