{ "options": { "Selbständig": "Independent", "Überwiegend selbständig": "Predominantly independent", "Überwiegend unselbständig": "Predominantly dependent", "Unselbständig": "Dependent", "Vorhanden": "Present", "Größtenteils vorhanden": "Largely present", "In geringem Maße vorhanden": "Present to a minor degree", "Nicht vorhanden": "Not present", "Nie / sehr selten": "Never / very rarely", "Selten (1–3×/zwei Wochen)": "Rarely (1–3× / two weeks)", "Häufig (mehrmals/Woche)": "Frequently (several times / week)", "Täglich": "Daily", "Fähigkeit vorhanden": "Ability present", "Fähigkeit größtenteils vorhanden": "Ability largely present", "Fähigkeit in geringem Maße vorhanden": "Ability present to a minor degree", "Fähigkeit nicht vorhanden": "Ability not present", "Nicht erforderlich": "Not required", "Selten": "Rarely", "1–3×/Tag": "1–3× / day", "4–8×/Tag": "4–8× / day", "> 8×/Tag": "> 8× / day", "1×/Tag": "1× / day", "2–3×/Tag": "2–3× / day", "> 3×/Tag": "> 3× / day", "Selten (< 1×/Tag)": "Rarely (< 1× / day)", "1–2×/Tag": "1–2× / day", "> 2×/Tag": "> 2× / day", "2×/Tag": "2× / day", "Wöchentlich": "Weekly", "Täglich (1–2×)": "Daily (1–2×)", "Täglich (≥ 3×)": "Daily (≥ 3×)", "Monatlich": "Monthly", "Nicht täglich, nicht auf Dauer oder selbstständig duchführbar": "Not daily, not permanent or can be performed independently", "Ausschließlich oder nahezu ausschließlich": "Exclusively or almost exclusively", "Täglich, zusätzlich zu oraler Nahrung": "Daily, in addition to oral nutrition" }, "stufeLabels": { "Selbständig": "Independent", "Überwiegend selbständig": "Predominantly independent", "Überwiegend unselbständig": "Predominantly dependent", "Unselbständig": "Dependent", "Fähigkeit vorhanden": "Ability present", "Fähigkeit größtenteils vorhanden": "Ability largely present", "Fähigkeit in geringem Maße vorhanden": "Ability present to a minor degree", "Fähigkeit nicht vorhanden": "Ability not present", "Selbständig (0 Pkt)": "Independent (0 pts)", "Überwiegend selbständig (2 Pkt)": "Predominantly independent (2 pts)", "Überwiegend unselbständig (4 Pkt)": "Predominantly dependent (4 pts)", "Unselbständig (6 Pkt)": "Dependent (6 pts)", "Überwiegend selbständig (3 Pkt)": "Predominantly independent (3 pts)", "Überwiegend unselbständig (6 Pkt)": "Predominantly dependent (6 pts)", "Unselbständig (9 Pkt)": "Dependent (9 pts)" }, "m1q1": { "label": "Changing position in bed", "hint": "Assuming different positions in bed, rolling along the longitudinal axis, sitting up from a lying position.", "stufen": [ "A person is also considered independent if they can change position on their own using aids (positioning aid, bed side rail, rope ladder, electrically adjustable bed).", "The person can change position in bed after, for example, being handed an aid or a hand.", "The person can only help minimally during position changes, e.g. roll onto their back, hold onto the bed frame, or cross their arms over their chest and put their head down for repositioning.", "The person cannot or can only minimally participate in position changes." ] }, "m1q2": { "label": "Maintaining a stable sitting position", "hint": "Sitting upright on a bed, chair or armchair.", "stufen": [ "A person is also considered independent if they occasionally need to correct their sitting position.", "The person can only maintain a sitting position independently for a short time, e.g. for the duration of a meal or a wash, but needs personal support for position correction beyond that.", "Due to limited trunk control, the person cannot maintain an upright position even with back and side support, and requires personal support for position correction even during a meal or wash.", "The person cannot maintain a sitting position. With absent trunk and head control, the person can only be positioned lying in bed or a positioning chair." ] }, "m1q3": { "label": "Transferring", "hint": "Standing up from a normally high seat and transferring to another (normal seat height approx. 45 cm).", "stufen": [ "A person is also independent if they do not need personal help but uses an aid or another object to hold onto or pull themselves up (e.g. grab rails), or needs to lean on a table, armrests or other objects to stand up. A person who cannot stand but can transfer using arm strength without personal help (e.g. wheelchair to toilet) is also rated independent.", "The person can stand up or transfer under their own power when they are given a hand or an arm.", "The carer must use (considerable) physical effort to help the person stand or transfer (pulling up, holding, supporting, lifting). The person helps to a minor extent, e.g. can stand briefly.", "The person must be lifted or carried; no participation is possible." ] }, "m1q4": { "label": "Moving around within the home", "hint": "Moving safely between rooms within a dwelling or within the residential area of a care facility. At least eight metres is set as the reference distance for typical walking distances within a home.", "stufen": [ "The person can move around without help from others. This may