Question 1

Medication

Accepted Answer

Oral medication, eye/ear drops, metered-dose inhalers, suppositories and medication patches. Counted per application site and frequency; dispensing is not recorded separately if administration is documented.

Question 2

Injections

Accepted Answer

Subcutaneous and intramuscular injections and subcutaneous infusions, including for example insulin injections or supply of medication pumps via a subcutaneous access.

Question 3

Care of intravenous access (e.g. port)

Accepted Answer

Care and dressings of venous access (e.g. Shaldon, Broviac and others) and port care. Introducing medication into an existing venous access is also taken into account.

Question 4

Suctioning and oxygen administration

Accepted Answer

Suctioning and oxygen administration via nasal cannula or mask, including fitting/removing respiratory masks for pressure ventilation and providing inhalation devices.

Question 5

Rubs or heat and cold applications

Accepted Answer

Medically prescribed rubs (ointments, creams etc.) and heat and cold applications – each counted as one measure regardless of the number of application sites. General skin care does not count.

Question 6

Measurement and interpretation of bodily states

Accepted Answer

Medically prescribed measurements (blood pressure, pulse, blood glucose, temperature etc.) and their evaluation, e.g. to determine insulin dosage.

Question 7

Body-worn aids

Accepted Answer

Fitting and removing prostheses, orthoses, epitheses, visual aids, hearing aids, orthodontic appliances and compression stockings for arms and legs (including cleaning). Fitting and removing paired aids each counts as one measure.

Question 8

Wound dressings and wound care

Accepted Answer

Care of chronic wounds (e.g. venous leg ulcer, pressure sore). Intermittently occurring wounds requiring ongoing treatment are also considered chronic.

Question 9

Stoma care

Accepted Answer

Care of artificial body openings such as tracheostomy, PEG, suprapubic bladder catheter, urostomy, colo- or ileostomy. This also includes cleaning the catheter, disinfecting the PEG insertion site and, if necessary, changing dressings.

Question 10

Regular intermittent catheterisation and use of bowel evacuation methods

Accepted Answer

Regular intermittent catheterisations occur particularly in neurogenic bladder emptying disorders. Evacuation methods refer to the use of enemas and digital bowel evacuations.

Question 11

Therapeutic measures at home

Accepted Answer

Home exercises from remedial therapy (e.g. physiotherapy, breathing exercises, speech therapy), secretion elimination and peritoneal dialysis. Prophylactic measures and activating care do not count.

Question 12

Time- and technology-intensive measures at home

Accepted Answer

Specialist therapeutic measures such as haemodialysis or ventilation that can be carried out in a home setting when constant supervision by trained carers is ensured. For invasive mechanical ventilation, this is to be entered as once daily.

Question 13

Doctor's appointments

Accepted Answer

Visits to GP or specialist for diagnostic or therapeutic purposes. The frequency of required support is recorded. Home visits by the doctor in the residential environment do not count.

Question 14

Visits to other medical or therapeutic facilities (up to three hours)

Accepted Answer

Visits to therapists, medical or other healthcare facilities (up to three hours), including visits to physiotherapists, occupational therapists, speech therapists, psychotherapists, hospitals for outpatient treatment or diagnostics.

Question 15

Extended visits to other medical or therapeutic facilities (more than three hours)

Accepted Answer

Visits to medical or therapeutic facilities (e.g. oncological treatment, dialysis) where the total time required for the carer per appointment exceeds three hours.

Question 16

Adhering to a diet and other disease- or therapy-related behavioural requirements

Accepted Answer

This criterion concerns the person's ability to comply with medically prescribed diets and requirements relating to vital functions (particularly respiration and cardiovascular function). The key question is whether the person is mentally able to recognise the necessity and adhere to the requirement. The frequency with which non-compliance requires direct intervention is to be rated. This does not include the self-determined refusal of medical prescriptions in persons with retained mental faculties. If no requirements are present, 'not applicable, not required' is to be marked.

