{"product_id":"faq-sheet-for-caregivers-and-support-people-he1294","title":"FAQ sheet for caregivers and support people - HE1294","description":"\u003ch3\u003eAcknowledgement:\u003c\/h3\u003e\n\u003cp\u003eThe primary source of information for this support document for caregivers and support people has been derived from the patient information from OHSU, Trans Care BC, and Kaiser Permanente.\u003c\/p\u003e\n\u003ch2\u003eWhy do they need a caregiver?\u003c\/h2\u003e\n\u003cp\u003ePeople need to have a safe and reliable plan for recovery after surgery, especially with gender affirming genital surgeries. Gender affirming (genital) surgery requires a team both inside and outside the hospital so that people can heal well.\u003c\/p\u003e\n\u003cp\u003eGender affirming genital surgeries are extraordinarily complicated procedures, often involving multiple steps and surgeries. This also means being in the best possible physical and mental health before the surgery. A large part of these surgeries’ success depends on the patient’s preparedness which includes having appropriate post-operative support and caregivers. This post-operative support far exceeds that of any other gender affirming surgeries your loved one may have had.\u003c\/p\u003e\n\u003cp\u003eSupport during this post-operative healing process is critical to the success for the individual patients. Caregivers are an important part of the total recovery plan. It is essential that the main caregiver and any other support people are caring, dependable, and safe to be around. The National Travel Assistance (NTA) programme offers partial funding to assist the main caregiver’s travel to Wellington in the first week after the patient is discharged from the hospital.\u003c\/p\u003e\n\u003cp\u003eSome patients may choose to have multiple caregivers to lessen the work for any single caregiver. (NTA only provides funding for one support person’s flights to Wellington for post operative support when they are discharged from Hospital).\u003c\/p\u003e\n\u003cp\u003eCaregiving is challenging, and it is best to have multiple people ready to help your friend or loved one. We encourage you and your friend or loved one to have a backup plan if you are the primary caregiver, in case you become sick or otherwise unavailable. It can also help to discuss your own needs beforehand. This period can add strain to your relationship and discussing this openly is important.\u003c\/p\u003e\n\u003cp\u003eBelow is a list of concrete ways that you can offer to support your friend or loved one through their gender affirming surgery and recovery.\u003c\/p\u003e\n\u003ch2\u003eCaregiving when your loved one is initially discharged from hospital:\u003c\/h2\u003e\n\u003cp\u003eLook at our “Choosing your Caregiver and Support People” resource so you will have a better idea of the support, tasks and care required post operatively, and have frank, open and honest discussions regarding what you feel able to do, with your friend or loved one. Encourage them to look at and develop emotional well-being coping strategies as you too will need emotional support during this time.\u003c\/p\u003e\n\u003cp\u003eYou will see on that sheet that there are three main types of support roles and that each have specific needs to cater for:\u003c\/p\u003e\n\u003ch3\u003eHospital support:\u003c\/h3\u003e\n\u003cp\u003eThe caregiver should be always with them as much as possible once they have been discharged from hospital. The caregiver will need to feel comfortable assisting them with genital hygiene care and surgical wound dressing changes.\u003c\/p\u003e\n\u003ch3\u003eHome support:\u003c\/h3\u003e\n\u003cp\u003eThe caregiver will need to help with getting them to and from the bathroom and shower (and for phalloplasty patients, to complete dressing changes for the phallus and donor site,) and help with food, transportation, laundry and other household chores, and errands. The caregiver may also need to help with caring for any children or pets.\u003c\/p\u003e\n\u003ch3\u003eEmotional support:\u003c\/h3\u003e\n\u003cp\u003eThey will need a lot of emotional support, especially those who are phalloplasty patients and will be lying flat for most of the time for four weeks after the first stage. Ask what it looks like when they feel low so you can recognize the signs.