involve using aids such as a walking frame, wheelchair or other objects, e.g. a stick or a piece of furniture.", "The person can mostly perform the activity independently. Personal assistance may be required, e.g. providing aids (such as a walking frame or stick), giving occasional support or accompaniment, or supervision (presence for safety reasons).", "The person can only take a few steps or move a few metres in a wheelchair, or can only walk with support or while being held by a carer. Even if the person moves around their home by crawling or shuffling of their own accord, this does not change the rating of 'predominantly dependent'.", "The person must be carried or pushed completely in a wheelchair." ] }, "m1q5": { "label": "Climbing stairs", "hint": "Climbing stairs between two floors in an upright position.", "stufen": [ "The person can climb stairs in an upright position without help from others.", "The person can climb stairs alone but requires accompaniment due to a risk of falling (presence for safety reasons).", "Climbing stairs is only possible with support or when held by another person.", "The person must be carried or transported using aids; no own participation." ] }, "m1qB": { "label": "Non-use of both arms and both legs is not present." }, "m2q1": { "label": "Recognising people from the immediate environment", "hint": "Ability to recognise people from the immediate environment, i.e. people with whom there is regular direct contact in everyday life, including for example family members, neighbours, as well as carers from an outpatient service or a residential care facility.", "stufen": [ "The person immediately recognises other people from their immediate environment.", "The person recognises familiar people only after a longer period of contact in a conversation, or has difficulties – not daily, but at regular intervals – recognising familiar people.", "People from the immediate environment are only rarely recognised, or the ability may depend on the person's daily form, i.e. the ability is subject to considerable fluctuation over time.", "Even family members are not or only exceptionally recognised." ] }, "m2q2": { "label": "Spatial orientation", "hint": "Ability to navigate the physical environment, find specific places and know where one is.", "stufen": [ "The person knows which town, floor and, if applicable, which facility they are in. They know their way around the regularly used rooms. Getting lost in the rooms of their own dwelling or immediately within the residential area of a facility does not occur, and the person also finds their way around the nearby outdoor environment.", "Difficulties exist in orienting in the outdoor environment, e.g. finding one's way back home after leaving the building. No such difficulties exist within the person's own home.", "The person also has difficulty finding their way around in a familiar home environment. Regularly used rooms and routes in the residential environment are not always recognised.", "Even in their own home environment, the person regularly needs support to find their way around." ] }, "m2q3": { "label": "Temporal orientation", "hint": "Ability to recognise temporal structures, including the time of day, parts of the day (morning, afternoon, evening etc.), seasons and the chronological sequence of one's own life.", "stufen": [ "Temporal orientation is present without significant impairment.", "The person is temporally oriented most of the time but not consistently. They have difficulty, for example, determining the time of day without external orientation aids (clock, darkness etc.).", "Temporal orientation is only present in rudimentary form most of the time. Even with external orientation aids, the person is usually unable to recognise times of day at which specific events regularly occur (e.g. lunch).", "Understanding of temporal structures and sequences is barely or not present." ] }, "m2q4": { "label": "Recalling important events or observations", "hint": "Ability to recall recently occurring events (e.g. what was eaten for breakfast, activities in the morning) and more distant events (e.g. year of birth, occupation, personal history).", "stufen": [ "The person can provide information about recently occurring events or indicate through actions and gestures that they remember.", "The person has difficulty recalling some recent events or needs to think for longer, but has no significant difficulty recalling events from their own personal history.", "The person frequently forgets recent events. Not all, but important events from personal history are still present.", "The person is not (or only rarely) able to remember events, things or people from their own personal history." ] }, "m2q5": { "label": "Controlling multi-step everyday actions", "hint": "Ability to carry out everyday actions with several sub-steps in a purposeful manner, e.g. getting dressed, making coffee or setting the table.", "stufen": [ "The person is able to carry out or control the required steps independently in the correct order so