Breast Checks: Breast Cancer Support and After Care

Welcome to the

Women’s Wellness Hub

Topics on this Page:

Why check my own breasts?

How often should I do a breast check myself?

Is it ok just to get Dr to do a breast check?

Where go to do them in Australia?

What if I am rural?

What to expect when go to get check?


This web page is designed to be informative and educational. It is not intended to provide specific medical advice or replace advice from your health practitioner.

All about Breast Checks

Why check my own breasts?

Early detection of breast cancer saves lives. Knowing the look and feel of your own

breasts through regular self-checks helps you to detect any changes. Not all

changes will be cancerous but be vigilant and see your GP for advice if you are

concerned.

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How often should I do a breast check myself?

Monthly is good but sometimes it can be as simple as seeing something on the tele

that reminds you or hearing a conversation and you realise you haven’t checked

your breasts for a while. Maybe a friend has just been diagnosed. Use reminders on

your phone if you would like.

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Is it ok just to get Dr to do a breast check?

The best way to early detection is really to know the look and feel of your own

breasts. Your Dr may never offer a breast check so really it is up to the individual to

know what is normal for them.

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Where go to do them in Australia?

You can ask a GP for a breast examination

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What if I am rural?

Your GP, the visiting women's health nurse.

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What to expect when go to get check?

You will be asked to remove your clothing from the waist up, including your bra. In a

sitting position you will raise your arms above your head and then possibly be asked

to place your hands on your hips. The GP will be looking for anything that looks

unusual in the shape, size, colour of the breast or nipple.

The GP may then ask you to place your hand on their shoulder and they might feel

under your arm on both sides. This is when they are feeling for your lymph nodes.

You may then be asked to lie down and they may place some gentle pressure on the

breast and feel the tissue.

Some clinicians will feel this in a clockwise pattern and others will sweep the breast.

This may also be done when you are sitting up. Each person that examines a breast

has their own way of examining but this should be done in a private area where the

patient feels comfortable.

You will be asked questions about your breasts at this time as the Drs or nurses are

not familiar with the look and feel of your breasts and may ask if certain features are

"normal" for you. For example, some women have nipple retraction and have had it

all their lives. If this is normal for them a clinician would not be concerned about this,

however if this is a change to one nipple over the past month this would warrant

further investigation.

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What if I find a lump?

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Should I keep notes or photos of changes?

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When Should I askfor a mammogram?

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When do I need to have a mammogram?

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Will is the procedure going into have a mammogram?

-appointment with nurse

- led into the room for check

- machine involved

- imagery

- how quickly get an answer

- what if asked back?

- what is a biopsy and why?

- what will happen after biopsy

- what happens if they detect cancer

-how do I get a gene checkto see if I have the breastcancer gene? etc

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Women's Wellness Hub Directory

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Legal and emotional challenges

Top Tips for Blended Families

October 03, 20247 min read

Blended families

If you are part of a blended family, you know that whilst it can be so wonderful, it can present a unique set of legal considerations and potential relationship challenges.

In family law, a 'Blended family', also known as a stepfamily, is a family unit where at least one child is the biological or adopted child of only one parent, and not both. This usually happens when two separate families come together, often through marriage or de facto relationships.

Approximately 12% of couple families with dependent children were classified as either step-families or blended families in the 2021 Australian Federal Census.

Of these, step-families comprised 8% of all couple families with dependent children (182,229 families), while blended families made up 4% (99,564 families).

Legal tips to consider for Blended Families

When families merge through new relationships, forming a ‘blended family’, a range of unique legal scenarios can arise. Understanding these can help ensure everyone’s rights and responsibilities are upheld.

In Australia, The Family Law Act 1975 sets out the rights and responsibilities of parents and step-parents, including matters related to children’s living arrangements, financial support, and decision-making.

Additionally, state and territory laws may also apply in specific situations.

While the fundamental principles of family law remain consistent between a traditional and blended family, their application can vary in blended families:

-       Step-parent generally don’t have the same automatic parental rights as biological parents. However, if you live with your stepchildren and their parent, you have a responsibility to care for them as you would your own children. This includes providing for their basic needs, ensuring their safety and well-being and contributing generally to their upbringing. It may, in some instances, also include financial obligations.

-       Parental rights in a blended family are usually primarily based on what is in the best interests of the child (as required for a traditional family).

-       While biological parent’s parental rights and responsibilities are clearly defined under The Family Law Act (custody, decision making and financial support) these rights can be recognised by the Family Courts if the step-parent has been a very significant caregiver or if there are formal agreements made between the biological parents and the step-parent through court orders or agreements.

