Cancer Survivorship Services

Cognitive changes are a common side-effect of cancer treatments for many adult cancer survivors. Increased fatigue, stress, and anxiety are also among the most common symptoms experienced. The combination of these symptoms and side effects can profoundly impact participation in daily activities and reduce quality of life. The interventions used in our Cancer Survivorship Program target functional cognitive performance and help participants become more aware of what situations and factors may present a greater challenge.

During the first couple of sessions, the OT completes a comprehensive evaluation tailored to the individual’s cognitive concerns and other physical or psychosocial factors that could further impact their performance. Such factors may include coordination, visual perception, hearing, balance, fatigue, sleep quality, anxiety, stress, depression, and/or social considerations.

An evidence-based metacognitive strategy training intervention called “The MultiContext (MC) Approach” ( provides the foundation from which executive function deficits are addressed. In the MC approach, the therapist uses specialized mediation methods to coach and guide individuals in a way that facilitates their own thinking. This helps the person become more aware of factors and situations that pose greater challenges. Ultimately, this therapeutic approach empowers the person to generate and use cognitive strategies to manage cognitive errors across a variety of everyday activities (Toglia & Foster, 2021).

Fatigue, anxiety, and stress management are also core components of the program. Participants are offered education and opportunities to practice a variety of adaptive strategies to manage these symptoms as they relate to activities they want and need to do.

Potential outcomes for participants of this include increased independence, maintaining or returning to home and community roles, improved confidence with social relationships, reduced stress and anxiety, lowered fatigue, and improved use of strategies to successfully complete cognitive tasks.

If you or someone you know could benefit from our Cancer Survivorship services, please call 314-286-1669 to inquire about scheduling an appointment.



Toglia, J., & Foster, E. R. (2021). The multicontext approach to cognitive rehabilitation: A metacognitive strategy intervention to optimize functional cognition. Gatekeeper Press.

Cancer Therapy Services

Washington University Occupational Therapy provides multiple services to help patients with cancer therapy. Milliken Hand Rehabilitation Center can better prepare you for what to expect before your surgery as well as assist you in your recovery and ultimately helping to return you back to living your life to the fullest. Our cancer therapy services include:

  • Education about outside programs as well as options within Siteman Cancer Center that can assist you and your family during this difficult transition.
  • Provide a custom exercise program before surgery to mitigate side effects and after to help with recovery.
  • Demonstrate and educate on scar mobility and healing process.
  • Additional Cancer Survivorship services are offered by Washington University Occupational Therapy that can assist with “chemo brain” issues that sometimes occur and help you with strategies to improve your everyday life.
  • Our Cancer Survivorship OT’s have the availability to meet you in your home, in the community or at our clinic to address real-time needs.
  • Occupational Therapy is there for you with answers to your questions and concerns. We can help you manage your care by directing you to the best and providing you with the best.

Consider contacting Washington University Occupational Therapy before you have surgery and see how being more prepared and educated makes your cancer journey as comfortable as it can be.

Learn more about the Milliken Hand Rehabilitation Center…