Redefining Self-Care for Aging Loved Ones

By Roz Jones

Self-care remains important at every stage of life, but the way it is practiced often changes with age. For aging loved ones, wellness may no longer be centered around long days filled with activities, extensive exercise routines, or elaborate plans. Instead, self-care may involve protecting energy, maintaining meaningful connections, supporting physical abilities, getting adequate rest, and continuing to participate in the parts of life that provide comfort and purpose.

Relaxation can certainly include peaceful activities, but supporting well-being also requires attention to sleep, movement, social connection, independence, and the changing needs that often accompany aging.

Healthy aging is not about maintaining the exact routines or abilities a person had years ago. It is about creating opportunities for older adults to continue supporting their physical, mental, and social well-being in ways that reflect their health and abilities today. The Centers for Disease Control and Prevention continues to define healthy aging as maintaining physical, mental, and social health and well-being as people grow older.

Making Rest Part of Healthy Aging

Rest is sometimes treated as something that must be earned after everything else has been completed. For aging adults, however, adequate rest should be considered part of maintaining health rather than an interruption to productivity.

Changes in sleep patterns are common with age, but poor sleep should not automatically be dismissed as a normal part of getting older. Sleep supports physical recovery, cognitive functioning, mood, and overall health. Current CDC guidance recommends that adults age 65 and older generally receive seven to eight hours of sleep each day.

New CDC data released in April 2026 also showed that sleep challenges remain common among American adults. About three in ten adults reported sleeping fewer than seven hours, while approximately one in six reported difficulty falling asleep and one in five reported difficulty staying asleep.

For aging loved ones, persistent changes in sleep may deserve attention, particularly when they are accompanied by daytime fatigue, changes in mood, confusion, pain, frequent nighttime waking, or changes in medication. Caregivers can help by noticing patterns and sharing concerns with the appropriate healthcare professional rather than assuming sleep difficulties must simply be accepted.

A calm evening routine, comfortable sleeping environment, consistent schedule, and opportunities to wind down can become simple but meaningful parts of an older adult’s self-care routine.

Supporting Movement Without Creating Pressure

Physical activity continues to play an important role in healthy aging. It can support strength, balance, mobility, independence, sleep, and overall well-being. The National Institute on Aging notes that older adults can benefit from aerobic activity, muscle-strengthening exercises, and activities that improve balance.

Self-care through movement, however, should reflect the aging loved one’s abilities.

A person who once enjoyed long walks may now benefit from shorter walks throughout the day. Someone who cannot comfortably walk long distances may be able to participate in chair exercises, stretching, or another form of movement recommended by their healthcare team. Gardening, dancing, household activities, and other everyday movement may also contribute to an active lifestyle.

The emphasis should remain on maintaining function and enjoyment rather than meeting an unrealistic expectation.

Caregivers should also remain attentive to changes that affect safe movement. Arthritis, balance concerns, shortness of breath, dizziness, pain, medication changes, or recovery from illness may all influence what an aging loved one can safely do. Movement can remain part of self-care without becoming another area where an older adult feels pressured to perform.

Protecting Social and Emotional Well-Being

Self-care is not limited to what someone does alone.

Relationships, companionship, community involvement, and a sense of belonging remain important parts of well-being throughout aging. Yet older adults can become increasingly vulnerable to social isolation because of retirement, loss of a spouse or friends, health concerns, transportation limitations, hearing loss, decreased mobility, or living far from family.

The National Institute on Aging continues to warn that loneliness and social isolation can affect the physical, mental, cognitive, and emotional health of older adults. In June 2026, the agency released an updated outreach toolkit specifically designed to help older adults, caregivers, and healthcare professionals address these concerns.

Research supported by the National Institute on Aging has also strengthened concerns about the relationship between loneliness and cognitive health. A large analysis reported in 2025 found that feeling lonely was associated with a 31 percent increased risk of developing dementia.

Supporting social well-being does not require filling every day with activities. Regular conversations with family, visits with friends, participation in faith communities, senior programs, hobbies, volunteer opportunities, or simply spending time with familiar people can help an aging loved one remain connected.

The quality of the connection matters more than creating a busy social calendar.

Preserving Independence as Part of Self-Care

As caregiving responsibilities increase, families may begin doing more for an aging loved one. Some assistance becomes necessary for safety, health, or daily functioning, but providing care should not automatically mean removing every opportunity for independence.

Being able to make choices can remain an important part of an older adult’s dignity and emotional well-being.

Self-care may include choosing what to wear, deciding what meal sounds appealing, selecting an activity, helping prepare part of a meal, participating in household routines, or deciding how to spend an afternoon.

The level of participation will naturally vary depending on physical and cognitive abilities. What matters is continuing to include the aging loved one in decisions whenever possible.

Caregiving should provide assistance where it is needed without unnecessarily taking over the areas where the person can still participate.

Self-Care Should Reflect the Individual

There is no universal self-care routine for aging adults.

Some people enjoy quiet mornings.

Others feel most energized when surrounded by family.

Some enjoy music, gardening, prayer, reading, exercise, or creative activities. Others may simply appreciate sitting outdoors or enjoying a familiar television program.

Health conditions also influence what relaxation and self-care look like. Someone living with dementia may respond well to familiar music and routines. A person with limited mobility may need activities that can be enjoyed while seated. Someone managing chronic pain may need more rest between activities. An aging loved one recovering from hospitalization may have entirely different needs than they had several months earlier.

Self-care is most effective when it is responsive rather than prescribed.

Families can pay attention to what leaves their loved one feeling comfortable, connected, interested, or refreshed and build from there.

Supporting Wellness Without Taking Over

Caregivers can play an important role in encouraging healthy habits, but aging loved ones should remain active participants in their own well-being whenever possible.

Instead of creating an entire self-care schedule for someone, families can provide choices and remove barriers that make participation difficult. Transportation may make it possible to attend a favorite activity. An accessible chair may make sitting outdoors more comfortable. A phone or tablet may make it easier to communicate with distant relatives. Assistance preparing a meal may allow an aging loved one to continue participating in a familiar family tradition.

These adjustments allow support to complement independence rather than replace it.

They also recognize that well-being is not simply something caregivers provide to an aging loved one. It is something families can help make possible.

Allowing Self-Care to Evolve With Age

In Nurturing Self-Care Elegance for Our Aging Loved Ones on National Relaxation Day, we explored activities such as enjoying peaceful mornings, spending time in nature, journaling, listening to music, and incorporating gentle movement into the day.