that the intended outcome is achieved.", "The person sometimes loses track and forgets which step comes next. When given a memory prompt, they can continue the action independently.", "The person has considerable difficulties. They regularly confuse the order of individual steps or forget individual necessary steps.", "Multi-step everyday actions are not started at all, or abandoned after initial attempts." ] }, "m2q6": { "label": "Making decisions in everyday life", "hint": "Ability to make logical decisions in everyday life, e.g. adapting clothing to the weather, planning shopping or calling friends.", "stufen": [ "The person can make logical decisions even in unfamiliar situations, e.g. when dealing with unknown people who ring the doorbell.", "Decisions can be made within daily routines or in previously discussed situations, but the person has difficulty in unfamiliar situations.", "The person does make decisions, but these are generally not suitable for achieving a specific goal. A severe impairment also exists when the person is only able to make decisions with support in the form of guidance, prompting or offering alternative courses of action.", "The person can no longer or only rarely make decisions even with support. They show no interpretable reaction to being offered several decision alternatives." ] }, "m2q7": { "label": "Understanding facts and information", "hint": "Ability to understand and categorise facts and information from media or verbal communication.", "stufen": [ "The person can understand facts and information from everyday life without significant difficulties.", "The person can follow simple facts and information but has difficulty with more complex ones.", "The person can often only follow even simple information when it is explained repeatedly. A severe impairment also exists when comprehension is highly dependent on daily form.", "The person gives no verbal or non-verbal indication that they can understand situations and communicated information." ] }, "m2q8": { "label": "Recognising risks and hazards", "hint": "Ability to recognise everyday risks and hazards, e.g. sources of electricity and fire, trip hazards or dangers in road traffic.", "stufen": [ "The person can readily recognise such risks and hazards in everyday life, even if they cannot avoid them for other reasons (e.g. due to physical impairments).", "The person usually only recognises risks and hazards found in the familiar indoor home environment. They have difficulty, for example, adequately assessing risks in road traffic or recognising hazards in unfamiliar environments.", "The person often cannot recognise even risks and hazards they frequently encounter in the home environment.", "The person can barely or not at all recognise risks and hazards." ] }, "m2q9": { "label": "Communicating basic needs", "hint": "Ability to communicate basic needs verbally or non-verbally. This includes making oneself known when experiencing severely distressing sensations related to basic needs such as pain, feeling cold, hunger or thirst. In the case of speech disorders, this may be done using sounds, facial expressions or gestures, or with the help of aids.", "stufen": [ "The person can name basic needs or make clear through sounds, gestures, facial expressions or aids which need is involved.", "The person does not always express basic needs spontaneously or not always clearly, but can make them clear when asked.", "It can only be inferred from ambiguous behaviour (e.g. facial expressions, gestures, sounds, verbal utterances) that basic needs exist. Which basic need is affected cannot be communicated and must be laboriously determined by the carer.", "The person expresses needs not at all or very rarely, not even in non-verbal form. They can make neither agreement nor rejection clear." ] }, "m2q10": { "label": "Understanding instructions", "hint": "Ability to understand instructions relating to everyday basic needs such as eating, drinking, getting dressed or engaging in activities.", "stufen": [ "Instructions and requests relating to everyday basic needs are readily understood.", "Simple requests and instructions such as 'Please sit at the table!', 'Put on your jacket!', 'Come and eat!' are understood; instructions for more complex actions need to be explained. Where necessary, e.g. in the case of hearing impairment, particularly clear speech, repetitions, sign language or writing may be required.", "The person can usually not understand instructions and requests unless they are repeated and explained. Comprehension is highly dependent on daily form. However, they show agreement or rejection towards non-verbal instructions, e.g. when touched or guided to the dining table.", "The person can barely or not at all understand instructions and prompts." ] }, "m2q11": { "label": "Participating in a conversation", "hint": "Ability to absorb conversation content, respond appropriately and contribute to the continuation of a conversation.", "stufen": [ "The person manages well both in one-to-one and small group