|
|
 |
 |
|
|
|
|
| |
 |
|
|
|
 |
|
|
|
| |
Our aim is to enable every resident to enjoy the highest possible level of well-being that their personal situation will allow. This includes giving each one the opportunity to benefit from the desired therapeutic measures, and making sure that they each receive lots of personal contact from our staff. A central part of our approach is to ensure that residents stay as active as possible to the extent that they are able.
Each nursing or personal care service performed is promptly recorded to give the insurance funds which bear the costs of a resident's care an accurate picture of the time spent on it. The records also give you as a resident the security of knowing that you will only experience the level of intervention that we have discussed with you previously.
In Germany, the nursing insurance funds are obliged to have the medical service of the health insurance company they are connected with establish whether a resident is in need of nursing care, and if so at what level.
There are three "care levels" which correspond to the severity of a resident's impairments and the degree of assistance these entail. The time which needs to be spent on providing basic care and domestic assistance at the various levels is regulated in Book XI of the German Code of Social Law.
- Care level 1
The people who fall under care level 1 require assistance at least at least once a day with at least two aspects of one or more of the areas of personal hygiene, nutrition or mobility, and also need help with domestic chores several times a week.
- Care level 2
Care level 2 patients need help at least three times a day at different times of day with personal hygiene, nutrition or mobility, and also require support several times a week with domestic chores.
- Care level 3
Patients who come under care level 3 require daily round-the-clock assistance (including at night) with personal hygiene, nutrition or mobility, and also need help with domestic chores several times a week.
Each care level is broken down into two elements, the exact composition and duration of which and depend on the nature and level of impairment of the individual.
- Basic care
This comprises personal hygiene including all preventative measures. It also covers specific needs such as putting to bed, washing, showering, hair and nail care. We always try to stimulate our residents to build up their health and strength rather than remaining stable or declining. We regularly check vital functions and weight. In incontinence cases we practise going to the lavatory under new physical conditions. The changing of incontinence aids is coordinated and carried out in accordance with the wishes of the individual. Nursing aids, such as special anti-decubitus mattresses to prevent bedsores, are used wherever necessary. If required, lifting and bath lifts are also used.
- Treatment-based care
This type of care is based on the general physical and mental health of the patient and the instructions of the doctor in charge of them. This applies in particular to injections and dressings. Treatment-based care also includes monitoring catheters and tubes, giving out medication and physio- and occupational therapy.
The guidelines for care level classification laid down by the MDK (Medical Service of the Health Insurance Funds) are based on staff allocating certain amounts of time ("time corridors") to various aspects of care. These guidelines are the basis upon which it is decided what level of care a resident falls under.
Our understanding of care is based on a holistic approach towards our residents and is oriented on the care model established by Monika Krohwinkel “Activities and existential experiences of daily life (AEDLs)”. Central to Monika Krohwinkel’s care model is that the care process is aimed towards the needs and wishes of the residents. Maintaining, promoting and/or regaining independence and the well-being of the resident is hereby of particular importance. |
|
| |
|
|
|
|
| |
|
|
|
|
| |
PRINT PAGE |
|
|
|
| |
|
|
|
|
|
|
