Carer Thannhausen

Care for an elderly married couple living together. The husband is 87 years old, weighs 61 kg, and is 165 cm tall; he is currently hospitalized. He has stage 4 kidney failure, diabetes, high blood pressure, and has suffered a stroke and a fall. After the removal of an infection focus, he was treated for an MRSA infection; his current condition is still being assessed. He has significant swallowing difficulties, dizziness, and a high risk of falls. Symptoms of dementia and disorientation are appearing. He has very poor hearing and uses hearing aids. His mobility is currently significantly limited. He is predominantly bedridden, requires wound care, medication administration, and assistance with getting up, repositioning, and full assistance with transfers, including lifting his entire body weight. He has both urinary and fecal incontinence; the carer is responsible for changing incontinence pads. He requires extensive assistance with hygiene, dressing, toileting, eating, drinking, and taking medication. Night duty is required every night as he attempts to get up or needs to go to the toilet. The wife is 87 years old, weighs 45 kg, and is 158 cm tall. She has a cancer diagnosis, senile frailty, dizziness, and significantly impaired vision and hearing. She uses hearing aids. She is partially incontinent, especially at night; she changes her incontinence aids herself. She walks with a walker, requires support when walking and standing, and manages hygiene, transfers, and getting out of bed independently. She has an increased risk of falls and occasional problems with temporal orientation. She needs reminders for medication, assistance with doctor's visits, and as needed with dressing. Night duty is not required for her. The carer is also responsible for cooking, cleaning, shopping, laundry, ironing, and plant care. The family visits daily; further assistance depends on the agreement. A driver's license is necessary. The carer has a private bathroom. Free time is by agreement.