conversations. They show initiative, interest and participate, even if only when directly addressed. Their contributions are relevant to the conversation.", "The person manages well in one-to-one conversations but is usually overwhelmed in groups and loses the thread, or word-finding difficulties arise. The person needs to be spoken to slowly and very clearly, with words and sentences repeated.", "The person can barely follow even a one-to-one conversation, or can only participate minimally or with individual words. The person shows little initiative but responds to prompts or questions with a few words; or participates but generally deviates from the topic.", "A conversation with the person that goes beyond simple statements is barely or not possible even with non-verbal communication." ] }, "m3q1": { "label": "Motor-driven behavioural abnormalities", "hint": "This criterion covers various behaviours including apparently aimless wandering around the home or facility and attempts by disoriented people to leave without accompaniment. General restlessness such as constantly sitting down and standing up or shifting back and forth in a seat or in bed is also included." }, "m3q2": { "label": "Nocturnal restlessness", "hint": "Nocturnal wandering or phases of restlessness up to and including reversal of the day–night rhythm. The frequency with which personal support for calming is needed is assessed. Sleep disorders such as difficulty falling asleep in the evening or waking phases during the night are not to be rated." }, "m3q3": { "label": "Self-harming and auto-aggressive behaviour", "hint": "Self-harming and auto-aggressive behaviour may consist, for example, of injuring oneself with objects, eating and drinking inedible substances, hitting oneself or injuring oneself with fingernails or teeth." }, "m3q4": { "label": "Damaging objects", "hint": "This refers to aggressive actions directed at objects such as pushing or shoving objects away, hitting objects, destroying things or kicking objects." }, "m3q5": { "label": "Physically aggressive behaviour towards others", "hint": "Physically aggressive behaviour towards others may consist, for example, of hitting or kicking others, injuring others with teeth or fingernails, pushing or shoving others, or attempting to injure others with objects." }, "m3q6": { "label": "Verbal aggression", "hint": "Verbal aggression may manifest, for example, as verbal abuse or threatening other people." }, "m3q7": { "label": "Other care-relevant vocal abnormalities", "hint": "Other care-relevant vocal abnormalities include: shouting, screaming, complaining without apparent reason, muttering to oneself, swearing, making strange noises, constantly repeating sentences and questions." }, "m3q8": { "label": "Resistance to care and other supportive measures", "hint": "Resistance to support, for example during personal care, refusal to take food, medication or other necessary measures, and interference with catheters, infusions or feeding tubes. This does not include the intentional, self-determined refusal of certain measures." }, "m3q9": { "label": "Delusions", "hint": "Delusions may relate, for example, to the belief of being in contact with deceased or imaginary persons, or to the belief of being persecuted, threatened or robbed." }, "m3q10": { "label": "Fears", "hint": "Pronounced fears that are recurrently experienced as threatening, for which no personal coping strategy exists and which lead to considerable distress in everyday life. Creating a fear-free atmosphere through the mere presence of another person (without active personal support) is not rated here." }, "m3q11": { "label": "Lack of drive in a depressive mood state", "hint": "Lack of drive due to hopelessness, despondency or despair, leading to absence of interest and requiring considerable motivation by others. Not included: purely cognitive impairments (e.g. in dementia) in which impulses are needed to begin or continue an action." }, "m3q12": { "label": "Socially inappropriate behaviour", "hint": "Socially inappropriate behaviour includes, for example, intrusive behaviour, conspicuous demands for attention, undressing in front of others in inappropriate situations, inappropriate grabbing of people or inappropriate physical or verbal sexual advances." }, "m3q13": { "label": "Other care-relevant inadequate actions", "hint": "Other care-relevant inadequate actions include, for example, fiddling with clothing, constantly repeating the same action (stereotypies), aimless activities, hiding or hoarding objects, smearing faeces or urinating in the home." }, "m4q1": { "label": "Washing the front of the upper body", "hint": "Washing and drying the hands, face, arms, armpits and the front of the neck and chest.", "stufen": [ "The person can perform the described activity without personal assistance.", "The person can perform the activity independently when required items (e.g. soap, flannel) are laid out, or when they receive prompting or targeted partial assistance, e.g. washing under the armpits or breasts.", "The