Caregiver Bernau

Care for an elderly married couple in their shared home. An 84-year-old lady, 85 kg, 169 cm, suffers from Parkinson's disease and urinary and fecal incontinence. Her speech is less clear, but she can express her needs. Her eyesight is significantly impaired due to macular degeneration. She is blind in one eye and has limited vision in the other. She moves exclusively in a wheelchair. She cannot cooperate during transfers, so they are always performed together with her daughter. There is a stairlift in the house, and she should be positioned upright at least once a day. The lady is completely dependent on help with dressing, personal hygiene, and using the toilet. Clothing needs to be changed regularly. She requires assistance with eating; the food needs to be cut into small pieces, she should be encouraged to eat independently, and fed if necessary. It is important to ensure adequate fluid intake. When using the toilet, the transfer to the toilet chair is done only in the presence of the daughter; otherwise, she uses diapers. The daughter also helps with daily hygiene and showering. It is necessary to supervise the regular intake of medication, which is prepared in advance. The first dose is administered at 7:30 AM. The caregiver accompanies the client to medical appointments as agreed with the family. A speech therapist, physiotherapist, hairdresser, and chiropodist visit the home. The daughter arranges shopping, the caregiver prepares the shopping list, runs small errands, assists with general daily activities, maintains the daily routine, provides companionship, and involves the seniors in daily life. The main role of the caregiver is to focus primarily on the lady. She receives daily support from her daughter in her care, and never performs transfers alone. An 85-year-old gentleman, 80 kg, 172 cm, suffers from hearing loss and impaired vision with a reduced field of vision. He does not have dementia. He moves independently with the help of a walking stick; his gait is unsteady, but he gets up from bed and chairs without assistance. He is not incontinent, but uses diapers preventatively. He needs sufficient personal time and does not require constant companionship. The gentleman requires partial assistance with dressing, mainly preparing clothes and helping as needed. He is independent with eating, personal hygiene, and using the toilet. It is necessary to supervise the regular intake of medication, which is prepared in advance, accompany him to medical appointments as agreed with the family, help with small errands, general household activities, maintaining the daily routine, providing companionship, and supporting him in leisure activities. He enjoys spending time sitting on the terrace. Night work is not required. The daughter is present in the household daily and actively helps with the care of both parents. The caregiver has her own apartment and ample free time. The couple visits a day center 3 times a week.