We were first introduced to Lisa Petgrave-Nelson through her content on Instagram. The CAC team was so compelled by what she was sharing that we invited her to join a panel on self-care at our National Conference in 2024. Lisa is an oncology social worker and end-of-life doula with over twenty years of experience. She has worked at Emory University Hospital, Cancer Treatment Centers of America and currently at The Cancer Institute at St. Francis Hospital. Lisa also serves on the DEI Committee of the Association of Oncology Social Work. I sat down for a quick Q&A with Lisa so we could learn even more about her and her experience supporting the cancer community.
To get started, I would love to hear a little more about your background and what made you want to become a social worker in the cancer community?
Over 20 years ago I started working in healthcare with a focus on supporting chronically ill adults. Early in my career, I worked with patients navigating kidney disease in need of transplants. I quickly realized how illness can impact every area of someone’s life, not just physically, but emotionally, socially, and spiritually. This led me to working in oncology social work. The challenges of cancer care require not just clinical skills, but deep compassion and advocacy. I was drawn to this field because I wanted to walk alongside patients and families during some of their most difficult moments while helping them find dignity, hope, and meaning despite the challenges of their diagnosis.
If you could wave a magic wand, what is one thing you would change or fix immediately in the healthcare industry?
I would ensure that everyone has access to equitable, quality, compassionate healthcare, regardless of race, income or geographic location. I’ve seen firsthand how marginalized communities often face barriers to early diagnosis, treatment options, and even respect within the healthcare system. Changing this would not only improve outcomes but would also restore trust and dignity to the patient-provider relationship. This should be the standard of care.
What simple tips do you recommend to someone experiencing stress or anxiety while trying to balance work after a cancer diagnosis?
One of the first things I encourage is to allow yourself to slow down and practice self-compassion and give yourself grace. It’s completely normal if you’re not able to perform at the same pace as before your diagnosis. Try to set achievable goals, both professionally and personally. You should communicate with your employer, team and family about your needs and limits. Incorporating stress-relief practices, such as deep breathing, prayer, positive affirmations, or taking short walks throughout the day, can help reduce anxiety in the moment. Remember, you don’t have to do this alone. Reach out to your support network, whether that’s family, close friends, a counselor, or a cancer support group. Also, don’t hesitate to speak with your healthcare provider, who may recommend additional options, like medication, if your anxiety feels overwhelming.
People are often concerned about asking for too much or advocating too much for what they need in their work environments after a diagnosis—and it is definitely a delicate dance to remain professional, consider the employer needs and still get what the person needs to best manage work and cancer—do you have any guidance for how someone can best walk that tightrope?
It is a delicate balance, but I always remind people that advocating for your needs is not selfish, it’s essential for your well-being and your ability to sustain work while managing your health. One approach is to take time to assess exactly what accommodations will help you balance both your job and your treatment. Consider whether that’s a modified schedule, remote work, or reduced workload during certain periods. When you’re ready to approach your employer, frame your request in a way that shows how these adjustments will help you to continue to contribute to your role effectively, while also taking care of your health.
It’s also really helpful to know your rights under the Americans with Disabilities Act (ADA) and the Family and Medical Leave Act (FMLA). Organizations like Cancer and Careers offer incredible resources, including free career coaching, legal, workplace advice, and tools to help you plan and communicate with your employer. These resources can empower you to feel more confident as you navigate this tightrope, helping you balance professionalism with self-advocacy and purpose in your role.
I promise we didn’t pay her to say that, but we always appreciate the love. CAC knows the critical role social workers play in the lives of patients and survivors firsthand. Thank you to Lisa and all the incredible social workers who are providing essential, critical care and support for those who have received a diagnosis.