A caregiver takes a break with a cup of tea while a helper keeps an older parent company.

A break for me

A blank page for your time off, who will help, and what to do if plans change.

Download the PDF

One page. Fill it in on screen, or print it.

Sheet preview: A break for me

How to use it

  1. Choose a walk, lunch with a friend, or time to rest. Put it on the sheet.
  2. If your parent needs someone there, ask a trusted helper. Check that they say yes and know what to do.
  3. Note who else you could ask if plans change.

Quick care note

No helper yet? In the U.S., call 800-677-1116 to ask about short-term care so you can take a break.

Why a break from care matters

You still need sleep, your own doctor visits, and time off. If your parent cannot safely be alone, arrange care for that time. This short break from giving care is called respite.

Say which hours you need and what your parent needs during them, such as lunch and help getting around. Add the agreed help to the family’s list of jobs, and give the person staying notes on what to do while you are away.

If friends cannot help, ask about a home visit, an adult day program, or a short stay. An adult day program offers care and activities away from home. Ask how soon care can start, the full cost, and whether there is help with the fee. Do not count on a place until the service agrees it can meet your parent’s needs.

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