Caregiving During Menopause: Balancing Self-Care and Family Responsibilities

Caregiving During Menopause: Balancing Self-Care and Family Responsibilities

by Ree Caregiving

As women enter their midlife years, they often find themselves caught in the “sandwich generation,” caring for aging parents or family members while experiencing menopause. Over 60% of women experiencing menopause are also primary caregivers for a family member. The dual burden of caregiving during menopause can feel overwhelming, but with the right strategies, it’s possible to navigate both journeys successfully.

Contents

The Challenges of Going Through Menopause While Caregiving

Menopause is a natural biological process that marks the end of a woman’s reproductive years. During this time, the body undergoes significant hormonal changes that can affect various aspects of health and well-being. For women who are also caregivers, these changes can present additional challenges.

Hormonal changes affect energy and emotional resilience

Illustration of Hormones

The fluctuation and eventual decline of estrogen and progesterone levels during menopause can have a profound impact on energy levels and emotional stability. Many women report feeling more fatigued and less able to cope with stress during this time. This can be particularly challenging for caregivers, who often need to maintain high levels of energy and emotional resilience to meet the demands of their role.

The impact of caregiving during menopause

Woman holding elderly woman's hands

Menopausal symptoms can significantly affect a woman’s ability to provide care. Some of the most common symptoms include:

These symptoms can make it harder for caregivers to perform their duties effectively and may lead to increased stress and burnout. MayoClinic reported that caregiving for 15 hours or more each week makes menopause symptoms worse.

Statistics on menopausal caregivers

The overlap between menopause and caregiving is significant. According to a study published in Mayo Clinic Proceedings,19.7% of women aged 45-60 self-identified as caregivers. This age range coincides with the typical onset of menopause, which occurs around age 51 for most women in the United States.

Health consequences of neglecting self-cares

Neglecting self-care can have serious health consequences. Research has shown that caregivers who experience high levels of stress are at increased risk for various health problems, including heart disease, weakened immune function, gaining weight, and depression. When combined with the natural health risks associated with menopause, such as increased risk of osteoporosis and heart disease, the importance of self-care becomes even more critical.

Caregiver Burnout During Menopause

Caregiver burnout is a state of physical, emotional, and mental exhaustion that can occur when caregivers don’t get the help they need or try to do more than they’re able. During menopause, the risk of burnout may be even higher due to the added physical and emotional challenges women face.

Risks with caregiver burnout

Caregiver burnout is characterized by feelings of overwhelming exhaustion, detachment from the caregiving role, and a sense of hopelessness. During menopause, hormonal changes can amplify stress responses, making women more susceptible to burnout. The combination of caregiving duties and menopausal symptoms can create a perfect storm for physical and emotional depletion.

Warning signs specific to menopausal caregivers

While burnout can manifest in various ways, menopausal caregivers may experience some unique warning signs:

  • Extreme fatigue that isn’t relieved by rest
  • Increased irritability or mood swings
  • Withdrawal from social activities and relationships
  • Physical symptoms like headaches or digestive issues
  • Difficulty managing menopausal symptoms
  • Neglecting personal health and well-being

Hormonal fluctuations amplify stress responses

During menopause, fluctuations in estrogen and progesterone levels can affect the body’s stress response system. This can lead to an exaggerated reaction to stressors, making it harder for women to cope with the demands of caregiving. Additionally, the decline in estrogen can impact the production of stress-regulating neurotransmitters, potentially leading to increased anxiety and depression.

Importance of validating experiences and seeking support

Your experiences as a menopausal caregiver are valid and that seeking support is not a sign of weakness. Share their experiences with trusted friends, family members, or support groups specifically for menopausal caregivers.

Essential Self-Care Strategies for Menopausal Caregivers

Self-care is not a luxury for menopausal caregivers—it’s a necessity. Implement effective self-care strategies to help manage both your menopause symptoms and caregiver stress.