Those activities can continue to provide meaningful opportunities for relaxation.

What becomes increasingly important as loved ones age is allowing those practices to evolve.

The morning walk may become time sitting outdoors. Journaling may become recording memories or telling stories to a family member. Exercise may become a gentle movement based on current abilities. A favorite social activity may require transportation or additional assistance.

The form may change while the purpose remains the same.

Self-care for aging loved ones is ultimately about supporting quality of life. Rest, movement, social connection, independence, emotional well-being, and meaningful activities all contribute to a broader understanding of wellness.

As care needs evolve, families can continue creating opportunities for their aging loved ones to rest, participate, connect, and experience the parts of life that continue to bring comfort and meaning.

Prepare for Your Next Trip

Planning to travel with an aging loved one? Download the free Vacationing with an Aging Loved One Checklist to help you prepare for medications, mobility needs, comfort, safety, and unexpected changes.

Tune in to The Caregiver Café Podcast

Coping Tips For the Overwhelmed Caregiver

In this episode of The Caregiver Café with Roz Jones, Roz is talking about something many caregivers know all too well: feeling overwhelmed while caring for an aging loved one.

Caregiving can be an all-consuming and demanding role. Between doctor’s appointments, medications, meals, daily routines, work responsibilities, and trying to care for yourself, it can start to feel like too much. But Roz reminds caregivers that overwhelm does not always mean you are failing. Sometimes it means you need a better system, more support, and a little more preparation.

Roz breaks down practical coping tips caregivers can use to reduce stress and create more breathing room in their day. She talks about the power of routines, using a calendar or planner, writing down appointments, preparing in advance, and building in extra time so caregivers are not always rushing from one thing to the next.

Give Yourself a Moment of Grace

Caregiving includes demanding days, unexpected changes, and moments of connection that may be easy to overlook. Moments of Grace offers encouragement to caregivers who need a reminder to pause and recognize the meaningful moments along the journey.

Preparing for hurricane season?

The Caregiver Hurricane Preparedness Checklist.

Are you preparing for hurricane season? Purchase the Caregiver Hurricane Preparedness Checklist to organize the information and supplies your family may need before severe weather arrives.

Subscribe to The Caregiver Cafe Weekly Newsletter!

Caregiving can be a roller coaster of ups and downs. The information that you will receive from The Caregiver Cafe Weekly Specials Newsletter will support you as a caregiver. Remember…

1. YOU ARE NOT ALONE: The problems you face as a caregiver are experienced by other caregivers. Knowing that you’re not alone can be comforting. 

2. Tools and Resources:  Find caregiver stress management tools and gain perspective from other caregiver’s experiences.

3. LEARN TO: Ask for help, accept help when it is offered, and acknowledge yourself on this caregiving journey. Hear from experts on how to balance caregiving responsibilities by taking care of your needs and involving others to help manage the natural stress and isolation of being a caregiver. 

Rest Can Look Different as Care Needs Change

By Roz Jones

Relaxation can become increasingly difficult to define as caregiving responsibilities change. Activities that once felt restorative may no longer fit an aging loved one’s physical abilities, energy level, health needs, or daily routine. At the same time, caregivers may discover that their own opportunities for rest have become more limited as the level of assistance they provide increases.

For caregivers and aging loved ones, maintaining well-being often requires adjusting expectations around what relaxation should look like. A meaningful experience does not have to involve a full day away from home, an elaborate activity, or a carefully planned outing. Relaxation can be incorporated into everyday life in ways that consider current abilities, preferences, health concerns, and the caregiver’s capacity.

As aging changes the caregiving relationship, relaxation can change with it.

Adapting Activities to Changing Abilities

Many older adults experience changes in strength, mobility, balance, endurance, hearing, vision, or cognition over time. These changes can affect how comfortably they participate in activities that were once part of their regular routine.

A long walk through a park may eventually require a shorter route with accessible seating. An afternoon outing may work better when scheduled earlier in the day, when energy levels are higher. Large family gatherings may become tiring, making smaller visits more enjoyable. Even familiar activities may need modifications as health conditions or physical limitations develop.

Adapting an activity does not reduce its value. In many cases, those adjustments allow an aging loved one to continue participating in experiences they enjoy without creating unnecessary physical strain.

Physical activity can remain an important part of healthy aging when it is appropriate for the individual. Current public health guidance continues to emphasize aerobic activity, muscle strengthening, and activities that support balance for adults age 65 and older. However, health conditions and individual abilities should always be considered when determining what type and level of activity are appropriate.

The purpose of movement should not be to force an aging loved one to maintain the abilities they had years ago. It should support mobility, independence, comfort, and quality of life at the level that is appropriate now.

Finding Rest in Familiar Activities

Relaxation is often associated with vacations, spa days, meditation, or other activities intentionally set aside for rest. While these experiences can be beneficial, they are not the only ways caregivers and aging loved ones can create restorative moments.

Familiar activities can provide comfort without requiring extensive preparation. Listening to favorite music, watching a familiar television program, sitting outdoors, completing a puzzle, looking through family photographs, tending to plants, or preparing a simple meal can offer opportunities for enjoyment and connection.

These quieter activities can become especially valuable when leaving home requires significant preparation or when an aging loved one tires easily.

Familiarity can also provide emotional comfort as other parts of life change. Favorite routines, foods, music, photographs, and traditions can preserve a sense of continuity when health concerns or caregiving needs begin changing the structure of everyday life.

For individuals living with dementia or other forms of cognitive decline, familiar experiences may also provide opportunities for engagement without requiring them to recall specific information or complete complicated tasks.

Preserving Social Connection During Aging

Changes in health and independence can gradually affect an aging loved one’s social life. Retirement, loss of friends or a spouse, transportation difficulties, chronic illness, hearing or vision changes, and decreased mobility can all reduce opportunities for regular interaction with other people.

Social connection remains an important part of healthy aging. The National Institute on Aging continues to identify loneliness and social isolation among older adults as health concerns associated with increased risks for conditions including depression, heart disease, and cognitive decline.

Maintaining connection does not require a crowded social calendar. Small and familiar interactions may be more comfortable for an aging loved one who tires easily or becomes overwhelmed in large groups.

Visits with family members, conversations with friends, activities through a faith community, senior programs, adult day services, or other community-based opportunities can help older adults remain connected. Phone calls and video conversations may also provide additional connection for individuals who cannot easily leave home.

