How do I start talking about advanced cancer with my loved one at home?

A good way to begin is with a gentle, open question rather than trying to cover everything at once. You might say, “Would it help to talk about what matters most to you at home?” or “Is there anything you want us to plan together for the coming weeks?” Choose a quiet time when the person is reasonably comfortable and not tired after an appointment. Listen more than you speak, and allow pauses. Some people want to talk straight away, while others need several shorter conversations. It can also help to write down key points afterwards, including preferences about comfort, routines, visitors, and who should be involved in decisions.