Old person care / Welfare state

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The old person care as professionalisiertes vocational field is concerned with the support and care of betagten humans in most diverse institutions and organization forms (home for the elderly, nursing home, Gerontopsychiatrie, ambulatory care etc.). Since the old person care is not as limited after accidents to crisisful events, their emphasis lies not on the of medical therapies, but is occupied with all aspects of the daily life, up to the vacation organization. Therefore also the meal on wheels and sozialarbeiterische activities are an important component are old person-care-financed the old person care, apart from private expenditures particularly from the nursing care insurance (in Germany) and by the care money apart from the strictly speaking pflegerischen offers, (in Austria). The persons in need of care are often cared for by members or other close standing persons, where this is not completely possible not or, by trained old person nurses, old person care aids, care aids, ErgotherapeutInnen as well as trained aids. Also nurses and Krankenpfleger are often to be found in the old person care.

Basic conditions

By the demographic development the number of old humans in our society constantly increases. The support of old humans is taken over less and less by the individual social surrounding field, in addition the medical progress requires a ever higher qualification for the conversion of modern care concepts and the employment of partially highly sophisticated aids. From it in the long run a rising need at trained specialists results and also to financial resources-continuous problems of the old person care is therefore also the financing and the lack of care force. Statistically seen most learned old person care forces leave the occupation after only five years. As reason more frequently the mental load and frustration are indicated over gaping requirement and reality of the occupation than the actually high physical load.

Care stage model

The achievements of the nursing care insurance are furnished after a classification of the by the medical service of the health insurance companies (MDK). There are three care stages, which in each case plan different sentences for the domestic one and the stationary care. In to harden-fall however still the care stage four can be requested, this geschiet however very rarely.

Supplying forms

Ambulatory care

Care in the familiar domestic environment. This often happens in co-operation of maintaining members and professional care forces. The old person nurses train here also member in care techniques and give pieces of advice and/or place assistance for the completion of the formal requirements of the cost objectives. This domestic alternative living and way of life, which coin/shape solidarity between young and alto, is it in families, between Singles and/or however-educating, makes possible it older humans at the age as certainly and solely responsible so long to be lived possible in the own dwelling. In the emergency and case of care co-inhabitant helps or ambulatory services. Older humans can help however also the children and families and however-educating of the house, if they liked. In practice ageconditioned Geiz with wealthy ends, member far holding etc. enormous unfairness and abuses can cause themselves.

Cared for living

Often in the form of cooperatives under participation of a carrier of the Wohlfahrtspflege.

Partialstationary care

Daily or night care often flowing transition to social work and Seniorentreffs.

Stationary care

Traditionally differentiated into homes for the elderly for older humans without high care need and nursing homes for persons with high care need. By the regulations of the care cashes and the principle ambulatory before stationary to promote, persons in need of care in stationary old person nursing facilities do not occur today only exeptionally. The period spent in old person nursing facilities sank altogether rapidly, partially on under one year (there are regionally substantial differences). Too lastly by it concepts of the dying company do not have, like them for Hospizien developed often introduction into stationary nursing facilities were found.

Gerontopsychiatrie

Due to their singular training straight also in handling psychologically changed humans and when typical ageconditioned psychological illnesses are old person nurses for this work suited. They are actually employed often also gladly in general psychiatric mechanisms.

Career profile old person nurse/old person male nurse

The old person care struggles not least in demarcation to the Krankenpflegezu for its own career profile and an independent terminology. This becomes particularly obvious in the designation of the persons who can be cared for. In the stationary care these are called far away inhabitants (in), not Patient/in or passenger. In the ambulatory care the designation customer gains ever more significance, since the seniors order and pay individually selected and particularly care measures cut to their needs. These terms are however controversially regarded quite, since e.g. the designation "customer" corresponds to the special relationship and the vital guarantor position of the maintenance personnel not quite. Some other used designations can be understood however than

In Germany the old person care was long time a rather unloved secondary aspect of the nursing for the sick. The personnel within this range, as far as it not nurses and/or - male nurses were, in courses or short training courses was qualified. Slowly and without uniformity one developed contentwise and temporally more extensive training. This takes itself meanwhile internationally an exception position, there on the basis of the nursing for the sick, in addition, in Abgenzung of it, its own career profile and Berufethos developed like it this in no other country give. From the numbers of the old person care it is often deplored that the development is restrained to its own Professionalisierung of the support of betagter humans by the regulations of the old person care law of 2000 with that the nursing for the sick approximated contents and

In the old person care an emphasis is appropriate for dementia on the argument with the Biografie to maintaining and the special requirements by psychological changes, particularly. Thereby old person male nurses are to be found/inside frequently also in psychiatric mechanisms. By the nearly already active-casual multi-morbidity (are present several diseases) and the accumulation chroischer suffering in age also Palliation or palliative care is a core existence of the Altenpflegeri activity. After initial hesitating the realizations and principles of the Hospizarbeit belong in the meantime also to contents of the old person care.

Legal bases

For the achievements of the legal nursing care insurance above all the social legislation XI is fundamental.

The Upper House of Parliament agreed the law over the occupations in the old person care, accepted by the German Bundestag, on 29 September 2000, which stepped on 1 August 2003 into force. The federal authority to the regulation of the permission and the training of the old person nurses and old person male nurse had to be confirmed first only by a judgement of the Federal Constitutional Court.