When you think of the term “caregiver,” you might have the image in your head of the dutiful family member looking out for an elderly parent or disabled child. What you see in public or on the surface is someone helping a senior citizen do her shopping or teaching a child with limited mobility to use an iPad. But, it’s the stuff you never see that is really the hard part of the job.

Caring for a family member is not something that comes with many benefits. Actually, there is only one benefit – looking after your loved one. Yes, there are some people who get paid to take care of a family member, but that’s rare and extremely difficult to

Personal care is one of the hardest parts of caring for a senior parent. Different than helping a child with these issues, an elderly adult has a different perception of self-sufficiency and personal dignity. I can’t even imagine how hard it is for my father that he now needs help just to do something as simple as shaving or taking a shower.

As a Parkinson’s sufferer, Dad can’t hold his hands still enough to shave with a safety razor and we’ve had to go to an electric model. He does his best to try to do it on his own, but his hands can’t apply any pressure to the razor on his face so it misses, well, pretty much everything. So once a week, we do a complete, clean shave starting with a trimmer.

Managing medications is also a challenge for caregivers. I’m actually pretty lucky in our situation because Dad’s meds – for now at least – can be divided into two daily packets. Every Sunday, I refill a daily box dispenser and we have a record book to record every does administered and by whom.

Money is probably the biggest sore spot for many caregivers as well because we end up having to handle our own homes as well as the finances of our charge. It wasn’t long after my mother became ill that I learned who the money manager of the house was as I grew up.

As is common with many elderly folks, Dad was letting bills go unpaid, utilities were being cut off, debt was mounting and statements lay unopened, piling up on the kitchen table – Never again. My siblings and I took over managing his money and paid off all his major debt so we only have living expenses, medicines and doctor bills to worry about.

The problem is that things won’t stay that way. People don’t understand how little Medicare and its supplements really cover and the expenses continue to mount as a senior’s care grows more complicated because things like Parkinson’s continue to progress.

Naturally, The U.S. Congress is far too busy voting itself another ridiculous raise and cutting Social Security to bother considering how to better spend money to care for its citizens. After all, it’s “our” money. And there is no outside financial support for caregivers.

So, the bills continue to roll in – co-pays, lift chairs, vaccinations, home care (yes, it’s mostly self-pay), unforeseen changes in the health of the patient and the understanding that with Parkinson’s, diabetes and glaucoma, my father will get worse, even with the best possible care.

Tons of other things come into play too. When you’re a caregiver, you’re often the housekeeper, accountant, chef, chauffeur, nurse, clothes and dishwasher, and much more. The rest of the world doesn’t see the countless hours spent making sure the things like cracker packets and juice bottles are stored in a way he can easily open them with limited mobility.

Over the years, I’ve written many times about my experiences in helping to care for my parents. But people I meet always seem to be shocked about how much we have to do that no one ever sees. So, when you see someone out in public dealing with something like this, just remember how hard it is and open a door for them or be patient when they’re sorting groceries for two households at the checkout. We appreciate it.