Resources & Support for College Students with Cancer: Tools and Tips for School Success
Shariann Tom
Shariann Tom is a five-time cancer survivor. Her cancer journeys and 20 years of coaching experience inspired her to start a worldwide movement to change the way people experience cancer. In 2010, she was Leukemia & Lymphoma Society’s Honoree of the Year.
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Whether entering trade school or earning your master’s degree, higher education poses a number of unique challenges. Students with cancer face many of those same challenges, and sometimes even more. The purpose of this guide is to increase understanding of and awareness for college students with cancer and provide resources and expert insight they can use to help them find success.
Cancer impacts people of all ages, races, and religions, including college students. Roughly 1.8 million Americans were diagnosed with cancer in 2019 alone, meaning about 1 in every 100 college students could face some form of the disease while in school. But a cancer diagnosis doesn’t mean having to give up on your dreams of higher education. Numerous resources exist to help students battling or recovering from the disease conquer their academic challenges and achieve their educational goals. This guide connects both students and parents to those resources, and includes detailed information about self-care, legal rights, time management techniques, and how to locate (or create) supportive environments. It also provides key information and insight from a five-time cancer survivor and award-winning cancer coach.
Challenges for College Students with Cancer
There are many tough realities for students dealing with cancer in college. It’s not something anyone can really understand unless they’ve had to face it themselves. In this section, we’ll walk through some of the most common hurdles that college students with cancer often face, including the physical, mental, and emotional side effects and byproducts. This section speaks to the effects felt from most types of cancer treatments today.
Physical
Even if a student is receiving treatment, or in-between treatments, cancer treatments cause a wide range of physical issues, including exhaustion and lowered immunity. While the physical effects of cancer and cancer treatment are serious for everyone, college students may feel the effects acutely since they are working toward a degree, taking classes, completing assignments, and engaging in other taxing activities.
Exhaustion
Fatigue and exhaustion are among the more common side effects for cancer patients and survivors. Experts report that relaxation strategies, exercises, and meditation can help patients preserve or regain energy over time. The American Cancer Society reminds us that weakness and fatigue are often categorized as the same feelings, but they are quite different. Weakness is when strength is significantly decreased and it takes extra effort to do normal tasks. It’s often due to loss of muscle strength. Fatigue, on the other hand, is a severe lack of energy or feeling of tiredness.
Lowered Immunity
Cancer can affect the immune system by reducing the number of white blood cells that fight infections. This is most commonly seen with patients and students with leukemia and lymphoma. There are also cancer treatments that can weaken the immune system, including radiotherapy, steroid treatments, targeted cancer drugs, and chemotherapy. A weakened immune system makes it less safe for students to be around others, therefore making the social and communal aspects of college life quite a bit more difficult.
Gastrointestinal and Stomach Issues
Students receiving chemotherapy can experience a number of GI issues, including constipation, diarrhea, or vomiting. Pain medications and chemotherapy may need to be combated with a high-fiber diet and plenty of liquids. Especially if students experience diarrhea and lose a lot of fluid this way, they may feel light-headed, develop a fever, or be unable to urinate. Medications can also cause nausea, stomach pains, and vomiting, especially medications commonly prescribed for students with cancerous brain tumors.
Mental
Students and patients with cancer also experience serious mental side effects. Many patients feel heightened senses of confusion, lack of awareness, or can become very upset at a moment’s notice. While mental challenges are closely tied to both our physical and emotional states, here are symptoms that are commonly reported among college students who are battling cancer.
Forgetfulness
According to the Mayo Clinic, the term “chemo brain” has been commonly used by cancer survivors when describing their memory problems or foggy-headed issues. More technical terms to describe this phenomenon include cancer-related cognitive impairment and cognitive dysfunction. Students may experience this side effect with treatments, especially with chemotherapy. The Dana-Farber Cancer Institute reports that approximately 67% chemotherapy patients may experience this fogginess or mental clouding.
Delirium
Delirium, or severe confusion, can occur among students and others with cancer. Common symptoms include behavioral issues, lack of awareness, attention issues, and trouble thinking through long thoughts. The National Cancer Institute has identified three types of delirium: hypoactive, hyperactive, and mixed. Students with cancer may experience one or more of these types of delirium.
Mood Swings
While physical symptoms or side effects are a little easier to spot for most students, there are some mental challenges that are harder to pin down, especially those that are mood-related. The National Comprehensive Cancer Network identifies a variety of cancer-related mood changes. Students with cancer may experience quick changes in behaviors or mood, an abnormal interest in alcohol use, irritability, or significant changes in appetite.
