Health
When a parent must care for a parent: How to avoid caregiving burnout, according to experts
For members of the so-called “sandwich generation,” doing double-duty caregiving can take a toll.
Serving as a caregiver for a parent with dementia while also caring for kids and maintaining social and work relationships can come with physical, mental and emotional challenges, several experts expressed to Fox News Digital.
It can be especially difficult dealing with the role reversal, experts say.
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“The role of a parent is someone to look up to, respect and listen to,” Dr. Nancy Frye, PhD, a professor of psychology at Long Island University Post Campus in Brookville, New York, told Fox News Digital.
When a parent is in cognitive decline, questions arise about how to step out of traditional parent-child roles, she said, with “no clear norms or guidelines.”
For members of the so-called “sandwich generation,” doing double-duty caregiving can take a toll, experts say. (iStock)
“People have lived their lives looking up to their parents, turning to them for advice, and respecting their privacy and autonomy,” Frye continued.
“Now, they find themselves poking around in their parents’ affairs and wondering when to start making decisions for them.”
Stress of the ‘sandwich generation’
“Sandwich generation” caregivers — those who are tasked with taking care of multiple generations, such as parents and children, simultaneously — reported significantly higher levels of personal burnout compared to those who care solely for children, according to a 2023 study published in the International Journal of Aging & Human Development.
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One middle-aged caregiver from Long Island, New York, who asked to withhold her name, told Fox News Digital she can barely find time to take a shower when taking care of her mother with dementia.
“How can I find time to go for a walk or coffee with friends when I am afraid she will wander or fall?” she asked.
Those who are tasked with caring for members of multiple generations reported significantly higher levels of personal burnout compared to those who care solely for children. (iStock)
To avoid caregiver burnout when taking care of a parent who is dealing with an illness such as dementia, health experts said it is important to carve out time for yourself.
“Caring for a person with dementia can be very stressful,” Frye said. “In order to take care of somebody else, you need to take care of yourself. It is OK to take a break.”
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Dr. Marc L. Gordon, chief of neurology at Zucker Hillside Hospital Northwell Health on Long Island, New York, said caregivers should not hesitate to rely on others.
“It is important to find time for respite, and to ask for help rather than trying to do it all by yourself.”
He added, “Just like they tell you on an airplane, in case of an emergency, you should put on your own oxygen mask before attempting to assist others.”
“How can I find time to go for a walk or coffee with friends when I am afraid she will wander or fall?”
Darci Henry, a certified dementia practitioner and licensed nursing home administrator with Trualta — a Canadian company that provides online support and education for caregivers — said caregivers experience a range of emotions, all which are valid.
Henry emphasized to Fox News Digital the importance of delegating responsibilities to other family members and outsourcing tasks.
There are approximately 53 million caregivers in the U.S. as of 2020, a jump from 43.5 million in 2015, according to the Centers for Disease Control and Prevention (CDC). (iStock)
This may mean using community resources, such as meal prep, grocery delivery and laundry services.
“Reaching out and getting that extra layer of support is really important for your own preservation,” Henry said.
“Taking time for self-care is not selfish. It’s necessary.”
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Even for those who cannot leave the house, Henry suggested taking “micro moments.”
“It can be something as small as taking a few deep breaths, doing some stretching, standing outside on your porch or just enjoying a cup of coffee,” she said.
When it comes to speaking with children about their grandparent’s condition, an expert said knowledge is power. (iStock)
It is also important to carve out time for family relationships and daily check-ins with spouses or partners, according to Henry.
That could include going for a walk after dinner, having regular family meetings and discussing the division of responsibilities.
Navigating difficult discussions
“If there are underlying issues in the family, you’re definitely going to see them come up once the caregiving role starts,” Henry said.
People should seek professional help if the strain of caregiving is affecting the relationship, she advised.
“Many families have someone from the outside come in and mediate the meetings.”
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Having an outside perspective can help “provide a different lens” for the conversation and make sure everyone is heard, Henry noted.
While communicating, she said it’s key to be respectful and understand limitations and expectations.
“Try to take things as they come, moment by moment,” said one expert. “Focus on a parent having a good or a bad hour or day, as opposed to the parent improving or declining quickly.” (iStock)
When it comes to speaking with children about their grandparent’s condition, Henry said knowledge is power.
“The more you can educate the teenager or young adult about what is happening, the more empathy they may have about the situation.”
“If there are underlying issues in the family, you’re definitely going to see them come up once the caregiving role starts.”
To help deal with the mood swings often associated with dementia, Henry suggested adhering to a stable routine as much as possible and developing strategies to identify and prevent triggers for certain behaviors.
“Educating yourself on what is happening in that person’s brain is really important, because that will help you understand that they are not giving you a hard time, they’re having a hard time,” Henry said.
‘One day at a time’
It’s best to embrace a “one-day-at a time” mindset, Frye suggested.
“It’s tempting to take a parent’s state and behavior — whether it’s good or bad — as an indication of what’s to come,” she said.