Social activities are most beneficial when they reflect the aging loved one’s interests, personality, and comfort level rather than becoming another responsibility added to the caregiving schedule.

Making Room for the Relationship Beyond Caregiving

As an aging loved one begins requiring more assistance, the relationship between caregiver and care recipient can gradually become centered around tasks.

Conversations may revolve around medications, appointments, meals, transportation, symptoms, and upcoming responsibilities. Time together can begin to feel structured around what needs to be completed rather than the relationship that existed before caregiving became necessary.

Shared relaxation can create opportunities to reconnect outside of those responsibilities.

Watching a favorite movie together, preparing a family recipe, sitting outdoors, listening to music, or looking through photographs can provide moments when the caregiver is not simply providing care and the aging loved one is not simply receiving it.

Those moments can help preserve parts of the relationship that caregiving responsibilities may otherwise overshadow.

A caregiver may still be a daughter, son, spouse, sibling, grandchild, or friend. An aging loved one remains more than the collection of health concerns that now require assistance.

Creating room for enjoyable experiences can help both people remember that.

Recognizing the Caregiver’s Need for Restoration

Caregiver wellness must remain part of the conversation about relaxation.

Family caregivers frequently manage responsibilities beyond hands-on care. Medical appointments, medication management, transportation, household responsibilities, meals, finances, family communication, and coordination with healthcare providers can all become part of the caregiving workload.

Adding elaborate activities intended to promote relaxation can sometimes create another responsibility rather than relieve one.

Caregivers do not need to create the perfect experience for an aging loved one every time they spend time together. Relaxation should not become another caregiving standard that must be met.

There may be days when a simple activity at home is enough. There may be days when an aging loved one prefers to rest rather than participate in an outing. There may also be times when the caregiver needs another person to provide companionship or supervision so they can step away.

Respite care, adult day programs, family assistance, community services, and other forms of caregiver support can provide opportunities for caregivers to restore their own energy while ensuring their loved one continues receiving appropriate care.

The National Family Caregiver Support Program continues to support services for family caregivers in 2026, including respite care, counseling, caregiver education, information, and assistance accessing available resources. Local aging agencies and Aging and Disability Resource Centers can also help families identify programs available within their communities.

Rest should not be reserved for the point when a caregiver has nothing left to give.

Letting Relaxation Reflect the Present

One of the more difficult adjustments in caregiving can be accepting that an aging loved one may no longer be able to participate in activities exactly as they once did.

Families may remember vacations they enjoyed together, long afternoons shopping, favorite restaurants, community events, or traditions that once required little planning. Changes in mobility, stamina, cognition, or health can make those same experiences more difficult.

Continuing to pursue meaningful experiences does not require recreating the past.

A favorite restaurant meal can become takeout at home. A long afternoon outdoors can become an hour on the porch or in a nearby park. A family celebration can become a smaller gathering. Travel can become a local day trip. Activities can become shorter, simpler, and more accessible while still preserving the parts that matter most.

Allowing relaxation to evolve helps families focus on what remains possible instead of measuring every experience against what an aging loved one used to be able to do.

Creating Meaningful Rest in Every Season of Care

In Embracing Elegance and Ease: Unwind with Graceful Relaxation Ideas for Caregivers and Aging Loved Ones, we explored shared activities such as mindfulness, meals, time outdoors, creative expression, and other ways caregivers and aging loved ones can make room for relaxation.

Those ideas can continue to support connection and well-being, but they may need to change as the caregiving journey progresses.

Meaningful relaxation is not determined by how elaborate an activity is or how closely it resembles what a family enjoyed in the past. It is determined by whether the experience supports the aging loved one’s current abilities, provides genuine enjoyment or comfort, and fits within the caregiver’s capacity.

Caregiving changes with time. Health changes. Energy changes. Independence changes. Family routines change.

Rest can change too.

Creating space for relaxation means allowing those moments to reflect the life, abilities, and needs that exist now while continuing to preserve connection, dignity, and quality of life for both the caregiver and the aging loved one.

Prepare for Your Next Trip

Planning to travel with an aging loved one? Download the free Vacationing with an Aging Loved One Checklist to help you prepare for medications, mobility needs, comfort, safety, and unexpected changes.

Tune in to The Caregiver Café Podcast

Coping Tips For the Overwhelmed Caregiver

In this episode of The Caregiver Café with Roz Jones, Roz is talking about something many caregivers know all too well: feeling overwhelmed while caring for an aging loved one.

Caregiving can be an all-consuming and demanding role. Between doctor’s appointments, medications, meals, daily routines, work responsibilities, and trying to care for yourself, it can start to feel like too much. But Roz reminds caregivers that overwhelm does not always mean you are failing. Sometimes it means you need a better system, more support, and a little more preparation.

Roz breaks down practical coping tips caregivers can use to reduce stress and create more breathing room in their day. She talks about the power of routines, using a calendar or planner, writing down appointments, preparing in advance, and building in extra time so caregivers are not always rushing from one thing to the next.

Give Yourself a Moment of Grace

Caregiving includes demanding days, unexpected changes, and moments of connection that may be easy to overlook. Moments of Grace offers encouragement to caregivers who need a reminder to pause and recognize the meaningful moments along the journey.

Preparing for hurricane season?

The Caregiver Hurricane Preparedness Checklist.

Are you preparing for hurricane season? Purchase the Caregiver Hurricane Preparedness Checklist to organize the information and supplies your family may need before severe weather arrives.

Subscribe to The Caregiver Cafe Weekly Newsletter!

Caregiving can be a roller coaster of ups and downs. The information that you will receive from The Caregiver Cafe Weekly Specials Newsletter will support you as a caregiver. Remember…

1. YOU ARE NOT ALONE: The problems you face as a caregiver are experienced by other caregivers. Knowing that you’re not alone can be comforting. 

2. Tools and Resources:  Find caregiver stress management tools and gain perspective from other caregiver’s experiences.

3. LEARN TO: Ask for help, accept help when it is offered, and acknowledge yourself on this caregiving journey. Hear from experts on how to balance caregiving responsibilities by taking care of your needs and involving others to help manage the natural stress and isolation of being a caregiver. 

