Nutrition is an issue that continually arises when taking care of a family member or friend. Meals on Wheels ( 1-800-573-6467) delivers low-cost hot lunches and cold suppers seven days a week. This service not only offers nourishment but also adds social interaction to those who may be living alone.

Senior nutrition sites also serve low-cost lunch at local senior centers. This nonthreatening avenue can also encourage seniors to become involved in outside activities.

For someone who has difficulty shopping for groceries, agencies and businesses exist that will shop for them for a reasonable fee. Contact Aging & Independence Services at 1-800-510-2020 for more information.

Free time is cherished and rare. Consider using adult day care centers or homemakers to help alleviate the burden of caring for someone around the clock.

Adult day care centers offer care recipients therapeutic social interaction, and health services if needed. Contact San Diego County's Aging & Independence Services at 1-800-510-2020 for a list of adult and social day care centers.

Hiring a homemaker to help with housekeeping chores and serve as a companion for care recipients can also help. Check the Yellow Pages under "Home Health Services" for agencies that can provide homemakers.

Instead of doing everything to the point of breaking down physically or emotionally, search out and accept assistance from others, including family, friends and health agencies. One of the most effective ways you can take care of yourself is by joining a support group where you can trade ideas, exchange resource information and discuss solutions to handling difficult situations.

Several local agencies can provide information on services available to help with the caregiving burden:

• Aging & Independence Services
  An agency of the County of San Diego.
  1-800-510-2020
• Sharp HealthCare
  Classes and support groups for caregivers.
  1-800-827-4277
• Sharp Senior Resource Centers
  Free information and referrals from trained professionals.
  Sharp Senior Resource Centers
• Southern Caregiver Resource Center
  Support for caregivers of brain-impaired adults.
  1-800-827-1008