Caregiver Karlsruhe

Care for an elderly married couple in a shared household. An 87-year-old gentleman, 54 kg, 163 cm, suffers from myasthenia gravis, an autoimmune disease causing muscle weakness, for which he is being treated. He has a PEG tube. He has hearing difficulties but no dementia. He moves around the house with a walker; his gait is unsteady, and he sometimes needs assistance when standing up, depending on his current health status. For longer distances outside the home, he uses a wheelchair. He uses diapers preventatively at night. He is independent with dressing, eating, and toileting; he requires assistance mainly with personal hygiene, showering, and washing his hair. It is necessary to monitor adequate fluid intake, feeding via PEG tube, and regular medication intake. Physiotherapy takes place at home. In his free time, he enjoys spending time in the garden, playing board games, and taking short walks. An 87-year-old lady, 43 kg, 154 cm, suffers from a tumorous disease and liver cirrhosis. She has an increased risk of falls. She navigates well within the home environment but has impaired orientation outside the home and regarding time. Her short-term memory is deteriorating, and she can be confused at times. She has hearing difficulties. She moves around the house with a walker; for longer distances, she uses a wheelchair. She needs assistance when standing up. She uses diapers preventatively at night. She requires partial assistance with dressing, personal hygiene, showering, and using the toilet. She eats independently; it is necessary to monitor fluid intake and regular medication intake. Her general practitioner visits her at home every two weeks. She enjoys spending time in the garden, listening to music, playing board games, and going out for ice cream. The caregiver's duties also include household management, meal preparation, laundry, cleaning, shopping (as agreed with the family), companionship, and maintaining the daily routine. Shops are about a 5-minute walk away, and public transport is also nearby. The family lives in a separate apartment in the same building and helps regularly. Both visit a day care center once a week. A care service visits once a week to assist with personal hygiene and prepare medications. Night duty is only required for the lady 3-4 times per night. Free time is by agreement.