Hormone-balancing nutrition

A balanced diet can help alleviate some menopausal symptoms and provide the energy needed for caregiving. Consider the following nutritional strategies:

  • Increase intake of phytoestrogens found in soy products, flaxseeds, and legumes
  • Consume foods rich in calcium and vitamin D to support bone health
  • Include omega-3 fatty acids from fish or supplements to support mood and cognitive function
  • Limit caffeine, alcohol, and spicy foods that may trigger hot flashes

Exercise routines for menopause symptoms and caregiver stress

Regular physical activity can help manage both menopause symptoms and caregiver stress. Aim for a combination of:

Sleep hygiene tips for menopausal caregivers

Quality sleep is essential for managing stress and hormonal changes. Try these sleep hygiene tips:

  • Maintain a consistent sleep schedule
  • Create a cool, dark sleeping environment
  • Avoid screens before bedtime
  • Practice relaxation techniques before sleep

Mindfulness and stress reduction techniques

Incorporating mindfulness practices into daily routines can help manage stress and improve emotional well-being. Consider:

Here’s some more ways to prevent burnout.

Creating Sustainable Caregiving Systems During Menopause

Developing sustainable caregiving systems is crucial for maintaining long-term health and well-being during menopause.

Communicate needs and limitations

Open communication with family members and care recipients is essential. Be honest about your capabilities and limitations, especially on days when menopause symptoms are particularly challenging. Use “I” statements to express your needs without placing blame, for example: “I need help with meal preparation today because I’m experiencing severe fatigue.”

Delegate caregiving tasks

Don’t hesitate to delegate tasks to other family members or professional caregivers. Create a list of tasks that can be shared and assign them based on individual strengths and availability. A study in The Gerontologist found that caregivers who shared responsibilities reported lower levels of stress and better mental health.

Building support networks and respite care options

Develop a strong support network that includes:


Regular respite care can provide much-needed breaks to reduce stress and help prevent burnout. .

Digital tools and resources for efficient caregiving

Leverage technology to streamline caregiving tasks:

Healthcare Considerations for Menopausal Caregivers

As a menopausal caregiver, it’s very important to make your personal health a priority to maintain your well-being and caregiving abilities.

Make and keep regular health appointments

Despite busy schedules, regular health check-ups are essential. These appointments provide opportunities to:

  • Monitor menopause symptoms and overall health
  • Discuss preventive care strategies
  • Address any emerging health concerns

Questions to discuss with healthcare providers

Prepare a list of questions for your healthcare provider, such as:

  • What treatment options are available for my specific menopause symptoms?
  • How can I manage the stress of caregiving during menopause?
  • Are there any screenings or preventive measures I should consider?

Check out this blog for more questions to ask them.

Treatment options compatible with caregiving duties

Woman using a cream for hormone replacement therapy (HRT)

Discuss treatment options that fit your lifestyle as a caregiver:

  • Hormone replacement therapy (HRT) if appropriate
  • Non-hormonal medications for specific symptoms
  • Lifestyle modifications and complementary therapies

When to seek additional support

Be aware of signs that indicate a need for additional support:

  • Persistent feelings of sadness or anxiety
  • Inability to perform caregiving duties
  • Thoughts of self-harm or harming others

Financial Planning During the Menopause and Caregiving Years

Financial planning is a crucial aspect of managing the dual challenges of menopause and caregiving.

The impacts of caregiving on finances during menopause

Caregiving can have significant financial implications, including:

An AARP report found that family caregivers spend an average of $7,242 per year on out-of-pocket costs related to caregiving.

Healthcare coverage and benefits for caregivers

Explore available healthcare coverage and benefits:

Resources for financial planning

Utilize financial planning resources tailored to menopausal caregivers:

  • Consult with a financial advisor experienced in caregiving issues
  • Attend workshops on financial planning for caregivers
  • Use online tools and calculators to assess financial needs

Work accommodations for menopausal caregivers

Discuss potential work accommodations with your employer:

  • Flexible work hours to manage caregiving responsibilities
  • Telecommuting options to balance work and care duties
  • Employee assistance programs for counseling and support

A study in the journal Work & Stress found that flexible work arrangements (FWAs) are associated with reduced work-family conflict and improved well-being for caregivers.

You may also qualify for leave under the Family and Medical Leave Act (FMLA)—check with your employer, and learn about your rights under that law.

Finding harmony between the personal journey of menopause and the demands of caregiving requires intention, support, and compassion—especially for yourself. By implementing the strategies discussed in this guide, you can better manage your menopausal symptoms while continuing to provide quality care for your loved ones.

Taking care of your own health isn’t selfish—it’s essential for sustainable caregiving. Reach out to healthcare providers, support groups, and community resources to create a network that supports both your caregiving role and your personal well-being during this significant life transition.

