Caregiving is one of the most important personal sacrifices family members make for their older loved ones. There are at least 43.5 million caregivers in the United States who provide informal family caregiving, averaging about 19 hours of care per week, for an average of 4 years.1 Although family members, especially spouses and adult children, usually occupy these caregiving roles, in diverse cultural and ethnic groups with collectivistic values, caregivers also may be fictive kin (relatives not related by blood, such as godchildren, family friends, or neighbors).
