Definition
People who are considerably impaired in their independence are classified into care level 2. The impairment can be on a physical, psychological or cognitive level. In the old care level system, this corresponded to care level 0 or 1, which are also automatically classified as care level 2 in the new system.
What are the requirements for the level 2 care ?
As already described above, the person affected must have a physical, psychological or cognitive impairment that limits his or her independence. The assessment of the independence of a person in need of care is carried out with the help of the “New Assessment Assessment (NBA)”. This is carried out by an assessor from the medical service of the health insurance company after the application has been submitted.
It can also be carried out in an old people’s or nursing home. In this test, a score between 27 and 47.5 points must be achieved in order to be classified as nursing level 2. Six different areas of life are evaluated in the assessment: The final assessment of the individual sub-areas by the assessor is relatively complex.
However, online care level calculators are available, with which the care level of the person in need of care can be roughly estimated. Furthermore, it is advisable to prepare for the visit of the reviewer. It is helpful to consider in advance in which areas of life the person concerned is dependent on help and which activities can be carried out by the person himself.
In addition, it is good to have the person with you during the assessment who is mainly responsible for the care. It is also useful to have doctor’s letters and the medication plan ready. Detailed information on other degrees of care can be found at Degrees of care and levels of care
- Independence plays the most important role in the assessment.
It is mainly a person’s resources and abilities that are to be assessed and not, as in the old nursing classification procedure, the need for assistance. For example, the extent to which the person concerned can still wash himself or herself is assessed.
- Two further important topics are on the one hand the handling of the patient with his restrictions and his diseases and on the other hand the organization of everyday life and the care of social contacts.
- Of course, mobility is also included in the overall assessment, even if not so strongly weighted.
- What is new in the current assessment is that cognitive and communicative abilities are also taken into account. This is particularly important for people suffering from dementia. Although they are often not physically restricted, they still need a lot of support in everyday life.
- Last but not least, it is also considered whether the assessor needs support in coping with psychological problems, such as anxious behavior.
