Familienbezogene Bedarfslagen in Pflegesituationen

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Author(s): Katharina Graffmann-Weschke , Marina Otte , Anne Kempchen

Publication date (Online): June 29 2021

Publisher: Springer Berlin Heidelberg

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Zusammenfassung

Durch das Case Management als Bestandteil der Pflegeberatung nach § 7a SGB XI kann auf familienbezogene Bedarfslagen in besonderer Weise eingegangen werden. Die Betrachtung der individuellen Situationen, Herausforderungen und Bedarfe der einzelnen Familienmitglieder in der Pflegesituation erfolgt dabei über die Bewertung der beteiligten Generationen. Die Beeinflussung des Pflegealltags durch die Lebenssituation, die Ursachen der Pflegebedürftigkeit sowie weitere Faktoren werden dazu ebenso betrachtet wie die Auswirkungen der Corona-Pandemie auf die Mitglieder der pflegenden Familie. Beispielhaft werden sensibilisierende Weiterbildungen für die Pflegeberatung vorgestellt und die Bedeutung von Netzwerken für individuelle Bedarfe in der familialen Pflegesituation veranschaulicht.

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Is Open Access

Problem-solving in caregiver-counselling (PLiP Study): study protocol of a cluster randomized pragmatic trial

Klaus Pfeiffer, Martin Hautzinger, Margarete A. Patak … (2017)

Background Despite the positive evaluation of various caregiver interventions over the past 3 decades, only very few intervention protocols have been translated to delivery in service contexts. The purpose of this study is to train care counsellors of statutory long term care insurances in problem-solving and to evaluate this approach as an additional component in the statutory care counselling in Germany. Methods A pragmatic cluster randomized controlled trial in which 38 sites with 58 care counsellors are randomly assigned to provide either routine counselling plus additional problem-solving for caregivers or routine counselling alone. The counsellor training comprises an initial 2-day training, a follow-up day after 4 months, and biweekly supervision contacts with a psychotherapist for 6 months over the phone. The agreed minimum counselling intensity is one initial face-to-face contact including a caregiver assessment and at least one telephone follow-up contact. Caregivers who are positively screened for significant strain in their role are followed up at 3 and 6 months after baseline assessment. Main outcome are caregivers’ depressive symptoms. Discussion While it is unclear if the expected very low amount of additional counselling time is sufficient to yield any additional effects on caregiver depression, it is also unclear if the additional problem-solving component yields to synergies with routine counselling that is based on information and case management. There are different potential individual and organisational barriers to a consistent intervention delivery like gratification for participation, time for extra work or internal motivation to participate. Trial registration (ISRCTN23635523)