person can only perform minor parts of the activity independently, e.g. wash only hands or face, or requires comprehensive guidance.", "The person cannot or can only minimally participate in the activity." ] }, "m4q2": { "label": "Personal care of the head", "hint": "Combing, dental care, denture cleaning, shaving.", "stufen": [ "The person can perform the described activities without personal assistance.", "The person can perform the activities independently when required items are laid out or prepared, e.g. unscrewing the toothpaste cap, applying toothpaste to the brush, applying denture adhesive to the prosthesis, handing over or cleaning the shaver. Alternatively, prompting or targeted partial assistance is required, e.g. corrections after combing or only combing the back of the head, cleaning the back molars during dental/oral care or finishing the shave when otherwise independent.", "The person can only perform minor parts of the activity independently, e.g. begins brushing teeth or shaving without completing the activity.", "The person cannot or can only minimally participate in the activities." ] }, "m4q3": { "label": "Washing the intimate area", "hint": "Washing and drying the intimate area.", "stufen": [ "The person can perform the described activity without personal assistance.", "The person can perform the activity independently when required items (e.g. soap, flannel) are laid out, or when they receive prompting or targeted partial assistance.", "The person can only perform minor parts of the activity independently, e.g. wash only the front intimate area.", "The person cannot or can only minimally participate in the activity." ] }, "m4q4": { "label": "Showering and bathing including hair washing", "hint": "Shower and bath including hair washing, drying and blow-drying. Safety aspects are to be taken into account.", "stufen": [ "The person can perform the described activity without personal assistance.", "The person can perform the activity independently when utensils are prepared or provided, individual assistance is given (e.g. support getting in/out, operating a bath lift, help with hair washing or blow-drying, with drying), or when presence during showering and bathing is required for understandable safety reasons.", "The person can only perform minor parts of the activity independently, e.g. washing the front of the upper body.", "The person cannot or can only minimally participate in the activity." ] }, "m4q5": { "label": "Dressing and undressing the upper body", "hint": "Putting on and taking off items of clothing laid out, e.g. vest, T-shirt, shirt, blouse, jumper, jacket, bra, pyjama top or nightgown.", "stufen": [ "The person can perform the described activity without personal assistance.", "The person can perform the activity independently when items of clothing are handed over or held in place, e.g. when putting on a shirt. If help is only needed with fasteners, the rating 'predominantly independent' also applies, as does when only checking whether clothing sits correctly and prompting to complete the action are required.", "The person can, for example, only push their hands into the sleeves of a T-shirt being held ready.", "The person cannot or can only minimally participate in the activity." ] }, "m4q6": { "label": "Dressing and undressing the lower body", "hint": "Putting on and taking off items of clothing laid out, e.g. underwear, trousers, skirt, stockings and shoes.", "stufen": [ "The person can perform the described activity without personal assistance.", "The person can perform the activity independently when shoes or items of clothing are handed over or held (step-in help). The rating 'predominantly independent' also applies when help is only needed with fasteners (e.g. tying shoelaces, fastening buttons) or checking whether clothing sits correctly, and prompting to start or complete the action is required.", "The person can only perform a small part of the activity independently, e.g. only pulling trousers or a skirt from the thigh to the waist.", "The person cannot or can only minimally participate in the activity." ] }, "m4q7": { "label": "Preparing food into bite-sized pieces and pouring drinks", "hint": "Cutting food into bite-sized pieces (e.g. cutting meat, mashing potatoes) and pouring drinks.", "stufen": [ "The person can perform the described activity without personal assistance.", "Only occasional help is required, e.g. opening a bottle or cutting hard foods.", "The person can only perform a small part of the activity independently, e.g. can cut open-faced sandwiches but cannot produce bite-sized pieces. The person cannot pour drinks.", "The person cannot or can only minimally participate in the activity." ] }, "m4q8": { "label": "Eating (3× points)", "hint": "Eating food that has been prepared in bite-sized pieces. This includes picking up food, bringing it to the mouth, biting off pieces where applicable, chewing and swallowing. It also takes into account the extent to which the need for adequate nutrition is recognised and the