Consult a Geriatric Care Manager if ... 

Caregivers appear needy and/or embarrassed because of their caregiving duties Caregivers appear unable to cope/plan adequately for the future needs of their loved one Caregivers recognize that the caregiving role is impacting their: family friends work hobbies and/or privacy and time for themselves Caregivers are unable to lift and/or physically assist an older adult Caregivers realize that the time involved in searching for the "right answers" is not the most fruitful approach Caregivers show signs of stress: exhaustion physical illness weight loss signs of depression irritability Evidence of increased tension between siblings and/or other relatives regarding the care of the older adult(s) Indications that guilt feelings or feelings of "responsibility" are prevailing over practical actions Long-distance caregivers increase their visit frequency Local caregivers increase the daily time spent in caregiving duties