Everyday companion

from Wikipedia, the free encyclopedia

An everyday companion or caregiver (referred to in the caregiver guideline as "additional caregiver" and otherwise sometimes also as "presence worker") is employed in the care of people in need of care in care facilities. This comprehensive reference to all those in need of care living in full and part-time inpatient facilities came into effect in Germany with the first Act on Strengthening Care on January 1, 2015. Before people came exclusively with dementia -related ability disorders, intellectual disabilities or mental illness benefit from the additional support services. It should not be confused with the health and care assistant .

Qualification measures and tasks

A qualification to become an everyday companion or supervisory assistant comprises at least 160 hours of theoretical lessons and practical sections (an internship (40 hours) and an internship (2 weeks)). This qualification, not vocational training , is carried out by private and church institutions, often in cooperation with the Federal Employment Agency . Often these courses are run by geriatric nursing schools. The contents of the lessons include sub-areas of care, supervision and hygiene. However, semi-skilled workers are also used in supervision. These then do not take on any nursing tasks, but are mainly responsible for household chores as well as employment and daily structure tasks.

The National Association of Statutory Health Insurance Funds has issued guidelines for the qualification and tasks of additional carers in nursing homes in accordance with Section 87b (3) SGB ​​XI (carer guideline of August 19, 2008). There is no clear demarcation between caring and caring activities (Section 2 (1) Caregiver Rl: "[...] Measures and activities that affect well-being, physical condition or psychological mood can be considered as care and activation measures of the cared for people can positively influence. "), so that z. B. Topics such as handing food and going to the toilet are handled differently from facility to facility. However, a clear direction can be seen from the examples mentioned in Section 2 (2) ( painting and handicrafts, manual work and light gardening, feeding and caring for pets, etc.), as can the description of the tasks of an everyday companion on the website of the Federal Ministry for bless you:

“[...] The aim is to ensure that the residents or caregivers affected are shown more attention and appreciation through additional care and activation, more exchange with other people and more participation in life in the community. Nursing tasks, on the other hand, are not part of the responsibilities of the additional carers. [...] ".

The increasing importance of care and support for people receiving care - also with regard to the quality of the offers - means that there should be a coordinating or leading caregiver. Various further training institutions offer this as further training .

history

The profession has existed since the German nursing reform of 2008. By creating everyday companions, the then Federal Minister of Health Ulla Schmidt promised to alleviate the increasing staff shortage in elderly care and improve the care of inpatient care recipients through additional staff. Critics, however, feared problems due to insufficient qualifications and low pay.

From 2017, all persons in need of inpatient care (according to Section 84 (8) and Section 85 (8) SGB XI) are entitled to additional care or activation based on Section 43b and Section 53c of the Social Code Book XI . These regulations replaced the regulation of § 87b a , which was valid until the end of 2016 . F. SGB XI from. These guidelines were amended on May 6, 2013 and December 29, 2014 through the Care Reorientation Act and the First Care Strengthening Act . The new regulation of Section 53c SGB XI was passed by the Second Long-Term Care Strengthening Act on November 23, 2016 and has been in effect since the beginning of 2017.

See also

Web links

Individual evidence

  1. ↑ http://www.bmg.bund.de/pflege/pflegestaerkungsgesetze/pflegestaerkungsgesetz-i.html#c90832 Accessed on January 21, 2015
  2. ↑ § 45a of the Eleventh Book of the Social Security Code
  3. ↑ § 87b of the Eleventh Book of the Social Code
  4. ↑ Guidelines according to Section 87b, Paragraph 3 of Book XI of the Social Code on the qualification and tasks of additional carers in nursing homes. (PDF; 28 kB) National Association of Statutory Health Insurance Funds, accessed on April 10, 2015 .
  5. ↑ Glossary term: additional supervisor. Federal Ministry of Health, accessed in September 2015 . Entry "Supervisor, additional", p. 5.
  6. ↑ SGB ​​11 - Social Code (SGB) - Eleventh Book (XI) - Social long-term care insurance (Article 1 of the law of May 26, 1994, Federal Law Gazette I p. 1014). Retrieved April 19, 2019 .

literature

  • Becker, K. et al .: Everyday accompaniment. Care for people with dementia in elderly care . 1st edition. Westermann, Braunschweig 2015, ISBN 978-3-14-231218-7 , pp. 239 .