Planning for the future
If you care for someone with a long-term illness or disability, things are likely to change over time. The person might need more care in the future, or you might not be able to keep caring for them.
- Family meetings
- Planning for a long-term condition
- Caring for a child becoming an adult
- Advance care planning
- Your changing role
- If you can’t provide care any more
- Life after caring
It’s important to plan for the future to make it easier to cope with change. You can talk with the person you care for about what might change, so you can make decisions together. You can talk with health care providers and other services to see how they can help.
Our self-guided online coaching sessions can lead you through what you might need to know to plan ahead, and the online carer community forum can connect you with other carers in the same situation. You can call Carer Gateway on 1800 422 737 to register and find services and support like a local carer support group or to access counselling.
Family meetings can help you plan for the future. In a family meeting, you can share information and worries with everyone involved in the care of a person. A meeting can help you to work out what’s best for everyone.
You should have a family meeting to make decisions, pass on news or get support, or whenever you think it's important. If you are making plans for the future, you might need more than one family meeting to work things out, or you might want to arrange regular meetings.
How to run a family meeting
Meetings can include people from outside the family, such as doctors, health workers, friends and others you think are important.
Group communication works best if someone is in charge – this person is known as the chair. The chair makes sure that everyone gets an equal chance to speak. You might be the chair, or it might be someone else who the family respects.
It’s a good idea to get someone to take notes at the meeting, so it is clear what has been talked about and decided. You can send the notes to anyone who might need to know about your plans.
Getting help with family meetings
Sometimes, problems and conflicts can come up in family meetings. You might want to ask a mediator to come along. A mediator is someone who is not involved in the problem, who can help people to talk and agree. You can ask someone outside the family (for example, a family friend or neighbour) to act as a mediator, or you can call Family Relationships Online on 1800 050 321 to arrange one.
Planning for a long-term condition
As a carer, you are probably caring for someone who will need care for a long time.
Most people who need care have a condition that will last for a long time or all their life (known as a chronic condition), or a condition that will eventually cause their death (known as a terminal illness).
How to plan for a long term condition
Understanding what might happen in the future will help you to plan. You may also want to think about the different stages you might go through in your caring role.
You should find out as much as you can about the illness or condition affecting the person you care for and what to expect. Talk with your doctor and other health professionals. Don’t be afraid to ask questions or to ask for more details. You can ask:
- What should we expect? How will the person’s illness change over time?
- What lifestyle changes will we need to make?
- What are the treatment options?
- Where will the person be treated?
- Should we see other health professionals, such as specialists, physiotherapists or social workers?
- What other services and support are available?
Managing long-term conditions becomes part of everyday life. With good care, many people with long-term conditions can live active and fulfilling lives. As a carer, you can look for opportunities for the person you care for to be involved in fun, social or educational activities.
If you are caring for someone with disability, they may be able to get support from the National Disability Insurance Scheme (NDIS). Visit the NDIS website to see what support is available.
Getting help as things change
Many long-term conditions will get worse over time. They may cause more pain or disability, or more mental health problems.
Your doctor can help with planning. Government and community organisations can also help with planning, support and costs. If the person you care for can’t manage their own affairs anymore, you may need to know more about legal matters.
If the person you care for has disability, the Planning for the future: people with disability booklet can help you to plan for the future. It has information about things you need to think about and your legal and financial options.
As a person's condition progresses, their needs might change. They might need aids and equipment, or extra nursing care or home help. They may also need to move into residential care. If they may die soon, you could use palliative care. Palliative care can help to improve a dying person’s quality of life.
Caring for a child becoming an adult
If you care for a child, both you and the person you care for will face new issues as they grow up and become more independent. Good planning will help you to manage these challenges.
What might change as they get older
If you are caring for a young adult, you might have new worries and concerns as they grow older. During the period of entering adulthood, young people experience changes and events in their lives and seek increased independence. The period of young adulthood is an important time to look after wellbeing. New relationships, sexual health, identity issues and alcohol and drug use can contribute to increased stress.
Your role might also change as the person you care for grows up. It will become less about organising services for them and more about giving them emotional support and guidance. You might still need to coordinate care for the young person, or assist, until they can do it themselves.
From the age of about 16, the young person may want to start looking after themselves and spend more time alone with health professionals and other service providers. You will probably still be involved and can help their decision making.
