Caring for yourself

Friday 1 August, 2008

Taken from PDF icon Caring for Someone with Cancer (793kb)

Front cover of Caring for someone with cancer bookletOn this page:

Asking for help

Coping with exhaustion

Planning time for you

Staying fit and healthy

Leaning on close family and friends

Finding support outside close friends and family

Allowing for bad days and looking for the good

Feeling like you are being taken for granted

 

Reports have shown that as many as 8 out of 10 people (80%) caring for someone with cancer don't get the help they need. Many carers struggle emotionally, physically and financially. Some carers do not have anyone to talk to about their feelings and needs. Often carers don't ask for help or think their needs are not as important as the person with cancer.

Caring for yourself is extremely important. It's something most of us are aware of but find hard to do. You may not think you have time with everything else that is going on in your role as a carer. Many carers feel guilty about taking time out for themselves but if you can, both you and the person being cared for will benefit. It will go a long way to helping you last the distance and avoid resentment, exhaustion, anger and depression.

‘A nurse sat down beside me at the hospital and said, "And how are you feeling Chrissy?" I said, "Oh, it's not me that has cancer, it is my husband." "Yes, I know that," she said. "So how are you feeling?" I suddenly realised that I never really thought about myself, it was Jim that was sick. But it was nice to be asked.' - Chrissy, age 75

Caring for yourself is one of the most important things that you can do, but many carers say they find this difficult. Here are some suggestions to help.

Asking for help

This doesn't come easily to everyone. For some, giving help comes more naturally than receiving it. You may feel you should be able to cope alone and that asking for help is a sign of failure. This simply isn't true. It is very hard to do everything alone. Most carers benefit from some help. People might not offer help because you appear to be coping so well alone. However, this doesn't mean that they don't want to help. Many people will be very happy to help if asked.

Getting some help may allow you as a carer to stay healthier, give more and allow the person you are caring for to worry less about how much you are doing for them. It can help to stop for a moment and put yourself in their situation - you would probably want them to get as much help as possible if they were caring for you.

Ask yourself what you need most:

  • help with shopping, cooking or cleaning
  • someone to do the driving to medical appointments or the school run
  • someone to take over the role of letting friends and family know what is going on
  • having time to meet a friend for lunch one afternoon a week just to chat about your feelings and concerns.

Be prepared for some people to say no - even those you thought you could depend on. This can be very hurtful but may be because they have their own worries right now and don't feel able to commit to helping someone else. Or they may be afraid of how they will cope with seeing someone they know sick. So try not to take it too personally. Many people tell us that they often receive support from people they least expected it from and have been disappointed by the friends they thought they could count on.

If you would like to talk to someone about the support available, call the Cancer Council Helpline on 13 11 20 and speak with a cancer nurse. You may be eligible for help with cleaning, shopping, meals on wheels and other kinds of support.

Coping with exhaustion

Many carers say that the hardest thing about caring is tiredness or fatigue - absolute exhaustion. There is no relief and you never feel able to completely rest and relax. Even when you are sleeping you may still feel your mind is working. You feel that you need to be alert all the time in case the person needs you. Recognising when you feel tired is important. Even if you only sit down for a few minutes every hour, it will help. Pushing yourself to the limit is likely to end up affecting your health.

Use the tips in this section, which may help to prevent exhaustion.

Planning time for you

Put aside regular times each day (several five to 10-minute sessions and possibly one longer session) when you know you can do what you like. Just have a cuppa, read the paper or go outside and get the post. Organise other people to sit with the person you are caring for if necessary. Try not to feel guilty about doing this. You really do need the time to renew your mind, body and spirit. Don't use this time to pay bills, do shopping or clean - you need to get away from all your jobs.

Make a list of 10 things you love to do and plan a different activity each or every other day. Catch up with a friend or family member for lunch and a chat. Talk about things other than your caring role. Research has shown that having support from those close to you is extremely important to the carer as well as the person with cancer. Do something physical - take a walk or drive, swim, do a yoga class or some work in the shed. Use the time to relax in whatever way you most enjoy: watch a movie or sports, read a book or listen to music.

Discuss with the person you are caring for when might be the best time for you to do something for yourself. It may be when they nap in the afternoon, or when visitors are around to help.

As hard as it will be at times, try to really involve yourself in whatever activity you have chosen for your time out. If you keep thinking about what you could be doing to help the person you are caring for, your mind is not getting the rest it needs. You may need to look at putting some joy back into your life.

Ideas 

The following tips may not be possible in all situations but they could be helpful for some carers:

  • Plan a holiday for when the person you are caring for feels better. Research it together, plan what you will do and how much fun it will be.
  • Take up a new hobby, something you have always dreamt of doing - it will give a real boost to your self-esteem and wellbeing.
  • Plan a weekly massage (if your budget allows) or ask a friend to give you one for free! Also, ask if these services are available at the hospital.
  • Ask a few close friends to come on a regular weekly or monthly outing together. It could be to an art gallery, the museum or a movie.
  • Set aside time with the person you are caring for to do an activity together. Make a rule that you try not to talk about their cancer or treatment during this time. For example, watch a movie, try doing a crossword together, play cards or read the same book.
  • Go for a drive or take a walk to your favorite spot.
  • If you have grandchildren, nieces, nephews or your own young children, spend some time with them and get some cuddles: they are sure to make you laugh and feel good!
  • Watch a funny movie, reread one of your favorite books or listen to some of your favorite music.

