Growing up right in the middle of an older sister, Janie, and Ruth, her younger sister, Joyce never really gave much thought to what that would mean when her parents got older and the expectations that would be placed on her. Busy with her own life, working alongside her husband, Mark, in their family business, it didn’t take long for her to realize that her ailing fathers’ need for caregiving was more than her mother could handle. Always the one to take the initiative in her family, Joyce made visits to her parents several times a week making sure bills were paid, the house was clean, groceries were stocked and when the time came, made the very difficult decision to place her dad in a nursing facility. While this move did lessen the burden on her mother, it also meant that Joyce was now making those weekly visits to both her father in the nursing home and her mother, who was at this point developing some critical health issues of her own, having been diagnosed with early-onset dementia.