Emotional
Individuals with cancer can also be subject to a variety of emotional challenges. When one receives a cancer diagnosis, it’s a life-changing event that can cause distress, depression, anxiety, and more. Students with cancer may experience some overarching or existential feelings about not feeling “normal” or display a lack of confidence.
Wanting to Feel “Normal”
College students with cancer may take the initial diagnosis especially hard. On-campus learners who envisioned a certain kind of social and academic life may need to adjust their expectations to ensure that they get the care and treatment they need. While this does not mean that they can’t continue with their studies, it may place some restrictions on how they can go about their daily life. As a result, students may become extremely frustrated and angry because they had planned on and want to live the “normal” student life that they imagined.
Struggles with Confidence
Many cancer patients can experience changes in how they feel about themselves, especially when undergoing medical treatments. They may have lower self-esteem and feel less confident in daily life. For some college students with cancer, confidence and self-esteem are closely tied to their body image. Because cancer treatments can affect the way the body looks on the outside, students may feel uncomfortable with these changes.
Depression
Feelings of depression can be common among cancer patients, including college students and their families. Bear in mind that it’s a totally natural and common response to feel sadness and grief when dealing with cancer. Cases of prolonged or clinical depression, however, may require specialized treatment plans, including psychological counseling or antidepressant medication.
Making College Work When You Have Cancer
Now that we’ve explored how cancer can affect you as a college student, it’s time to consider some of the best ways for you to conquer those issues. This next section gives support and solutions that can help you function to the best of your abilities in school. Some of these tips may be the difference between managing your schoolwork or feeling overwhelmed with seemingly insurmountable tasks.
Find the Environments That Work for You
It’s important that students battling cancer keep an eye on those aspects of their college experience that they may be able to control, either on their own or with the help of an academic advisor. Let’s look at a few.
- Class size: Firstly, consider taking classes that have a low number of students. This may help you get more individualized support from professors and be able to locate fellow classmates to bond with.
- Time of day: Based on how you’re feeling each day, perhaps you have times of day that are better suited for your energy levels or are most accommodating to doctor’s appointments. Try to plan strategically.
- Frequency and length of classes: Courses that require you to meet less regularly in person may provide some nice scheduling advantages. Secondly, if you have a difficult time with longer class durations, check with professors and your academic advisors for a list of available classes with shorter meeting times.
- Best places to study: Much of your schoolwork will be completed outside of the classroom. In order to make the most out of the time you’ve set aside for studying, find quiet locations that are near your residence, if possible.
- Online classes: Online coursework has continually proved to be more hassle-free than on-campus classes. They save time, energy, and money since you don’t have to commute to campus. Online classes typically allow you to have a much flexible schedule each week, too.
- Directed studies: While these go by varying names among colleges and universities, a directed study is where you get to meet with a professor one-on-one for a “class” instead of attending a regular class in the school’s course catalog. Course content is often based on the specialties of the professor and must be closely tied to your major in some way. In most cases, you will receive a usual full class’s worth of credits for completing directed studies classes.
Managing Your Workload
There are many technologies and strategies today that you can take advantage of to manage your workload in college. You can contact your school’s office of student affairs to see if there’s some additional support available to you. Some things to consider for workload management include:
- Recording lectures: You can use a smartphone or handheld recorder to record the audio of in-person or online lectures in your classes. You’ll need to clear it with your professor first, as some do not allow recording. If you have permissions from the office of student affairs, you may be able to record even if it’s normally prohibited.
- Extra time for tests: Offices for student affairs are typically in charge of making sure that students who need special accommodations receive them. Students with learning disabilities or accessibility issues often utilize these support services. As a student battling cancer, you may be able to receive similar assistance, such as getting extra time to complete exams or assignments.
- Reduced class load: There is no shame in taking fewer courses per semester in order to make your coursework more manageable. While it may take you a little long to finish your program since you’re earning credits at a slower rate, the light load may help you get more out of your degree and help you in the long run.
Getting Organized
Staying organized is key to your success. Here are a few ideas that may help you keep things in order, both in terms of your school projects but also paperwork or files from counseling appointments, doctor’s appointments, school activities and clubs, and personal items.
- Planners & calendars: Online planners are fantastic ways to keep yourself updated, planning ahead for exams, and turning assignments in on time. Whether you use Google’s built-in calendar or a third-party app, find what works best for you. If you own a smartphone, it’s best to link any programs between your phone and computer so they update in real time when you make changes. If technology is not for you, the old-school handheld hardcopy calendars and planners also work well. Many learners today still prefer to use hardcopy materials for staying organized because they are reliable, don’t crash, and don’t need software updates. Should you go this route, check out the well-designed and durable Moleskine products.
