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The 10 Most Common Complaints from Family Caregivers

Experts share some of the biggest issues caregivers face and how to resolve them


a person holds an umbrella against icons representing various caregiving complaints
Robert Samuel Hanson

For all of the unpaid work that family caregivers do for loved ones — valued at a whopping $600 billion in the U.S. — it may seem as if they would have a lot to complain about.

And they do.

But those complaints are rarely voiced and because of that, solutions are not readily shared. To remedy this, AARP reached out to three experts — each of whom has authored books on family caregiving — to learn what they believe are the 10 most common complaints from caregivers, and what can be done about them.

1. Complaint: Dealing with uncertainty. As a family caregiver, you never know what problem is going to transpire with your loved one during the next year, month, week, day, hour, or minute, says Allison Applebaum, a clinical psychologist and author of Stand by Me: A Guide to Navigating Modern, Meaningful Caregiving, whose primary focus is addressing the unmet needs of family caregivers.That uncertainty often results in a shared uncertainty for the caregiver who typically has problems deciding when to take time off — or even when to take a needed vacation.

Resolution: Think strategically. Determine what you have control over — and what you don’t, says Applebaum. “Ask: what can you do today to give yourself a break?” she suggests. By capitalizing on the present moment — instead of trying to control the future — you’ll enjoy much more success as a caregiver, she says.

2. Complaint: Balancing multiple responsibilities. There are so many things in life to delicately balance along with the parent or spouse whom you are caring for. Like your kids. Or your job. And your own private time, too. “This is a very real challenge because there are only 24 hours in a day,” says Applebaum.

Resolution: Delegate whenever possible. Applebaum suggests that all caregivers create two lists for themselves. One list is things only they can do;  the other is things that can be delegated — such as food shopping or lawn care. Then, she says, go out and delegate things from the second list. Be very specific about the chores you want handled. The more detailed you are about what you need (like: mow front and back yards weekly) the more likely you are to find someone to do it, she says.

3. Complaint: Paying unexpected expenses. Not only are most family caregivers unpaid, but many feel as if they are always reaching into their own pockets to cover items their loved one’s need. “There are so many expenses that come up, and they come as a surprise,” says Applebaum.

Resolution: Speak to a social worker. If the patient doesn’t have a social worker associated with their medical care team, you can request one, says Applebaum. This social worker should be knowledgable enough about family caregiving to help get them connected to possible financial resources and programs that can help offset the cost of caregiving expenses. If struggling to find a social worker, AARP caregiving experts suggest contacting the local Area Agency on Aging which should have a social worker or case worker familiar with services in their specific county. Some services in AAAs can even help with financial assistance and often have higher income thresholds for qualifying than the state’s Medicaid program.

4. Complaint: Handling complex medical tasks. Caregivers are increasingly being asked to shoulder complex tasks that were once only performed by trained professionals, says Applebaum. This includes everything from giving medical injections to changing urine bags on a catheter. Some caregivers are even being asked to manage tube feedings.

Resolution: Get help from a pro. Applebaum suggests asking a nurse to demonstrate the medical tasks until you feel reasonably comfortable doing them.  Even then, if there is  something the patient can’t do for themselves — and you are utterly uncomfortable doing it — find someone else to help, such as a home health aide, she says, although aides can be pricey. 

5. Complaint: Stressful healthcare proxy duties. Among the most important duties for caregivers is taking on the role of healthcare proxy. You might even be asked, at some point, to advocate for your parent by making critical healthcare decisions if the parent can’t speak for themselves. The pressure is magnified even more when the extended caregiving team — including siblings — is not on the same page with what the parent wants.

Resolution: Reach out to others. If the patient is unable to communicate, it’s important that the caregiver speak with other members of the family or care network and ask, “What would our loved one want in this situation?” Make the best decision based on what you and your family members know about your loved one’s values, says Applebaum. 

6. Complaint: Dealing with non-compliance to medical advice. It’s one thing for a doctor to give advice. It can be something else, entirely, for a stubborn loved one to actually follow it. This can be something as simple as a refusal to drink enough water — or eat healthfully. This can cause extreme angst for caregivers who can’t understand why someone they love is choosing to ignore sound medical advice.

Resolution: Explore what’s really going on. First, check if there is an underlying issue that might be causing medical non-compliance, suggests Liz O’Donnell, founder of Working Daughter, a company that helps working women balance eldercare and their jobs. Perhaps the patient detests plain water but will drink it if it’s flavored. Or maybe they dislike whatever you’re feeding them and the menu can be changed. If the patient is declining to take medications that the doctor ordered, perhaps it’s simply too hard for them to swallow the pill and it can be cut in half. These simple actions can sometimes help resolve issues, says O’Donnell, who is also the author of Working Daughter: A Guide to Caring for Your Aging Parents While Making a Living

7. Complaint: Dealing with hands-off siblings. Many caregivers who devote their lives to caregiving for their parents hear comments like this from their siblings: “Aren’t you an angel? I don’t know how you do it!”  Or, perhaps, even, “Isn’t caregiving a blessing?”

Resolution: Speak up. When a sibling paints you as an “angel” for your caregiving, they are actually minimizing what you do, says O’Donnell. If your siblings are 100 percent disinterested in participating in actual caregiving, it’s not worth the effort to try to get them interested. “We can’t assume that our siblings see things the way we do,” says O’Donnell. But it may be worth the effort to ask them to help financially with the caregiving costs.

8. Complaint: Dealing with guilt. Family caregivers who give repeatedly of their time, money, and emotions, are also the family members most likely to feel guilt about so many things, says Nancy Kriseman, a licensed clinical social worker who specializes in elder care issues and the author of The Mindful Caregiver: Finding Ease in the Caregiving Journey. Sometimes it’s for taking time off, she says. Sometimes it’s for not bringing a parent along on a rare vacation. Sometimes it’s feeling guilty about moving a parent out of their home and into a care facility.

Resolution: Learn to set boundaries. “Know that your guilt comes out of your care and concern,” says Kriseman. That’s why caregivers have to learn to sometimes practice “tough love,” for example, by saying no to parents they are caring for who might ask to come along on a trip.

9. Complaint: Caregiving is more challenging than I thought. One of the biggest complaints comes from adult children who think that they can bring a parent to live in their home and find a way to care for them — only to discover it’s much more difficult than they imagined it would be, says Kriseman. Only after their folks have moved in do they discover that it’s wreaking havoc with their own family. “People don’t realize the amount of stress involved and how the home essentially turns into a nursing home because the person has been brought into it,” she says.

Resolution: Take smart steps for help. Develop a circle of support to help you deal with the enormous emotional challenge of family caregiving, says Kriseman. This support can be from a religious institution or from those family members who care most.  You might also seek respite services from a professional caregiver so your loved one can get care while you recharge.  

10. Complaint: Dealing with end-of-life issues is hard. When the person who you are caring for gets seriously ill or is declining in health — way beyond your ability to help them — it can be extremely difficult to let go of the caregiving duties and place them in hospice, says Kriseman. “I see families holding on and holding on, who don’t want to let go of their patient,” she says.

Resolution: Don’t wait. Many caregivers don’t know when to request hospice assistance. As a result, they often wait too long to do it. Key is not to wait until the issue overwhelms you and the patient, says Kriseman. “Nothing is harder than dealing with end-of-life issues.” Hospice can help with a variety of health struggles. Seek help early.

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