References

Botek, A. Caregiving and Menopause: How to Handle the Double-Whammy. AgingCare. Retrieved from https://www.agingcare.com/Articles/handle-menopause-while-caregiving-153320.htm

Braun, N. (2024). Caring for Yourself While Caring for Others. Versalie. Retrieved from https://www.versalie.com/blogs/learn/caring-for-yourself-caring-for-others

Brown, R. M. (2024). There’s an App for That: Reducing Stress in Peri- And Post-Menopausal Women. Doctor of Nursing Practice Final Manuscripts. 285. doi.org/10.22371/07.2024.020

Bryan, L. & Dweck, A. (2024). How Can Menopause Affect Sleep. Sleep Foundation. Retrieved from https://www.sleepfoundation.org/women-sleep/menopause-and-sleep

Building a Network: The Social Benefits of Caregiver Support Groups. (2024). Trualta. Retrieved from https://www.trualta.com/resources/blog/building-a-network-the-social-benefits-of-caregiver-support-groups/

Building a Support Network: Finding Help as a Caregiver. (2024). Elder-Well Adult Day Program. Retrieved from https://elderwelladultday.com/building-a-support-network-finding-help-as-a-caregiver/

Caregiver Burnout. Cleveland Clinic. Retrieved from https://womenshealth.gov/a-z-topics/caregiver-stress

Caregiver stress. (2025). Office on Women’s Health. Retrieved from https://womenshealth.gov/a-z-topics/caregiver-stress

Crickmar, R. (2025). The Importance of Self-Care for Parents and Caregivers: Prioritizing Yourself To Support Your Family. Therapeutic Partners. Retrieved from https://therapeuticpartners.com/2025/02/06/the-importance-of-self-care-for-parents-and-caregivers-prioritizing-yourself-to-support-your-family/

Fatigue and menopause: tips to boost energy. (2024). Balance-Menopause. Retrieved from https://www.balance-menopause.com/menopause-library/fatigue-and-menopause-tips-to-boost-energy/

Hayes, J. & Rose, B. (2024). Caregiving as a Women’s Health Issue. NextAvenue. Retrieved from https://www.nextavenue.org/caregiving-as-a-womens-health-issue/

How expert financial advice can help to close the menopause retirement gap. (2024). Foster Denovo. Retrieved from https://www.fosterdenovo.com/how-expert-financial-advice-can-help-to-close-the-menopause-retirement-gap/

Li, Q. (2024). Sandwich caregiving and midlife women’s health: An examination of racial disparities. Family Relations, 73(5), 3291-3308. https://doi.org/10.1111/fare.13083

Menopause and money: Why financial planning is so important. (2024). RBC Brewin Dolphin. Retrieved from https://www.brewin.co.uk/insights/menopause-and-money-why-financial-planning-is-important

Menopause and the workplace. (2023). NHS inform. Retrieved from https://www.nhsinform.scot/healthy-living/womens-health/later-years-around-50-years-and-over/menopause-and-post-menopause-health/menopause-and-the-workplace/

Miller, H. (2024). Menopause & Stress. Dutch Test. Retrieved from https://dutchtest.com/articles/menopause-stress

Miller, S. (2024). From Hot Flashes to Health Costs: The Financial Impact of Menopause on Women. BayView Financial Planning. Retrieved from https://bayviewfp.com/from-hot-flashes-to-health-costs-the-financial-impact-of-menopause-on-women/

Newson, L. (2024). Coping with perimenopause when you’re a carer. Balance-Menopause. Retrieved from https://www.balance-menopause.com/menopause-library/coping-with-the-perimenopause-when-youre-a-carer

Prioritizing care for others, women often neglect their own health. (2020). American Heart Association. Retrieved from https://www.goredforwomen.org/en/beyond-the-table/stories/women-often-neglect-their-own-health

Saadedine, M., Safwan, N., Kapoor, E., et al. (2025). Association of Informal Caregiving and Menopause Symptoms in Midlife Women: A Cross-Sectional Study. Mayo Clinic Proceedings, 100(1), 42-51. Retrieved from https://www.mayoclinicproceedings.org/article/S0025-6196(24)00353-7/fulltext

Shakeel, W. (2024). Menopause Self Care: A Comprehensive Guide. Revive Research Institute. Retrieved from https://www.reviveresearch.org/blog/menopause-self-care

