Note: This page provides general support and information for carers and family members. Always work alongside the person's clinical nutrition team. For emergencies, see our Emergency Guide.

You matter too

Being a carer or close family member of someone on artificial nutrition is a role that is often invisible — the endless appointments, the 3am alarms, the emotional weight of watching someone you love struggle. Your experience is real, and your needs matter.

Practical caring

Understanding the basics of tube and line care gives you confidence to help and to know when something is wrong.

  • Learn how to prime a line, connect a feed bag, and flush the tube or line
  • Know the pump alarms and what they mean
  • Understand what the feed formula is and how to store it correctly
  • Know the signs of infection — redness, swelling, fever, pain — and act quickly
  • See our Line & Tube Care guide and Complications guide

The emotional reality of caring

Caring for someone you love is rewarding — and exhausting, frightening, and sometimes invisible to others.

  • Fear — about what happens if something goes wrong, about the future
  • Grief — for the life you both had before, for mealtimes and spontaneity
  • Guilt — for needing a break, for having needs of your own
  • Resentment — it is normal, and it does not mean you love them less
  • Isolation — your social world may have shrunk significantly

These feelings are not weaknesses. They are a sign of how much you are carrying.

Working with the care team & advocating

As a carer, you are a vital part of the care team. You may know the person better than anyone in a clinical setting.

  • You have a right to be included in care discussions (with the person's consent)
  • Keep a record of symptoms, feed volumes, and any concerns to share at appointments
  • Do not be afraid to raise concerns — you are often the first to notice changes
  • Ask for a carer's assessment to be included in care planning
  • If you feel unheard, ask for a second opinion or a patient advocate

Looking after yourself

Carer burnout is not a failure. It is what happens when one person carries too much for too long without support.

  • Your own health appointments still matter — do not cancel them
  • Talk to your GP about how you are coping; anxiety and depression are very common
  • Respite care may be available through the local authority or NHS — ask the care team
  • Carers UK and Carers Trust offer practical and emotional support
  • Online communities, including this one, offer connection with people who understand

Your rights & support in the UK

As an unpaid carer, you have legal rights and may be entitled to financial and practical support.

  • Carer's Assessment — you are entitled to one from your local authority; it looks at your needs, not just theirs
  • Carer's Allowance — you may be eligible if you provide 35+ hours per week of care (check gov.uk/carers-allowance)
  • Respite care — short breaks funded through the local authority or NHS continuing healthcare
  • Employer rights — carers have the right to request flexible working; the Carer's Leave Act 2023 introduced unpaid carer's leave
  • Universal Credit — carers may be entitled to a carer element

Emergency preparedness

Knowing what to do in a crisis means you can act quickly and calmly. Preparation is everything.

  • Keep the person's emergency contacts and NHS number accessible at all times
  • Know the signs of line infection (CRBSI) — fever, rigors, redness — and act immediately
  • Know the signs of tube displacement and the protocol for your specific tube type
  • Keep a printed copy of their care plan at home for emergency services
  • The Emergency Card can be printed and carried in a wallet or bag

See our full Emergency Guide for step-by-step protocols.

Common questions from carers

Where to get help

Carer support organisations

  • Carers UK — rights, benefits, helpline (carersuk.org)
  • Carers Trust — local services, grants, community (carers.org)
  • GOV.UK — Carer's Allowance, Carer's Assessment, flexible working rights (gov.uk)

Nutrition charities

  • PINNT — support for patients and families (pinnt.com)
  • BAPEN — clinical guidance and resources (bapen.org.uk)

NHS & emergency

  • Your nutrition team's 24-hour line — for feed and line emergencies
  • NHS 111 — urgent but non-emergency advice
  • 999 — for any life-threatening emergency
  • See our Emergency Guide and Emergency Card

Mental health

  • Your GP — referral to counselling, diagnosis and treatment of anxiety/depression
  • NHS Talking Therapies — self-referral in most areas (nhs.uk/talking-therapies)
  • Mind — mental health support and information (mind.org.uk)

Connect with the community

Our community includes carers and family members as well as patients. Ask questions, share what you are going through, and find people who truly understand.

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