People ask how I manage 6 kids and caring for 3 relatives. I work a second job and barely get time to myself.

This story is based on an interview with Kaitlin Manns, 33, a home health aide and server from Granite City, Illinois. It has been edited for length and clarity.

My grandpa employed a carer before he died at 76. And my grandma, 76, mom, and stepdad, both 56 — all of whom have chronic medical conditions — had them, too.

They were wonderful, but they ended up leaving for better-paid jobs. I didn't blame them, but it left our family struggling to find cover.

So I decided to step in and do the job myself. It made sense because I've got a nurturing personality, and it felt like the right thing to do.

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I qualified as a home health aide, a role that still requires monthly virtual training, and combined it with working as a server at a restaurant on weekends.

My days are pretty hectic, particularly because I have six kids aged between 2 and 13. Two of my siblings — both 9 — also live in my five-bedroom house, along with Mom and my stepdad.

Thankfully, my husband, Justice, 28, is wonderful and really helps out. Still, he works mornings at a furniture rental company, so he's busy, too.

Our schedule begins with him walking the oldest child two blocks to the school bus around 6:45 a.m. The others leave for their school, and I drop off Justice at his job.

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Then I drive to the toddlers' day care before starting my caregiving around 9:30 a.m. I look after the three adults at separate times, helping them with things like showering, laundry, and doctors' appointments.