“…People with colorectal cancer are at risk of experiencing poor quality of life following surgery and treatment (Dunn et al, 2006;Engel et al, 2003), continue to experience side effects post surgery and treatment, such as fatigue and altered bowel habits (Camilleri-Brennan and Steele, 2002;Desnoo and Faithful, 2006;Simpson and Whyte, 2006), experience continual fears of recurrence (Northouse, Schafer, Tipton, and Metivier, 1999) and feelings of uncertainty and concerns for the future (Persson and Hellstrom, 2002;Simpson and Whyte, 2006), and often struggle to adapt to living with a stoma and the implications that this has for their physical, emotional, sexual and social functioning (Brown and Randle, 2005;Desnoo and Faithful, 2006;Persson and Hellstrom, 2002;Sprangers, Taal, Aaronson, and te Velde, 1995;Sprangers, te Velde, Aaronson, and Taal, 1993). In the years following diagnosis, people experience difficulties in physical functioning and carrying out daily activities (Marijnen et al, 2005;Ramsey et al, 2000), psychological and social functioning (Ramsey et al, 2000), sexual functioning (Savatta and Temple, 2005), finances and returning to and managing employment, (Arndt, Merx, Stegmaier, Ziegler, and Brenner, 2004;Sanchez, Richardson, and Mason, 2004) and in adapting to and managing bodily changes, such as a colostomy (Desnoo and Faithful, 2006). Furthermore, many people continue to suffer from longer term side effects including pain, fatigue, and altered bowel habits (Arndt et al, 2004;Desnoo and Faithful, 2006;Ramsey et al, 2000).…”