Children often suffer silently as they watch a grandparent with dementia decline. Their parents are busy and often frustrated and sad, so kids can feel that they would only add to their parents' burden if they were to show their despair. However, children need ongoing support, just as their parents do. As adults who care for two or more generations, commonly known as the sandwich generation, we are challenged to help children understand that their grandparents still love them as much as ever, no matter how much the dementia has changed them. We are challenged to help the kids cope with the loss of their grandparent as he or she once was, and even help them learn to care for their grandparent to whatever extent they are able.