Nearly one in four households has an informal caregiver — someone who is providing
for the daily needs of a relative or friend with advanced illness.
If you are a caregiver, you may be asked to be the health care representative for
your friend or loved one. In this role you will work with doctors, other medical
staff and family members to ensure that your friend or loved one’s wishes, including
end-of-life choices, are honored if he or she is unable to make these decisions.
These tips may help you advocate on behalf of your friend or loved one:
- Learn as much as you can about your friend or loved one’s illness, possible treatments
and their outcomes.
- Talk with your friend or loved one about his or her choices for care, both now and
in the future. Encourage the person to put those wishes in writing.
- If you or your loved one has concerns about his or her care, make a doctor’s appointment
so the doctor can allow enough time to meet with you in an unhurried way.
- Make a list of your questions so that you won't forget them.
- Speak up. Be clear about what you want to say to the doctor. Make sure you share
your key concerns at the beginning of the meeting so that the doctor has plenty
of time to address them. Don’t minimize symptoms or situations. Comments like, "it’s
just a little pain," or "being awake all night really isn’t a problem,"
could lead the doctor to overlook something that concerns you.
- Ask questions. To make informed decisions, ask about the goals of the treatment
plan. Sometimes a doctor’s definition of recovery can be different from what your
loved one wants.
- Listen closely to what the doctors and other medical staff say. Take notes to help
you remember details.
- Share your knowledge. The doctor knows medical care. You know family care. Be honest
and thorough in tracking your friend or loved one’s symptoms; details are important.
Consider sharing a copy of your list with the doctor as you review it.
- Separate feelings of frustration and not being able to help your loved one as much
as you would like from your feeling about the doctor. Remember, you are both on
the same side.
- Seek the help of a social worker or patient advocate. These professionals can help
strengthen the communication between you and the doctor, if necessary.
- Be assertive. If the doctor is unresponsive to your friend or loved one’s requests,
don’t be afraid to change to a different doctor.