“I’m Here Too!” Help for Siblings of Children with Cancer
Cancer Touches Many Lives
According to a study from Stanford Health, each year, roughly 15,000 children are diagnosed with cancer. That is over 15,000 families yearly who are deeply affected by this devastating disease. About a third of these families report that they spend 40 hours a week on cancer care. That will alter family dynamics. Parents will have so many burdens during this time. Stress levels increase, everyday routines slip through the cracks as cancer treatments and hospital visits become the new reality. It’s important to remember the siblings. While their physical health may thankfully be intact, they might silently fight mental and emotional issues that go unnoticed.
The siblings of children with cancer will need support too. There will be so many emotions running through them, from sadness to anger and resentment. Most importantly, your children need to know they are loved unconditionally and that you understand the fears and emotions that are overwhelming them during this time. Please encourage them to share their feelings and not keep them bottled up inside.


Explain What Is Happening
All of your children will be looking to you for guidance. While your child with cancer will have a structured care plan in place and a health care team working to assist, you must take this time to also explain to your other children what is happening. As a parent, everything you experience will be even more traumatic for your children, who are still developing emotionally. Your children may feel scared and confused. Each child will process the news differently, be mindful of their age and maturity level when explaining cancer, and what to expect.
Infants to Toddlers (birth-3 years)
Explaining cancer to an infant will be impossible, but it is vital to be in your baby’s life as much as possible during these formative years. While away from home, check in with your young child via video chat or phone so that they can hear and see you. Remind your child that you will see them soon and when you do, hug and cuddle them and let them know how much you love them. Developmental milestones will fill your child’s life during this phase, from learning to walk to potty training. It is crucial to have as much of a set schedule as possible while working with your child on these monumental tasks.
Pre-Schoolers (4-5 years)
Provide a simple description about the cancer diagnosis, explain to your young child that their brother or sister is not feeling well and that doctors and nurses will help them feel better. Let them know that they did nothing to cause the cancer. Young children can pick up on the stress their family is going through, so your young child might begin to show signs of regression. Having accidents even after they have been toilet trained and increasing temper tantrums are not uncommon responses. Reach out to your child’s care team. They may have behavioral therapy resources available to help your other children.
School-Age Children (6-12 years)
The internet can be a useful tool in assisting the siblings of cancer patients. One excellent resource is SuperSibs from the organization Alex’s Lemonade Stand Foundation. This website is specifically designed to offer support to brothers and sisters and provides an abundance of guidance for school-age children.
Teenagers (13-18 years)
As your child develops into a teenager, they will have the maturity level to process complex information even more. If possible, allow them to ask their questions to the cancer care team. Research to see if the hospital has support groups for siblings. Ask your teen to help out a little more at home, but let them focus on academic achievements and other extracurricular activities so that they still have a sense of normalcy in their daily life. Do be sure to monitor your older child’s behavior and look for any negative changes and seek professional guidance for additional support.
The National Cancer Institute provides a free downloadable booklet for teenagers who have a sibling with cancer. The information includes advice to teens from their peers who have experienced the same situation of having a brother or sister with cancer.
Reach Out for Assistance
The cancer your child is facing will have a ripple effect on your entire family. You will find the strength you never thought you had, but remember that you cannot get through this ordeal alone. Your young cancer patient and their siblings depend on you for guidance, so reach out to your support system for assistance. It will be challenging to keep life as “normal” as possible, but with help from family and friends, you can make things easier for your child or children who do not have cancer. Try to make their daily routines consistent as they were before the diagnosis. Make special one-on-one time for your other children, even if it’s just a short walk around the block or a 5-minute conversation at the kitchen table.
Here to Serve Can Help Your Entire Family
Taking moments to bring normalcy back into your life is one of the ways Here to Serve helps you and your children. Our Family Care Coordinators will take the burden off of parents and guardians, so the focus is only on your children’s needs. Let us provide services to you, such as meals, financial resources, housekeeping, running errands, or grocery shopping. Freeing up your schedule will help build special moments with all of your children.
