Provided are techniques for alert generation based on a cognitive state and a physical state. Wearables data, text communications, voice communications, and images of a caregiver providing care to a patient are obtained. The wearables data, the text communications, the voice communications, and the images are analyzed to identify a cognitive state and a physical state of the caregiver. The cognitive state and the physical state are compared to one or more care rules associated with tasks of the caregiver for the patient. In response to the comparison indicating any one of the cognitive state and the physical state prevent the caregiver from executing the tasks, an alert is generated. One or more recommendations for resolving the alert based on one or more recommendation rules are generated.