When James Wilson, RN, arrived in Tulsa, he had worked out the logistics of a cross-country move, job transfer to the Oklahoma Wonder Bread division and began a new role as caregiver. The route salesman of seven years had a new territory to learn and new drivers to train. He also had the added responsibility, as one of an increasing number of adult children in the U.S. experiencing role reversal, of caring for his aging parents and managing their health needs. Then the unexpected happened. “Here I am at 48-years-old and out of a job,” he says of Wonder Bread’s sudden closing.