Caregiving at Home: 4 Everyday Challenges Families Don't Expect

"One of the biggest adjustments that I see families face is realizing that caregiving isn't just about managing a medical condition; it's about navigating dozens of everyday moments that can quickly become overwhelming," says Yolanda Rhodes, MSN, RN, CRRN, Senior Clinical Solutions Manager-Home Care, BD Urology and Critical Care. "The good news is that in my experience, with the right preparation and support, families can feel much more confident caring for their loved ones and may be better equipped to manage some of challenges that come with caregiving."

Here are four everyday caregiving challenges families may not anticipate, and practical ways to navigate them.

1. The Bathroom Challenge

Helping a loved one with bathroom needs is often one of the most physically demanding and emotionally delicate parts of caregiving. Whether due to urinary incontinence, limited mobility or recovery from surgery or illness, toileting assistance can quickly become a daunting part of the daily routine. Beyond the physical demands, it can also be uncomfortable and embarrassing for the person receiving care.

"Caregivers often worry about saying the wrong thing or making their loved one feel embarrassed," says Rhodes. "In my experience as a nurse, approaching these moments calmly and matter-of-factly can help preserve dignity and puts everyone more at ease."

What helps: Keeping essential supplies, like wipes, gloves and a change of clothes, within easy reach. Ensure the path to the bathroom is safe and accessible and consider adding grab bars near the toilet or a toilet seat riser to provide support for the person you're caring for.

2. The Nighttime Disruptions

From helping a loved one safely in and out of bed to responding to overnight bathroom needs or changing bedding after an accident, nighttime disruptions can leave caregivers exhausted and increase the risk of falls or injury when navigating the dark.

"Nighttime can be one of the most challenging parts of caregiving because everyone is tired and simple tasks become more difficult," Rhodes says. "Many caregivers find that finding ways to minimize overnight disruptions, whether through consistent bedtime routines or tools that help reduce unnecessary trips out of bed, may help make nighttime care smoother."

What helps: Keep frequently used items within easy reach and make sure pathways between the bed and bathroom are clear and well-lit. If nighttime urinary incontinence is causing frequent trips out of bed or overnight cleanup, products such as the BD PureWick^® Urine Collection System may help. This non-invasive, external urine management option is designed for overnight use and can support more uninterrupted sleep for both caregivers and loved ones. Supporting this benefit, a recent study published in the Journal of Clinical Medicine[1] found that women using the BD PureWick^® Urine Collection System reported better sleep and greater overall comfort, highlighting the system's ease of use and non-invasive design.

3. The Tough Talks

Few caregiving responsibilities are as emotionally difficult as discussing changing care needs with a loved one. Whether it's accepting help, giving up certain activities or acknowledging that daily tasks have become more difficult, these conversations can be emotional for everyone involved. Rather than trying to address everything in one major discussion, it can help to approach them as a series of smaller conversations over time.

What helps: Try framing each conversation around what your loved one maintains rather than what they're giving up. Importantly, caregivers don't necessarily have to navigate these conversations alone. Consider bringing a doctor or nurse in when needs begin to change can provide additional guidance and support during difficult conversations.

4. The Hygiene Hurdles

Daily activities that seem simple, like bathing, dressing and grooming, can often become more complicated than families expect. These routines require close physical assistance while balancing privacy, comfort and a loved one's desire to remain as independent as possible. Physical limitations, mobility challenges and fatigue can make these routine tasks that once felt automatic take considerably more time and patience.

What helps: Preparing ahead and building in extra time can help make these routines less overwhelming. Gather towels, toiletries and clothing before getting started so everything is within easy reach. Ask your loved one how you can make the process feel most like their own — whether it's their preferred bathroom temperature, choosing the outfit they had in mind or following the step-by-step skincare routine they've always used. Encourage your loved one to do the parts they can safely manage on their own while offering assistance where it's needed.

Don't Forget the Caregiver

Family caregivers devote enormous amounts of time and energy to supporting the people they love. Yet many put their own well-being last.

"Caring for someone else starts with caring for yourself," Rhodes says. "Accept help when it's offered, lean on your support system and remember that you don't have to do everything alone. Taking care of yourself can help maintain your well-being while continuing to support a loved one."

If you're unsure how to adapt to a loved one's changing needs, healthcare professionals can help you identify the next steps that best support you both. With the right routines, tools and support, the day-to-day may become more manageable, for both you and your loved one.

Yolanda Rhodes, MSN, RN, CRRN, is a nurse and BD associate. The opinions expressed are based on her professional experience and are not intended as medical advice. Individuals should consult their healthcare provider regarding their specific care needs.

Indications for Use: The PureWick^® Urine Collection System is to be used with PureWick^® External Catheters which are intended for non-invasive urine output management.

Contraindications for Use: Do not use the PureWick^® Urine Collection System with PureWick^® External Catheters on individuals with urinary retention.

Safety and Warnings: Always unplug PureWick^® Urine Collection System before cleaning or when not in use.