She has dementia, Parkinson's and arthritis. None of her conditions are severe at this point, but the emotional and psychological drain of 24/7 care is getting to me. She is physically easy to care for but is still very needy. A caregiver comes in once a week for 6 hours but I need more help. Once in awhile my sister will stay the weekend so I can get a break. It's getting more difficult for me to hide how it's wearing on me and it is affecting the quality of care I am giving. More and more I do just the basics. I do not neglect her in any way but I just don't have it to do more than what is required. She doesn't like to leave the house anymore but I still take her to eat or an occasional movie if I can talk her into it. Any suggestions for how to present this to her without it being too upsetting for her?