What are the different types of elderly care
Types of care / forms of care when in need of care
for inpatient or outpatient care
In the area of care, there are different types of care or forms of care, which are usually based on the need for care. The extent and severity of the need for care are decisive for which type of care is necessary. There are legal provisions for this classification. The decisive factor here is Section 14 (1) SGB XI (Social Code). According to the law, a person is in need of care if, due to an illness or disability, he or she needs support with nutrition, personal hygiene or with household and mobility for at least 6 months. The law provides for different levels of care for the division. The allocation to these different care levels regulates which care measures are appropriate. The most well-known forms of care are likely to be inpatient and outpatient care, and so-called day care is also known to many people. There are also numerous other types of care.
We speak of inpatient care when the person concerned is accommodated in a special facility and cared for there. A distinction is made between full inpatient care and partial inpatient care. The person in need of care is looked after and cared for by competent staff. Full inpatient care is mainly used when long-term care is necessary. This is the case from care level 3, otherwise the medical service of the health insurance companies will make a corresponding decision. As a rule, the costs for medical care are covered by long-term care insurance, but costs for accommodation and care must be financed privately.
Partial inpatient care is an option, for example, if the person concerned is in need of permanent care who only needs to be looked after and cared for during the day. If a relative has taken care of the person but has to go to work during the day, this ensures that the person in need of care is looked after during working hours. Partial inpatient care can also take place at night. While the costs for the inpatient stay are usually borne by the long-term care insurance, the meals and the transport of the person in need of care must be financed by other means.
Ambulant careOutpatient care is the opposite of inpatient care. In this case, trained nursing staff visit the person in need of care in their home and carry out all necessary care measures during this visit. Both the attending physician and the long-term care fund determine which measures are taken over by the long-term care insurance. Other nursing measures that are exempt from this can of course be financed privately. Outpatient care includes basic care, treatment care, preventive care and domestic care. However, this form of care is only suitable if the environment of the person in need of care is such that relatives can participate in the care.
Day care is similar to day care. It is mainly intended for people who are generally looked after by a relative, but for whom it is temporarily not possible to ensure care. Reasons for this can of course be the working hours, but also other appointments that the caregiving relatives have to keep. Day care can be done on an outpatient or inpatient basis. It usually takes place during normal working hours, around 8 a.m. to 4 p.m.
The so-called preventive care is also similar to day care. It can also be considered for people who are generally looked after by relatives, but who are temporarily not provided with care. This can be due to the illness of the caregiver, or if he or she has planned a vacation. In such cases, the care of the person is ensured by a nurse. The costs for this are covered by the long-term care insurance, but for a maximum of 4 weeks per year.
Night care is the exact opposite of day care. Here care and support for the person in need of care takes place at night if this is not otherwise ensured. Night care can be carried out on an outpatient basis by a nursing service or as an inpatient in a nursing home. If night care takes place in an inpatient setting, the necessary transport must also be guaranteed here.
Intensive careIntensive care comes into question if the person in need of care has acute or life-threatening illnesses. In these cases, all bodily functions of the person affected are continuously checked and monitored. Immediate measures can be initiated in an emergency. Nursing staff in this area have very special training, as this type of care places an enormous burden on the caregiver. End-of-life care is also part of intensive care.
Full time care
Full-time care is also known as 24-hour care. It is intended for people who require an extremely high level of care due to certain ailments or illnesses. Full-time care is possible on an outpatient as well as inpatient basis. If necessary, domestic help can also be provided if it involves full-time outpatient care.
Short term care
Short-term care can be considered if the person is in need of care for a limited period of time. This can be the case, for example, after a long hospital stay, if the person concerned is no longer able to take care of himself in his own apartment and the place in a nursing home is not yet available. If the person in need of care is actually cared for by a relative, but this is temporarily prevented, short-term care is also an option. This form of care is therefore similar to preventive care and is also granted for a maximum of 4 weeks per year.
When a person suffers from a terminal illness that is life threatening or incurable, it falls under the scope of palliative care. In this form of care, the main goal is to reduce physical suffering, but also to reduce mental suffering in order to make life dignified for the person in need of care. There is no longer any real therapy for the suffering. As in intensive care, only specially trained nurses are used for palliative care. In most cases, palliative care is then transferred to terminal care. In most cases, this form of care takes place on an inpatient basis.
Hospice care accommodates people who are likely to die soon. The nursing staff in a hospice enable and facilitate a dignified death for those affected. As a rule, these are smaller facilities that are designed to be very familiar and also provide psychological support for the relatives. Flexible visiting times are often found in hospices, as is the possibility for relatives to spend the night in the facility temporarily. Hospice care takes place on an inpatient basis.
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