As many as 43.5 million Americans care for older parents, grandparents, spouses, and other older adults. Some older adults need only a little assistance, such as help with shoveling snow or rides to and from the grocery store. Others need a lot of help with daily activities like eating, bathing, dressing, taking medications, and managing money. Over time, some older adults with increasing medical problems often need significant help from caregivers in performing activities of basic living.