I’m not sure I know what you’re asking, since it sounds like you’ve been in this field for a long time. Do you want to switch to a different kind of direct-care work?

If so, here are a couple things that you might find helpful:
The Right Start describes what certain types of direct-care workers do and what training federal and state governments require to do the job: http://www.directcareclearinghouse.org/download/Rightstart.pdf

State Nurse Aide Training Requirements, 2007 tells you how many hours each state requires as a minimum for people training to be CNAs. http://www.directcareclearinghouse.org/download/StateNurseAide_TrainingRequirements2007.pdf
some states will let you become a CNA without taking any training if you can pass the certification test without training, though, and you might be able to do that, since you’ve done this kind of work for so long. So if that’s the switch you’re thinking of making, you might want to check with your state’s nurse aide registry and see if it’s one of those states. Or you might want to take the training anyhow, since you’d likely learn some useful things even if you already know most of it.

If that’s not what you were looking for, please let me know.