The caregiving crisis:

Leveraging technology to support family caregivers

The faces of dementia

And their caregivers who give everything
By Liz Tenety

Jennifer's mother, Maria, has always been an incredibly strong woman.

Born in the United States to Mexican immigrant parents, Maria grew up speaking Spanish and English, navigating the world as a first generation kid in a community that wasn’t always welcoming or integrated.

Although Maria started college at Arizona State University, her academic journey paused when she married at 22 and had four daughters. Many years later, she turned back to her studies and completed her degree at SUNY Oswego in New York.

“She was a great student, very intelligent and she had a lifelong love of reading,” Jennifer explains.  

Maria spent the intervening years managing her bustling family life as she often worked as a substitute teacher and supported her husband’s sprawling, complex network of businesses. Yet her dreams for her daughters always came first: Maria sacrificed to afford music lessons for her children—one adult daughter has been a piano instructor and accompanist, another majored in French Horn in college—even though Maria herself wasn’t musical. That was a mother's love, scrimping and saving to instill a love of music and a better life for her children. A deeply religious woman and member of the Mormon Church, Maria also often marveled at the natural world, collecting rocks and shells and teaching her daughters to notice the beauty around them. Maria lived her life as a vibrant, multifaceted woman whose intellectual interests ranged far and wide.

“She made sacrifices for us to do things that she didn't get the opportunity to do. She took joy in seeing us do them,” Jennifer remembers.

So when Maria and her husband started to show signs of cognitive decline, it was not easy for her daughter to step in.

“When you're dealing with your parents, they still feel that they're the boss. It’s that idea that you need to respect your elders. For so long, my mom has been the matriarch, and my father the patriarch.”

A medical researcher for the U.S. Navy, Jennifer was living abroad and on the precipice of a huge career opportunity performing malaria research in the Horn of Africa when, during phone calls back home, she began hearing signs of trouble. Her father, 11 years older than her mother, was living in a small town in Arizona with his wife when he began showing symptoms of cognitive decline, with businesses he could no longer manage, multiplying tax issues, and unmet basic self-care needs.

“My father’s teeth were rotting out of his mouth,” Jennifer explains. “He was a very bright and capable person who could no longer manage to care for his own well-being.” Realizing her parents were in crisis, Jennifer turned down the job offer, moved back home, and soon found her mother in an equally distressed circumstance, living with severe depression and even a suicide plan in place.

“In retrospect, it is evident that if I would have known earlier, I would have done something about it,” Jennifer notes.

“But there's no program or school for caregiving. No one gives you a guide explaining, ‘This is going to start happening to you.’”

When Jennifer’s father passed away suddenly in 2012, it became clear that her caregiving role for her mother was just beginning. Initially, Jennifer relocated to a home nearby to support her mother; she later bought a new home enabling her mother, daughter and their extended family to live together.



Now, with Maria in the later stages of dementia, Jennifer shares,

“Sometimes, it feels like she’s not even my mom anymore. But she's a human being that I care about and love, regardless.”
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A near universal reality

Aging and caregiving without support

Jennifer is far from alone. While the unique details of every family’s caregiving dynamics vary, the reality of aging and caregiving is near universal. With Baby Boomers now approaching their 80s, the largest generation in American history is entering a stage of life when they are more likely to need direct care for conditions like Alzheimer’s and dementia. Experts estimate that more than 7 million Americans (nearly 10% of U.S. adults over 65 years of age) are living with dementia (including Alzheimer’s), while another 22% have mild cognitive impairment, according to BrightFocus, an organization that funds scientific research on Alzheimer’s and other diseases. Globally, at least 55 million people are believed to be living with Alzheimer's disease or other dementias. If breakthroughs are not discovered, rates could exceed 152 million by 2050.



No one is immune to the impact of dementia on individuals and families. Juliet Holt Klinger, an expert gerontologist and elbi leader, elaborates, “the population of people living with dementia is expanding, and every person living with dementia has two to three caregivers on average. It's something that touches nearly everybody's life at one point or another.”



“Stepping in to support those adults with Alzheimer’s and other forms of dementia is a generation of caregivers, often unpaid family members, who typically find themselves in midlife with careers and kids of their own.”

These caregivers navigate demanding, gut-wrenching new roles caring for their parents and loved ones without formal training, structural support or adequate resources. Many caregivers report profound emotional, logistical and financial burdens associated with their caregiving, even though many also believe that caring for their loved ones through this stage of life is meaningful and important.

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Leveraging technology to support family caregivers at scale

Equipping family caregivers with on-demand support

Experts say that providing better support to these caregivers is the critical component to providing the person-centered care that people with Alzheimer’s and dementia deserve.

“The caregiver is the intervention in treating people with dementia,” explains Linda Buscemi, co-founder and creator of the elbi app.

Linda and the elbi team built the tech-enabled platform based on 4,000 behavioral plans she had crafted through her work as a psychologist supporting thousands of people with dementia (including Alzheimer’s). Although her at-home and residential care plans were highly detailed and person-centered, too often her recommendations would be lost in translation due to complexity or caregiver turnover. In turn, she developed elbi to simplify expert guidance for caregivers, providing practical and personalized expert advice to help care for people through this stage of life.

“Technology offers us an instant way to person-center our approaches to people living with dementia. [Apps like elbi] can really harness empathy to use technology in more soulful ways.”

For example, if a caregiver were struggling to help a loved one with Alzheimer’s to bathe, the elbi app would draw upon thousands of expert care plans to recommend specific hygiene tips to caregivers that note the person’s preferences and history, stage of dementia and clinical best practices. This support service enables a more empathy-based, person-centered approach to dementia care, made possible by the latest personalized technology.

“Empathy is crucial in caregiving, and elbi helps teach empathy through practical, person-centered interventions,” Linda notes. “Caregivers should focus on how they approach and react to their loved ones with dementia,” she says, as it is those key interactions that shape the majority of patient outcomes, shaping the best life possible for people with dementia.

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“A living loss”

An empathetic guide

Empathy for oneself, for a loved one with dementia or Alzheimer’s, and for others going through similar challenges, is the critical component that binds this community of caregivers and dementia innovators, experts say. As the need for caregiving grows with an aging generation, solutions that blend empathy with technology offer hope for a better future for both caregivers and those they care for.

And Jennifer’s story, like many others, highlights the importance of recognizing and supporting caregivers. “People are generally good, and when they understand better, they'll do better,” Linda explains. Tools like elbi that enable caregivers to more easily and empathetically care for people with conditions like dementia are poised to blend the best of technology and person-centered care.



Juliet, who for decades has worked with families in senior living memory care centers, stresses the importance of this kind of proactive support, as families often find themselves without a guide in these situations.

“Family caregiving is invisible, relentless, thankless, and not recognized as work by society even though they are constantly ‘on’ and completely lose much of their independence to the role.”

Jennifer’s story echoes that insight, as she reflects on the transformation of her relationship with her mother through her caregiving journey.

“Caring for my mom is kind of like having kids, but in reverse,” Jennifer says. “Your children grow more independent and more capable, and there's a lot of joy in seeing that growth. But when you're seeing a person who was your mentor, your guide, the person who you turned to when you needed help . . . seeing them slowly lose the pieces of themselves, it's a totally different experience. It’s very humbling. It’s a living loss.”

Maria can no longer fully express herself in words, but Jennifer still believes her mother’s love for her family radiates. “There's a wordless kind of appreciation in her. She can't fully express the joy that she feels. But I know it’s there.”

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