Consideration must be given to whether potential caregivers are willing and able to perform the tasks necessary to keep the older person at home. Strongly motivated families usually can perform elaborate and detailed care, but they may be indifferent or become resentful or worn out from assuming such responsibility. Home care often involves a long-term commitment and may prove an unremitting burden to a family. Physicians should watch for and be ready to intervene if elder abuse is suspected (see Ch. 111). The very old may be cared for by equally aged spouses or elderly children whose own frailty or impairment may preclude providing the necessary care, regardless of how much they may wish to do so.