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This guy seems to be a serial killer with a long history. Don't know why they're highlighting that he did it all to "reduce work load".
More broadly, there's a hell of a lot of compassion fatigue in caring professions. Time is tight. There's understaffing everywhere. If an elderly person is complaining of pain or discomfort, the solution might be to spend some time with them and reposition them or get to the cause of the problem. I wouldn't be surprised if staff are rushed and take the quick and easy way out to just give medication instead.....which might accidentally have unintended side effects in an elderly person. But this case was nothing of the sort. This guy is just going around killing people.
It could be a warped sense of excess compassion, too. Some of these caregiver serial killers are "angel of death" types who think they're doing euthenasia.
(Not saying that's the case here, since OP's blurb gives a different motive and I can't be bothered to read further, but more broadly it seems to be a well-known thing.)