Creating Calm in a Caregiving Home

By Roz Jones

Creating a peaceful caregiving environment involves more than finding time for meditation, relaxation, or an occasional break. The physical environment itself can have a significant impact on how caregivers and aging loved ones move through their daily routines. When a home becomes crowded with medical supplies, paperwork, mobility equipment, medications, household responsibilities, and reminders of everything that still needs to be completed, that environment can contribute to an already demanding caregiving experience.

For caregivers of aging loved ones, reducing household chaos is not about maintaining a perfectly organized home. It is about creating an environment that supports safety, accessibility, comfort, and more manageable caregiving routines. As an aging loved one’s needs change, the home may need to change with them.

Creating a Safer Environment for Aging Loved Ones

Clutter can become more than an organizational concern when an aging loved one experiences changes in mobility, balance, vision, strength, or cognition. Items that were once easy to navigate around may eventually become obstacles that increase the risk of falls or injury.

The National Institute on Aging recommends evaluating the homes of older adults for safety and accessibility, particularly for those who plan to remain at home as they age. Loose rugs, electrical cords, unnecessary furniture, poor lighting, and crowded pathways are among the household concerns families may need to address.

These changes do not always require major renovations. Creating wider pathways between furniture, keeping frequently traveled areas clear, improving lighting, and relocating objects that create tripping hazards can make everyday movement easier and safer.

Caregivers should periodically reassess the home as their loved one’s abilities change. A room arrangement that worked several years ago may no longer support someone who now uses a walker, wheelchair, or other mobility device.

Organizing the Information That Comes With Caregiving

Caregiving often generates an enormous amount of information. Medication lists, insurance documents, medical records, appointment instructions, emergency contacts, care plans, and information from multiple healthcare providers can quickly become scattered throughout the home.

Creating a consistent system for caregiving information can make daily responsibilities easier to manage. Important documents can be stored in one designated location, while frequently used medical or personal care supplies can be organized where they are easily accessible to the people providing care.

This becomes particularly important when caregiving responsibilities are shared. A family member, respite caregiver, home health aide, or other support person should be able to locate essential information without depending entirely on the primary caregiver.

Medication organization also deserves careful attention. Aging loved ones experiencing dementia or other cognitive changes may require additional safeguards around medications and potentially dangerous household items. As abilities change, storage systems may need to change as well.

An organized caregiving system does not need to be elaborate. It needs to be consistent, understandable, and easy for the people involved in the care plan to use.

Reducing Clutter Without Removing Familiarity

Decluttering the home of an aging loved one requires sensitivity.

A home is more than a collection of furniture and belongings. Photographs, artwork, books, decorations, and keepsakes often hold decades of memories. Removing too much in the name of organization can leave an aging loved one feeling as though control over their own environment is disappearing.

The goal should be to reduce unnecessary clutter while preserving the familiar items that provide comfort and connection.

Frequently used areas can remain functional without becoming sterile. Dining tables can be kept clear enough for meals and medication routines while still displaying meaningful items. Glasses, hearing aids, mobility devices, keys, and other frequently used belongings can be assigned consistent locations to reduce unnecessary searching.

Consistency can become especially valuable for aging loved ones experiencing memory changes. Familiar surroundings and predictable locations for everyday items may help reduce confusion while allowing the home to continue feeling personal.

Household Chaos Can Include the Calendar

Physical clutter is only one form of chaos caregivers manage.

Medical appointments, prescription refills, grocery shopping, transportation, meal preparation, household maintenance, family communication, and personal responsibilities can create a caregiving calendar that feels just as crowded as the home.

Caregivers may also be balancing employment, parenting, their own medical needs, relationships, or responsibilities for more than one aging loved one. The Centers for Disease Control and Prevention continues to recognize that caregiving can affect physical, emotional, psychological, and financial well-being.

Reducing this type of chaos may require examining which responsibilities can be combined, delegated, rescheduled, or removed altogether.

Medical appointments might be coordinated when possible. Another family member may be able to handle transportation or prescription pickups. Grocery delivery or meal preparation assistance may reduce another recurring responsibility. Family updates can be shared through one designated person or communication system rather than requiring the primary caregiver to repeatedly provide the same information.

A calmer caregiving routine is often created by simplifying what must be managed rather than becoming more efficient at managing an unreasonable number of responsibilities.

Protecting Space for the Caregiver

When caregiving takes place at home, the boundaries between caregiving and personal life can gradually disappear. Medical supplies may occupy one room, paperwork another, and reminders of upcoming responsibilities may be visible throughout the house.

Creating even a small area that is not centered around caregiving can provide an important separation.

This does not require a dedicated room. A comfortable chair, a corner of a bedroom, a porch, or another small area can become a space where caregiving paperwork and supplies are intentionally kept away.

Having a place to read, pray, journal, listen to music, enjoy a cup of coffee, or simply sit without completing another caregiving task can help the home continue to serve the caregiver as well as the person receiving care.

Rest should not always require leaving the house.

Sharing Household Responsibilities Is Caregiver Support

Household tasks are often treated as separate from caregiving, but they directly affect caregiver capacity.

Laundry, cleaning, meals, grocery shopping, errands, and household maintenance require time and energy. When the primary caregiver becomes responsible for all of those tasks in addition to providing hands-on care, the workload can become increasingly difficult to sustain.

Family members and other supporters do not necessarily need caregiving experience to provide meaningful help. Preparing meals, handling laundry, purchasing groceries, organizing supplies, completing errands, or spending time with an aging loved one can remove responsibilities from the primary caregiver’s workload.

Community resources can also become part of the support plan. Depending on eligibility and location, caregivers may have access to respite services, adult day programs, aging services, home care programs, transportation resources, caregiver education, or support groups.

Veterans and their caregivers may also have access to additional assistance through the Department of Veterans Affairs. In 2026, the VA Caregiver Support Program continues to provide services that can include caregiver education, coaching, peer support, referrals, and respite-related resources for eligible veterans and families.

Maintaining the Aging Loved One’s Role in the Home

Creating a safer and more organized caregiving environment should not mean taking control of the home away from the aging loved one.

Whenever possible, changes should include their participation.

Decisions about removing belongings, rearranging furniture, organizing personal items, or changing familiar routines should consider both safety and personal preference. An aging loved one may agree that a walkway needs to be cleared while still wanting certain photographs, furniture, or meaningful belongings nearby.

Those preferences matter.

A caregiving environment can become safer without becoming clinical. It can become more organized without losing its warmth. Most importantly, an aging loved one should still be able to recognize the space as their home.