To help deal with the mood swings that are often associated with dementia, an expert suggested adhering to a stable routine as much as possible and developing strategies to identify and prevent triggers. (iStock)
“Try to take things as they come, moment by moment. Focus on a parent having a good or a bad hour or day, as opposed to the parent improving or declining quickly,” Frye suggested.
Continuing to give a parent as much say and autonomy as possible can be helpful, she added — as long as it’s safe.
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“Decades ago, Ellen Langer did a study in which people in a nursing home were given a plant and told either that they needed to care for it, or that the staff would care for it,” Frye said.
“Those who were tasked with caring for their own plants lived longer.”
There are approximately 53 million caregivers in the U.S. as of 2020.
That’s a jump from 43.5 million in 2015, according to the Centers for Disease Control and Prevention.
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Bipartisan push to invest in US national parks
Bret Baier moderates a discussion with Representatives Bruce Westerman (R-AR) and Jared Huffman (D-CA) about the ‘America the Beautiful’ initiative. This bipartisan effort seeks to modernize national parks ahead of America’s 250th anniversary, investing $1.9 billion annually. They emphasize national parks as common ground, beloved by all Americans, and crucial for our shared heritage.
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As the United States celebrates its 250th anniversary, many Americans are taking extra notice of all the things the country has to offer.
One such case is our access to vast wilderness. Today, the nation’s national parks are bustling tourist attractions, but they may also serve as vital resources for public health, experts say.
The most immediate health boost comes from physical movement.
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Guidelines from the Centers for Disease Control and Prevention show that regular physical activity is crucial for reducing obesity, improving sleep quality and lowering the risk of chronic illnesses.
The nation’s public lands include parks, trails and open spaces that encourage outdoor recreation and physical activity.
Beyond physical fitness, national parks contribute to documented mental health benefits. (iStock)
A review by the Community Preventive Services Task Force (CPSTF) found that implementing park, trail and greenway infrastructure directly increases physical activity across communities.
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When people walk, hike or bike through national parks, they are actively lowering their blood pressure, boosting immune function and reducing overall mortality, data shows.
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Beyond physical fitness, national parks may contribute to documented mental health benefits.
Previous research has demonstrated that direct exposure to nature significantly reduces physiological stress, lowers heart rates and decreases levels of stress hormones, like cortisol.
Engaging in educational activities and lifelong learning preserves brain function, improves memory and helps stave off age-related cognitive decline, research shows. (iStock)
This research also shows that natural environments boost attention span, combat mental fatigue and improve cognitive performance.
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Parks also act as natural venues for mindfulness and social connection.
Research shows that practicing mindfulness in quiet outdoor spaces lowers stress and mitigates feelings of loneliness and social isolation.
Research highlights that practicing mindfulness in quiet outdoor spaces lowers stress and mitigates feelings of loneliness and social isolation. (iStock)
Additionally, because parks protect cultural and historical resources, they can inspire lifelong learning.
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According to the data, engaging in educational activities and lifelong learning preserves brain function, improves memory and helps stave off age-related cognitive decline.
The National Park Service was established in 1916 to conserve the nation’s natural and historic resources for future generations, according to the organization.
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Today, that mission has expanded, as parks are recognized not only for their scenic and cultural value, but also the opportunities they provide for recreation and physical activity.
Screwworm outbreak threat to US livestock, prompts USDA action
Agriculture Secretary Brooke Rollins discusses USDA’s response to the New World Screwworm outbreak in Texas and New Mexico, assuring safe food supply on ‘The Bottom Line.’ VI LONG DEK: Agriculture Secretary Brooke Rollins addresses the alarming resurgence of New World Screwworm in Texas and New Mexico, emphasizing USDA’s aggressive containment efforts. She confirms the food supply remains safe while highlighting the administration’s focus on domestic fertilizer production, investing billions in new plants and infrastructure projects. Rollins celebrates 250 years of American agriculture and its vital role in national security.
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Doctors thought a 60-year-old man had metastatic brain cancer after scans revealed multiple tumors – but further testing revealed a shocking diagnosis.
The Spanish man, who was not named, was found to have a parasitic tapeworm larvae lodged in his brain — a case of neurocysticercosis, a parasitic infection of the central nervous system caused by the pork tapeworm (Taenia solium).
The patient, a lifelong resident of Castellón, Spain, had not traveled to any regions where the disease is endemic, according to the case report published in the CDC journal Emerging Infectious Diseases.
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The man had initially come to the hospital after suffering two weeks of progressive headaches and mild behavioral changes.
Radiologic findings from a study of autochthonous neurocysticercosis brain lesions mimicking metastatic disease. (Emerging Infectious Diseases)
CT scans showed multiple abnormal spots that looked like tumors that had spread from cancer elsewhere in the body, leading doctors to suspect advanced brain cancer.
However, whole-body scans, a colonoscopy and specialized imaging failed to identify cancer anywhere in the patient’s body, the case report stated.
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When doctors performed a more detailed MRI, they discovered several fluid-filled cysts in the brain, some of which contained the head of a tapeworm. A blood test confirmed the diagnosis of neurocysticercosis.