\u003c\/p\u003e\n\u003cp\u003eWe strongly recommend that you read the resources relevant to your friend or loved one’s surgery we have compiled, to be better prepared for your role.\u003c\/p\u003e\n\u003ch2\u003eHow long do I need to help?\u003c\/h2\u003e\n\u003cp\u003eThe primary caregiver should be present at all times for three weeks after hospital discharge. After that, a caregiver should be available (not necessarily present) 24 hours a day for two more weeks. “Being available” means coming to help within 30 minutes when needed.\u003c\/p\u003e\n\u003ch3\u003eStart with the basics:\u003c\/h3\u003e\n\u003cp\u003eBefore surgery, help your friend or loved one prepare for their return home. This may include helping them clean or declutter their space so they can return to a calm and safe living environment. You might want to help with grocery shopping or help preparing nutritious meals that can be frozen and heated later. When a person knows they are cared for, it reduces stress and helps with healing, and it also just feels good.\u003c\/p\u003e\n\u003ch3\u003eTake on household chores:\u003c\/h3\u003e\n\u003cp\u003eFor the first few weeks post-discharge, they will need help with basic household chores. You might want to ask if you can assist with them. This might include grocery shopping, cooking, changing sheets, rearranging pillows, laundry, vacuuming, taking out rubbish, watering house plants, and pet care such as changing litter boxes, pet walking or picking up pet supplies. They might appreciate the offer of a ride to and from their spiritual gathering place (church or temple).\u003c\/p\u003e\n\u003ch3\u003eAssist with medical appointments:\u003c\/h3\u003e\n\u003cp\u003eUntil your they can resume normal daily activities, they may need help in driving to and from any medical appointments and picking up medication from pharmacies. Make yourself available for help with transportation.\u003c\/p\u003e\n\u003ch3\u003eKeep a running list for medical professionals:\u003cbr\u003e\n\u003c\/h3\u003e\n\u003cp\u003eThere is a significant amount of information that is provided to any patient upon discharge from surgery. It is difficult to remember all the questions patients want to ask their doctors. Help them by keeping a running list of questions or concerns that they want to discuss with their doctors, nurses, therapist or other medical or health professionals.\u003c\/p\u003e\n\u003ch3\u003eWatch for changes:\u003c\/h3\u003e\n\u003cp\u003eYou provide an important role in helping them heal during their recovery. Keep an eye out for changes that others—including the patient—might miss. Although not expected any complications from surgery and side effects from medication must be addressed promptly.\u003c\/p\u003e\n\u003ch3\u003eProvide emotional support:\u003c\/h3\u003e\n\u003cp\u003eMany patients have been looking forward to this surgery for years. But that does not mean that their recovery from surgery will be free from feelings of frustration, fear, or doubt. Ongoing support and encouragement will be very helpful during this process (Remember you may need emotional support too).\u003c\/p\u003e\n\u003cp\u003eBeing a caregiver can be an emotionally and physically draining task. Clear and direct communication will be helpful. Take time for yourself during this process, too. Caring for yourself is one of the most important things you can do as a caregiver. When your needs are taken care, the friend or loved one you are helping will benefit too. Make sure that you have scheduled breaks, free from these temporary responsibilities. If you are the primary support person, it bis important to take regular time to be alone or to go out and do something you enjoy. There may be other people who would be more than happy to help if they knew what was needed, so just ask.\u003c\/p\u003e\n\u003ch3\u003ePreparing yourself:\u003c\/h3\u003e\n\u003cul\u003e\n\u003cli\u003eSeeing someone you care about feeling pain or discomfort can be hard, and taking on extra responsibilities can, at times, be stressful.\u003c\/li\u003e\n\u003cli\u003eThis is a temporary and normal part of the process of care giving, and it can be made easier by reflecting in advance about what’s ahead and thinking of ways to also care for yourself during this time.\u003c\/li\u003e\n\u003cli\u003eBe a positive distraction. Distractions help people manage pain, avoid boredom, and recover more quickly. This can include listening to an audio book together, going on walks, sending texts and pictures, and dropping in for short visits.