
When cancer returns or treatment changes
For a recurrence, progression or a conversation about changing treatment.
Read the guidePatient and family guides
Detailed guides and practical tools for decisions, family conversations and changing care needs. Start with the situation that matters to you today.
You do not have to read everything or make every decision today. Each guide has section links, practical questions and optional worksheets.

For a recurrence, progression or a conversation about changing treatment.
Read the guide
For parents and families helping a child understand an adult’s cancer.
Read the guide
For care that considers health, independence and practical support.
Read the guide
For checking a proposed cure, supplement or treatment before acting.
Read the guide
For preparing gently when time may be short, including care in India.
Read the guideChoose one useful worksheet. If you save answers on this device, they stay in this browser, separately from Caregiver toolkit records. They are not sent to CTI or your team and are not monitored. No sign-up is needed.
Organise confirmed facts, uncertainties, questions and the next steps when cancer returns or treatment may need to change.
Record the exact claim, check its evidence and disclose products to the treating team before spending money or changing care.
Discuss information wishes, supporters, representatives, CPR and other treatment separately, and record where verified medical or legal documents are kept.
Compare two clinically relevant options using the same questions, with the patient’s priorities alongside benefit, burdens and uncertainty.
Prepare honest, age-appropriate words, practical routines and support for children and teenagers when an adult has cancer.
Bring everyday function, medicines, nutrition, communication and available support into a treatment conversation.
Keep a verified treatment summary, an individual follow-up plan and the responsibilities of each team together after treatment.
Agree realistic home support, out-of-hours help, prescribed symptom care and a backup plan with the treating team.
Prepare locally confirmed contacts and document questions, share practical tasks and identify support for the family.
The care-preferences worksheet supports discussions about next of kin, representatives, CPR, DNAR and escalation. It does not create a valid medical order, advance medical directive, consent form or representative appointment. The treating team must follow current Indian clinical and legal requirements separately.
A patient who can make their own decisions remains central. Being a relative or emergency contact does not automatically give unrestricted authority over medical decisions.
For day-to-day medicines, symptoms, appointments and shared-care records, use the caregiver toolkit. Existing saved toolkit records and backups are separate and remain available.
If someone is seriously unwell, seek urgent help. Do not wait to complete a worksheet or for a message to be read.