The unintended consequences of caregiving of children with chronic illness or physical disability reflect the multidimensional nature of caregiving that requires parent caregivers to balance the caregiving demands of their children with the needs of the family, while collaborating with pediatric nurses to incorporate new evidence-based strategies to improve the quality of care for their children. CAREGIVING IS ONE of the responsibilities of parenting that encompasses all aspects of the child's care. Parents provide care to their dependent children, nurturing and teaching them to care for themselves as they grow and develop. Parents teach children healthy choices and prevention behaviors to promote healthy lifestyles in their children and families. But when children have a chronic illness or physical disability, the caregiving demands increase beyond typical parenting and represent a new dimension that includes management of the chronic condition and coordination of care that may extend throughout the child's life. Managing these caregiving demands at home may be overwhelming and create additional stress as parents learn how to provide specialized care to their child and cope with the demands of chronic illness or physical disability (Christian, 1998; Murphy, Christian, Caplin, & Young, 2007; Raina et al., 2004). As a result, caregivers of children with chronic illness or physical disability are faced with balancing these caregiving demands with other competing family needs, as well as the demands of work in their everyday lives to achieve a satisfactory quality of life (Christian, 1993). Consequently, with these additional demands, many parent caregivers feel less healthy due to the additional time, family, and self-care costs associated with caregiving of children with chronic illness or physical disability (Murphy et al., 2007). Moreover, caregivers experience negative physical, emotional, and functional health consequences that influence their ability to provide care for their child with chronic illness or