Help on the net: internet support groups for people dealing with cancer.

Support groups are an excellent way for the patient, family member, or primary caregiver to find assistance coping with emotional and practical aspects of cancer. Unfortunately, traditional support groups may not be available to the homebound. This article reviews Internet support groups, an effective alternative to standard support groups for those dealing with cancer who cannot or do not wish to leave the home. Mr. J., age 68, has prostate cancer with metastasis. He is experiencing fatigue, a 70 lb. weight loss, lack of appetite, and unsteadiness on his feet. His pain is controlled with opioids but these cause constipation. He currently lives and sleeps in the living room of his home where his wife and two grown sons have assembled a makeshift bedroom. Despite his physical frailties his mind is sharp. A retired stockbroker, he reads the newspaper daily on his home computer, which he also uses to send e-mail to friends and family. During a recent home visit he expresses interest in a support group for patients with cancer offered at the local hospital but is dismayed that he is too weak to get there and back much less participate in the group. During the trip to his home the nurse ponders this dilemma. Mr. J. could use interaction with other patients with cancer but he cannot get out and no local support group makes home visits. Could Mr. J.’s computer provide his link to emotional support?