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003ch3\u003eQuestions for Caregivers to think about:\u003c\/h3\u003e\n\u003cul\u003e\n\u003cli\u003eHow do I feel about assisting my friend or loved one to the toilet, to bathe, or to dress?\u003c\/li\u003e\n\u003cli\u003eAm I comfortable providing wound care?\u003c\/li\u003e\n\u003cli\u003eWhat will I do to support myself if I feel overwhelmed?\u003c\/li\u003e\n\u003cli\u003eWhat are my strengths as a caregiver?\u003c\/li\u003e\n\u003cli\u003eDo I understand what is being asked of me?\u003c\/li\u003e\n\u003cli\u003eWhat are my needs and limits?\u003c\/li\u003e\n\u003cli\u003eHave I communicated my limits and boundaries?\u003c\/li\u003e\n\u003cli\u003eWhat conversations do I still need to have with my loved one before their surgery?\u003c\/li\u003e\n\u003cli\u003eWhat will I need to do to take care of myself while I am providing care for someone else?\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp\u003eIt’s also helpful to remember that your role isn’t to be a magician and fix everything or make all pain or discomfort disappear – it is just to be with your friend or family member on their healing journey.\u003c\/p\u003e\n\u003cp\u003eJust knowing someone understands can be a really big help. Even though it doesn’t “fix” anything, empathy creates connection and makes it just a little easier to live through the harder parts of healing.\u003c\/p\u003e\n\u003ch3\u003eCaregiver and support people considerations:\u003c\/h3\u003e\n\u003cul\u003e\n\u003cli\u003eI have scheduled time to take care of myself (eat, shower, have some quiet alone time, participate in meaningful activities or go to work). Yes\/No\u003c\/li\u003e\n\u003cli\u003eI have a good sense of what to expect leading up to, during, and after my friend or loved one’s surgery. Yes\/No\u003c\/li\u003e\n\u003cli\u003eI have spoken with my family or loved one and we have the same understanding about what kind of support I will be providing. Yes\/No\u003c\/li\u003e\n\u003cli\u003eI feel as prepared as I can be to handle supporting someone after they have surgery. Yes\/No\u003c\/li\u003e\n\u003cli\u003eI feel as prepared as I can be to care for myself during this time. Yes\/No\u003c\/li\u003e\n\u003cli\u003eI have a plan for what to do if I feel stressed while my friend or loved one is healing from surgery. Yes\/No\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp\u003eLook at the self-care section that follows; self-care is important and applies equally to all support people.\u003c\/p\u003e\n\u003ch2\u003eGender-affirming surgery: the importance of self-care for patients and caregivers\u003c\/h2\u003e\n\u003ch3\u003eAbout self-care:\u003c\/h3\u003e\n\u003cp\u003eMaking sure that we take time for ourselves is one of the most important aspects of living a full and emotionally healthy life. Unfortunately, these activities of self-care are often the first things that drop off our daily “to-do” list when life gets stressful. Committing to self-care activities may assist both your loved one in their physical and emotional recovery, and you can also use them too, to help you to look after yourself as a support person.\u003c\/p\u003e\n\u003ch3\u003eWhat is self-care?\u003c\/h3\u003e\n\u003cp\u003eSelf-care is any activity that you consciously do to tend to your mental, emotional, and physical needs. They are fun, enjoyable, or relaxing activities that replenish you.\u003c\/p\u003e\n\u003ch3\u003eWhat are some barriers to self-care?\u003c\/h3\u003e\n\u003cp\u003eYou might not engage in activities of self-care for a variety of reasons. You might think that it feels selfish. You might think that self-care is indulgent. Sometimes, financial limitations restrict our ability to even brainstorm a list of self-care activities.\u003c\/p\u003e\n\u003ch3\u003eRemember this:\u003c\/h3\u003e\n\u003cp\u003eSelf-care is necessary and not selfish. It may feel indulgent and that can be good. Most importantly, the vast majority of self-care activities are free!