Caregiving is a challenging role because it requires compassion, knowledge and endurance to accomplish successfully.  Additionally, family communications alone are challenging.  They get even more complicated with the emotions, fears,and concerns that occur when a loved one falls ill or has a health "episode" like a fall.  The health care system makes choices complex, confusing and unclear, to say the least.  So, caregiving is difficult for even the most effective communicating families.  And, the path that we must travel through the maze of health care will challenge those communications skills and our family dynamics.