Independent: The person can adhere to requirements independently. Providing the diet is sufficient.
Predominantly independent: The person requires reminders and guidance. Providing the diet alone is usually insufficient. Additional intervention is required at most once a day.
Predominantly dependent: The person usually requires guidance and supervision. Providing the diet is not sufficient. Additional intervention is required several times a day.
Dependent: The person always requires guidance and supervision. Providing the diet is not sufficient. Additional intervention is required (almost) continuously.

Criterion	Not applicable	Independent	Frequency
Medication 4.5.1 · Oral medication, eye/ear drops, metered-dose inhalers, suppositories and medication patches. Counted per application site and frequency; dispensing is not recorded separately if administration is documented.
Medication 4.5.1 · Oral medication, eye/ear drops, metered-dose inhalers, suppositories and medication patches. Counted per application site and frequency; dispensing is not recorded separately if administration is documented.			0
Injections 4.5.2 · Subcutaneous and intramuscular injections and subcutaneous infusions, including for example insulin injections or supply of medication pumps via a subcutaneous access.
Injections 4.5.2 · Subcutaneous and intramuscular injections and subcutaneous infusions, including for example insulin injections or supply of medication pumps via a subcutaneous access.			0
Care of intravenous access (e.g. port) 4.5.3 · Care and dressings of venous access (e.g. Shaldon, Broviac and others) and port care. Introducing medication into an existing venous access is also taken into account.
Care of intravenous access (e.g. port) 4.5.3 · Care and dressings of venous access (e.g. Shaldon, Broviac and others) and port care. Introducing medication into an existing venous access is also taken into account.			0
Suctioning and oxygen administration 4.5.4 · Suctioning and oxygen administration via nasal cannula or mask, including fitting/removing respiratory masks for pressure ventilation and providing inhalation devices.
Suctioning and oxygen administration 4.5.4 · Suctioning and oxygen administration via nasal cannula or mask, including fitting/removing respiratory masks for pressure ventilation and providing inhalation devices.			0
Rubs or heat and cold applications 4.5.5 · Medically prescribed rubs (ointments, creams etc.) and heat and cold applications – each counted as one measure regardless of the number of application sites. General skin care does not count.
Rubs or heat and cold applications 4.5.5 · Medically prescribed rubs (ointments, creams etc.) and heat and cold applications – each counted as one measure regardless of the number of application sites. General skin care does not count.			0
Measurement and interpretation of bodily states 4.5.6 · Medically prescribed measurements (blood pressure, pulse, blood glucose, temperature etc.) and their evaluation, e.g. to determine insulin dosage.
Measurement and interpretation of bodily states 4.5.6 · Medically prescribed measurements (blood pressure, pulse, blood glucose, temperature etc.) and their evaluation, e.g. to determine insulin dosage.			0
Body-worn aids 4.5.7 · Fitting and removing prostheses, orthoses, epitheses, visual aids, hearing aids, orthodontic appliances and compression stockings for arms and legs (including cleaning). Fitting and removing paired aids each counts as one measure.
Body-worn aids 4.5.7 · Fitting and removing prostheses, orthoses, epitheses, visual aids, hearing aids, orthodontic appliances and compression stockings for arms and legs (including cleaning). Fitting and removing paired aids each counts as one measure.			0
Group A · Daily value sum: 0 ×/dayIndividual points: 0 / 3
Wound dressings and wound care 4.5.8 · Care of chronic wounds (e.g. venous leg ulcer, pressure sore). Intermittently occurring wounds requiring ongoing treatment are also considered chronic.
Wound dressings and wound care 4.5.8 · Care of chronic wounds (e.g. venous leg ulcer, pressure sore). Intermittently occurring wounds requiring ongoing treatment are also considered chronic.			0
Stoma care 4.5.9 · Care of artificial body openings such as tracheostomy, PEG, suprapubic bladder catheter, urostomy, colo- or ileostomy. This also includes cleaning the catheter, disinfecting the PEG insertion site and, if necessary, changing dressings.
Stoma care 4.5.9 · Care of artificial body openings such as tracheostomy, PEG, suprapubic bladder catheter, urostomy, colo- or ileostomy. This also includes cleaning the catheter, disinfecting the PEG insertion site and, if necessary, changing dressings.			0
