20 million Germans are older than 60 years - in 2050 it will be 27 million. According to forecasts of the Federal Statistical Office, the number of elderly people in need of care will triple over the same period - to 1.2 million people.
Already, most old people are being cared for by relatives at home. The care and care of the elderly parents or relatives is a full-time job, which in many cases does not end after eight hours. In some cases, for example after a fall or after a stroke, a person suddenly becomes a nursing case. Neither the person concerned nor the relatives could adapt to this situation.
Often, however, the changes creep in, and the relatives record the growing need for care based on many small signs. This includes disorientation, loss of space and time feeling or the inability to lead a conversation. Participants should take the time to explore all the alternatives on the ground. Even if the care is taken care of by the relatives, there are offers of help and support that make it easier for the caregiver. First of all, the level of care, ie the degree of neediness, must be determined.
For this purpose, an employee of the "Medical Service of Health Insurance Funds (MDK)" examines the person concerned and divides him into one of the four levels of care. It depends on this classification how much care allowance for home care is paid by the long-term care fund. For many older and ill people, visiting the Medical Service is like a test that puts a lot of effort into it. It is also difficult for many to admit that they can no longer handle everyday things alone. Therefore, when visiting the MDK should also be the caregiver, who knows the actual care needs exactly and can represent realistic.
In practice, there are often disputes between the MDK and the caring relatives about the right care level. Those affected can object to the decisions of the MDK and ask for a new assessment. It helps, for example, to submit a weekly plan in which the actual care benefit is precisely documented. It is also possible to interview people from the social environment who are involved in the care of the person concerned. Even the family doctor can give an opinion.
Find help and claim
Those who care for their relatives at home need a lot of strength and energy. Therefore, you should incorporate breaks and relief in his new daily routine. This can mean, for example, a visit to a day care facility or a meeting place for the person being cared for. Here is a care offer for a few hours a day offered, as even occasionally can be taken. This allows a "nursing break" set up in which the protégés are in good hands and carers can take care of their own health. Sufficient exercise and exercise are important to prevent back pain.
The exchange of experiences with other people who care for their relatives is also part of this. Those who care for their parents who are confused at home do not only have to cope with the medical and nursing tasks, but also have to maintain their emotional balance. The behavioral changes that are part of Alzheimer's and dementia can be a test of life for caregivers. In many cities there are now Alzheimer's societies or other support groups offering support. In some psychiatric clinics so-called memory consultation are offered, in which it can be clarified whether a therapy with medicaments can help the dementia patient.
Nursing courses for home care
Many welfare organizations, such as Caritas and Diakonie, but also the Red Cross and local hospitals offer care courses that make home-based care easier. How are blood pressure, heart rate and temperature measured correctly? What measures prevent thrombosis, which handles make bedding and storage easier? What should be considered when dealing with medication? What are the possibilities of incontinence care? How do I deal with the confused and the dying? What can I do for myself? Not losing oneself in the self-sacrificing care for his relatives is also a nursing task.
On request, the health insurances grant a substitute care allowance, which allows family caregivers to take their leave and have their child cared for in a home or through a professional nursing service during this time. The grant can be applied for for a maximum of four weeks per calendar year. Anyone wishing to take advantage of this offer should apply to the health insurance fund. The form includes, among other things, the holiday period and the type of replacement care. If a close relative takes care of it, the health fund only pays the care allowance and any loss of earnings. If proof is provided, travel expenses may be refunded. The health insurance and the hotline of the Federal Ministry of Health can be contacted at 0800-15 15 15 8 for information about replacement care benefits during the holiday season.
It is advisable to clarify the individual points of the cost assumption exactly in advance with all parties involved. If the replacement care takes place in a home, the cash register does not cover all costs. Therefore, you have to get an estimate and should visit several facilities beforehand if possible. On this occasion you can also check which institution is the right one for the person in need of care. If possible, the carer is involved in this decision. If additional co-payments still have to be made, one should, for example, inquire at the counseling centers of the welfare associations, if other subsidies can be applied for.