Caring for a family member who has dementia is a herculean task. Not only does one have to be patient but also vigilant, keep track of things as well as find make sure to communicate with the person they are taking care of. Not many people feel up to the task and often experience caregiver’s burnout sooner or later. However, when a family member does get diagnosed with dementia, who usually steps up to the task? A recent small study reveals that two-thirds of nieces and nephews who care for an older relative with dementia never anticipated taking on that responsibility. These caregivers often found themselves in the role either gradually or due to family circumstances, according to findings published in The Gerontologist. One researcher noted that while this unplanned care shows immense love, it also hides a lot of stress. These caregivers juggle their own households, children, and jobs alongside their primary caregiving duties. Driven by Love, Not Just Duty Despite the unexpected nature of the role, these nieces and nephews often had strong, lifelong connections with their aunts and uncles. They were shaped by family ties to potentially become caregivers. Many participants expressed feeling like they were "paying back the love" their aunt or uncle showed them growing up. This suggests that when care comes from a place of genuine gratitude rather than just obligation, caregivers are more likely to persevere, even when resources are scarce and stress is high. Who Are These Caregivers? For this study, researchers talked in depth with 20 nieces and 5 nephews who were caring for an aunt or uncle. These caregivers were between 38 and 67 years old and lived in several states. All of them either lived with their relative or saw them at least three times a week. This research is especially important now because as the population gets older, many more extended family members might find themselves in unexpected caregiving roles. Deep Family Bonds and Unexpected Demands The study revealed that most of these caregivers grew up in the same town as their aunts and uncles. They often described their relatives as "fun" or their "favorite," someone they could talk to or get advice from. In a couple of families, the aunt was even like a second mother. These younger relatives kept strong connections with their aunts and uncles over the years. Despite these close bonds, most of the caregivers (19 out of 25) never expected to become primary caregivers. For example, one nephew took on the role because his wife and her sisters worked outside the home, and he had a flexible remote job. Another niece stepped in because her own mother, who was initially caring for the aunt, became too sick to continue. She even described tough situations where her aunt would throw food. The study also showed that a person's current life situation played a bigger part in them becoming a caregiver than factors like being single or not having children. Surprisingly, nearly half of the relatives with dementia had their own children still alive, and most had living brothers or sisters, yet the nieces and nephews still became the main caregivers. Recognizing Non-Traditional Caregivers These findings highlight that support systems need to recognize that non-traditional caregivers, like nieces and nephews, are often stepping in to fill crucial roles. Understanding what these extended family caregivers go through gives a more complete picture of how families care for their loved ones. Learning about their experiences will help us figure out what support they're missing and create programs to help them stay healthy and well. This benefits everyone involved: the person with dementia, the caregiver, and society as a whole.