‘At 59 I became a fitness instructor as it had always interested me. I now go out in the morning at 5.30 am and am back by 9.30 am to help Max through his morning routine. I do a workout for myself as well as instructing others about their fitness and health. I love it.' - Jess, age 61

Staying fit and healthy

With the added stress of caring for someone with cancer you can easily become run down. It is very important to stay aware and listen to your body's needs. If you are someone who has past or present medical problems you need to be extra careful that you don't neglect what is needed to keep you well. Don't be tempted to ignore symptoms because you are afraid of what they might be and it may take you away from your caring role. You need to feel strong in both mind and body to carry out all the demands on you as a carer. This means:

  • Eating a regular well balanced diet - many carers say that they forget to eat because they are too busy doing other things. You may need to carry some healthy snacks with you if the person is in hospital.
  • Take regular exercise - whatever appeals to you and is possible. Walking, running and swimming are good if you can leave the house. If not, try an exercise DVD at home (yoga, tai chi or Pilates). It doesn't have to be for long (15 to 30 minutes) but it can help you feel more relaxed.
  • Try to get enough sleep. You may be able to nap during the day at the same time the person you are caring for does. If you are having trouble sleeping, take a warm bath, or read or listen to some relaxing music before bedtime.
  • Find a GP who you trust and can maintain good contact with if you need help. 
  • Build in a proper health check program for yourself. For example, you may need regular blood pressure checks or blood sugar checks. Also, don't forget to have your regular screening tests such as Pap test, mammogram and bowel checks.
  • Limit the amount of alcohol you drink and avoid drugs that are not prescribed by your doctor. Although they may help you sleep or feel better at the time, long term, too much alcohol and recreational drugs can affect your health.
  • See your doctor if you notice any changes in your health. Weight changes, aches and pains, bowel and urinary problems, sleep changes and feeling tired and low in mood all the time are all possible when you are using up a lot of energy caring for another person.

If you are someone who has medical problems or cancer, you may need to get some extra support so that you can properly care for yourself. The person you are caring for also needs to be made aware that you must take time to attend to your own medical problems. If you don't, your health is going to suffer and you will not be able to help them.

‘I ignored my pain and other symptoms for quite a while because I was worried about who would look after Jen. Even when I got help and had to go into hospital for a short time I was still worrying about what will happen to her, will she eat well if I am not there and what if she falls. Caring never ends. I had to learn to think a little more about me.'
- Frank, age 62

Leaning on close family and friends

Most close family and friends will want you to ask them for help and support. There may be times they just don't know how to best help you, so if you can guide them it will help a lot. The more help you have, the less stress you feel. It will allow you to focus on those tasks that you feel will support the person with cancer the most.

  • Make a list of the things that will help you most - help with cooking, cleaning, shopping or school runs. Ask family and friends what they can help out with.
  • You or a friend can make a ‘book of vouchers' to hand out to friends and family. Each voucher has a task on it for them to do such as ‘Cook meal Thursday', ‘Cleaning Friday', ‘Shopping Tuesday', ‘Sit with Bill Thursday morning' or ‘Mow the lawn at the weekend'. Each person can take a voucher and carry out that task for the week. People can swap their vouchers if necessary.
  • Don't be afraid to call people at short notice for help. If they are busy they will let you know and may suggest someone else.
  • Talk to friends and family about how you feel. Being a carer can make you feel very isolated and lonely at times. Others may not realise how much you are doing or how you feel.
  • Organise a family meeting to discuss your needs and expectations.

Finding support outside close friends and family

Not everyone feels comfortable looking for support from people they don't know. However, many carers find it a great help to talk with someone outside close friends and family. You may express feelings and thoughts that you don't feel able to with those so close to you.

There are several types of support available to both the person with cancer and their carer. Cancer Council Victoria offers telephone and Internet support groups and can help you find a local support group in your area. We also offer Family Cancer Connect, where you can speak to a trained volunteer who has been in a similar situation.

For more information, read the section titled 'Help and support ' or call the Cancer Council Helpline on 13 11 20.

Allowing for bad days and looking for the good

Some days you may feel so upset, stressed, sad, angry or frustrated that you don't know how you will get through the next hour. Bad days will happen! And there may be a run of a few days or sometimes weeks when everything seems to be going wrong.

The person you are caring for may be suffering severe side effects from treatment and you feel you do not know what is going on. There may be more bad news about their diagnosis or they may feel very negative and low in mood, which rubs off on you. Problems within the family may crop up, adding to your stress. During times like this you are likely to become exhausted and anxious about everything. You may even feel unwell. You could be wondering if things will ever improve.

Even on days when nothing major goes wrong you may still feel very down. Looking after someone with cancer is difficult. It can often be very hard to find something positive in your life. However, many carers say by trying to look at things differently you can sometimes see a positive side. Finding positives can help you feel better and be more able to cope with the bad days.

Suggestions that may help you to focus on things in a different way:

  • Try to focus on what can be done rather than what can't be done.
  • Feel a sense of satisfaction and pride in how you have coped with the caring role.
  • Small improvements in the person you are caring for can become the source of major happiness some days.
  • You may have grown closer to the person you are caring for and discovered things about each other that have given you both a lot of joy.
  • You may feel fortunate to have your close family and friends provide you with the love and support you need.

Feeling like you are being taken for granted

Some carers say that they have days when they feel they are not appreciated and are being taken for granted. The person you are caring for may not realise that they are making you feel like this.

They may become used to you doing everything for them. Once they are more able, they may continue to let you tidy their mess, ensure medications are taken on time or organise social events. It is important to find out the person's self-care abilities during their illness. Ask your health care team for their input at your next appointment. These abilities can change daily, so it can be hard to know whether or how much to push! However, encourage them to do as much as possible for themselves.

If they are struggling with a task, let them know you are there to help. You want to create an environment where they feel safe and independent, but able to ask for help. 

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Updated: 01 Aug, 2008