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Henry Bourne
It discusses caregiver obligations, the changing nature of caregiving over time, the increasing complexity and scope of caregiver roles, and surrogate decision-making difficulties. Family caregiving is more rigorous, difficult, and timeconsuming than it has been in the past, and careers are rarely well prepared for their roles. Many careers, according to a growing body of data, suffer from negative psychological repercussions. Some caregivers, particularly those who spend long hours caring for elderly individuals with severe dementia, are at higher risk than others. Caregivers should have access to high-quality; evidence-based treatments that can help them avoid or lessen negative health impacts. We have traditionally relied on families to offer emotional support and to aid their elderly parents, grandparents, and other family members who are unable to operate independently. This chapter looks at the many and changing responsibilities that family careers of older individuals play, as well as the influence these duties have on caregivers' health and well-being. It describes the trajectory and dynamic nature of caregiving over time, as well as the increasing complexity and scope of caregiver responsibilities, including the issues involved in family caregivers' role as surrogate decision makers and the evidence on the impact of caregiving on caregivers' health and well-being. The chapter examines a large body of research on family caregivers for elderly individuals. It also uses data from the National Health Service.