\u003c\/p\u003e\n\u003ch3\u003eSome self-care activities:\u003c\/h3\u003e\n\u003cul\u003e\n\u003cli\u003eRead a library book\u003c\/li\u003e\n\u003cli\u003eMeditate\u003c\/li\u003e\n\u003cli\u003ePrioritize sleep\u003c\/li\u003e\n\u003cli\u003eEat a healthy, nutritious diet\u003c\/li\u003e\n\u003cli\u003eCook something new\u003c\/li\u003e\n\u003cli\u003eLaugh with friends\u003c\/li\u003e\n\u003cli\u003eWrite an uplifting letter to a friend\u003c\/li\u003e\n\u003cli\u003eKeep a gratitude journal\u003c\/li\u003e\n\u003cli\u003eTake a hot shower\/bath\u003c\/li\u003e\n\u003cli\u003eGo for a walk\u003c\/li\u003e\n\u003cli\u003eExplore a new area of town\u003c\/li\u003e\n\u003cli\u003eListen to your favourite songs\u003c\/li\u003e\n\u003cli\u003eWatch your favourite movie\u003c\/li\u003e\n\u003cli\u003eTalk with a friend—in person!\u003c\/li\u003e\n\u003cli\u003eDe-clutter your closet or home\u003c\/li\u003e\n\u003cli\u003eHave a picnic with a friend\u003c\/li\u003e\n\u003cli\u003eGo to counselling\u003c\/li\u003e\n\u003cli\u003eLight candles or an oil diffuser\u003c\/li\u003e\n\u003cli\u003eLie outside and watch the clouds\u003c\/li\u003e\n\u003cli\u003ePamper yourself – dress in your favourite clothes or wear comfy clothes to help you relax\/feel better, wear your favourite makeup, eat your favourite comfort food, get a haircut, moisturize your body.\u003c\/li\u003e\n\u003cli\u003eEat the rainbow! Getting a balanced, nutritious diet with lots of fruit and vegetables will help your mind and body feel its best.\u003c\/li\u003e\n\u003cli\u003eStimulate your senses - smell something (perfume, a flower), taste something (something strong flavoured or something you really like), listen to something (nature sounds or music), touch something (fabric, a furry pet, a teddy bear), stimulate your vision (by looking at a colour you like or pics of baby animals).\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp\u003eAdd your own ideas to this list! Try to complete at least one activity of self-care each day. Make sure it is intentional, replenishing, and enjoyable!\u003c\/p\u003e\n\u003ch2\u003eTips to help with an anxiety attack:\u003c\/h2\u003e\n\u003cp\u003eLook around you and find:\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003eFive things can see\u003c\/li\u003e\n\u003cli\u003eFour things you can touch\u003c\/li\u003e\n\u003cli\u003eThree things you can hear\u003c\/li\u003e\n\u003cli\u003eTwo things you can smell\u003c\/li\u003e\n\u003cli\u003eOne thing you can taste.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp\u003eThis is called grounding. It can help when you feel you have lost all control of your surroundings or are feeling overwhelmed.\u003c\/p\u003e\n\u003ch3\u003eSight:\u003c\/h3\u003e\n\u003cp\u003eTo engage your sense of sight, here are some ideas:\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003eLook at every little detail on a family photo on the wall.\u003c\/li\u003e\n\u003cli\u003eFocus on a small object, such as a pencil or coffee mug, and identify every colour and shape.\u003c\/li\u003e\n\u003cli\u003eLook at the sky for clouds, birds, sunrises, or anything else you can spot around.\u003c\/li\u003e\n\u003cli\u003eFocus your attention on a plant or flower and how it moves with the wind.\u003c\/li\u003e\n\u003cli\u003eObserve a pet while they play or rest.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp\u003eYou can pick large or small items to focus on. Once you choose an object, try to notice the colour, texture, and patterns.\u003c\/p\u003e\n\u003ch3\u003eTouch:\u003c\/h3\u003e\n\u003cp\u003e\u003cspan\u003eActivating your sense of touch can help distract you from anxious thoughts and may help you to decrease \u003c\/span\u003e\u003ca href=\"https:\/\/psychcentral.com\/anxiety\/panic-attack-symptoms\" aria-describedby=\"a11y-external-message\"\u003ethe physical signs of anxiety\u003c\/a\u003e\u003c\/p\u003e\n\u003cp\u003eYou might want to try these exercises:\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003ePut your hands under running water, alternating between warm and cold temperatures every 30 seconds, or try holding an ice cube.\u003c\/li\u003e\n\u003cli\u003eFocus on how your clothing feels on your body or how your hair feels on your head.\u003c\/li\u003e\n\u003cli\u003eTouch different body parts by pressing down and holding for 30 seconds before moving to a different area.\u003c\/li\u003e\n\u003cli\u003eTouch the furniture in your living area and focus on its texture. For example, take notice of a smooth table.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003ch3\u003eHearing:\u003c\/h3\u003e\n\u003cp\u003eFocusing on external sounds can help ground you in the moment.