This essay about the experience of author Jonathan Rauch really describes how alone caregivers can feel.
http://www.jonathanrauch.com/jrauch_articles/eldercare-the-hidden-crisis/
How can famiilies have the conversation before care is needed? Genworth Financial is one company that has launched a special website called "Let's talk", that helps people ease into this diffficult discussion. Here is a link to the site:
http://www.genworth.com/content/lets_talk/ri_us/gateway.html
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