The Caregiving Ecosystem: When Caregiving Changes Everyone at Home
Leilani and Rod Faigao
Family caregivers and parents
Session description and speaker bios
Session Description
When a child receives a life-changing diagnosis, the focus often shifts entirely to medical needs, while the family system absorbs the impact in every direction. As parents of a daughter who spent her first seven months in the hospital after being born with Down syndrome and undergoing open-heart surgery, we have experienced the emotional, relational, and practical challenges caregiving places on a marriage, siblings, and family life.
This session explores what families need beyond the diagnosis, including ways to strengthen a marriage, support siblings, intentionally include fathers, and build a caregiving ecosystem where no one carries the journey alone. Together, we share a mother's and a father's perspective, drawing from our family's caregiving journey and the many healthcare professionals, nonprofits, faith communities, and support networks that have walked alongside us. Our goal is to offer an honest, hope-filled conversation with practical strategies families can begin using right away.
Leilani Faigao
Leilani Faigao is a wife, mother of four, and full-time family caregiver. Her daughter Ava was diagnosed with Down syndrome before birth and spent seven months at Children's Hospital of Philadelphia after open-heart surgery. In the years since, Leilani has learned that many of the hardest parts of caregiving happen outside the hospital, including keeping a marriage steady, helping siblings adjust, and pushing back against the isolation that caregiving can create.
She holds degrees in psychology and nursing and serves on the CHOP Family Advisory Council, the Down Syndrome Association of Southern New Jersey, and the Holy Innocents Society. With her husband, Rod, she shares the caregiving ecosystem they have built at home, grounded in the belief that marriage, siblings, faith, and community form one interconnected system that grows stronger when cared for together.
Rod Faigao
Rod Faigao has worked in the pharmaceutical industry for more than 25 years. He is also a husband and the father of four daughters, including Ava, who was diagnosed with Down syndrome before birth. He does not talk about caregiving in the language of his career because there is no strategy or system that gets a family through a 2 a.m. hospital call. Rod serves as a catechist, and that role has shaped how he shows up at home as much as anywhere else. He speaks about the part of the caregiving ecosystem that rarely gets discussed: the working father who keeps going to work, keeps showing up for his family, and keeps figuring it out alongside his wife.