A
” Activating care
Activating care is a must for all forms of care – in hospital, nursing home or outpatient at home. It is about caring for the person in need of care according to his or her existing abilities. He is supported only where he absolutely needs help and learns to overcome or compensate for some deficits.
” Home for the elderly, residential home for the elderly, nursing home.
Basically, there are three different types of homes:
- Retirement home: The residents live relatively independently in small apartments. However, there is the possibility to eat meals in the community with others.
- Retirement home: Rooms or small apartments are available, but the residents are relieved of household chores such as cleaning or cooking meals. Nursing care is also provided.
In most of the facilities for inpatient care for the elderly today, a combination of the traditional types of homes for the elderly, retirement homes and nursing homes for the elderly can be found under one roof.
B
” Treatment care
” Visiting service
Upon request, counseling centers can arrange a visiting service. It supports care-giving relatives when they have to be away from home for a few hours and do not want to leave the person in need of care alone: For example, the visitors talk to the person in need of care, go for a walk with them, help them with their shopping or read to them. Most of the visitors are lay people who have completed a training course.
“Care
People in need of care who are cared for at home are entitled to additional care services. These include, for example, care groups for dementia patients, helpers’ circles to relieve care-giving relatives for hours at a time, day care in small groups or individual care by recognized helpers.
“Guardianship law
The law on guardianship regulates the interests of people who require legal support (guardianship). These can be, for example, disabled people or people suffering from dementia. The executing body is the guardianship court – it appoints a guardian for the patient, for example a relative or an independent professional guardian.
D
” Dementia care
Alzheimer’s disease and other forms of dementia require special care and attention. Additional training and care courses are offered not only for geriatric caregivers, but also for family members. They are designed to help them better respond to the specific needs of dementia patients. Particularly important in dementia care are activating care and all measures that help the person with dementia to gain a fixed daily structure for himself.
” Demography
E
” Relief contribution
People in home care (care grades 1 to 5) are entitled to a so-called relief contribution. Up to 125 euros per month are available to the person in need of care for earmarked services to relieve the burden on care-giving relatives and to promote independence in everyday life. The amount can be used for day or night care services, short-term care, services provided by care services, or for offers to support people in their everyday lives.
Substitute care is another term for preventive care (see there).
F
” Case manager
There is a legal entitlement to individual and comprehensive care advice (case management) from the long-term care insurance fund. So-called case managers advise those affected and their relatives about the care benefits provided by the insurance funds, take care of applications and other formalities, and develop an individual care plan together with the person in need of care and his or her family.
“Family care time
G
“Basic care
Basic care includes nursing assistance with everyday and vital matters such as eating, personal hygiene, excretory procedures, dressing or going to bed.
It does not include housekeeping or assistance in carrying out medical prescriptions (for example, providing medication).
H
” Home nursing care
- if hospital treatment is necessary but not feasible (hospital avoidance care)
- if inpatient hospital treatment can be avoided or shortened by home nursing care (hospital avoidance nursing care)
- if the care is intended to ensure the success of the medical treatment (safety care)
” Domestic care
Shopping, laundry, vacuuming and cleaning up are not nursing services. Nevertheless, they are an essential part of the home care of a person in need of care. They are provided, for example, by Mobile Social Services (MSD).
” Auxiliary means
” Hospice
A hospice is a facility where terminally ill people are accompanied in their last phase of life. The dying person receives comprehensive nursing and pastoral care. There are outpatient and inpatient hospice associations as well as dedicated children’s hospices.
K
” Hospital avoidance care
Hospital avoidance care includes the necessary treatment and basic care as well as domestic care. Entitlement to this exists for up to four weeks per case of illness (in exceptional cases, an extension is possible).
” Short-term care
M
“MD / MDK
The Medical Service (MD) is the socio-medical consulting and assessment service of the statutory health and long-term care insurance. Among other things, the MD is involved in the assessment to determine the need for care and the degrees of care. It is also responsible for quality assurance of care services.
“Medicproof GmbH
Medicproof is the medical service of private health insurers. It is a subsidiary of the Association of Private Health Insurers. Like MD, Medicproof uses home visits to assess, for example, what level of care is available.
“Multigenerational homes
N
“National Action Alliance for People with Rare Diseases (NAMSE)
“Night care
Night care, together with day care, belongs to the partially inpatient forms of care. During the day, relatives care for the person in need of care themselves at home. At night, he or she is cared for in a nursing home. Semi-inpatient care also takes care of the necessary transportation of a person in need of care from his home to the nursing home and back.
P
“Care documentation
Whether in a nursing home or at home during outpatient care – all individual nursing steps must be fully documented. This includes the measures of basic and treatment care, administered medication as well as an entry on the current condition of the person in need of care.
“Care allowance
“Care degrees
- Care degree 1 – small impairments
- Care degree 2 – considerable impairment of independence or abilities
- Care degree 3 – severe impairments of independence or abilities
- Care degree 4 – most severe impairments of independence or abilities
- Care degree 5 – most severe impairments of independence or abilities with special requirements for nursing care.
” Care courses
If you are caring for a relative or would like to volunteer to look after someone in need of care, you can take part in a free care course paid for by your care insurance fund (care insurance funds are obliged to offer such free courses). In these courses, you will learn, for example, proper oral care or how to use assistive devices. In certain cases, counseling and training can also take place in the home environment of the person in need of care.
The care contract is concluded between the person in need of care and the outpatient care service. It contains all the agreed services that the care service is to provide. The cost-sharing of health and long-term care insurance should also be noted in it. Whenever the care situation changes, the care contract must also be adjusted.
S
” Senior residence
Shared apartments (WGs) offer seniors the opportunity to lead an independent life in old age while being together with other people. In the event of illness or nursing care, the flatmates look after each other or hire external caregivers (care flatmates). For many seniors, the WG is therefore an alternative to a retirement home.
In contrast to outpatient or home care, the person in need of care is looked after and cared for in a nursing home or short-term care facility.
T
Day care, together with night care, is one of the partially inpatient forms of care. Those in need of care are cared for during the day in a nursing home or daycare center. There, they not only receive meals and nursing care – emphasis is also placed on physical and mental activation. The visitors are given a daily structure, without which they would deteriorate more quickly at home.
“Partial inpatient care
Partial inpatient care means that part of the care is provided on an outpatient basis by family members and the other part is provided in an inpatient care facility. The family members providing care are thus relieved for part of the day. The best-known examples are day care and night care.
U
” Transitional care
V
” Preventive care
” Health care power of attorney
With a health care power of attorney, you authorize a person of your choice to make decisions on your behalf. You can give this person power of attorney for all or only certain areas of responsibility. The authorized person therefore becomes the representative of your will.
W
” Residential pen
“Adaptation of housing
The term “home adaptation” refers to renovation measures in a person’s own home that serve to adapt the living environment to the special needs of the person in need of care or assistance. Above all, safety is to be increased by eliminating possible sources of danger such as slippery floors or trip hazards (fall prevention). The nursing care insurance fund can grant a cost subsidy for the conversion measures on application.
