Hi Johaan24 ~
I am really sorry to hear that your wife is struggling so much and I understand that this must also place an additional burden on you. The first thing I would recommend is that you and your wife speak to her rheumatologist about the amount of pain that she is in - because it may be possible to make some changes to her treatment plan that would improve the situation for both of you. If you feel the rheumatologist is not being as responsive as you would like, it may be time to seek a second opinion.
As for hiring a caregiver, that is a question that unfortunately we cannot answer as it would depend on the agency. You may want to consider checking out the Family Care Navigator of the Family Caregiver Alliance - which helps family caregivers locate public, nonprofit, and private programs and services nearest to you: https://www.caregiver.org/family-care-navigator
In the meantime, I thought you might be able to relate to this article by our contributor, Rob, who is a caregiver for his wife Lisa: https://rheumatoidarthritis.net/living/thrown-deep-end-concerns-novice-caregiver/
Best of luck to you and please remember that we are here to support you and your wife.
~Mariah~ (Site Moderator)