Shifrin, N. V., & Michel, J. S. (2021). Flexible work arrangements and employee health: A meta-analytic review. Work & Stress, 36(1), 60–85. doi.org/10.1080/02678373.2021.1936287

Snelling, S. (2015). When Menopause and Caregiving Collide. NextAvenue. Retrieved from https://www.nextavenue.org/when-menopause-and-caregiving-collide/

Skufca, L. (2021). Caregiving Can Be Costly – Even Financially. AARP. Retrieved from https://www.aarp.org/pri/topics/ltss/family-caregiving/family-caregivers-cost-survey/

Stress and your health. (2025). Office on Women’s Health. Retrieved from https://womenshealth.gov/mental-health/good-mental-health/stress-and-your-health

Taking Care of Yourself: Tips for Caregivers. (2023). National Institute on Aging. Retrieved from https://www.nia.nih.gov/health/caregiving/taking-care-yourself-tips-caregivers

Vazquez, E. K. (2025). The Impact of Hormones on Mental Health. Medens Health. Retrieved from https://www.medenshealth.com/blog/the-impact-of-hormones-on-mental-health

Essential Guide to Setting Healthy Boundaries as a Caregiver

Essential Guide to Setting Healthy Boundaries as a Caregiver

by Ree Caregiving

Have you ever felt overwhelmed, stressed, or burnt out from your caregiving responsibilities? If so, you’re not alone. According to the National Alliance for Caregiving, 42 million Americans serve as unpaid caregivers, and 36% report high emotional stress. That’s why it’s so important to learn about setting healthy boundaries as a caregiver.

While caregiving can be deeply rewarding, it often comes with unique challenges that can lead to burnout. As a caregiver, you’re probably familiar with the challenges of balancing your loved one’s needs with your own. Let’s explore the importance of setting caregiver boundaries and learn practical strategies to implement them effectively.

Content

Why Caregivers Need to Set Boundaries

Signs of caregiver burnout and compassion fatigue

Nurse helps someone with a cane

Caregiving can be emotionally and physically demanding, often leading to burnout if proper boundaries aren’t in place. 

Common signs of burnout include:

  • Exhaustion and overwhelm
  • Mood swings or irritability
  • Neglect of your own health and well-being
  • Withdrawal from social activities and relationships

How poor boundaries affect mental and physical health

Without proper boundaries, caregivers often experience negative effects on their mental and physical health. Research shows that caregivers who report high stress levels had a 63% higher mortality rate compared to non-caregivers. 

Poor boundaries can lead to:

  • Chronic stress and anxiety
  • Depression and feelings of hopelessness
  • Weakened immune system and increased susceptibility to illness
  • Sleep disturbances and fatigue

Common challenges caregivers face in setting limits

Setting boundaries can be difficult for many caregivers. You may feel:

  • Guilt about prioritizing personal needs
  • Fear of disappointing or upsetting the care recipient
  • Difficulty saying “no” to additional responsibilities
  • Lack of support from family members or healthcare providers

Benefits of establishing healthy boundaries

2 hands holding an elderly person's hand

Implementing healthy boundaries can have numerous positive effects on both the caregiver and the care recipient. Benefits include:

  • Reduced stress and improved mental health
  • Better physical health and increased energy levels
  • Improved quality of care for the recipient
  • Enhanced relationships with family members and healthcare teams

Essential Caregiver Boundaries

To help you establish and maintain healthy boundaries, let’s explore some key areas to consider.

Time management and scheduling boundaries

Nurse shows her patient a tablet on the couch

Effective time management is crucial for maintaining a healthy work-life balance as a caregiver. Consider implementing the following strategies:

  • Create a structured daily schedule
  • Set aside dedicated time for self-care activities
  • Use a calendar or planner to track appointments and tasks
  • Learn to say “no” to non-essential commitments

Financial boundaries and resource allocation

Managing finances can be a significant source of stress for caregivers. Establish clear financial boundaries with these tips:

  • Create a caregiving budget
  • Discuss financial expectations with family members
  • Explore available financial assistance programs
  • Consider a caregiver contract
  • Seek professional advice for long-term financial planning

Physical space and personal privacy limits

Maintaining personal space is essential for both the caregiver and care recipient. Consider the following:

  • Designate private areas in the home for both parties
  • Establish rules for respecting personal belongings
  • Set clear guidelines for visitors and social interactions
  • Create a safe space for the caregiver to retreat when needed

Emotional boundaries and mental health protection

Source: CareVoyant

To protect your emotional well-being as a caregiver follow these sustainable caregiving strategies:

  • Practice self-awareness and recognize your emotional limits
  • Set boundaries on emotional labor and support
  • Develop healthy coping mechanisms for stress
  • Seek professional help when needed

How to Set Boundaries Effectively

Next, let’s learn the practical steps for setting healthy and effective boundaries for caregiving.

