Caring for a Loved One with Cancer

Question 1

I'm worried about keeping my job and health insurance I get from my employer. What can I do?

Answer

It can be very difficult to juggle a job and caregiving responsibilities. Being a caregiver to someone with cancer can be time-consuming, and you may need to devote significant time to accompanying your loved one on appointments and providing care and support at home.

Many employers are understanding, and you may be able to work out a flexible work schedule. Dividing caregiving duties among family and friends is another option. You can also talk to our social workers and/or the American Cancer Society patient navigator who works at UChicago Medicine about arranging help at home or transportation to appointments for your loved one.

If you do need to take time off from work, it’s important to have a good understanding of your rights and protections under the Family and Medical Leave Act (FMLA). Under this law, eligible employees can take up to 12 weeks of unpaid leave over a one-year period to care for a spouse, child or parent with a serious health condition. Your employer is required to maintain your group health insurance during your leave. There are some exceptions to this law. For instance, it only applies to companies with 50 or more employees who are located within 75 miles of each other. Plus, you must have worked for your company for at least a year or 1,250 hours over the past year. To learn more about FMLA, you can talk to one of our social workers and/or your employer’s human resources department.

Question 2

It feels like our lives have been completely taken over by the cancer. What steps can I take to completely relieve the stress?

Answer

Cancer can be an overwhelming disease—for caregivers as well as patients. You may feel like you spend most of your time at a clinic or hospital. Even when you’re at home or out to dinner, you may find yourself talking or thinking about cancer.

As much as you want to stay on top of everything related to your loved one’s treatment, it is vital to maintain a sense of balance. Try to plan activities for yourself that you enjoy and that make you feel good or help you relax. The American Cancer Society’s Coping Checklist for Caregivers provides some specific ideas for how to take care of yourself.

Question 3

I want to make sure my loved one is eating properly, but there is so much confusing information about cancer and nutrition. Where can I find reliable nutrition information?

Answer

In general, try to follow a balanced and nutritious diet. The MyPlate approach, developed by the United States Department of Agriculture, offers easy-to-follow guidelines. Try to include protein (e.g., meat, fish, eggs, milk, cheese, nuts, legumes) with every meal. Protein helps the body fight infection and build/maintain strength. Otherwise, no special diet needs to be followed unless your loved one’s medical oncology team recommends specific changes.

If you have any diet questions, you can seek nutrition counseling from our oncology dietitian. This is recommended if your loved one is experiencing any of the following symptoms:

Weight loss
Persistent diarrhea, nausea or vomiting
Decreased appetite/oral intake
Problems with feeding tubes
Difficulty chewing/swallowing
Dry mouth

Our oncology dietitian will conduct a thorough nutrition assessment and counsel you and your loved one on how to relieve troubling symptoms and maintain a healthy diet.

Question 4

I am worried about finances. The bills are piling up. Can anyone help?

Answer

Unfortunately, financial stress is becoming a frequent part of the cancer journey for both patients and caregivers. Financial assistance may be available, depending on various factors:

National and local service organizations may be able to offer financial aid to individuals with cancer to help pay for medical bills, medications and treatment-related travel and housing expenses. Our American Cancer Society Navigator and/or social worker can help you identify potential organizations to appeal to for assistance. You might also check out the financial resources compendium from the American Society of Clinical Oncology.

UChicago Medicine has a financial assistance program that provides discounts on medical bills to patients. Our patient financial services staff can help you determine if your loved one qualifies for a discount based on financial need. You can call 773-702-6664 or toll-free at 1-844-843-3594.

Question 5

What can I do when my loved one seems sad, depressed or angry?

Answer

Try to encourage, but not force, your loved one to talk and share. You might begin by sharing your own feelings of fear, worry and concern. Don’t underestimate the comfort you can provide by being able to listen carefully and with complete attention as your loved one may give voice to their feelings.

You can also arrange for counseling for your loved one and/or yourself through our Supportive Oncology office. We offer full psychological and psychiatric services during cancer treatment depending on your insurance. These services are provided by a multidisciplinary team involving psychiatrists, psychologists and social workers.

Question 6

What should I do if I have questions about my loved one’s cancer and treatment plan?

Answer

As a caregiver, try to feel empowered to speak up and address your questions to your loved one’s treatment team during regularly scheduled visits. You may want to prepare and organize your questions prior to the appointment. It can be helpful to make a list of questions and concerns ahead of time that you can refer to during the clinic visit.

Also, be sure to ask who to contact on the treatment team in the event of an urgent concern in between scheduled visits, as well as how to contact that person (i.e., via phone, text, page).

Question 7

What if I have a concern that isn’t addressed here?

Answer

We encourage you to call us with any questions or concerns at 773-702-8845. You may also stop by the Supportive Oncology office at UChicago Medicine’s Hyde Park campus on the sixth floor of the Duchossois Center for Advanced Medicine. If you are a patient at Ingalls Memorial, ask your care team about whom to contact for similar services at Ingalls Memorial.

Question 8

Local Resources

Answer

The following organizations in the Chicago area offer support groups, social activities, healthy lifestyle activities, exercise sessions, educational workshops and other resources to anyone impacted by cancer, including caregivers:

In Chicago: UI Health’s Wellness House offers programs at the Mile Square Health Center at the UI Health Cancer Clinic. Also Gilda’s Club Chicago has centers in the Chicago Loop and in Oak Lawn.
In northern suburbs: The Cancer Wellness Center is located in Northbrook and has satellite programs in Grayslake, Park Ridge and Libertyville.
In western suburbs: The Wellness House serves the Hinsdale area and facilitates programs around the Chicago area.
In far western suburbs: The Living Well Cancer Resource Center is based in Geneva.
In southern suburbs: The Jennifer Fallick Cancer Support Center is located in Homewood, and satellite programs are offered in Mokena.
In northwest Indiana: The Cancer Resource Centre serves Munster and surrounding areas.

Question 9

National Resources

Answer

Caregivers can also find helpful information and advice online. Here are four reputable sources:

The American Cancer Society has a comprehensive resource page for caregivers.
Cancer Care offers online support groups, podcasts, and other resources for caregivers.
The Cancer Support Community shares advice for caregivers.
The National Cancer Institute offers additional tips.