The prognosis for those of working age in Europe is very clear. Within the next twenty years, the percentage of people in the work force will decrease faster than Europe's total population. This process will also have an effect on Austrian care institutions. By 2020, the estimates are of a 10% shortage of nurses in Salzburg. The reasons for a growing demand of care service staff are on the one hand a trend of early retirement in the care services, and on the other a growing number of people living longer. Furthermore, care services have had recruitment problems. This is due to unattractive working conditions, poor salaries, and irregular working hours due to shifts. In addition, heavy physical and psychic strain often part of caring for multimorbid patients is also a deterrent for care service jobs. Addressing these key concerns could lead to a decrease of early retirements. A quality interview analysis based on seven nursing care staff reveals the challenges of everyday care giving, and suggests the necessary steps to be taken. The interviewed were active long term carers in Flachgau, and all of them were older than 50 years of age. Using a semi-structural interview approach, the interviewees were asked about their everyday experience. The outcome of the interviews revealed the main challenges in care: time pressure, relationship time management, low salaries, and low social esteem. In this study, staff members proved their competence in handling critical situations, evaluating unusual clinical pictures, and in passing their knowledge on to younger colleagues, but also their fear of structural change. In order to compensate the physical and psychological pressures and change the current situation, these concerns of care givers 50+ have to be considered and the employment situation in the care services needs to be improved.