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Care level

KS Klara Spiegl
KL Katharina Luttenberger
EG Elmar Graessel
LB Linda Becker
JS Jennifer Scheel
AP Anna Pendergrass
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The care level in Germany is defined by the Medical Service of the Health insurances and depends on the need for care due to physical or mental disabilities and also determines which financial services the long-term care insurance will pay for. Trained experts from the medical services of health insurance companies (MDK) assess the need for care and distribute the care levels accordingly. The classifications range from a care level of 1 (little impairment, at least 1,5 h nursing time/ day) to a care level of 3 (severe impairment, at least 5 h nursing time/ day) [31]. An extra classification (care level 0) is given to people with dementia or mentally ill people who have impaired competence in instrumental activities of daily living (iADL) and Behavioral and Psychological Symptoms of Dementia (BPSD). This means limitations in at least two out of 13 areas, which include e.g. uncontrolled leaving of the living area; misjudging or causing dangerous situations; physically or verbally aggressive behavior; disturbance of the day-night rhythm [32].

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