English to Russian Medical Medical: Pharmaceuticals

There have been family adjustments
(For example: helping has disrupted my routine; there is no privacy)
There have been changes in personal plans
(For example:
I had to turn down a job; I could not go on vacation)
There have been other demands on my time
(For example: other family members need me)
There have been emotional adjustments
(For example: severe arguments about caregiving)
Some behavior is upsetting