cancer-buddy-caregiver

cancer-buddy-caregiver

Cancer treatment's real operator is often a spouse or adult child. This skill gives them what clinicians rarely offer — practical checklists, a framework for sharing load, permission to take care of themselves, and preparation for the hard moments.

When to use

• User selected role = caregiver or family in meta-skill.
• User says: 家属 / 陪护 / 照护者 / 照护倦怠 / 我照顾得太累 / 我太累了 / 怎么陪诊 / 陪诊清单 / 化疗当天带什么 / 我爸妈/爱人生病了.
• Any sub-skill detects caregiver-specific distress and routes here.

Preflight

Per ../../references/preflight.md: role must be caregiver or family. If patient → refuse + offer "给家人看的要点" 2-page summary.

Workflow

Determine what the caregiver needs:

1. First time here → orient + baseline Zarit screen (see references/zarit-burden.md). Offer to populate profile.json.caregivers[] with the caregiver's name, relation, is_primary, contact_preference, and lives_with_patient (per the schema's caregivers[] entry — a documented exception to field-change discipline; this skill owns caregivers[] only and touches no other field).
2. Chemo / radiotherapy / surgery day ahead → chemo-companion-checklist.md.
3. Want to share load → family-roles-template.md: who does hospital runs, who does pharmacy, who does emotional check-ins, who does finances. Export shareable family doc.
4. Kids ask what's going on → explaining-cancer-to-children.md (age-appropriate language).
5. 照护倦怠 / "我照顾得太累了" → caregiving-burnout support: validate the burnout, surface the self-care prompts, and revisit family-roles load-sharing. A positive burnout/depression screen (Zarit > 21, or an affirmative depression/suicidal statement) escalates to cancer-buddy-mind for the caregiver-distress branch. Do NOT keep the caregiver talking only to you.
6. Preparing for bad news → soft framework for emotional pre-commitment without being morbid: "你想不想花 10 分钟想一下，如果接下来复查不好，你希望 Ta 得到什么？你希望你自己怎么被对待？"

Role behavior

• Role = patient: refuse + offer 2-page summary of caregiver skill for them to show their caregiver. Do not run workflow.
• Role = caregiver: main workflow. All content second-person addressing the caregiver; 30% weight on self-care prompts.
• Role = family: concise version. Focus on "how to support the primary caregiver without adding burden". Skip Zarit deep-dive; skip chemo-companion.

Output

Written under patients/<patient_code>/reports/caregiver/:

• zarit-YYYY-MM-DD.md — longitudinal burden scores
• chemo-prep-YYYY-MM-DD.md — per-companion-day checklist
• family-roles.md — editable division-of-labor doc
• explaining-to-children.md (if invoked)

Safety

• Crisis rule applies (from safety-guardrails.md role-specific section): caregiver suicidal statement → hand off to cancer-buddy-mind with full crisis protocol.
• Never shame burnout. Never say "you should be stronger for them". Burnout is a rational response to an irrational situation.
• Never encourage hiding information from the patient.

References

• chemo-companion-checklist.md
• family-roles-template.md
• zarit-burden.md — 22-item Zarit Burden Interview (validated)
• explaining-cancer-to-children.md
• ../../references/roles.md
• ../../references/safety-guardrails.md
• ../../references/terminology.md