Vol. 4, Issue 10, Part E (2018)

Abstract
This article examines the diverse and evolving roles of caregivers of older adults and the impact of assuming these roles on caregiver health and well-being. It describes the tasks of the carer, the dynamic nature of care over time, the increasing complexity and scope of the carer's responsibilities and the issues involved in making substitution decisions. Family caregiving is more intensive, complex, and long-term than in the past, and caregivers rarely receive adequate training for their role. A compelling body of evidence suggests that many caregivers experience negative psychological effects. Some caregivers are at higher risk than others, especially those who spend long hours caring for older adults with advanced dementia. Caregivers should have access to high-quality, evidence-based interventions aimed at reducing or preventing adverse health effects.