The man was treated with a combination of albendazole and praziquantel (two antiparasitic medications), as well as corticosteroids to reduce inflammation. He successfully recovered with no complications, according to the case report.
CT scans (not pictured) showed multiple abnormal spots that looked like tumors that had spread from cancer elsewhere in the body, leading doctors to suspect advanced brain cancer. (iStock)
The authors suggested that the patient may have gotten the infection after accidentally ingesting microscopic tapeworm eggs years earlier.
The exposure may have occurred while working a construction job with migrant coworkers from regions where neurocysticercosis is endemic.
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People can catch the pork tapeworm in two different ways. Eating undercooked infected pork usually leads to an intestinal tapeworm, but accidentally swallowing the parasite’s eggs — typically through food or water contaminated with feces — can send the larvae into the bloodstream, where they may form cysts in the brain and other organs. This can cause the disease the patient in the case report acquired.
A photomicrograph shows histopathologic features in a brain tissue specimen from a case of neurocysticercosis caused by the pork tapeworm Taenia solium. The image documents pathological changes associated with this parasitic infection. (Smith Collection/Gado/Getty Images)
As this was just a single case, the source of transmission could not be proven, the researchers acknowledged, and the findings cannot be generalized to a wider population. The report shows that there is a possibility of local transmission in non-endemic settings, but cannot establish how often this occurs.
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In the United States, less than 2% of neurocysticercosis cases are considered domestically acquired, according to the case report.
A prior systematic review identified only 18 confirmed locally acquired cases in Western Europe between 1990 and 2011.
The authors suggested that the patient may have gotten the infection after accidentally ingesting microscopic tapeworm eggs years earlier. (Associated Press)
In some cases, NCC can cause serious symptoms, including seizures, stroke, neurological deficits and cognitive decline.
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“Our case emphasizes that the absence of travel history should not preclude NCC from the differential diagnosis of multiple ring-enhancing brain lesions, even in regions where metastatic cancer is statistically much more likely,” the researchers concluded in the case study.
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Detecting the worms earlier could have prevented “unnecessary invasive oncologic procedures and led to prompt, targeted antiparasitic therapy,” they added.
Fox News Digital reached out to the researchers for comment.
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A rare and potentially fatal tick-borne illness currently spreading across the United States can be traced back to a 1958 case involving a young boy on a farm.
The disease, known as Powassan virus, was named for the Ontario town near where it was first discovered.
At the time of his death, Lincoln Byers, a 4-year-old living in Canada, had a condition that medical professionals could not explain, the Boston Globe reported.
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Years later, researchers discovered a tick harboring the same virus on a dead squirrel, finally providing an answer to the tragedy, but foreshadowing a growing public health challenge.
While once considered an obscure medical anomaly, Powassan virus cases have reached historic highs in the U.S., data show.
Powassan is most prevalent from late spring through mid-fall, when tick populations peak and outdoor activity increases. (iStock)
According to the Centers for Disease Control and Prevention, 76 Americans were diagnosed with the virus in 2025, the highest annual total on record. Previously, the U.S. averaged just seven to eight diagnoses each year.
The virus is primarily transmitted to humans through the bite of an infected woodchuck tick or deer tick. Like other tick-borne illnesses, Powassan is most prevalent from late spring through mid-fall, when tick populations peak and outdoor activity increases.
Public health experts warn that the virus’s transmission speed makes it uniquely dangerous.
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“One of the most dangerous aspects is its rapid transmission,” Dr. Jorge P. Parada, a medical advisor at the National Pest Management Association in Chicago, told Fox News Digital.
“Powassan can be transmitted in as little as 15 minutes after the infected tick bites, while Lyme disease usually requires a 36- to 48-hour attachment time for transmission.”
Powassan carries an incubation period of one to four weeks before symptoms manifest. (iStock)
Parada noted that while Powassan remains rare compared to Lyme disease, it poses clinical concern.
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Dr. Marc Siegel, senior medical analyst for Fox News, confirmed that the virus transmits significantly faster than Lyme disease. He noted that Powassan carries an incubation period of one to four weeks before symptoms manifest.
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Initial symptoms include fever, headache, vomiting and weakness, though some infected individuals remain asymptomatic, according to the CDC.
There are currently no specific medications or vaccines to treat or prevent Powassan virus. (iStock)
The virus can progress to severe neurological complications, including encephalitis (inflammation of the brain) and meningitis (inflammation of the spinal cord membranes).
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In severe cases, patients may experience confusion, loss of coordination, difficulty speaking and seizures, per the CDC.
“One of the most dangerous aspects of it is its rapid transmission.”
Approximately 10% of Powassan cases involving severe neurological disease are fatal, and many survivors experience long-term neurological issues.
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There are currently no specific medications or vaccines to treat or prevent Powassan virus; clinical care is limited to supportive therapy, such as intravenous fluids and respiratory support.
While anyone can develop severe illness, those at the highest risk include children, older adults and immunocompromised individuals, experts caution.
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