Changing careers at 14 years into a job, is it realistic? - what worked for you?

I want to move from home health aide to something with more stability. I worked as a home health aide before this. I have a little time and a small budget for training. Did you take a pay cut?

Thanks for writing this out. I went through something close to it last year, and it got easier once I kept a simple log of every call and form.