Creating Calm Through the Caregiving Environment

In Calm & Chaos: Cleaning up Chaos to Induce Calm, we explored activities caregivers and aging loved ones can share to encourage relaxation, including meditation, nature walks, creative expression, gentle movement, storytelling, and intentional moments of rest.

Those activities can continue to play an important role in caregiver wellness.

Creating calm, however, also requires looking at the environment and systems surrounding caregiving. A safer walkway, an organized location for medications and paperwork, a more manageable schedule, clearly divided household responsibilities, and space for the caregiver to rest can reduce some of the unnecessary pressure surrounding everyday care.

Caregiving will always include responsibilities that cannot simply be organized away. Aging brings changes that families cannot always predict or control.

What families can do is create an environment that responds to those changes with greater intention.

Reducing chaos is not about creating the perfect home or the perfect caregiving routine. It is about removing unnecessary barriers so that the home continues to support the aging loved one’s safety and dignity while also protecting the caregiver’s ability to provide care.

Prepare for Your Next Trip

Planning to travel with an aging loved one? Download the free Vacationing with an Aging Loved One Checklist to help you prepare for medications, mobility needs, comfort, safety, and unexpected changes.

Tune in to The Caregiver Café Podcast

Coping Tips for the Overwhelmed Caregiver

In this episode of The Caregiver Café with Roz Jones, Roz is talking about something many caregivers know all too well: feeling overwhelmed while caring for an aging loved one.

Caregiving can be an all-consuming and demanding role. Between doctor’s appointments, medications, meals, daily routines, work responsibilities, and trying to care for yourself, it can start to feel like too much. But Roz reminds caregivers that overwhelm does not always mean you are failing. Sometimes it means you need a better system, more support, and a little more preparation.

Roz breaks down practical coping tips caregivers can use to reduce stress and create more breathing room in their day. She talks about the power of routines, using a calendar or planner, writing down appointments, preparing in advance, and building in extra time so caregivers are not always rushing from one thing to the next.

Give Yourself a Moment of Grace

Caregiving includes demanding days, unexpected changes, and moments of connection that may be easy to overlook. Moments of Grace offers encouragement to caregivers who need a reminder to pause and recognize the meaningful moments along the journey.

Preparing for hurricane season?

The Caregiver Hurricane Preparedness Checklist.

Are you preparing for hurricane season? Purchase the Caregiver Hurricane Preparedness Checklist to organize the information and supplies your family may need before severe weather arrives.

Subscribe to The Caregiver Cafe Weekly Newsletter!

Caregiving can be a roller coaster of ups and downs. The information that you will receive from The Caregiver Cafe Weekly Specials Newsletter will support you as a caregiver. Remember…

1. YOU ARE NOT ALONE: The problems you face as a caregiver are experienced by other caregivers. Knowing that you’re not alone can be comforting. 

2. Tools and Resources:  Find caregiver stress management tools and gain perspective from other caregiver’s experiences.

3. LEARN TO: Ask for help, accept help when it is offered, and acknowledge yourself on this caregiving journey. Hear from experts on how to balance caregiving responsibilities by taking care of your needs and involving others to help manage the natural stress and isolation of being a caregiver. 

Strong, Steady and Living Well at Every Age

By Roz Jones

Movement can become more important as we age, but the way we approach fitness may need to change. Understanding how to build a routine that can continue as the body, health, and caregiving situation change is really important.

Healthy aging is not about trying to move like someone twenty years younger. It is about maintaining the strength, flexibility, balance, and confidence needed to continue participating in daily life. For some aging adults, that may mean attending a weekly exercise class. For others, it may mean walking to the mailbox, tending to a garden, preparing a meal, or getting out of a chair without assistance.

Every form of meaningful movement deserves to be recognized.

Let Daily Life Guide the Fitness Goals

Fitness goals for aging adults should reflect what they want and need to continue doing.

A traditional exercise goal may focus on walking a certain distance, completing a specific number of repetitions, or exercising for a set number of minutes. Those goals can be useful, but they do not always show how movement is improving an aging loved one’s quality of life.

A more meaningful goal may be having enough stamina to attend a grandchild’s school program. It may be maintaining the strength needed to get in and out of the car. It may be improving balance so an aging loved one feels safer moving through the home.

Connecting exercise to daily activities can make movement feel more purposeful. Instead of presenting fitness as another responsibility, caregivers can help aging loved ones understand how staying active may support the independence and experiences that matter to them.

Ask your loved one what they would like to continue doing.

Ask what has become more difficult.

Ask what activity they miss.

The answers can help guide a fitness routine that feels personal rather than imposed.

Build a Routine That Leaves Room for Change

Consistency supports progress, but rigid expectations can make exercise difficult to maintain.

An aging loved one may feel energetic one morning and tired the next. Arthritis, chronic pain, medication changes, medical appointments, poor sleep, and emotional stress can all affect their ability to participate.

A flexible routine gives them several ways to remain active without ignoring what their body is communicating.

On a higher-energy day, they may take a longer walk, attend a class, swim, or complete a light strength-training routine. On a day when energy is limited, seated exercises, gentle stretches, or a short walk through the home may be more appropriate.

Rest is also part of a healthy routine.

A missed workout does not mean the plan has failed. It may simply mean the body needed something different that day. The goal is to create a routine that can be adjusted without being abandoned.

Protect Strength for Everyday Independence

Strength training is not reserved for athletes or younger adults. It can help aging loved ones preserve the ability to complete ordinary activities safely and with less assistance.

Muscle strength supports standing, climbing steps, carrying groceries, using the bathroom, getting dressed, and recovering balance after a stumble. As muscle mass naturally decreases with age, light resistance exercises may help slow that decline.

Strength training does not always require a gym membership or heavy equipment. Depending on an individual’s health and abilities, exercises may include light hand weights, resistance bands, wall push-ups, seated leg lifts, or carefully practiced chair stands.

The focus should remain on safe, controlled movement rather than lifting heavier weights or completing more repetitions.

Caregivers should also avoid assuming that an exercise is safe simply because it appears easy. A healthcare provider, physical therapist, or qualified senior fitness professional can help determine which activities are appropriate, particularly when an aging loved one has mobility limitations, heart concerns, osteoporosis, balance problems, or other medical conditions.

Make Balance Part of the Plan

Balance can influence whether an aging loved one feels confident moving through the world.

