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Caring for Our Caregivers – Virginia Cancer Specialists

November 26, 2019

Multicolored volunteers hands with heart shaped

Thanksgiving in the US is celebrated in many ways—coming together with family and friends, honoring food and cultural traditions, and, typically, giving thanks.

In November we would like to give thanks and support to our Caregiver community!

No two patients are alike and, therefore, no two caregivers operate the same either.  However, we do witness quite frequently feelings of stress and helplessness they express.  It stands to reason—by definition, caregivers care about the patient a great deal, yet oftentimes are unable to take away their pain, properly nourish them, and manage their emotional stress.

Virginia Cancer Specialists provides our patients with access to experts to help them and their caregivers navigate the cancer care journey together.  Today, we bring the experience of two of these experts, a registered dietitian and licensed clinical social worker, to share their thoughts and best tips for positive patient/caregiver cooperation.

Shelley Maniscalco, MPH, RD on helping to nourish the patient without creating additional stress and tension:

Food is central in providing care to a family member or friend.  In fact, in many cultures, food is love and, let’s face it, caregiving is love as well.  However, while many will express their love via food, sometimes it can be too much and causes strain.

  • Try not to make eating a battle of wills. It’s important that the patient understand that eating is part of their treatment. But, ultimately, the patient has to be the one to choose whether they can eat, what they can eat, how much they can eat, and if they can keep food down.
  • Help the patient by starting with them. Find out what they feel like they can eat—what types of foods, consistencies, etc.—and go from there.  Oftentimes, there will be a way to boost the nutrition in what they want to eat and they can keep it down—a true win, win.

5 tips on feeding a patient with cancer:

  1. Offer suggestions and options, but try to refrain from giving orders. Food “rules” can hinder more than they help in many cases.
  2. Ask before preparing food, since desires and perceptions toward food can change rapidly for a cancer patient.
  3. If the patient is experiencing nausea, make sure that you are preparing food away from them and letting it cool down before serving to cut down on odors.
  4. If liquids work better than solids, go with that. If planned well, a patient can get adequate calories and be well nourished with liquids.
  5. Be patient if they only have a few bites or if their tastes suddenly change.

Tracy Tierney, MSW, LCSW, works with caregivers to help cope with the stress of caring for a loved one with cancer.

We are grateful for all of the caregivers who help take care of our patients. Providing care to a loved one who is going through the cancer care journey can be both rewarding and challenging. For some, caregiving comes naturally. Others might not have considered caregiving as a strong personal skill, but suddenly find themselves in that role.  Caregivers have a wide range of responsibilities that they assist patients with:  providing support with day-to-day activities, hands-on physical care, and emotional support. Challenges can arise from the physical and emotional stress of caregiving. It may be difficult for loved ones to accept care and support. A caregiver might have their own health issues that make caregiving difficult. Those in the caregiving role often set aside their own needs to provide the care and support that their loved one requires. The importance of self-care cannot be stressed enough: be sure to keep up with your own healthcare needs, eat healthy meals, get enough rest, exercise, and make time for relaxation.

Other self-care strategies to be aware of include:

  • Ask for help- Generally, the family/friends who offer to help, want to. Learn to accept help from others, even if it is a simple task that will lessen your stress.
  • Take a break- Find the time to do something for yourself. Commit to taking 15-30 minutes each day to do something relaxing (take a nap, go for a walk, listen to music, spend time with a friend, or sit quietly and focus on breathing).
  • Talk to a professional- Virginia Cancer Specialists Social Workers meet with caregivers to help with stress management and to develop effective coping skills.
  • Connect with others- You are not alone. Join a caregiver support group to learn how others manage caregiver stress and learn resources from others. There are groups that meet in person, by phone, or online.
  • Release your emotions- It is okay to cry. In an effort to protect one another, caregivers often hold in their emotions when they are around their loved one. Releasing your feelings with your loved one can relieve stress for both of you and will allow open and honest communication.
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About Virginia Cancer Specialists

Virginia Cancer Specialists, the largest private cancer practice in Northern Virginia, was recognized in 2024 and 2025 as the #1 physician practice in Virginia with the most Castle Connolly top doctors in cancer care and across all medical specialties. It features a world-class treatment team fighting cancer and diseases of the blood, offering access to the most current treatment protocols, clinical trials, and comprehensive care. Its fully staffed, comprehensive clinical research program also includes a dedicated research facility for Phase I clinical trials—the Virginia Cancer Specialists Research Institute, the largest of its kind in the Mid-Atlantic region. The practice offers medical oncology, radiation oncology, musculoskeletal tumor surgery, breast surgery, thoracic surgery, genetic counseling, palliative care, oncology nurse navigators, oncology infusion nurses, oncology pharmacists, social workers, dietitians, and laboratory technicians. Virginia Cancer Specialists is part of The US Oncology Network. This collaboration unites the practice with more than 1,400 independent physicians and research and data from thousands of cancer patients in clinical trials across the country. Virginia Cancer Specialists also participates in clinical trials through US Oncology Research, which has played a role in more than 100 FDA-approved cancer therapies. For more information, visit USOncology.com. For more information about Virginia Cancer Specialists, visit: VirginiaCancerSpecialists.com

The Network is supported by McKesson Corporation, a global leader in healthcare solutions.

SOURCE Virginia Cancer Specialist

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