Home Healthcare For My 43 Year Young Wife

My 43 yr old wife lives with a rare disease called Hemiplegic Migraine along with Dysautonomia and Trigeminal Neuralgia. Due to her daily symptoms, she needs care while I am at work. My wife's day would begin after the children leave for school. She would need her breakfast prepared and brought to her. She usually rests in bed or on the couch for a while during the day. We need lite house-cleaning and help with laundry. She often has doctor appointments each week (live or virtual). Meal preparation. At 3:45 needs to be assisted to the bus stop to pick up her daughter. Running to the grocery store or picking up meds would be a bonus in our lives; this is the first time we are asking for help, and we need all the help we can get. *This job is on the books.