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How can I help my nephew cope with his mum's advanced cancer

15 replies

ArtichokesBloom · 26/08/2025 19:37

He is in his early 20s, an only child who has had quite a protected upbringing. He's a lovely guy, but so angry and distressed. My sister has given him a very loving, very sheltered upbringing. She has not been open about her illness and still cannot bring herself to be completely honest about her prognosis.

She's suggesting to husband and son that she has many years ahead but treatment options are dwindling and they are suggesting months/weeks. She can't bear to think of telling him, leaving him. I think she could face her diagnosis for herself but is in agony facing up to him not having her to nurture him.

I think he suspects but then questions himself because he is led by her but that lack of an honest conversation is worse. I know she has decided to refuse further treatment...this could hasten things a lot. She is very advanced in her cancer (lung, bone and liver mets no longer responding to treatment)

I want to support, to help, to try and smooth her end of life and part of that is giving her assurance that her son will have an aunt to walk alongside him. Any advice is welcome. (There is a DH but ...not great health, not close to nephew and won't cope well)

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Chachaskive · 26/08/2025 19:45

Bump

nocoolnamesleft · 26/08/2025 19:50

I know your sister is trying to protect him, but I fear that she may be robbing him of the time to process, adjust, and say anything that needs to be said. And he may come to resent you for knowing more than he did, sooner than him. Tragically it sounds like your sister really doesn’t have long, and that time is so precious. Yes, absolutely let her know you will be there for him, but do try gently to raise giving him a more realistic view of what is happening.

ArtichokesBloom · 26/08/2025 20:12

Thank you @Chachaskive I was terrified no one would answer. I feel very alone in this

@nocoolnamesleft I'm glad you said this. I agree, but I wondered if I was wrong

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ArtichokesBloom · 26/08/2025 20:14

I will try and word it as you said. It's a complete shit show having cancer in the family. All the complications you never anticipate

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CountFucula · 26/08/2025 20:20

Unfortunately I think you have to be guided by your sister in this, but be prepared to have a very very honest talk with him at a later date. He will be blindsided. Perhaps your sister needs some support in how to approach this with him, could macmillan help her maybe? She obviously wants to protect him but I know from personal experience the bereaved people actually feel tricked and robbed of a chance to support their loved one with honesty.

edited for typos

ArtichokesBloom · 26/08/2025 20:25

Thank you @CountFucula All of this is really helpful

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Randomchat · 26/08/2025 20:29

If you say he's feeling angry and distressed does that suggest he suspects more than he's admitting to? Does he sense she's not being honest? He must be frightened and worried and no-one is being honest with him.

But I don't know what you can do if your friend has asked you not to say anything.

I'm sorry you're in this situation. It sounds really hard x

ArtichokesBloom · 26/08/2025 20:35

@Randomchat I haven't had the clarity to be able to talk with him to know what he's thinking. I can't start that conversation easily in case I crack

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OpheliaNightingale · 26/08/2025 21:08

@ArtichokesBloomI wonder if it might help to have a very gentle conversation with him about what he understands so far about his mum’s health? Just so you can gauge where he’s at?
I’m guessing you’ll be the next nearest mother figure to him. You sound like the most loving of aunts. I’m so sorry this is happening to your family xx

Neitherherenorthere · 26/08/2025 21:15

I lived this…. My mother never faced her prognosis and the whole family had to play a “game” pretending she could be kept going. Even when they said no more treatment for her cancer my mother wanted to live in each moment and we couldn’t take that away from her. Her death - her choice.

So 20 years later I would say that comfort comes to me from the moments I remember saying lovely things to her- I am satisfied she knew how much I loved her and as the end days passed I just said little loving things in a general “you’re great” way. I wrote her little cards to find when she woke up from sleeping.

I think your nephew should be encouraged to comfort her by sitting talking with her and slipping in what he is comfortable with by way of appreciation. Tell him it is good for her to feel loved as she copes with each day. This time is precious but he doesn’t need to feel pressured into goodbye speeches. It’s not like on the tv! Just “helping” her by being there is enough. Just short “visits” is enough. But he may not be ready for that.

I know it is very difficult as some men run as far away as they can in this situation (my brother left home completely). Too much emotion…..

So I would be sure to tell her myself something that can later be told to your nephew. We know my Mum understood what my brother was doing as they were very very close. For both of them, parting had to be like this. But I told my Mum I’d always be there for my brother and hopefully it gave her something. He knows I comforted her.

I knew she couldn’t have long left but the silence of her not facing the truth was overwhelming but no one wanted to “break” her. She was in terrible pain and had chosen this way.

Some in the family were very shocked when she died as she had basically “misled” them, but as I say, we are comforted that she did it her way. It wouldn’t be for everyone but it was what she could bear. And after a long exhausting battle with illness, who were we to take that away? The hospice staff caring for her at home said it was not uncommon. If she asked they would say, but if she didn’t….

So I think be gentle with all concerned and accept that they will get through as best they can in their chosen path. They will do things AT THEIR OWN PACE, not anybody else’s. It won’t be perfect like a film. It will be messy.

My thoughts are with you all. Just be there for them, but let them navigate this in ways that they can cope with.

It will be a very long road for your nephew, but she wants to parent him and protect him. Some will judge but it’s how she has always parented. She hasn’t become a different person now she is ill. Forcing it does not serve her needs at this time. It’s how she wants things.

We are comforted today that we respected my Mum. As did all the medical professionals who were around at the end.

I send love.

ArtichokesBloom · 26/08/2025 21:48

This thread is what makes MN invaluable IMO. Each and everyone of you has given me useful answers.

@OpheliaNightingale that's a good way to approach it...let him talk and I just listen. No need to supply answers

@Neitherherenorthere thank you for sharing that. Everything has bolstered me to just be there and not 'fix'.

It can be really hard to think straight in this situations the thread is giving me clarity

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Neitherherenorthere · 26/08/2025 22:37

I am so sorry you are going through this. I wish it all actually was like the films. You sound like an amazing aunt and your nephew is lucky to have you. One day at a time.

LoyalMember · 29/08/2025 11:00

'Angry and distressed'..? That's going to be of no help to his father when the inevitable occurs.

Togetheragain45 · 29/08/2025 11:13

I am sorry you are going through this. Life can be very cruel. Your nephew is angry and distressed because of the situation, it's completely normal.

My son-in-law died earlier this year, after 5 years of treatment as his cancer spread to other organs.

The family had time to come to terms with his illness but even so, it was very distressing. His two teenagers had bereavement counselling, and this is something that could potentially benefit your nephew.

Good luck with all of this, you sound like you are an amazing aunt. x

ArtichokesBloom · 29/08/2025 19:45

@Togetheragain45 counselling has been suggested by his mum but has not taken up. I will be encouraging him to do so, hoping he'll see it isn't just him that could benefit, but the time he has left with her could be better for her if he is able to

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