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With care need the sum of the activities in minutes per day or another period is described, at which a partial or complete support of a person became necessary through third or is intended.
The individual care need of humans becomes on request in gestz. described framework of the nursing care insurance of the MDK (medical service of the respective cash) as test statistic determines.
In an appraisal the MDK determines whether humans are in need of care in the sense of the law, because this person needs care achievements beyond a fixed minimum extent.
On basis of this appraisal the classification takes place into a care stage. After the classification into a care stage Versicherte/patients receives achievements from the nursing care insurance. Achievements from the health insurance are not affected of it.
Details to the nursing care insurance find you under nursing care insurance %28Deutschland%29.
The individual care need of a person in the context of the nursing care insurance is thus roughly determined of medical service of the health insurance first only.
In summary however (scientifically) also a whole group can be regarded by humans, whose need is to be fulfilled in the future. Then it concerns a planning size, for which estimated values are accepted. Example: the care need of 2 million persons, who in the future with a dementia will be gotten sick. To it already the problem of such estimations becomes obvious that the disease picture will be not at all so uniform, as it suggests the acceptance. Also the future basic conditions are unknown, in which once will have to be maintained. All the estimation goes around, because it wants to offer first only one basis for current, current political acting.
Or the work expended is described, which was already fulfilled. Then from it an average figure can be derived, which applies all the more, the homogeneous the need of the person's group is, from which the speech is. Example: the care need of all persons, who received achievements of the nursing care insurance after care stage II - stationarily - in the year 2003. So a large person's group is not homogeneous. That would be already with 20 persons in an individual home like that. But the large number pretends statistics-accustomed readers a reliability of the average number, which cannot in practice at all give it. The average size from 200,000 concerning may not with durchschnittl. Daily requirement of an individual to be compared, if it concerns the assignment from personnel capacities. Anyhow not if the cost objective wants to permit from it no deviation due to current need. And around such questions it turns in each case with negotiations around care sets.
A theoretical size of the care need describes the sum of the activities, with which a partial or complete support becomes necessary through third. It can act thereby only around an estimation on the basis empirical values for the expected activities. It can concern also a self-assessment of the person concerned and its family. The size remains theoretical, because in the real life a regulation cannot be made also by repeated time measurements accurately. The given or withheld support is based on (current) the estimate of the maintaining, which can do the maintained person independently/wants. It can concern an underestimation or an excessive demand in each case. Therefore it is methodically better to proceed from an actual care need. Agreed and actually seized accomplished pflegerische work. This does not only apply to the estimate with a person.
Also the personnel calculation for all customers/inhabitant inside a range/a mechanism has to proceed from the actual care need. Past values are transferred as Prognoss to the future. That is the sum of the work times of the Pfegepersonals," .
Work time and presence of the care strength with one person who can be maintained (or a group) do not cover themselves thereby to one hundred per cent. The working process requires preparation and supply times, which are bound to the person not who can be maintained directly. E.G. Delivery discussions, vacation of the cooperating. Care need, which considers only times of presence, would explain old humans as an article, at which working are at will made, and which maintenance personnel to machines, which can be in and turned off at will.
With individ. Care in the domestic environment these preparation and supply times appear as directly the employer-employee relationship with maintained person zurechenbare times. However with the disadvantage that coincidentally arising positive or negative deviations from the average range of these times pierce person also directly on the cost calculation of these. Bspl: If one of the three becomes the round around the clock supply employed maintaining longer ill, the maintained person must carry immediately as employers this risk by employment of one "for temporary help "even. It is turned around as "stroke of luck "to be described to have, if in one year down-times of the employees do not even arise by banal infections.
Assumption of basis activities and the treatment care sit down in from guidance or (partly.). Order in accordance with provided care planning together. Different of the maintained person and the care goal pursued by it are considered. Current values from care standards cannot simplify planning however to replace.
It must be considered that the maintaining deal possibly with dly. or occasionally changing needs. They must be able to do that, in order to respect the gepflgten person.
Each humans have to arrange the right spare time in its sense after Basic Law and also after the care understanding of the ATL concept, also to the participation in social activities. It can be in individual cases difficult. to specify, who has to take over the costs arising from it. But the liberty also to the participation outside of the respective institution is evenly the opposite of a away-closed accommodation in a prison or the psychiatric measure execution.
To a job in the care different administrative activities belong. They are in summary settled frequently for the range/the station. That can be settled possibly also by a person, who is even not into the direct care merged.
The word choice care need is justified, because it does not go thereby around work time from persons, who offer an additionally desirable service, which would be freely selectable by customers. Rather the situation is coined/shaped by an illness or a handicap (possibly multiple combination of it), which the person of the contribution of the care, who can be maintained - at least occasional makes dependent.
The nursing care insurance proceeds in their the law to reason of lying definition at least from a longer period than six months of the dependence on care and house-economical supply. However it is not a goal of the law of seizing or of recompensing all these achievements. Only a rough allocation of their support contributions is to be made with the classification into one of the five groups. A cover or the replacement of the entire necessary or meaningful way to furnishing achievements was not intended with the law beyond that.
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C» Capital covering procedure» Care need » Case of supplying » Child educating time » Citizen insurance » Common federal committee » Contribution assessment limit |
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