\u003c\/p\u003e\n\u003cp\u003eHere are some noises to notice:\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003ea barking dog\u003c\/li\u003e\n\u003cli\u003ea stomach rumbling\u003c\/li\u003e\n\u003cli\u003ea clock ticking\u003cbr\u003etraffic outside\u003c\/li\u003e\n\u003cli\u003ea car, bus, or motorcycle engine\u003c\/li\u003e\n\u003cli\u003emusic\u003c\/li\u003e\n\u003cli\u003econversation\u003c\/li\u003e\n\u003cli\u003ebirds singing\u003c\/li\u003e\n\u003cli\u003ethe wind blowing\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003ch3\u003eSmell:\u003c\/h3\u003e\n\u003cp\u003eTo incorporate smell into your grounding techniques, you may want to try these tips:\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003eWalk into your bathroom and sniff a bar of soap or shampoo.\u003c\/li\u003e\n\u003cli\u003eLight a scented candle.\u003c\/li\u003e\n\u003cli\u003eDiffuse a scented oil.\u003c\/li\u003e\n\u003cli\u003eTake in simple smells around you, such as the scent of a pillow on the couch or a pencil\u003c\/li\u003e\n\u003cli\u003eWalk outside and breathe deeply through your nose. Maybe you will smell fresh cut grass or flowers blooming.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003ch3\u003eTaste:\u003c\/h3\u003e\n\u003cp\u003eTry to pick something that you can easily taste, such as:\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003ea piece of gum\u003c\/li\u003e\n\u003cli\u003ea mint\u003c\/li\u003e\n\u003cli\u003ecoffee\u003c\/li\u003e\n\u003cli\u003esugar and salt\u003c\/li\u003e\n\u003cli\u003ea piece of food\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp\u003eYou don’t actually have to taste these items if you don’t have them on hand. Instead, try thinking about the distinct flavours as you remember them.\u003c\/p\u003e\n\u003ch3\u003eA few more grounding tips:\u003c\/h3\u003e\n\u003cul\u003e\n\u003cli\u003e\n\u003ch3\u003eBreathe:\u003c\/h3\u003e\n\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp style=\"padding-left: 40px;\"\u003eTry what’s called “Boxed Breathing,” in which you’ll breathe in for four seconds, hold for four seconds, breathe out for four seconds, hold for four seconds, and so on until you feel grounded. You can also tighten your muscles and release them while breathing, focusing on your breath, and practicing mindfulness all the way through.\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003e\n\u003ch3\u003eStretch:\u003c\/h3\u003e\n\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp style=\"padding-left: 40px;\"\u003eYou can perform light stretches while you focus on your breath as well, paying close attention to the physical sensations that arise from the activity.\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003e\n\u003ch3\u003eExercise:\u003c\/h3\u003e\n\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp style=\"padding-left: 40px;\"\u003eExercise, again with an emphasis on the physicality of your exertions, is an effective way to get back into your body. Whether simple jumping jacks, a long run on a favourite trail, or even a gentle walk around the block- feeling the sensations of exercise on your body can bring you back from a place of panic.\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003e\n\u003ch3\u003eMindfulness:\u003c\/h3\u003e\n\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp style=\"padding-left: 40px;\"\u003eWhether you engage your senses through a “five, four, three, two, one exercise,” — where you identify five objects, four different sounds, three textures, two smells, and one taste — or by simply focusing your awareness on the present moment and bodily sensation, it’s important to draw your attention to the present.\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003e\n\u003ch3\u003eSenses:\u003c\/h3\u003e\n\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp style=\"padding-left: 40px;\"\u003eFocus on a particular sensation like holding an ice cube and noticing what it feels like or smelling an essential oil.\u003c\/p\u003e\n\u003ch3\u003eOr you could try following the three-three-three rule:\u003c\/h3\u003e\n\u003cp\u003eLook around you and name three things you see. Then, name three sounds you hear. Finally, move three parts of your body — your ankle, fingers, or arm.\u003c\/p\u003e\n\u003cp\u003eLastly, if you are feeling really down it’s important to get as much support as possible, including professional support.