What might happen when they leave school
The person you care for will need to decide what they want to do when they leave school. Some options include:
- study at university, TAFE or vocational training
- getting a job – Workforce Australia is a place Australians can search and apply for jobs or find more information about their pathway to employment. Job Access can help people with disability to find and keep jobs, get promoted to a better job and expand their workplace skills. Visit Services Australia (Disability Employment Services - Disability Support Pension - Services Australia) to find out more
- volunteer work
How to plan for a child becoming an adult
If you will continue to be a primary carer for the child you care for when they are an adult, you should consider their future when you are too old to care for them. You will need to think about financial planning, wills, trusts and special arrangements for safeguarding their future.
Young people have the legal right to make decisions about their care when they turn 18. If the person you care for is likely to need help making decisions into the future, you will need to think about arranging guardianship and power of attorney.
Advance care planning
Advance care planning means talking to the person you care for about what care and health services they want in the future, if their condition gets worse. This planning means that their wishes can be followed even if they become too sick to make decisions or tell you what they want.
What is advance care planning
Advance care planning involves:
- appointing someone else to make decisions for the person you care for – this can be you or another trusted family member or friend
- completing an Advance (Health or Care) Directive – this is a formal written record of what the person wants in future treatment. The person must be able to make decisions at the time the directive is made
How to make an advance care plan
To make an advance care plan, you should first talk with the person you care for about what they want in the future. The Advance Care Planning Australia website can guide you through what to think and talk about.
You should then write down what the person wants. These instructions are known as an advance care directive, or living will.
These written instructions are the main part of an advance care plan. However, each Australian state and territory has different rules about what documents are needed in an advance care plan. The Advance Care Planning Australia website has information about what you will need to do in your state or territory.
When the person you care for has made an advance care plan, you should let others in your family and health care team know about the plan and where copies are kept.
Your changing role
As a carer, you will probably experience different stages in your caring role.
As time passes, you might not be able to help the person you care for as much as you do now. That could be because of work, financial pressures, your health or family situation, or other reasons.
What might change with your role
It’s important to start thinking about what changes might take place. Think ahead and ask yourself these questions. If things change:
- Who will care for the person I now care for? Is there a back-up carer, and could they become a full-time carer?
- Where will the person live? Will they stay in their current home, move in with another family member, or get residential care?
Getting help with your changing role
You can talk with the person you care for, to ask what they would like. You can talk with your family and doctor about the options available.
You can put things in place to make it easier to make changes over time. For example, someone else could step in to have guardianship or power of attorney for the person you currently care for, and you could start to organise that.
If you can’t provide care any more
For whatever reason, at some time you might not be able to continue to look after the person you care for.
If that happens, you have 2 main choices.
You can get help with care in your home
Many organisations have services that provide care in your home. Home care support workers can help with caring, including washing, dressing, moving and meals. Workers might come to your home every day, or they can live with you.
Home care can support you and the person you care for to stay in your home. However, sometimes the person might need more care than can be provided at home.
There are several other places the person you care for could live and be supported, depending on their condition:
- Residential aged care can provide accommodation and personal care 24 hours a day as well as access to nursing and health care services for elderly people
- Residential disability care can provide accommodation and support to people with disability or mental illness
- Hospice care focuses on quality of life for people who are experiencing an advanced, life limiting illness
How to get help in your caring role
Call Carer Gateway on 1800 422 737 about services and support available to you.
The person you care for may be eligible for help through My Aged Care if they are elderly (call 1800 200 422), or the National Disability Insurance Scheme (NDIS), if they have a disability (call 1800 800 110).
Life after caring
At some time, your role as a carer might end. This might be when the person you care for recovers, when they die, or when they leave your care and other people take over the caring role. You may have to adjust to changes and ‘rebuild’ your life when you are no longer a carer.
What to expect when your caring role ends
You might feel intense loss, guilt and sadness. You might also feel worried about the future. This is a natural reaction. Grief has no timeline. Grieving can continue for some time, even for many years.
Some people find that physical and emotional exhaustion catches up with them and they might feel ill or very tired for a while.
Carer Gateway also can provide support when a person’s caring role ends. Call Carer Gateway on 1800 422 737 to find out about services and support available to you.
What to do when you are no longer a carer
The time will come when you are ready to think about what to do next.
Research shows that carers can give up activities and lose contact with friends and their community. Try to follow your interests, reconnect with family and friends, and make new friends.
You might also consider volunteering, learning something new or going back to work.
If you would like to go back to work, Workforce Australia is a place Australians can search and apply for jobs or find more information about their pathway to employment.
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