recommended or habitual amount is actually eaten.", "stufen": [ "The person can perform the described activity without personal assistance.", "The person can mostly eat independently but needs occasional guidance, e.g. needs to be prompted to start or continue eating. Occasional assistance is required, e.g. picking up food that has slipped from the hand or handing the cutlery.", "Extensive motivation to eat is required, or food must be fed for the most part, or constant and immediate readiness to intervene by the carer is required due to the risk of aspiration.", "Food must be fed (almost) completely. Persons who cannot swallow are also rated as dependent." ] }, "m4q9": { "label": "Drinking (2× points)", "hint": "Taking available drinks, if necessary using objects such as a straw or special cup with drinking attachment. It also takes into account the extent to which the need for fluid intake is recognised and the recommended or habitual amount is actually drunk.", "stufen": [ "The person can perform the described activity without personal assistance.", "The person can drink independently when a glass or cup is positioned directly within the person's reach beyond simply being provided, or when they are reminded to drink.", "The drinking vessel must, for example, be placed in the person's hand, yet the person drinks independently; or the person must be motivated for almost every sip; or constant and immediate readiness to intervene by the carer is required due to the risk of aspiration.", "Drinks must be administered (almost) completely. Persons who cannot swallow are also rated as dependent." ] }, "m4q10": { "label": "Using a toilet or commode (2× points)", "hint": "Going to the toilet, sitting down and standing up, sitting during bladder or bowel emptying, intimate hygiene and adjusting clothing. The assessment is also to be made when aids are used instead of the toilet, e.g. incontinence products, catheter, urostomy, ileo- or colostomy.", "stufen": [ "The person can perform the activity without personal assistance.", "Largely independent. Assistance is limited to individual steps:\nProviding/emptying the commode\nPrompting or accompanying to the toilet\nHanding toilet paper, intimate hygiene after bowel movement\nAssistance sitting down/standing up\nOccasional help adjusting clothing", "The person can only perform a small part of the activity independently, e.g. only adjusting clothing or intimate hygiene only after urination.", "The person cannot or can only minimally participate in the activity." ] }, "m4q11": { "label": "Managing the consequences of urinary incontinence and handling urinary catheter and urostomy", "hint": "Using incontinence and stoma systems correctly, changing and disposing of them as needed. This also includes emptying or changing a urine bag with an indwelling catheter or urostomy, or using a urinary condom. Only complete if urinary incontinence, indwelling catheter or urostomy is present.", "stufen": [ "The person can use aids independently.", "The person can perform the activity predominantly independently when incontinence systems are handed over or disposed of, or the person is reminded to change.", "The person can participate in changing incontinence systems, e.g. only inserting pads or only removing incontinence pants.", "Participation is not or only minimally possible." ] }, "m4q12": { "label": "Managing the consequences of faecal incontinence and handling stoma", "hint": "Using incontinence and stoma systems correctly, changing and disposing of them as needed. This also includes using an anal tampon or emptying or changing a stoma bag with an enterostomy. Only complete if faecal incontinence or stoma is present.", "stufen": [ "The person can use aids independently.", "The person can perform the activity predominantly independently when incontinence systems are laid out and disposed of, or the person is reminded to change.", "The person can participate in changing incontinence systems, e.g. helping with changing a stoma bag. With faecal incontinence, resources for changing incontinence products are less common.", "Participation is not or only minimally possible." ] }, "m4q13": { "label": "Proportion of artificial nutrition in total food intake", "hint": "Nutrition via a parenteral access (e.g. a port) or via an access to the stomach or small intestine (PEG/PEJ). Specify whether nutrition is provided parenterally, e.g. via a port, via percutaneous endoscopic gastrostomy (PEG), percutaneous endoscopic jejunostomy (PEJ) or a nasogastric tube." }, "m4qInko": { "label": "Urinary or faecal incontinence is not present." }, "m5q1a": { "label": "Medication", "hint": "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." }, "m5q2a": { "label": "Injections", "hint": "Subcutaneous and intramuscular injections and subcutaneous infusions, including for example insulin injections or supply of medication pumps via a subcutaneous access." }, "m5q3a": { "label": "Care of intravenous access (e.g. port)", "hint": "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." }, "m5q4a": { "label": "Suctioning