\u003c\/p\u003e\n\u003ch3\u003eYou can:\u003c\/h3\u003e\n\u003cul\u003e\n\u003cli\u003eFree \u003cstrong\u003e\u003ca href=\"tel:1737\" title=\"call 1737\" aria-describedby=\"a11y-new-window-external-message\" rel=\"noopener\" target=\"_blank\"\u003ecall\u003c\/a\u003e\u003c\/strong\u003e or\u003cspan\u003e \u003c\/span\u003e\u003cstrong\u003e\u003ca href=\"sms:1737\" title=\"text 1737\" aria-describedby=\"a11y-new-window-external-message\" rel=\"noopener\" target=\"_blank\"\u003etext 1737\u003c\/a\u003e\u003c\/strong\u003e\u003cspan\u003e \u003c\/span\u003eanytime for support from a trained counsellor\u003c\/li\u003e\n\u003cli\u003eOutline: call\u003cspan\u003e \u003c\/span\u003e\u003cstrong\u003e\u003ca rel=\"noopener\" aria-describedby=\"a11y-new-window-external-message\" title=\"call 0800 688 5463\" href=\"tel:08006885463\" target=\"_blank\"\u003e0800 688 5463\u003c\/a\u003e\u003c\/strong\u003e\u003cspan\u003e \u003c\/span\u003ebetween 6pm and 9pm to talk to a trained volunteer from the LGBTIQ+ community. Call\u003cspan\u003e \u003c\/span\u003e\u003ca rel=\"noopener\" title=\"call (09) 972 0054\" href=\"tel:099720054\" aria-describedby=\"a11y-new-window-external-message\" target=\"_blank\"\u003e\u003cstrong\u003e(09) 972 0054\u003c\/strong\u003e\u003c\/a\u003e\u003cspan\u003e \u003c\/span\u003eto talk to the counselling team.\u003c\/li\u003e\n\u003cli\u003eLifeline: Free text HELP (\u003cstrong\u003e\u003ca rel=\"noopener\" aria-describedby=\"a11y-new-window-external-message\" title=\"text 4357\" href=\"sms:4357\" target=\"_blank\"\u003e4357\u003c\/a\u003e\u003c\/strong\u003e) Call 0800 LIFELINE \u003ca rel=\"noopener\" aria-describedby=\"a11y-new-window-external-message\" title=\"Call 0800 543 354\" href=\"tel:0800543354\" target=\"_blank\"\u003e\u003cstrong\u003e0800 543 354\u003c\/strong\u003e\u003c\/a\u003e\n\u003c\/li\u003e\n\u003cli\u003eSuicide Crisis Helpline:\u003cspan\u003e \u003c\/span\u003e\u003ca rel=\"noopener\" aria-describedby=\"a11y-new-window-external-message\" title=\"call 0508 828 865\" href=\"tel:0508828865\" target=\"_blank\"\u003e\u003cstrong\u003e0508 828 865\u003c\/strong\u003e\u003c\/a\u003e\u003cspan\u003e\u003cspan\u003e \u003c\/span\u003e\u003c\/span\u003e(0508 TAUTOKO)\u003c\/li\u003e\n\u003cli\u003eHealthline:\u003cspan\u003e \u003c\/span\u003e\u003ca rel=\"noopener\" aria-describedby=\"a11y-new-window-external-message\" title=\"Call 0800 611 116\" href=\"tel:0800611116\" target=\"_blank\"\u003e\u003cstrong\u003e0800 611 116\u003c\/strong\u003e\u003c\/a\u003e\n\u003c\/li\u003e\n\u003cli\u003eDepression Helpline:\u003cspan\u003e \u003c\/span\u003e\u003ca rel=\"noopener\" aria-describedby=\"a11y-new-window-external-message\" title=\"Call 0800 111 757\" href=\"tel:0800111757\" target=\"_blank\"\u003e\u003cstrong\u003e0800 111 757\u003c\/strong\u003e\u003c\/a\u003e\u003cspan\u003e or \u003c\/span\u003efree text\u003cstrong\u003e\u003cspan\u003e \u003c\/span\u003e\u003ca rel=\"noopener\" aria-describedby=\"a11y-new-window-external-message\" title=\"text 4202\" href=\"sms:4202\" target=\"_blank\"\u003e4202\u003c\/a\u003e\u003c\/strong\u003e (to talk to a trained counsellor about how you are feeling or to ask questions)\u003c\/li\u003e\n\u003cli\u003eYouthline: F\u003cspan\u003eree text \u003c\/span\u003e\u003cstrong\u003e\u003ca rel=\"noopener\" aria-describedby=\"a11y-new-window-external-message\" title=\"text 234\" href=\"sms:234\" target=\"_blank\"\u003e234\u003c\/a\u003e\u003c\/strong\u003e. Call\u003cspan\u003e \u003c\/span\u003e\u003cstrong\u003e\u003ca rel=\"noopener\" aria-describedby=\"a11y-new-window-external-message\" title=\"call 0800 376 633\" href=\"tel:0800376633\" target=\"_blank\"\u003e0800 376 633\u003c\/a\u003e\u003c\/strong\u003e; email\u003cspan\u003e \u003c\/span\u003e\u003cstrong\u003e\u003ca rel=\"noopener\" title=\"talk@youthline.co.nz\" href=\"mailto:talk@youthline.co.nz\" aria-describedby=\"a11y-new-window-external-message\" target=\"_blank\"\u003etalk@youthline.co.nz\u003c\/a\u003e\u003c\/strong\u003e\n\u003c\/li\u003e\n\u003cli\u003eTalk to your GP\u003c\/li\u003e\n\u003c\/ul\u003e","brand":"HealthEd","offers":[{"title":"Default Title","offer_id":48876505170148,"sku":"HE1294","price":0.0,"currency_code":"NZD","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0102\/6916\/3582\/files\/HE1294.png?v=1778022331","url":"https:\/\/healthed.govt.nz\/products\/faq-sheet-for-caregivers-and-support-people-he1294","provider":"HealthEd","version":"1.0","type":"link"}