The short answer
Caring for someone with advanced cancer brings new challenges. Taking care of yourself, sharing your feelings, and asking for help are not extras; they help your loved one too. Respite care and simple ways to manage visitors can give you the breaks you need.
Caring for someone with advanced cancer is demanding, and caring for yourself helps your loved one too.
Feelings like denial, guilt, anger, and grief are normal for caregivers.
Many caregivers wish they had asked for help sooner; it is good to remind people you need it.
Respite care lets someone spend time with your loved one so you can rest.
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The full explanation.
Caring for yourself matters too
Caring for someone with advanced cancer brings new challenges and concerns. Things can get harder as your loved one's cancer progresses. When you are a caregiver, it is easy to feel so busy and concerned that you do not pay attention to your own needs.
But it is important to take care of yourself and keep up your strength. Getting help for yourself will also help your loved one. This is not selfish; it is part of being able to keep going.
The feelings you may have
With an advanced cancer diagnosis, the shifts in care and new decisions often come with many emotions. It is important to share your feelings with someone you trust, such as a friend, family member, or trained counselor.
- Denial. You may have trouble accepting that your loved one may not recover. There is nothing wrong with being hopeful, but try to really hear what your loved one and the doctor are saying. It is okay to deal with things at your own pace.
- Guilt. Many caregivers worry they are not doing enough or not saying the right things. You may even feel guilty for being healthy. Try to let go of mistakes, focus on what is worth your time and energy, and forgive yourself. Talk to someone if guilt feels overwhelming.
- Anger. Being tired and stressed can put you on edge, so your feelings may get hurt more easily or you may get angry more often. Try to notice what is causing the anger. Sometimes the person you are caring for directs anger at you, perhaps because they are scared or because of medicine; try not to take it personally.
- Grief. Grief is the process of letting go and learning to live with loss. You may begin to feel the loss of your loved one even before they die, which is called anticipatory grief. It is normal, and everyone grieves in their own way and time.
Asking for help
You may face new challenges now, and if the illness has gone on a long time, they may wear you down even more. Many caregivers say that, looking back, they took on too much and wish they had asked for help sooner.
Many people want to help but do not know what you need or whether you want help. As the cancer progresses, the support you get from others may change. As simple as it sounds, it is good to remind others that you still need help.
Accepting help is not always easy. Some people think they can handle everything alone, and asking for help can feel like work. But things can get harder over time, so reaching out early is worth it.
Using respite care
Many caregivers say they wish they had gotten respite care sooner. Some waited out of pride or guilt; others simply did not think about it earlier.
Respite providers spend time with your loved one so you can rest, see friends, run errands, or do whatever you would like to do. If this sounds useful, you might talk with your loved one about having someone help out from time to time. Ask your health care team for suggestions on finding respite care in your area, and remember you can also get respite help from family and friends.
Managing visitors
You may have more people calling or visiting than ever before. Many caregivers feel blessed when people show they care, but there may be times when you need space.
Some simple things you can do include:
- letting voicemail pick up messages
- asking a family member or friend to be the point of contact for people wanting information
- putting a sign on the door thanking people for coming and letting them know your loved one is resting
- having a friend handle visitors while you rest in another part of the home
- setting up a website to keep people updated
- going somewhere you cannot be reached for a while
Getting help for yourself can also help your loved one, as well as other friends and family. You do not have to do this alone, and support, from hospice staff, counselors, and support groups, is there when you need it.
Words to know
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Common questions
▸Why should I take care of myself while caregiving?
When you care for a loved one with advanced cancer, it is easy to feel so busy and concerned that you neglect your own needs. But it is important to take care of yourself and keep up your strength, because getting help for yourself also helps your loved one.
▸What feelings are normal for caregivers?
Many feelings are normal, including denial, guilt, anger, and grief. You may struggle to accept that your loved one may not recover, feel guilty that you are not doing enough, get angry more easily when tired, or begin to grieve even before your loved one dies. Sharing your feelings with someone you trust can help.
▸What is anticipatory grief?
Anticipatory grief is beginning to feel the loss of your loved one even before they die. It is normal to feel sad about the changes you are going through and the losses ahead. Everyone grieves in their own way and time.
▸How can I get help and a break?
Many caregivers say they took on too much and wish they had asked for help sooner. It helps to remind others that you still need help. Respite care lets a provider, family member, or friend spend time with your loved one so you can rest, see friends, or run errands.
▸What if I feel overwhelmed by visitors?
It is okay to need space, even when you are thankful for people's support. You can let voicemail take messages, ask a friend to be the point of contact for updates, put a note on the door, or step away to a place where you can rest.
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