James Lee often has to pick up his 100-pound son, Justin. Photographer Andrew Nixon shot this photo in an effort to show how being caregivers affects the aging parents. Andrew Nixon/Capital Public Radio hide caption

itoggle caption Andrew Nixon/Capital Public Radio

James Lee carries his son, Justin, to the shower. Justin's parents have a lift to help move him around the house, but their nearly 100-pound son, who has cerebral palsy, often needs to be picked up. Andrew Nixon/Capital Public Radio hide caption

itoggle caption Andrew Nixon/Capital Public Radio

Loretta Jackson gently stretches the hands of her sister, Shirlene English, to aid physical rehabilitation after Shirlene's brain aneurysm and stroke. Andrew Nixon/Capital Public Radio hide caption

itoggle caption Andrew Nixon/Capital Public Radio

Rick and Marianne wash dishes together. She no longer remembers that he is her husband. Andrew Nixon/Capital Public Radio hide caption

itoggle caption Andrew Nixon/Capital Public Radio

Minnesota, Washington and Oregon topped the ranking, which looked at 26 variables, including affordability and whether patients could get good paid care at home. Alabama and Kentucky came in last. Fred Froese/iStockphoto hide caption

itoggle caption Fred Froese/iStockphoto

Taking care of a family member can be a life-extending experience, a study finds. iStockphoto.com hide caption

itoggle caption iStockphoto.com