Conflicts between families and caregivers in a nursing home have multiple causes centred (but not exclusively) on the interest of the resident. Intrafamily conflicts can lead to tensions between families and caregivers. Alzheimer's disease changes the relations with the patient's family members when they are involved in the care, which can lead to a division within the family. This article discusses the sources of difficulties between families and caregivers and ways of managing and above all preventing them.