By Chris Smith
Disposal of Unused Medications After Cancer
Don’t Flush Drugs!
So, what do you do with all those medications? Your doctors and care team order the prescriptions, but have they told you how to discard them? No, they don’t! Flushing pills down the toilet can harm the environment once they get in the water supply and many of these drugs are toxic or contain opioids. It is vital to dispose of them properly, so they do not pose a risk to you or other members of your family.
Options for Disposing Cancer Drugs
The U.S. Food and Drug Administration (FDA) provides helpful information about how to dispose of certain medication types. You can also consult your child’s care team and ask if they will take the unused medication from you and dispose of them properly; some hospitals will provide this service while many do not. Do not assume they have resources available to help. There are options available for disposal, but the key is finding an easily accessible location. The U.S. Drug Enforcement Administration (DEA) also sponsors a National Prescription Drug Take Back Day twice a year in April and October. Often, this does not coincide with your timing to rid your home of these drugs.
Recently, some nationwide pharmacies have begun to provide kiosks for medication drop-off in specified locations around the country. Both CVS and Walgreens provide this service, even for medications not purchased at those locations. The following websites offer search locators to find drop-off sites in your area. Enter your state, city, or zip code to see a list of disposal points. Most sites are within pharmacies or supermarkets.
Drop-off Locations for Unused Drugs and Medical Supplies
Webpage: https://apps2.deadiversion.usdoj.gov/pubdispsearch/spring/main?execution=e5s1
This joint task force is headed by the DEA to collect unwanted medications during the National Prescription Drug Take Back Day and beyond. The site provides a list of controlled substance public disposal locations.
National Association of Boards of Pharmacy (NABP)
Webpage: https://safe.pharmacy/drug-disposal/
A nonprofit organization that works with state pharmacy boards to protect public health. They provide a drug disposal locator to find disposal boxes in your area.
Dispose of My Meds
Webpage: http://disposemymeds.org/medicine-disposal-locator/
This organization provides an online resource to find medication disposal programs at independent community pharmacies.
Drop-Off Sites Have Restrictions
It is essential to consider that not all items will be accepted at the drop-off locations. Please check with the pharmacy or store before dropping off. Remember to remove personal identification and prescription numbers from the bottle, either by covering the information with a marker or peeling the label off the container.
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Since not all pharmacies have a drop-off location, your pharmacist may offer a product called DisposeRx. This product is environmentally friendly and can be used at home to prepare unused medication for disposal. The DisposeRx packets “contain patented and proprietary solidifying materials that provide a safe solution for the disposal of unused or expired medications. When water and the DisposeRx powder are added to drugs in the prescription vial and shaken, the drugs are dissolved and then chemically and physically sequestered in a viscous polymer gel.” You can place the packet in your trash can.
No Drop-Off Locations Near You? Other Disposal Options
If no drop-off locations are near your home, you may be able to dispose of the medication in your household trash, with some added precautions.
The FDA recommends the following steps before disposal:
- Remove the medication from their original containers and mix them with used coffee grounds or dirt. This process makes the drugs less desirable to children or pets looking through the trash.
- Place the mixture in a sealable container, such as a storage bag or empty can. Doing this will prevent anything from leaking.
- Throw the container into the garbage can.
- Remove any personal information on the original medication bottles and containers and discard them in the trash or recycle bin.
Disposal of Needles and Syringes
Once you have a disposal plan in place, have your child help dump the medicines as an excellent way for them to feel empowered and see that the treatment process has ended, and they can get back to being a kid.
Here to Serve is ready to help you and your child throughout their cancer treatment. Our Family Care Coordinators will provide valuable resources and guidance throughout the entire journey. If you or someone you know has a child who was recently diagnosed with cancer, have them contact Here to Serve for help with home needs, finances, meals, laundry, little-known resources, housekeeping and childcare. Click here to get the help needed.
By Chris Smith