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๐ Guide for Caregivers
Taking care of someone with GBM โ and taking care of yourself
"You can't pour from an empty cup. Taking care of yourself isn't selfish โ it's necessary."
๐ฅ Your Role
What You May Need to Do
- Medical advocate: Attend appointments, take notes, ask questions
- Medication manager: Track pills, schedules, refills
- Appointment coordinator: Schedule, transport, communicate with team
- Daily care: Meals, hygiene, mobility assistance
- Emotional support: Listen, comfort, be present
- Researcher: Learn about trials, options, supplements
- Financial manager: Insurance, bills, disability paperwork
๐ Practical Tips
At Appointments
- Bring a notebook or use phone to record
- Write questions beforehand
- Ask for clarification โ no question is dumb
- Get copies of all scans and reports
- Know who to call for urgent issues
Medication Management
- Use a pill organizer (weekly)
- Set phone alarms for doses
- Keep a medication list with doses and times
- Track side effects in a diary
- Know which meds can't be mixed
๐ก App suggestion: CareZone or Medisafe for medication tracking
Managing the Home
- Clear pathways (fall prevention)
- Grab bars in bathroom
- Non-slip mats
- Bed rail if needed
- Keep emergency numbers visible
- Prepare easy-to-eat meals in advance
๐ง Cognitive & Personality Changes
GBM and its treatment can cause changes that are hard to witness:
Common Changes
- Memory issues: Forgetting conversations, repeating things
- Personality shifts: Irritability, apathy, disinhibition
- Language problems: Word-finding difficulty
- Confusion: Disorientation, especially at night
- Mood swings: Depression, anxiety, emotional lability
How to Cope
- Remember: It's the disease, not them
- Don't argue or correct โ redirect
- Keep routines consistent
- Use simple, clear communication
- Create a calm environment
- Allow extra time for tasks
โ ๏ธ Steroid-induced mood changes are common and temporary. Dexamethasone can cause anxiety, insomnia, irritability, even psychosis at high doses. This usually improves when dose reduces.
๐ Emotional Support
What They Need From You
- Presence: Just being there matters
- Listening: Without fixing or advising
- Normalcy: Talk about regular things, not just cancer
- Hope: Realistic but not dismissive
- Permission: To feel scared, angry, sad
- Autonomy: Let them make decisions they can
What NOT to Say
- โ "Everything happens for a reason"
- โ "Stay positive!" (toxic positivity)
- โ "I know how you feel"
- โ "My aunt had cancer and..." (comparing)
- โ "You should try [miracle cure]"
Better Things to Say
- โ
"I'm here with you"
- โ
"This is really hard"
- โ
"What do you need right now?"
- โ
"I don't know what to say, but I love you"
- โ
"You don't have to be strong"
๐ฐ Taking Care of YOURSELF
Caregiver burnout is real. You cannot help them if you collapse.
Signs of Burnout
- Exhaustion that doesn't improve with rest
- Getting sick more often
- Feeling resentful (then guilty about it)
- Withdrawing from friends and activities
- Sleep problems
- Difficulty concentrating
- Feeling hopeless
Self-Care Essentials
- Sleep: Protect your sleep โ you need it
- Eat: Don't skip meals
- Move: Even a 10-minute walk
- Breaks: Step away, even briefly
- Connect: Talk to friends, don't isolate
- Accept help: When offered, say yes
- Professional support: Therapy is not weakness
Getting Help
- Respite care: Someone to take over for hours/days
- Home health aides: Professional help with daily care
- Support groups: Connect with other caregivers
- Online communities: When you can't leave the house
- Family meetings: Divide responsibilities
๐ก Create a care calendar: Use CaringBridge, Lotsa Helping Hands, or Meal Train to coordinate help from friends/family.
๐ When to Seek Help
For your loved one โ call doctor if:
- Fever over 100.4ยฐF
- New or severe headaches
- Sudden confusion or change in consciousness
- New weakness or seizure
- Can't keep food/water down
For yourself โ seek support if:
- Thoughts of self-harm
- Inability to function
- Severe anxiety or depression
- Using alcohol/drugs to cope
Crisis line (US): 988 Suicide & Crisis Lifeline
๐ Resources for Caregivers
"Caregiving is the hardest job you'll ever love. And hate. And love again. Give yourself grace."