A fall, or even the fear of falling, can change a person’s behavior. An aging loved one may begin avoiding stairs, outdoor walks, social activities, or certain areas of the home. Over time, moving less may contribute to additional weakness and make them feel even less steady.

Balance activities can help strengthen the muscles and coordination needed for safer movement. Depending on the person’s abilities, this may include practicing heel raises while holding a sturdy chair, shifting weight from one foot to the other, walking heel to toe with support nearby, or participating in tai chi.

The home should support these efforts.

Loose rugs, cluttered walkways, poor lighting, slippery surfaces, and unstable furniture can increase fall risks. Supportive shoes, clear pathways, secure handrails, and frequently used items placed within easy reach can make movement safer.

Fitness and home safety should work together. Building strength is important, but aging loved ones also need an environment that allows them to use that strength confidently.

Make Movement Enjoyable Enough to Continue

The best exercise routine is not necessarily the most advanced one. It is the one an aging loved one feels comfortable returning to.

Some people enjoy structured classes. Others prefer gardening, dancing, walking through a shopping center, stretching while watching television, or moving to music from another season of their life.

There is no need to force an activity that creates frustration or embarrassment when another option may offer the same benefit.

Caregivers can also make movement more enjoyable by participating. A short walk can become an opportunity to talk. Gardening can become shared time outdoors. Dancing to a favorite song can bring back memories and laughter.

When movement is connected to enjoyment, companionship, and personal interests, it is less likely to feel like another medical instruction.

Know When to Pause

Exercise should challenge the body appropriately, but it should not be used to push an aging loved one beyond what is safe.

Caregivers should pay attention to symptoms such as chest pain, severe shortness of breath, dizziness, sudden weakness, confusion, or sharp and persistent pain. These symptoms should not be dismissed as a normal part of getting older.

Changes in behavior may also provide important information. An aging loved one who suddenly avoids walking, favors one side of the body, appears unusually tired, or struggles with an activity they previously completed may need further evaluation.

When something does not look or feel right, stop the activity and contact an appropriate healthcare professional.

Supporting movement also means respecting the body’s warning signs.

Keep Movement Possible During Travel and Emergencies

Vacations, family visits, severe weather, and emergencies can interrupt familiar routines.

During travel, aging loved ones may spend long periods sitting in a vehicle or airplane. They may be staying in an unfamiliar environment with different stairs, flooring, furniture, and bathroom arrangements. Mobility equipment may also be harder to access or transport.

Caregivers can prepare by planning regular movement breaks, packing supportive shoes and mobility aids, choosing accessible accommodations, and allowing more time between activities.

Emergency preparation is equally important. During hurricanes or other severe weather events, families may need to relocate, remain indoors, or manage extended disruptions. Having medications, medical information, mobility equipment, emergency contacts, and essential supplies organized in advance can help caregivers focus on their loved one’s immediate safety.

Movement may look different during these situations, but gentle stretching, seated exercises, and short periods of walking may help reduce stiffness when they can be completed safely.

Celebrate Progress Without Comparison

Aging loved ones should not feel as though their worth is tied to how quickly they improve or how closely they resemble the person they were years ago.

Progress may be gradual.

There may be setbacks.

A health condition may change what is possible.

Some weeks may involve more rest than movement.

Encouragement should recognize effort without creating pressure. Celebrate the walk to the end of the driveway. Celebrate the willingness to try a new class. Celebrate improved balance, greater confidence, or the decision to begin again after an illness.

Do not compare your loved one to another person their age.

Do not compare today’s body to a younger version of the same person.

Honor what the body can do now and continue looking for safe ways to support it.

Living Well Is the Real Goal

Age-defying fitness is not about denying that aging brings change. It is about refusing to believe that change eliminates the possibility of strength, joy, connection, or personal growth.

Movement can help aging loved ones remain involved in their care and connected to the activities they value. It can support physical health while also strengthening confidence and emotional well-being.

The goal is not to chase youth.

The goal is to continue living well.

That may mean moving more slowly, choosing different activities, accepting support, or adjusting expectations. None of those changes make the effort less meaningful.

Every walk, stretch, dance, and carefully completed movement can become an investment in dignity, independence, and quality of life.

For more ways to help an aging loved one remain active, read the previous blog, Age-Defying Fitness: Exercising for Joyful Aging.

Prepare for Your Next Trip

Planning to travel with an aging loved one? Download the free Vacationing with an Aging Loved One Checklist to help you prepare for medications, mobility needs, comfort, safety, and unexpected changes.

Tune in to The Caregiver Café Podcast

What to Know About the Cost of Prescriptions

In this episode of The Caregiver Café with Roz Jones, Roz is talking about something many seniors and caregivers are feeling at the pharmacy counter: the rising cost of prescription medications.

As aging loved ones begin taking more medications, those costs can add up quickly. One prescription may not seem like much, but when there are several medications involved, the monthly total can become overwhelming for seniors, families, and caregivers trying to manage care on a fixed income.

Roz breaks down practical ways caregivers can help reduce the cost of prescriptions. She talks about asking doctors about generic medications, looking for less expensive brand-name options, using mail-order pharmacy services, reviewing Medicare drug plans during annual enrollment, and checking for state or manufacturer assistance programs.

Give Yourself a Moment of Grace

Caregiving includes demanding days, unexpected changes, and moments of connection that may be easy to overlook. Moments of Grace offers encouragement to caregivers who need a reminder to pause and recognize the meaningful moments along the journey.

Preparing for hurricane season?

The Caregiver Hurricane Preparedness Checklist.

Are you preparing for hurricane season? Purchase the Caregiver Hurricane Preparedness Checklist to organize the information and supplies your family may need before severe weather arrives.

Subscribe to The Caregiver Cafe Weekly Newsletter!

Caregiving can be a roller coaster of ups and downs. The information that you will receive from The Caregiver Cafe Weekly Specials Newsletter will support you as a caregiver. Remember…

1. YOU ARE NOT ALONE: The problems you face as a caregiver are experienced by other caregivers. Knowing that you’re not alone can be comforting. 

2. Tools and Resources:  Find caregiver stress management tools and gain perspective from other caregiver’s experiences.

3. LEARN TO: Ask for help, accept help when it is offered, and acknowledge yourself on this caregiving journey. Hear from experts on how to balance caregiving responsibilities by taking care of your needs and involving others to help manage the natural stress and isolation of being a caregiver. 

Preparing the Home Before Leaving an Aging Loved One in Someone Else’s Care

By Roz Jones

Once a support network has been established, the next step is making sure the home is ready.

