Abstract
Family caregiving of a frail older person is an increasingly common phenomenon. Caregivers are confronted with new roles and responsibilities that provide both challenges and opportunities. Family issues that require expert nursing attention include role reversal, unresolved conflicts, caregiver immersion, elder mistreatment, and caregiving from a distance. Comprehensive geriatric assessment provides a foundation for intervening with families. Nurses are instrumental in providing a family perspective that meets the needs of frail older persons and their caregivers thus providing wholistic care.