* Literally worn out: Betsy is a young girl who has been working long hours in the Lowell mills. She is physically exhausted from the demanding labor, which includes long shifts, repetitive motions, and exposure to harsh conditions. Her body is tired, aching, and depleted.
* Emotionally drained: Betsy is also emotionally drained. She misses her family and feels trapped in the mill. She longs for a life beyond the factory, one that holds more freedom and opportunity. The constant grind of the mill is wearing her down emotionally and mentally.
* A sense of hopelessness: Betsy's statement also reflects a sense of hopelessness. She feels like she has no control over her life. She is stuck in the mill, with no prospects for a better future. This sense of hopelessness adds to her overall exhaustion, making her feel like she is "all worn out" in every sense of the word.
Ultimately, Betsy's statement "all worn out" is a powerful and poignant expression of her physical, emotional, and mental state. It highlights the harsh realities of life in the Lowell mills and the toll it took on young girls like Betsy.