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For Families

Support for relatives, partners, friends and caregivers who are helping a loved one through serious illness, treatment choices, grief and advance care planning.

Support the person you love without losing yourself.

Support for relatives, partners, friends and caregivers who are helping a loved one through serious illness, treatment choices, grief and advance care planning.

Caregiver support

Courses, burnout support and practical guides

A caregiver can be a family member, friend, neighbour or paid helper who assists someone with a serious or long-term illness. Caregiving may include daily tasks, appointments, home routines and emotional presence.

Caregiver burden is a real risk. The resources below include burnout guidance, caregiver training, grief support and practical guides to the dying process.

Rights and decisions

Withholding or withdrawing life-sustaining care

The National Health Act requires informed consent before health services are provided. If a patient cannot give informed consent, consent may be given by a person mandated in writing, someone authorised by law or court order, or the next person in the statutory family order.

Mandated persons or next of kin are legally empowered to make medical decisions on the patient's behalf, including decisions about withholding or withdrawing life-sustaining treatment. Their preferences should be respected as if the patient were making the decision. The Section 7 Mandate and advance directives section below explains how to document that authority.

Where possible, appoint the trusted person in writing before a crisis. Then share the document and the person's wishes widely with family and healthcare providers.

Advance directives

Legal status and practical value

A Section 7 Mandate is explicitly mentioned in the National Health Act of 2003 and is a legally binding way to appoint a healthcare decision-maker. A living will is not explicitly named in South African law, but it can still guide the mandated person, next of kin and healthcare team when the person cannot speak for themselves.

DignitySA helped initiate the multi-stakeholder Advance Directives Coalition in 2025 to strengthen the legal basis for advance directives in South Africa.

Conversation starters

Begin with values, not only medical choices

There is never a perfect time to begin end-of-life care planning, and it is also never too early. DignitySA recommends starting with values and quality of life before moving to technical decisions such as resuscitation or specific treatments.

  • What gives your life purpose and meaning?
  • What physical or mental abilities make the things you love possible?
  • If sight, hearing or mobility changed, how might that affect healthcare choices?
  • Where would you want to be on the last day of your life, and who would you want with you?
  • Would you want spiritual, cultural or relational support at the end?
  • How do you want to be remembered?

We can help point you in the right direction.

If you cannot find what you are looking for, contact DignitySA and we will do our best to connect you with the right information or support.

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