Help your friend keep an active role in the friendship by asking advice opinions and questions even if you dont get the response you expect.

What to say to friend with stage 4 cancer. Are you thinking about them. Acknowledge what has been said. Youre on my mind and in my heart.

Remember each person is different and hearing other peoples stories may scare your friend or loved one. Are you sorry that they are going through this. Ask before you visit.

Offer to watch the kids or walk the dog. Notice cues from the person and respond to these. If the listener says Oh thats depressing lets not talk about dying it can isolate the person who is ill making them feel they should not be thinking.

Here are some examples of what to write in card if someone you care about has just been diagnosed with cancer. Im here for you my friend. Friends and family say to me they dont know what to do or say.

Choose positive hopeful words but dont give people false hope or talk about other peoples cancer outcomes. Ask your friend if theyre having any discomfort. So this is an opportunity for education.

Ask permission to raise sensitive topics. If someone tells you that they have cancer you should never tell anyone else unless they have given you permission. Saying this to someone with stage 4 cancer comes across as dismissive of the seriousness of their diagnosis.