 
          It’s important to identify what is
        
        
          causing stress for your sibling. It could be
        
        
          they are trying to achieve the impossible.
        
        
          Dr Chan says, “Are they burning out?
        
        
          Clarify specifics of what’s causing the
        
        
          carer strain and brainstorm options
        
        
          together. What support services, often
        
        
          run by local NGOs [non-governmental
        
        
          organisations] or health services, are
        
        
          available and yet untapped? Encourage
        
        
          them to accept that seeking outside help
        
        
          is not a betrayal of their care. The key
        
        
          point is for your sibling to know you are
        
        
          here for them, even if for the foreseeable
        
        
          moment you happen to be miles apart.”
        
        
          
            Roll up your sleeves
          
        
        
          You might feel helpless and alone, trying
        
        
          to support your family from far away, but
        
        
          there are ways you can help. And helping
        
        
          might make you feel better, too.
        
        
          
            • Help with remote tasks.
          
        
        
          You can pick
        
        
          up non-physical administrative tasks.
        
        
          Can you help organise banking, make
        
        
          appointments, manage their calendar,
        
        
          or even manage any social workers or
        
        
          caseworkers who are involved?
        
        
          
            • Give your sibling a break.
          
        
        
          Most primary
        
        
          caregivers need a break. It’s a very
        
        
          stressful, physically and emotionally
        
        
          draining position to hold. You could pay
        
        
          for respite in-home help or organise a
        
        
          weekend away at a care facility for
        
        
          your sick parent. If possible, you could
        
        
          fly home to help out in person.
        
        
          
            • Get specific with offers of help.
          
        
        
          “How
        
        
          can I help?” is an enormously open
        
        
          question. It might be more helpful to
        
        
          state which specific tasks you could help
        
        
          with, instead of a general offer of help.
        
        
          Think beyond the caregiver: how can
        
        
          you help their partner and kids, too?
        
        
          
            Understand the realities
          
        
        
          It’s amnesty time. Primary caregiver is
        
        
          a 24/7 job; it’s not only time-consuming
        
        
          and emotionally draining, it can be
        
        
          expensive. The expenses are incurred
        
        
          through costs paid by the caregiver, but
        
        
          also through the reality of earning less
        
        
          due to time away from work, not taking a
        
        
          promotion or even having to leave work.
        
        
          Acknowledgement is essential,
        
        
          and it’s only fair to have a clear, honest
        
        
          conversation with that sibling about
        
        
          the costs they’re incurring. Don’t forget
        
        
          to discuss the emotional cost on their
        
        
          household, especially if they’re coping
        
        
          with an elderly parent in a declining
        
        
          mental state.
        
        
          
            Grieving from afar
          
        
        
          All the benefits of being an expat are
        
        
          suddenly drained and irrelevant in the
        
        
          face of losing a family member. Nothing
        
        
          will ever be as powerful as being seated
        
        
          next to your family in a time of crisis,
        
        
          but today we have tools like Skype and
        
        
          Facebook to help us connect and feel
        
        
          closer. Sometimes the passing of a parent
        
        
          is the trigger to head home.
        
        
          One expat, whose husband
        
        
          watched his brother in the US care
        
        
          for his dad while the family lived in
        
        
          Hong Kong and Singapore, says, “My
        
        
          husband’s brother had to bear the brunt
        
        
          of their dad’s illness, both physically and
        
        
          emotionally. Then, after his father passed
        
        
          away, that’s when my husband decided
        
        
          to move us all back to the US. Even
        
        
          though their dad was gone, he wanted
        
        
          to be there to support his mother and
        
        
          brother.” This is not an uncommon story.
        
        
          Moving home may not be an option
        
        
          for you, so again, be there for your
        
        
          siblings and try to take some time
        
        
          together face to face. And don’t forget:
        
        
          losing a parent is a natural, timely
        
        
          reminder to embrace and cherish
        
        
          our relationships with our siblings and
        
        
          remaining family.
        
        
          December 2014
        
        
          105