The people providing care need a safe, organized environment where they can support an aging loved one without searching for supplies, correcting preventable hazards, or trying to understand how the household normally operates.

For an aging adult, the home is more than a place to live. It is where familiar routines, personal belongings, favorite foods, medications, medical equipment, and sources of comfort are located.

When the primary caregiver leaves for vacation, maintaining that familiar environment can help reduce stress and confusion. Preparing the home in advance also makes it easier for family members, friends, or professional caregivers to provide consistent care.

Complete a Home Safety Check

Begin by walking through the home and looking for anything that may create a safety concern.

Pay close attention to the areas your loved one uses most often, including the bedroom, bathroom, kitchen, living room, hallways, and entrances.

Remove clutter from floors and walkways. Secure loose rugs, move electrical cords out of walking paths, and make sure furniture does not block access for walkers, canes, or wheelchairs.

Check that handrails are secure and that frequently used chairs are stable. Avoid chairs that are too low or difficult to stand up from.

Look at the home from your loved one’s point of view. Items that seem harmless to others may become serious obstacles for someone with limited mobility, poor balance, low vision, or memory loss.

A safer home reduces the risk of falls and gives everyone involved in the care plan greater peace of mind.

Improve Lighting Throughout the Home

Poor lighting can increase the risk of falls, especially during the evening and overnight hours.

Replace burned-out bulbs and make sure hallways, stairways, bedrooms, bathrooms, and entrances are well lit.

Add night-lights in areas your loved one may use after dark. The path from the bedroom to the bathroom should be clear and easy to see.

Place lamps where they can be reached without walking across a dark room.

If your loved one has low vision, avoid creating sudden changes between very bright and very dark areas. Consistent lighting can make it easier to recognize steps, furniture, and changes in the flooring.

Outdoor lighting should also be checked, particularly near porches, steps, ramps, sidewalks, and driveways.

Prepare the Bathroom for Safe Use

The bathroom is one of the most important areas to review before leaving for vacation.

Wet surfaces, limited space, and the need to sit, stand, or transfer can increase the risk of injury.

Confirm that grab bars are secure and placed where they are most useful. Check that shower chairs, raised toilet seats, handheld showerheads, and other safety equipment are stable and in good condition.

Remove loose bathmats that may slide or bunch underfoot. Use nonslip surfaces where needed.

Keep towels, soap, toilet paper, incontinence supplies, and personal care products within easy reach.

The person providing care should also understand how much help your loved one needs in the bathroom. Some aging adults may only need someone nearby. Others may require direct assistance with bathing, dressing, toileting, or transfers.

Personal care instructions should protect both safety and dignity.

Organize Medications in One Location

Medication instructions may be included in the care plan, but the home should also be arranged so medications are easy to locate and manage.

Refill prescriptions before leaving and make sure there is enough medication for the entire vacation, along with additional doses in case the return trip is delayed.

Keep medications in their original labeled containers whenever possible.

Store them in one designated area unless refrigeration or safety requirements make that impossible.

If a pill organizer is used, confirm that it has been filled correctly. Label it clearly and leave written instructions nearby.

The medication list should include the name of each medication, dosage, schedule, prescribing provider, pharmacy information, and known allergies.

Remove expired medications and separate anything that should not be used.

Simple organization can reduce the risk of missed doses, duplicate doses, and confusion.

Stock Meals That Fit the Care Plan

Food should be planned according to the aging loved one’s preferences, health needs, and ability to eat safely.

Stock familiar foods that are easy to prepare.

If your loved one has dietary restrictions, make sure everyone providing care understands them. This may include low-sodium diets, diabetic meal plans, texture modifications, food allergies, or fluid restrictions.

Prepare and label meals in advance when possible. Include reheating instructions and dates.

Place commonly used foods and beverages where they can be reached safely. Avoid storing heavy items on high shelves or in areas that require bending.

Make sure the refrigerator and pantry contain enough food for the full time the caregiver will be away.

Meal planning should also account for snacks, water, nutritional drinks, and any foods needed when medications must be taken with a meal.

A stocked kitchen allows the support team to focus on care instead of making last-minute trips to the grocery store.

Keep Essential Supplies Easy to Find

Caregivers should not have to search through closets, cabinets, and storage areas to find necessary supplies.

Place frequently used items together and label them when needed.

This may include:

  • Incontinence products
  • Gloves
  • Wipes
  • Wound care supplies
  • Blood pressure equipment
  • Blood sugar testing supplies
  • Hearing aid batteries
  • Mobility equipment
  • Personal care items
  • Disposable bed pads
  • Cleaning supplies
  • Medical equipment chargers

Check expiration dates and make sure enough supplies are available for the entire vacation.

If certain products must be used in a specific way, leave clear instructions.

A simple supply station can make daily care more efficient and help prevent interruptions.

Check Medical Equipment

Any medical equipment used in the home should be checked before the caregiver leaves.

Confirm that equipment is clean, working properly, and fully charged.

Inspect walkers, wheelchairs, canes, hospital beds, lifts, oxygen equipment, blood pressure monitors, glucose meters, and other devices.

Make sure replacement batteries, charging cords, and backup supplies are available.

Place written instructions near equipment that may be unfamiliar to the person providing care.

Include the contact information for the equipment company or service provider in case something stops working.

If your loved one depends on equipment that requires electricity, prepare for a possible power outage. Identify which devices have battery backup and how long that backup will last.

Maintain Familiar Routines

Aging loved ones often feel more secure when their routines remain consistent.

Write down the usual schedule for waking, meals, medication, bathing, rest, television programs, activities, and bedtime.

Include the details that may not seem important but help the day go more smoothly.

Your loved one may prefer coffee in a certain cup.

They may listen to the same radio station in the morning.

They may become anxious if dinner is served too late.

They may sleep better with a hallway light on.

These familiar routines can provide comfort while the primary caregiver is away.

This is especially important for someone living with dementia or memory loss. Changes in routine may increase confusion, agitation, or anxiety.

Maintaining familiar patterns can help the loved one feel safer in their own home.

Prepare for Weather and Power Outages

The home should be ready for severe weather and unexpected power loss.

Check flashlights and replace old batteries. Charge phones, medical equipment, and portable power banks.

Keep bottled water, nonperishable food, and emergency supplies in an accessible location.

Make sure smoke detectors and carbon monoxide detectors are working.