- Apps: There are apps designed for students that focus specifically on assignments and prioritizing deadlines. Consider using ClassManager, iStudiez, Remember the Milk, or MyStudyLife.
- Filing, folders, and cloud space: Whether you choose to go the digital or hardcopy route, having a filing system of some kind is quite useful. If your classes don’t hand out copies of study guides, homework assignments, and the like, consider using a Dropbox folder that’s backed up in the cloud to store all of those digital handouts. You’ll need a folder for each class, grouped by semester, filed by year. This way you will always be able to refer back to your notes and assignments, even if it’s years after you graduate. Bear in mind that Dropbox and similar online drive programs can sync up with your smartphones and tablets, making them quite easy to keep up-to-date with your materials from just about anywhere.
Online Learning for Students with Cancer
Online classes can work extremely well for students battling major illnesses or diseases. One major feature of online learning is the scheduling flexibility that it typically offers. In some cases, you will be able to work through course material at your own pace by following assigned readings and viewing recorded lectures. In these scenarios, you can complete your work in the evenings, on the weekends, or whenever it works for your schedule. Students seeking cancer treatments find this flexibility quite helpful, being that they can often work around their doctor’s appointments and treatment schedules.
Online learning also means little to no commuting to and from campus. For many learners, this saves time, energy, and money. For degree-seekers with cancer, being able to work from the comfort of their home, without having to navigate public transportation or find parking on campus is a huge benefit.
Remote learners often tend to save money on their education compared to traditional on-campus learners. Aside from paying a fewer number of activity fees associated with on-campus amenities, online learners often enjoy paying in-state and/or lower tuition rates for online classes.
Another thing to remember is that many virtual aspects that rival those commonly associated with on-campus learning. Many online programs today can offer you one-on-one academic guidance, personal counseling, 24/7 technology support, and remote tutoring services. You can also interact with your fellow students online on class discussion boards, virtual study groups, and virtual group projects.
Rights for College Students with Cancer
As a student with cancer, your institution should acknowledge your disease as a type of disability for all school-related intents and purposes. According to the U.S. Office for Civil Rights, you have certain protections under law, and you should be afforded reasonable accommodations to help you throughout your duration as a student. Let’s take a closer look at your rights and things you can do to make sure you receive support.
Working with Your Professors
One of your best and most reliable resources on-campus or online is your professors. Many of your instructors will have years of experience teaching at the college level and have taught and accommodated students with disabilities before. Here are some tips for getting the accommodation you need.
- Be sure to talk to your professors about any accommodations you think you may need before the semester starts or immediately at the start.
- You will also need to contact the student services office on-campus that handles student disability cases. That office will send an official notice to all of your professors that documents your case.
- Ask your teachers for some additional help, as needed. Their job is to ensure that all of their students have a fair chance to do their best in class. In this way, many professors will be more than happy to meet with you outside of class or online to give you some extra guidance through course materials.
- One of the primary accommodations requested by students with disabilities is extensions on test-taking times. In these cases, students are simply asking that they have more time to work through an exam, or they request to take the exam in a physical location that better accommodates their disability.
- As a student with cancer, if you are having trouble with fatigue, for example, it would be understandable that you’d request more time to complete exams or homework assignments. Be open with your professors and let them know how you feel. If you begin to experience some kind of new problem or challenge part-way through the semester, contact your professors immediately to make sure the appropriate changes are made to your schedule. Most teachers today will ensure that you get what you need. If they don’t assist you immediately, contact your student affairs office.
Learning Rights of Students in Postsecondary Schools
There are two federal laws that guarantee equal opportunity for individuals with disabilities in relation to services and employment. In order to cover all of their legal bases, students need to present documentation of their illness, disease, or disability to the college in written form. College students with disabilities are protected from discrimination in higher education by the following acts:
Americans with Disabilities Act of 1990 (ADA) and 2008 amendments
The Americans with Disabilities Act prohibits discrimination against individuals with disabilities in the public sphere, including schools, public transportation, places of employment, and other locations that are open to the public, even if they are privately owned. Educational institutions that are run by religious organizations, however, are not covered by the ADA. The ADA focuses heavily on work and employment situations, so this is important for undergraduates and graduate students who are employed by their college or university.
