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Paid caregivers include home health aides, nursing assistants and personal care attendants. These workers often provide daily physical and emotional support to older adults. Unfortunately, they are sometimes undervalued, even though their role is critical. They represent a diverse workforce that often forms strong bonds with the people they care for (Montgomery and Kosloski, 2013).

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Many caregivers both formal and informal, describe their role as meaningful and rewarding. Supporting another person can strengthen identity and purpose, even if it is demanding work (Eifert, 2015).

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Caregivers face stressors such as emotional exhaustion, guilt, and frustration. Burnout is common, especially when the work is long term and resources are limited (Alves, 2019; DeAngelis, 2020). Paid caregivers may also experience compassion fatigue from repeated exposure to these issues.

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Support systems such as counseling, respite services, and education are critical to preventing burnout. As (Schempp, 2022) explains, emotional well being is central to caregiving, and without outlets for support, distress can grow.

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One growing issue is that both paid and family caregivers often feel ambiguous loss grieving the changes in loved ones or clients even though they are still physically present. This loss can affect mental health and work satisfaction (Boss, 2022). At the same time, policies and workplace supports are increasingly focused on sustaining the caregiving workforce.