If medications require refrigeration, prepare a backup plan for keeping them at the correct temperature.

If your loved one relies on oxygen, a lift, an adjustable bed, or other electric equipment, contact the provider to learn what should happen during an outage.

Post emergency numbers where they can be easily found.

Preparation is especially important during hurricane season, winter storms, extreme heat, and other periods when power outages or road closures may occur.

Secure Important Documents and Information

The support team should have access to the information needed for care, but private documents should remain protected.

Place medical information, insurance cards, medication lists, emergency contacts, and healthcare provider information in a designated folder.

Keep this folder in a location known to the primary contact.

Financial records, legal documents, checkbooks, passwords, and unrelated personal information should be secured.

Only provide access to what is necessary for the care arrangement.

If the person providing care may need to purchase groceries, prescriptions, or supplies, decide in advance how those expenses will be handled.

Clear arrangements reduce confusion and protect the aging loved one’s privacy.

Review Home Access and Security

Everyone involved in the care plan should know how to enter and secure the home.

Provide keys, access codes, alarm instructions, or building information before the vacation begins.

Test each key and code to make sure it works.

Identify who is authorized to enter the home and which doors should remain locked.

If cameras, doorbells, or alarm systems are used, explain how they operate and how privacy will be protected.

Emergency responders should also be able to access the home if necessary.

If your loved one uses a medical alert system, test it before leaving and make sure the support team understands how it works.

Create a Comfortable Recovery Space

Your loved one may need a comfortable area for rest during the day.

Arrange a chair, recliner, or bed in a space where necessary items can be reached safely.

Place water, tissues, a telephone, remote controls, reading materials, and other familiar items nearby.

Make sure the area is not too hot or too cold.

If your loved one spends long periods seated or in bed, review repositioning needs and skin care instructions with the person providing care.

Comfort is not separate from safety. A loved one who is uncomfortable may try to stand, reach, or move without assistance.

Preparing a suitable resting space can reduce unnecessary risk.

Complete a Final Walk-Through

Before leaving, complete one final walk-through of the home.

Check that medications are organized, food is stocked, equipment is working, supplies are available, and emergency information is visible.

Confirm that walkways are clear and the home is at a comfortable temperature.

Review any appliances that should not be used without assistance.

Take out the trash, complete necessary laundry, and remove spoiled food from the refrigerator.

Make sure the support team knows where everything is located.

The final walk-through should focus on anything that could interrupt care, create confusion, or place your loved one at risk.

Home Preparation Supports Everyone

Preparing the home is not only about preventing emergencies.

It helps preserve the aging loved one’s routine, comfort, independence, and dignity.

It also gives the people providing care the tools and information they need to do their jobs well.

When the home is safe, organized, and fully stocked, fewer decisions have to be made during the caregiver’s absence.

The primary caregiver can leave knowing that important details have been addressed.

The aging loved one can remain in a familiar environment.

The support team can provide care with greater confidence.

Preparation cannot prevent every unexpected situation, but it can reduce avoidable stress and create a stronger foundation for care.

Read the previous blog to learn how to identify the right level of support, choose dependable caregivers, assign responsibilities, create a communication schedule, and develop back care arrangements before leaving your aging loved one at home.

Prepare for Your Next Trip

Before traveling with an aging loved one, download the free Vacationing with an Aging Loved One Checklist.

This checklist will help you organize important information, supplies, medications, documents, accommodations, and care needs before leaving home.

Tune in to The Caregiver Café Podcast

Assisted Living: What Caregivers Need to Know

In this episode of The Caregiver Café with Roz Jones, Roz is talking about what caregivers need to know when it may be time to look for an assisted living facility.

There may come a point in the caregiving journey when your loved one’s care needs become more than one person can safely manage at home. Maybe their condition has changed. Maybe they need help standing, bathing, eating, taking medication, or getting to the bathroom. Maybe it now takes two people to safely transfer them from the bed or chair. When that happens, it may be time to start asking questions and exploring the next level of care.

Roz walks listeners through some of the important questions to ask when touring an assisted living facility, including staff ratios, staff turnover, training, medical support, room options, emergency response systems, accessibility, activities, meals, shared spaces, and whether residents can bring personal furniture or pets.

This episode is a practical reminder that choosing a facility is not only about the building. It is about safety, staffing, comfort, dignity, and making sure your loved one receives the care they need.

Before you take a tour, pour yourself something warm, get your questions ready, and let Roz help you know what to look for, what to ask, and what to pay attention to.

Give Yourself a Moment of Grace

If you need encouragement for the emotional side of caregiving, purchase Roz Jones’ book, Moments of Grace. This book offers support, reflection, and reminders of grace for the caregiver who is carrying a lot.

This journal was created to help caregivers pause, breathe, reflect, and find strength in the middle of the caregiving journey.

Purchase Moments of Grace today and give yourself permission to breathe in the middle of the caregiving journey.

Don’t Wait Until the Storm is Coming

The Caregiver Hurricane Preparedness Checklist.

Severe weather can create additional risks for aging loved ones and family caregivers.

The Caregiver Hurricane Preparedness Checklist will help you organize emergency contacts, medications, medical information, evacuation needs, important documents and essential supplies before a storm arrives.

Need Help Sorting Through the Care Plan?

Roz Jones is a dedicated caretaker turned CEO with over a decade of experience in helping families care for and make decisions for loved ones and their legacies.Roz is a compassionate, innovative healthcare industry leader.

If your family needs help thinking through care decisions, caregiving responsibilities, or next steps, book a session with Roz Jones. You do not have to navigate this season alone.

Together, we can talk through what is working, what is becoming too heavy, and what boundaries need to be strengthened so you can continue to care without losing yourself in the process.

Subscribe to The Caregiver Cafe Weekly Newsletter!

Caregiving can be a roller coaster of ups and downs. The information that you will receive from The Caregiver Cafe Weekly Specials Newsletter will support you as a caregiver. Remember…

1. YOU ARE NOT ALONE: The problems you face as a caregiver are experienced by other caregivers. Knowing that you’re not alone can be comforting. 

2. Tools and Resources:  Find caregiver stress management tools and gain perspective from other caregiver’s experiences.

3. LEARN TO: Ask for help, accept help when it is offered, and acknowledge yourself on this caregiving journey. Hear from experts on how to balance caregiving responsibilities by taking care of your needs and involving others to help manage the natural stress and isolation of being a caregiver.