-       Step-parents may need to seek court orders for parental responsibility or establish their standing through de facto relationships.

Child Support Payments and Blended Families

-       In most cases, the amount of child support that a person or their former partner is liable to pay will not change if they remarry or enter into a new relationship. You should however carefully check with child support as it is a complex calculation.

-       A parent can successfully change their child support assessment by showing special circumstances for example if they are supporting other children (it will potentially reduce their capacity to pay child support).

-       If you have an existing child support agreement and your family situation changes due to a new relationship, it’s important to review and potentially update the agreement.

-     If the child's birth mother remarries and her new partner wants to adopt the child, the birth parents are usually responsible for raising the child. The new stepfather is not liable for children who are not his biological children, and the biological parent may still be required to make regular child support contributions.

Adopting a step-child

-     One of the most significant legal steps that a step-parent can take is to adopt their step-child. This is a complex process that involves a number of legal steps, but it can provide many benefits for both the child and the step-parent. Adoption gives the step-parent legal recognition as the child’s parent and provides them with the same rights and responsibilities as a biological parent.

-     There are different laws and rules of eligibility that need to be complied with in order to adopt. You should seek legal advice.

Wills & Estates for Blended Families

When someone with a blended family passes away and leaves their entire estate or a large part of it to some family members, but not to others, it can put their estate at risk of an excluded family member(s) can legally challenge the distribution of the deceased person's assets.

Family members who are not adequately provided for in a Will are often entitled and eligible to make a claim against the deceased person's estate, even if they are not blood related.

 

Custody when a blended family relationship breaks down

Custody arrangements in blended families usually rely on the existing custody agreements or orders from previous relationships. The child’s biological or adoptive parents usually hold primary custody rights, determining where the child lives and making major decisions about their upbringing.

However, step-parents can obviously play a significant role in a child’s life, and arrangements for visitation or shared care can still be negotiated or ordered by the court.

These arrangements are often made with the child’s best interests as the paramount consideration. Factors like the child’s age, their relationship with each parent and step-parent, and the stability of each household are all considered. Communicating openly with all parties involved is crucial to create a plan that works for everyone.

 We recommend you seek legal advice in relation to any of these more complex 'blended family' issues.

Key Emotional Challenges of blended family

The first step to improving your blended family problems is to identify if things aren’t blending well. Here are some signs to look out for:

  • Step-siblings don’t get along and there is a lot of fighting or lack of any communication/interraction

  • When jealousy rears its head between the children or even partners and their step child

  • Family gatherings and meal time are tense and uncomfortable

  • When parenting styles don’t align and you cannot agree on rules for the household

  • When the children develop new behavioural issues

  • Your step children wont listen or respect your authority.

  • Your step-children only ask their biological parent for permission and help and don't come to you - or vice versa with your partner.

  • When there is an obvious split in the household rather than a ‘blend’

  

Tips to Resolving Blended Family Problems

Don’t panic. It can take some time and there are strategies you can you take to address the issues you may have mixing your families.

Show a united front

Children will usually be led by their parent’s example and if you and your partner aren’t completely unified, chances are the kids will follow. Make sure that you and your partner put in the effort to stay consistent and act together. Don’t contradict each other’s rules or negate each other’s parenting styles.

It may take a lot of long, even difficult, conversations to get on the same page about the rules and standards you want to put in place for your household. This is an effort that is not only worth making but is absolutely critical to make in order to allow your blended family to truly blend.

Respect the old ways

Transitioning to a blended family can feel very threatening for children who may fear the loss of a previous life that they were attached to. Respect the traditions that you had before to give them more comfort.

Start new family traditions

Find common ground between what both sides of the family like for example pizza night Tuesday and BBQ Sunday. Let your kids take an active part and even lead the way forward so they feel invested in and excited by their family’s future instead of alienated by it.

It won’t just happen overnight

Change takes time. Respect and validate each others feelings, especially the children. Try to have really calm open communication - talk things out openly instead of sweeping them under the rug. You’re all in this together, and the process may understandably take some time to get a happy rhythm.

Family Counselling help

Sometimes family problems go beyond what you can be addressed at home. A Family Counsellor can really assist families to find strategies to work together to resolve issues and find ways to work together and better communicate.

Utilising family dispute mediation services can also be beneficial.   These services provide a supportive and neutral environment for families to discuss and resolve conflicts, with the aim of reaching a mutually agreed outcome.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

blended familiesadoption of step childwillsfamily willsstep parent willstep child
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