At what point does the life of a caregiver become the focus in a relationship with a patient? What are the caregiver’s obligations to her loved one? Is a caregiver allowed to question his methods of care? Are they adequate? Do they allow for the caregiver to also live fully? In Contented Dementia,* Oliver James calls this the “tipping point.” He advises caregivers to define this emotional scenario well in advance of it occurring so that arrangements can be made to move the pa

Passover is a little more than two weeks away, and I am overwhelmingly sad about Mom’s inability to participate in the Seder. I’m thinking of suggesting she stay home this year with her caregiver. What with many guests, a late dinner, and an even later bedtime, I’m not sure she’ll be able to navigate the social and religious challenges this evening brings. I will miss her haunting rendition of Ha Lachma Anya, the Aramaic declaration that begins the maggid or narrative section