Rehabilitation Act of 1973 (specifically section 504)
The U.S. Office for Civil Rights, under the Rehabilitation Act of 1973, reports that, “A student with long-term, debilitating medical problems such as cancer… may be given special consideration to accommodate the student’s needs. For example, a student with cancer may need a class schedule that allows for rest and recuperation following chemotherapy.” If you find that your college or university is reluctant or hesitant to make accommodations, you can seek support through the U.S. Office of Civil Rights or the Disability Rights Legal Center.
How Students with Cancer Can Advocate for Themselves and Get Help
Sometimes one of the hardest parts of getting help is knowing how and where to ask for it. In this section, we offer students with cancer some options and resources so they can advocate for themselves when it comes to receiving support at school.
Where to go for help at school
- Campus Support Services: The name of these offices varies among schools, but they will usually have some kind of “student support” or “student services” reference in their titles. These offices have dedicated personnel on staff to ensure that your needs are met. It should not take more than a phone call or email to get started with the appropriate paperwork and requests with these types of offices. Be sure you get a full list of the documentation they’ll need in order to make sure you are taken care of in your classes and around campus.
- ADA or Section 504 Coordinator: Each school that receives some type of federal funding must have at least one employee that coordinates services and accommodations as required by the Rehabilitation Act of 1973 and the Americans with Disabilities Act.
- Student Chapters & Groups: Your school may already have an on-campus, student-led chapter or group for learners with disabilities. Cornell University, for example, has a club entitled “Colleges Against Cancer.” In addition to organizing events and fundraisers on campus, these types of groups also serve as excellent information sources.
What to ask for
- Testing: One of the common requests from learners with disabilities if to receive extra time on exams and tests. Be sure to discuss this option with the appropriate university employee if this seems like it concerns you.
- Note-taking: You may also be able to get note-taking assistance from your classmates or receive supplemental notes/handouts from your professors.
- Virtually Attend Class: Some learners are unable to physically make it to the classroom for a diverse number of reasons. If this applies to you as a student with cancer, you may be able to virtually attend class with online streaming services. Since this requires equipment and someone to set it up for you, you will need to make special arrangements as far in advance as possible.
How to ask
Doctor’s note: Physicians are used to providing notes and documentation for college and university students. You can usually request this information in-person or over the phone. If you need more documentation, doctor’s offices and hospitals will have dedicated forms that you can send to your student support offices.
When to make contact
It’s best to make contact with student support services at your school as soon as possible. The more time you give them to make arrangements for you, and to collect all the necessary paperwork, the better.
College & Cancer: Expert Insight
Shariann Tom is a five-time cancer survivor. Her cancer journeys and 20 years of coaching experience inspired her to start a worldwide movement to change the way people experience cancer. In 2010, she was Leukemia & Lymphoma Society’s Honoree of the Year.
The Cancer Journey Institute (CJI), co-founded by Shariann Tom and Keri Lehmann in 2012, is the first cancer coach training company in the U.S., headquartered in the San Francisco Bay Area and the only one approved by the International Coach Federation. CJI’s transformational training programs teach coaches to help people travel cancer with grace and power. Their work has supported thousands of cancer patients, survivors, and caregivers from all over the world. They can be reached at www.thecancerjourney.com
Q: In your experience, what online or in-person resources would you recommend for college students with cancer today?
Online:
- Peer Support: Imerman Angels, HysterSisters, WhatNext, IHadCancer.com
- Communities: Stupid Cancer, Ung Cancer (Swedish co.), WhatNext, IHadCancer.com
- Workshops: Panic to Powerful (The Cancer Journey Institute)
- One-on-One Support: Cancer Journey Coaching (worldwide via phone or Zoom)
In Person:
- Cancer Support Community and Gilda Club – various “brick and mortar” facilities that provide one-on-one counseling, workshops and presentations for cancer individuals across the country.
- Books: Radical Remission – Kelly Turner; Crazy Sexy Cancer – Kris Carr; What’s In the Way, Is the Way – Mary O’Malley
Q: What are some things that students can do regularly (daily, weekly, etc.) to help them cope with life as a student who is battling cancer?
- Work with a Cancer Journey Coach – provides emotional, mental, and spiritual support for the cancer individual while also teaching them tools so that they can learn to cope on their own on a weekly basis.
- Using apps like Calm or 10%
- Guided Imagery – a form of guided meditation. The Cancer Journey Institute has a specialized one called “The Cancer Journey Companion.” Other providers like Belleruth Naparstek and Louise Hay.
- Mindfulness – Jon Kabat-Zinn
- Journaling – to honor your feelings
- Yoga
- Laughter Yoga
- TV shows or videos that make you laugh – Laughter puts oxygen into your body and ignites “good feeling” chemistry.