Woman giving a sick person pills
Source: Karolina Grabowska

Decide your personal limits and non-negotiables

To set effective boundaries, you must first understand your own limits. Think about:

  • Your core values and priorities
  • The activities or responsibilities that cause you the most stress
  • What you need to maintain your physical and mental health

Once you’ve identified your limits, make a list of non-negotiable boundaries that you’re committed to maintain.

Use clear and direct communication techniques

Effective communication is key to setting and maintaining boundaries. Try these techniques:

  • Use “I” statements to express your needs and feelings
  • Be specific and clear about your boundaries
  • Practice active listening when discussing boundaries with others
  • Avoid blaming or accusatory language

Deal with guilt and resistance from others

Source: Sustainable Caregiving

It’s common to experience guilt or face resistance when setting boundaries. Here are some strategies to cope:

  • Remind yourself that boundaries are necessary for sustainable caregiving
  • Educate others about the importance of caregiver self-care
  • Seek support from other caregivers or professionals
  • Practice self-compassion and acknowledge your efforts

Create structured caregiving schedules

A well-structured schedule can help reinforce your boundaries:

  • Create a daily or weekly caregiving routine
  • Schedule regular breaks and respite care
  • Involve other family members in the caregiving schedule
  • Use technology to streamline tasks and reminders

Working with Family Members and Healthcare Teams

Once you establish your personal boundaries, the next step is to discuss them with your family members and healthcare providers. 

Divide and delegate responsibilities 

Person placing a cast on child's leg
Source: ThisisEngineering

Sharing caregiving duties can help prevent burnout and maintain healthy boundaries. Try these approaches:

  • Hold a family meeting to discuss caregiving responsibilities
  • Create a caregiving task list and assign roles based on individual strengths
  • Use online tools or apps to coordinate care among family members
  • Regularly reassess and adjust responsibilities as needed

Communicate boundaries to healthcare providers

Nurse helps older man off his couch

Clear communication with healthcare providers is essential for effective care. Some tips:

  • Prepare a list of questions and concerns before appointments
  • Express your limitations and needs as a caregiver
  • Ask for clarification on care instructions and expectations
  • Discuss options for respite care or additional support

Manage expectations with siblings and relatives

Family dynamics can complicate caregiving. To manage expectations:

  • Be open and honest about your limitations
  • Encourage family members to contribute in ways that suit their abilities
  • Set realistic expectations for care and family involvement
  • Address conflicts or disagreements promptly and respectfully

Build a support network and backup system

A strong support network is crucial for maintaining boundaries. Consider:

Getting Professional Support

This section discusses some professional healthcare options to consider.

Research respite care options

Respite care is a program that temporarily pays for care when family caregivers need to take a break or a short trip, and can be found via:

  • In-home respite care
  • Adult daycare centers
  • Short-term residential care facilities
  • Family and friends

Explore other caregiver support services

Nurse smiles at lady in wheelchair

Many organizations offer support services for caregivers:

  • Caregiver training and education programs
  • Home health aide services
  • Meal delivery and transportation assistance
  • Legal and financial counseling

Work with counselors or therapists

Therapist talking to teenager and their mom
Source: Vitaly Gariev

Professional mental health support can be invaluable for caregivers. 40% to 70% of family caregivers report having clinical depression. Some ways to cope include:

  • Individual therapy for stress management and coping skills
  • Family counseling to address caregiving dynamics
  • Cognitive-behavioral therapy (CBT) for managing anxiety or depression
  • Support groups led by mental health professionals

Find local caregiver support groups

Connecting with other caregivers can provide emotional support and practical advice:

  • Check with local hospitals or community centers for support groups
  • Search online for virtual support groups
  • Explore condition-specific organizations (for example, Alzheimer’s Association)
  • Ask healthcare providers for recommendations