Regular intermittent catheterisation and use of bowel evacuation methods 4.5.10 · Regular intermittent catheterisations occur particularly in neurogenic bladder emptying disorders. Evacuation methods refer to the use of enemas and digital bowel evacuations.
Regular intermittent catheterisation and use of bowel evacuation methods 4.5.10 · Regular intermittent catheterisations occur particularly in neurogenic bladder emptying disorders. Evacuation methods refer to the use of enemas and digital bowel evacuations.			0
Therapeutic measures at home 4.5.11 · Home exercises from remedial therapy (e.g. physiotherapy, breathing exercises, speech therapy), secretion elimination and peritoneal dialysis. Prophylactic measures and activating care do not count.
Therapeutic measures at home 4.5.11 · Home exercises from remedial therapy (e.g. physiotherapy, breathing exercises, speech therapy), secretion elimination and peritoneal dialysis. Prophylactic measures and activating care do not count.			0
Group B · Daily value sum: 0 ×/dayIndividual points: 0 / 3
Time- and technology-intensive measures at home 4.5.12 · Specialist therapeutic measures such as haemodialysis or ventilation that can be carried out in a home setting when constant supervision by trained carers is ensured. For invasive mechanical ventilation, this is to be entered as once daily.
Time- and technology-intensive measures at home 4.5.12 · Specialist therapeutic measures such as haemodialysis or ventilation that can be carried out in a home setting when constant supervision by trained carers is ensured. For invasive mechanical ventilation, this is to be entered as once daily.			0
Doctor's appointments 4.5.13 · Visits to GP or specialist for diagnostic or therapeutic purposes. The frequency of required support is recorded. Home visits by the doctor in the residential environment do not count.
Doctor's appointments 4.5.13 · Visits to GP or specialist for diagnostic or therapeutic purposes. The frequency of required support is recorded. Home visits by the doctor in the residential environment do not count.			0
Visits to other medical or therapeutic facilities (up to three hours) 4.5.14 · Visits to therapists, medical or other healthcare facilities (up to three hours), including visits to physiotherapists, occupational therapists, speech therapists, psychotherapists, hospitals for outpatient treatment or diagnostics.
Visits to other medical or therapeutic facilities (up to three hours) 4.5.14 · Visits to therapists, medical or other healthcare facilities (up to three hours), including visits to physiotherapists, occupational therapists, speech therapists, psychotherapists, hospitals for outpatient treatment or diagnostics.			0
Extended visits to other medical or therapeutic facilities (more than three hours) 4.5.15 · Visits to medical or therapeutic facilities (e.g. oncological treatment, dialysis) where the total time required for the carer per appointment exceeds three hours.
Extended visits to other medical or therapeutic facilities (more than three hours) 4.5.15 · Visits to medical or therapeutic facilities (e.g. oncological treatment, dialysis) where the total time required for the carer per appointment exceeds three hours.			0
Group C · Weighted sum: 0Individual points: 0 / 6

Criterion	Independent 0 pts	Predominantly independent 1 pts	Predominantly dependent 2 pts	Dependent 3 pts
Adhering to a diet and other disease- or therapy-related behavioural requirements 4.5.16 · This criterion concerns the person's ability to comply with medically prescribed diets and requirements relating to vital functions (particularly respiration and cardiovascular function). The key question is whether the person is mentally able to recognise the necessity and adhere to the requirement. The frequency with which non-compliance requires direct intervention is to be rated. This does not include the self-determined refusal of medical prescriptions in persons with retained mental faculties. If no requirements are present, 'not applicable, not required' is to be marked.
Adhering to a diet and other disease- or therapy-related behavioural requirements 4.5.16 · This criterion concerns the person's ability to comply with medically prescribed diets and requirements relating to vital functions (particularly respiration and cardiovascular function). The key question is whether the person is mentally able to recognise the necessity and adhere to the requirement. The frequency with which non-compliance requires direct intervention is to be rated. This does not include the self-determined refusal of medical prescriptions in persons with retained mental faculties. If no requirements are present, 'not applicable, not required' is to be marked.

Managing disease- or therapy-related demands