Ambulatory intensive care for adults

Home intensive care is suitable for severely ill patients who do not necessarily require continued treatment in the hospital but still need intensive medical care. This can be the case, for example, if one of the following conditions is present:

• COPD (chronic obstructive pulmonary disease) or another lung disease
• a congenital or acquired brain injury, such as a traumatic brain injury
• Amniotomy
• Spinal cord injury
• Cancer
• Coma, persistent vegetative state
• Muscle diseases such as muscle atrophy, muscular dystrophy
• and other illnesses

Close cooperation between doctors, family members, the hospital, and outpatient care services is necessary for intensive home care to be carried out smoothly.

The care of a loved one who requires intensive medical care is generally not manageable for family members alone. To provide optimal care for the patient while simultaneously relieving the family, it is therefore advisable to seek professional help from a care service.

We support you with medically and nursing highly qualified care staff.

This is ensured not only through regular training in areas such as first aid and resuscitation. The many years of nursing experience in classical and intensive care also ensure that those in need of care are in the best hands.

The responsibilities of intensive care staff include, among others,.

• Measurement and Monitoring of Vital Signs
• Wound care
• General care (washing, dressing, etc.)
• Home ventilation or ventilation care
• Respiration monitoring
• Suctioning of tracheostomy patients
• Drainage monitoring
• Inhalations
• Catheter Care
• Injections
• Medication administration
• and also social support.

One of the social goals of nursing care is to enable individuals to participate as fully as possible in social life. Self-determination and the development of individual abilities play a central role in this. Intensive care nurses are also, not least, contact persons for all questions and concerns related to intensive care. They provide advice and support to both patients and their relatives when it comes to medical questions or help with individual cost clarification.

Patients requiring intensive care are entitled to outpatient, i.e., home care. Medically necessary nursing care is regulated in Section 37 of Book Five of the Social Code (SGB V). As a rule, the health insurance fund covers the costs for complex nursing services. It is important that a doctor's prescription is always available. This is issued by the doctor once per quarter and submitted to the health insurance fund.

Currently, the law stipulates that the health insurance fund and the long-term care insurance fund share the costs for basic care. Exempt from this are the statutory co-payments of 10 percent for the first 28 days of the year and 10 euros per medical prescription, which are to be borne by the patient.

So-called treatment care services include medically necessary measures such as injections, wound care, or medication administration.

If the patient's own apartment or home is not equipped for intensive care, you can also look for a place in a shared living facility. However, shared living facilities are not only for hale and hearty seniors; there are also shared living facilities for patients who require permanent ventilation: so-called ventilation WGs (Wohngemeinschaften). This living arrangement is much more pleasant for the residents than being accommodated in a clinic. For many relatives, it is also reassuring to know that the patient is being cared for in this home-like environment.

For family caregivers, caring for a severely ill person at home is not only a great burden. It also offers a special opportunity, because sometimes the health condition of a severely ill person improves significantly once they are in their own home. Therefore, caregivers are also challenged to support the patient and their relatives in such a way that professional care can withdraw as much as possible.