In a 2012, 15 percent of Hawai‘i’s population was 65 years and older. This statistic continues to increase; and as part of our culture in Hawai‘I to care for our loved ones, many families have assumed the role of caregiver. Being a caregiver can include providing supervision, assisting in meal preparation, doctor’s visits, medications, and more. It is common for those providing care to struggle with managing a full-time job, raising a family and the demands of being a caregiver.

The term “caregiver burnout” refers to the physical, emotional and mental exhaustion frequently experienced by caregivers. According the American Heart Association, signs and symptoms of caregiver burnout can include:

  • depression
  • changes in appetite
  • change in sleep patterns
  • difficulty concentrating

It is important to recognize these symptoms and take the necessary steps to seek help from family, friends or a medical professional.

Families may also want to consider exploring alternative options for care. For instance, The Community Care Foster Home Program is a long-term care program where qualified adults can receive medical care and supervision in licensed Adult Foster Homes without the excessive cost. For more information about the Adult Foster Home Program, please visit

Nightingale Case Management, Inc. has been a part of the CCFFH Program for over 12 years. For a free assessment and consultation, please contact: (808) 484-2205,, or visit