- Short walks
- Connecting with friends and family that feeds your soul
- Naps – Permission to take a 2.5 hour nap – this specific length of time is magical.
- Eat food that really feeds your body
- Working with a naturopath doctor who sees your wholeness.
Q: You are a five-time cancer survivor who has had others by your side for support. What’s one piece of advice you could give to families and friends of those who are supporting students battling cancer today?
- Send “Love” texts everyday
- Don’t ask them what they need. Make a suggestion(s) and see how it lands with your person.
- Send food.
- Call them, but don’t get offended if they don’t want to talk. And, don’t be offended if they’re upset.
- Don’t take anything they say or feel, personally. They get to feel how they feel and if you allow them to just “be” where they are today without asking them to be somewhere else, they will want to be with you more. If you do this, you will become someone they want to be with and reach out to.
- Don’t tell them to be Positive if they aren’t there, right now. Meet them where they are.
- Just listen.
- Be Real – try as much as possible to not walk on eggshells. Treat them as you always have. They are still who they have always been.
Q: What are some of the most effective resources that you’ve seen help people when they are dealing with the weight of cancer in their lives? Is there any you’d recommend for students, and how can they access that help?
- Peer Support – generally online and listed above
- Counseling – there are many new online options and for the college student the counseling services available on campus.
- Cancer Journey Coaching and other programs (online and in-person) – www.thecancerjourney.com
- Specific work-outs for cancer patients and survivors through the Y (YMCA) and Sunflower Wellness (trains and certifies personal trainers to work with cancer individuals), go to their website for the details.
Resources and Tools for Students with Cancer
These online resources will help you find where to get help at your school and in your community. Bear in mind that there are many valuable resources available to you today, most of which are free and open to the public. If you feel that any of your needs are not being met at your school, don’t hesitate to seek additional support outside of your institution.
School Resources
Health Centers: Here’s what you can expect from a health center on-campus at your college or university.
Disability Center: The NCCSD provides an excellent resource on the services offered at disability resource centers on college campuses (referring to those schools that offer this service).
Counseling Center: PsychologyToday.com gives detailed information about psychological and mental health services that students have access to at most college and university counseling centers.
Tutoring Center: Each school’s tutoring offerings will vary, although many today will provide you with online tutoring services. The University Tutor and Tutor.com offer online tutoring for college learners of all types if you can’t get the help you need through school.
Informational Resources
Annie Appleseed Project: You can find information on alternative and integrative care for cancer survivors and a variety of resources focused on advocacy and education.
Cancer.gov: This site offers definitions of different types of cancers in young people, doctor and hospital search tools, and direct links to emotional support resources.
CancerCenter.com: The Cancer Treatment Centers of America provide an excellent resources page with cancer news updates and information on the latest research in the field.
Cancer Warrior Alliance: This information center for the cancer community also plugs allies into volunteer opportunities.
Center for Disease Control and Prevention: The CDC dedicates part of its site to offering the latest news and information on cancer for patients and survivors.
Feather Foundation: This organization provides information, financial support, and emotional support for parents who are battling cancer.
The Half Fund: This non-profit spreads cancer awareness by carrying out different types of major events that attract attention, including movies, TV shows, and music recordings.
LiveStrong.org: Cancer patients, survivors, and their families can use this site to locate resource guides, emotional well-being tips, and information on nationwide community programs.
National LGBT Cancer Network: This organization supports the LGBTQ population with cancer, offering online resources and cultural competency training.
StupidCancer.org: Stupid Cancer provides quick access to online resources including webinars, fundraising opportunities, information on financial assistance for those battling cancer.
Tools
Cancer101.org: The site includes a series of online programs, or its “toolkit,” to help cancer patients deal with their diagnoses, manage daily life challenges, and more.
The Cancer Journey Institute: The organization provides a wide variety of services for cancer patients and survivors, including its unique cancer coaching program.
Chemocare.com: This site focuses on nutrition and managing the side effects of drugs for cancer patients. They offer a tool for users to look up how medications may interact with their particular cancer treatment.
Churchill Center and School: This organization provides tutoring services for young cancer survivors in Missouri.
CureToday.com: Users can take advantage of its online videos, guides, and research reports on cancer topics.
Elephants and Tea: This organization provides opportunities for cancer patients and survivors to express themselves through creative projects and more.
INOVA: Cancer patients and survivors can take advantage of online support groups, wellness programs, counseling, and educational classes.