Maintaining Boundaries Long-term

Regular boundary check-ins and adjustments

Boundaries may need to evolve as caregiving needs change. Plan by using:

  • Monthly self-assessments of your current boundaries
  • Open discussions with family members about boundary effectiveness
  • Adjustments to boundaries based on changing circumstances
  • Celebrations of successes in maintaining healthy limits

What to do when someone violates your boundaries 

When someone crosses your boundaries, here’s how to address it right away:

  • Restate your boundary and explain its importance
  • Use “I” statements to express how the violation affects you
  • Offer alternative solutions or compromises when appropriate
  • Be consistent in enforcing consequences for repeated violations

Self-care strategies and stress management

Pregnant woman sitting on map outside meditation
Source: Styled Stock Society

Prioritizing self-care is essential for long-term boundary maintenance:

How to adjust boundaries when caregiving routines change

Be prepared to adjust your boundaries as circumstances evolve:

  • Assess the care recipient’s changing needs
  • Communicate with healthcare providers about care plan updates
  • Involve family members in discussions about boundary modifications
  • Seek professional advice when facing significant changes in care requirements

Whether you’re caring for an aging parent, a child with special needs, or a partner with health challenges, learning to establish and maintain boundaries can help you provide better care while protecting your own well-being.

Setting and maintaining boundaries as a caregiver isn’t selfish – it’s smart and necessary. you can create a sustainable caregiving arrangement by establishing clear limits, communicating your needs, and prioritizing self-care. 

Identify one boundary you need to set, and make a plan to clearly communicate it. Start small, be consistent, and remember that healthy boundaries lead to better care for both you and your loved one. 

References

8 ways for caregivers to balance work and family. (2023). Randstad. Retrieved from https://www.randstad.com.sg/career-advice/tips-and-resources/8-ways-caregivers-balance-work-family-caregiving/

Alexy, J. (2018). How to set boundaries as a caregiver. Áegis Living. Retrieved from https://www.aegisliving.com/resource-center/set-boundaries-as-a-caregiver/

Caregiving in the U.S. 2020. (2020). National Alliance for Caregiving and AARP.  Washington, DC: AARP. Retrieved from https://press.aarp.org/2020-5-14-Caregiving-in-the-US-Report

Compassion Fatigue: Why It’s Important to Recognize. (n.d.). California Caregiver Resource Centers. Retrieved from https://www.caregivercalifornia.org/2023/04/03/compassion-fatigue-why-its-important-to-recognize/

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Madison. (2019). How to Set Boundaries with Your Aging Parents. MeetCaregivers. Retrieved from https://meetcaregivers.com/setting-boundaries-with-difficult-elderly-parents/

Maintaining Boundaries as a Caregiver: Go From Guilt to Glow. (n.d.). Mental Health America. Retrieved from https://mhanational.org/maintaining-boundaries-caregiver-go-guilt-glow

Navigating Mental Health Challenges in Home Care Patients: A Guide for Caregivers. (n.d.). Retrived from https://www.carevoyant.com/home-health-blog/navigating-mental-health-challenges-in-home-care-patients

Schier-Akamelu, R. (2023). 2023 Caregiver Burnout and Stress Statistics. A Place for Mom. Retrieved from https://www.aplaceformom.com/senior-living-data/articles/caregiver-burnout-statistics

The Benefits of Caregiver Contracts: Ensuring Clarity and Boundaries. (2024). HumanCare. Retrieved from https://www.humancareny.com/blog/caregiver-contracts

What is Respite Care? (n.d.). U.S. Department of Veterans Affairs. Retrieved from https://www.va.gov/geriatrics/pages/Respite_Care.asp

Wilbanks, T. (n.d.). Empowered Caregiver Support System. Sustainable Caregiving. Retrieved from https://www.sustainablecaregiving.com/empowered-caregiver-support-system/

Wilbanks, T. (n.d.). Sustainable Caregiving: Boundaries. Sustainable Caregiving. Retrieved from https://sustainablecaregiving.com/sustainable-caregiving-boundaries/

Woodruff, L. (2024). How to Set Boundaries as a Family Caregiver. AARP. Retrieved from https://www.aarp.org/caregiving/basics/info-2024/caregiver-boundaries.html