What is the Sandwich Generation?
The first time I heard the term Sandwich Generation, my daughter was a child, and my parents were thriving. Until then, I hadn’t really considered the idea that my parents might need me someday. Suddenly I viewed the future differently.
Muffaletta or Panini? Understanding Your Caregiver Stress Level
Maybe your children are young adults, but they still need you. My daughter, for example, is married and establishing her career as a barber. That said, she’s twenty years old and still needs my help navigating the big stuff: leases, health insurance, and a new marriage. Maybe your parents’ memory loss is minor, and you can provide the help they need with a phone call. You worry, but you’re not losing sleep yet. Disaster hasn’t struck. I would compare that sandwich situation to a fluffy muffaletta. There’s room to breathe in there.
But maybe you find yourself packing your kiddo’s lunch while arguing on the phone with Medicare, and your mom’s various and sundry appointments often make you late to your son’s baseball games. You might spend your lunch break scheduling your daughter’s annual physical and your dad’s MRI. Mom left the stove on and started a fire. Dad’s car has been totaled. I would compare your sandwich to a smashed panini. You’re the kind of exhausted that convinces you that caffeine is a food group.

Stress with a Side of Grief: The Emotional Toll of Caregiving
The stress is real, but there’s also the grief nobody warns you about: watching your parents fade away. We can’t prepare for the sharp, quiet ache when they don’t know what day it is or get angry with you for “taking the keys away.” You’re losing them in slow motion, often while pretending everything’s fine for the kids. Grief also comes with your own unrealized or delayed dreams. Some parents look forward to the freedom that comes with an empty nest, only to find they’re busier than ever due to their own parents’ needs.

How to Cope: Self-Care Tips for the Caregiver
In 2017, my friend (and fellow JJ Pearce graduate) Scott Silknitter co-authored a book titled Put Your Mask on First! A Caregiver’s Guide to Self-Care. He wrote it after witnessing the toll his father’s Parkinson’s disease and dementia had on his mother, his full-time caregiver. The chapters are quick enough to read during a trip to the toilet because sometimes that’s the only break a caregiver gets. I highly recommend the book, and I have a few additional tips that are working for me:
Hang on to Humor. Try to chuckle rather than cry when Dad asks for the third time where his keys are to the car that hasn’t moved since 2019. Laughter is a powerful elixir. Encourage your parents to laugh, too, maybe by re-watching their favorite comedies or sharing funny stories, perhaps for the 100th time.
Delegate like a boss. Your teenagers can mow the lawn or run to the store. Your siblings? Assign them tasks.
Use delivery apps. Apps like Instacart and DoorDash (for you or your parents) can save loads of time and energy.
Grieve out loud. Talk to a friend or therapist. Journal. Sit on the back porch with a beer and let the tears come. Bottling it up can turn you mean, so Let. It. Out.
Show yourself grace and kindness. You might swing from sad to angry, and this is normal and okay. Holding two generations together is righteous work.