and oxygen administration", "hint": "Suctioning and oxygen administration via nasal cannula or mask, including fitting/removing respiratory masks for pressure ventilation and providing inhalation devices." }, "m5q5a": { "label": "Rubs or heat and cold applications", "hint": "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." }, "m5q6a": { "label": "Measurement and interpretation of bodily states", "hint": "Medically prescribed measurements (blood pressure, pulse, blood glucose, temperature etc.) and their evaluation, e.g. to determine insulin dosage." }, "m5q7a": { "label": "Body-worn aids", "hint": "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." }, "m5q1b": { "label": "Wound dressings and wound care", "hint": "Care of chronic wounds (e.g. venous leg ulcer, pressure sore). Intermittently occurring but permanently treatable wounds are also considered chronic." }, "m5q2b": { "label": "Stoma care", "hint": "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." }, "m5q3b": { "label": "Regular single catheterisation and use of evacuation methods", "hint": "Regular single catheterisations occur particularly in neurogenic bladder emptying disorders. Evacuation methods refer to the use of enemas, clysters and digital evacuations." }, "m5q4b": { "label": "Therapeutic measures at home", "hint": "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." }, "m5q1c": { "label": "Time- and technology-intensive measures at home", "hint": "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." }, "m5q2c": { "label": "Doctor's appointments", "hint": "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." }, "m5q3c": { "label": "Visits to other medical or therapeutic facilities (up to three hours)", "hint": "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." }, "m5q4c": { "label": "Extended visits to other medical or therapeutic facilities (more than three hours)", "hint": "Visits to medical or therapeutic facilities (e.g. oncological treatment, dialysis) where the total time required for the carer per appointment exceeds three hours." }, "m5q16": { "label": "Adhering to a diet and other disease- or therapy-related behavioural requirements", "hint": "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.", "stufen": [ "The person can adhere to requirements independently. Providing the diet is sufficient.", "The person requires reminders and guidance. Providing the diet alone is usually insufficient. Additional intervention is required at most once a day.", "The person usually requires guidance and supervision. Providing the diet is not sufficient. Additional intervention is required several times a day.", "The person always requires guidance and supervision. Providing the diet is not sufficient. Additional intervention is required (almost) continuously." ] }, "m6q1": { "label": "Structuring the daily routine and adapting to changes", "hint": "Dividing the daily routine according to individual habits and preferences and consciously shaping it, and adapting planning to changes where necessary. This criterion is fundamentally about the planning ability and not the practical implementation of planned activities.", "stufen": [ "The person can perform the described activity without personal assistance.", "Routine activities can largely be managed independently; support is needed for unusual changes. For example, reminders about individual appointments agreed for the day are sufficient. A person who can plan and decide independently but whose communication ability or sensory perception is so severely impaired that they need help coordinating the planned daily routine with others is also rated as predominantly independent.", "The person needs help planning the routine daily schedule but is able to signal agreement or rejection to structuring suggestions. They frequently cannot keep to their own plans as these are forgotten. Reminders or prompting throughout the day are therefore required. A person who can plan and decide independently but is so severely impaired that they need personal assistance for any implementation of self-planned activities is also rated as predominantly dependent.", "Participation in planning the daily structure or orientation to given structures is not or only minimally possible." ] }, "m6q2": { "label": "Resting and sleeping", "hint": "Maintaining a day–night rhythm according to individual habits and ensuring adequate rest and sleep. This includes the ability to recognise the need for rest, to rest and to cope with periods of sleeplessness, as well as somatic functions needed to get into bed. Nocturnal disease management measures are not assessed in this criterion.", "stufen": [ "The person can perform the described activity without personal assistance.", "The person needs personal help getting up or going to bed, e.g. transfer help or temporal orientation help when waking, or prompting to go to sleep. Or a need for help arises at night as a rule weekly but not daily.", "Sleep difficulties or nocturnal restlessness occur regularly (almost every night) and the person is largely unable to cope alone. Elaborate bedtime routines or calming speech at night are therefore required. A person who needs personal assistance almost every night to be able to continue sleeping, e.g. for position changes or toilet trips at night, is also predominantly dependent.", "The person has no or a disturbed sleep–wake rhythm. This applies to, among others, mobile persons with gerontopsychiatric conditions and people who perform no activities at all, e.g. in a vegetative state, or persons who regularly need personal support at least three times a night." ] }, "m6q3": { "label": "Self-occupation", "hint": "Using available time for activities according to one's own preferences, e.g. handicrafts, reading or entertainment electronics. The ability to select and carry out suitable activities is assessed.", "stufen": [ "The person can perform the described activity without personal assistance.", "Only minor assistance is required, e.g. preparing, directly laying out and arranging objects such as a daily newspaper, headphones or similar items, reminders about customary activities, motivation or support in decision-making (making suggestions).", "The person can participate in activities but only with comprehensive guidance, accompaniment or motor support.", "The person cannot contribute meaningfully to deciding or performing activities. They show no initiative, cannot cognitively implement instructions and prompts, and do not or only minimally participate in offered activities." ] }, "m6q4": { "label": "Making future-oriented plans", "hint": "Planning beyond the day, e.g. having wishes about upcoming celebrations or being able to estimate time sequences.", "stufen": [ "The person can perform the described activity without personal assistance.", "The person makes plans but needs to be reminded to carry them out. A person who can plan and decide independently but whose communication ability or sensory perception is so severely impaired that they need help coordinating the planned schedule with people in their immediate environment is also rated as predominantly independent.", "The person does not plan spontaneously but decides with support from others. They need to be reminded to implement their own decisions or need emotional or physical support for implementation. A person who can plan and decide independently but is so severely impaired that they need personal assistance for any implementation of self-planned activities is also rated as predominantly dependent.", "The person has no concept of time for planning beyond the day; even when given options to choose from, neither agreement nor rejection is signalled." ] }, "m6q5": { "label": "Interaction with people in direct contact", "hint": "Interacting with relatives, carers, co-residents or visitors in direct contact, initiating contact, addressing people, responding when spoken to.", "stufen": [ "The person can perform the described activity without personal assistance.", "In direct contact with familiar people, interaction occurs independently. Support is needed for interaction with unfamiliar people, e.g. at the door. Occasional support to overcome speech, language or hearing difficulties is also rated here.", "The person rarely takes initiative. They need to be spoken to or extensively motivated, but then respond verbally or clearly recognisably through other forms of communication (eye contact, facial expression, gestures). A person who requires comprehensive support to overcome speech, language or hearing difficulties is also predominantly dependent.", "The person does not respond when spoken to. Non-verbal contact attempts, e.g. touch, also produce no significant reaction." ] }, "m6q6": { "label": "Maintaining contact with people outside the immediate environment", "hint": "Maintaining, ending or temporarily refusing existing contacts with friends, acquaintances and neighbours. This also includes the ability to use technical communication tools such as the telephone, e.g. arranging visits or telephone, letter or e-mail contact.", "stufen": [ "The person can perform the described activity without personal assistance.", "The person can plan but needs help with implementation, e.g. placing reminder notes or providing phone numbers with names or photos, reminding them and checking whether contact was made, or reminding them of appointments. The carer dials the number and the person then holds the conversation; or the person asks the carer to arrange a meeting with friends or acquaintances.", "The person's contact behaviour is reactive. They rarely seek contact on their own initiative but cooperate when, for example, the carer takes the initiative. A person who requires personal support from their key person during contact, e.g. for using communication aids (holding the phone) or overcoming speech, language or hearing difficulties, is also predominantly dependent.", "The person makes no contact outside their immediate environment and does not respond to suggestions to make contact." ] } }