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Elderly care - a daily tightrope act

2021-08-15T09:07:33.317Z


The dissolution of the care service of the Hechendorfer Neighborhood Aid sheds light on a basic problem: the shortage of staff in the care of the elderly. Both outpatient and inpatient facilities in the district are struggling. Your worries are not new, but the situation is getting worse.


The dissolution of the care service of the Hechendorfer Neighborhood Aid sheds light on a basic problem: the shortage of staff in the care of the elderly.

Both outpatient and inpatient facilities in the district are struggling.

Your worries are not new, but the situation is getting worse.

County - Numbers are facts, but they don't always contain the whole truth either. According to Doris Schneider, director of the Caritas Association of the Archdiocese of Munich-Freising, all staff positions are currently filled in the Caritas nursing homes Marienstift in Gauting and Maria Eich in Krailling. However, she emphasizes: “It is a tightrope act to get exactly the strengths that we need. And we don't always get the perfect solution that we would like. We recruit a lot of people from abroad. ”Somehow it works, but it's a constant struggle: that's how easy it is to summarize the personnel worries in geriatric care in the Starnberg district. They employ both outpatient services and inpatient facilities.

The example of the Neighborhood Aid (NBH) Hechendorf shows that sometimes it just doesn't work anymore. She last dissolved her care service due to a lack of employees (we reported). For Marcus Wicke, division manager of the BRK homes in Gilching and Garatshausen, fundamentals have to change (see also the interview on page 5). Incentives from employers or staffing offensives from politics do not solve the problem in his view. “All carriers, including private ones, operate defect management,” he says. “The personnel keys for the individual care levels are too bad. If one nurse is responsible for ten to twelve residents at the same time, that's just too much. "

Adhering to the personnel key is "at least as difficult" as finding new workers, says Doris Schneider from Caritas. Example: If a resident with the highest care level five dies and someone with the level three moves in, the key changes. And the long-term care insurance funds regularly look closely to see whether the positions that are billed are also filled. That is why those responsible in the homes do not like to speak openly about vacancies - which inevitably occur again and again in the empty market.

But there are also temporary exceptions. Edith Maruska heads the buildings of the Rummelsberger Stift in Starnberg and Söcking. She says: “We have no personnel worries at all and several applications. A good geronto specialist will start in September. ”Maruska admits, however, that she herself is amazed at the current situation. “It's generally very difficult, we're lucky at the moment.” And it is a blessing to have two houses that are close together. "So we can help each other out."

According to Maruska, there are no entry bonuses at Rummelsberger in Starnberg - but cheap living space, fitness studio vouchers, additional pension insurance and a so-called family budget.

Caritas director Doris Schneider does not believe in premiums: “They only lead to a fight among the sponsors.

And there are people who grab the money and then quickly leave. ”In the long term, that doesn't bring the care landscape any further.

In general, this cannot be achieved with more money alone, says BRK care manager Marcus Wicke: “Pay is not the decisive factor.

500 euros more do not change the high burden.

And it's not that bad at all.

A geriatric nurse earns 3100 to 3300 euros gross per month with us directly after completing her training.

Of course, this does not correspond to the actual value of the work. "

Gabriele Kaller, management of the Inning neighborhood help, confirms the basic impression from an outpatient point of view: "It is always difficult to get nurses," she says. She is all the more pleased that another nurse started a permanent position at NBH on August 1st. The nursing team now consists of seven employees and other specialist nurses, a total of around 15 employees. They take care of between 60 and 80 clients. “But we can always use skilled workers on a 450 euro basis,” says Kaller. The search only works through word of mouth.

Because of Corona, the NBH ran out of Christmas bonuses, "but that was an exception".

The NBH only had to send employees in the kitchen on short-time work for two weeks.

"At the moment we're doing well in nursing, but that can change overnight."

After the NBH Hechendorf nursing service was dissolved, the NBH Seefeld took over five to six of the last ten or so clients.

The Seefeld region is also looking for reinforcement.

“There is always a shortage of staff in the nursing sector,” says Stefanie Zimmermann, head of nursing.

In addition, there is explicitly a slight competition in Seefeld with the senior citizens' quarter Pilsensee.

The NBH Weßling nursing service slipped under the wing of its operating company last year (we reported).

However, Zimmermann is not worried about the situation. “The need for care is really high.” The NBH keeps getting calls from Herrsching or other neighboring communities. “But we're staying in Seefeld and won't go out.” Currently, around 15 nurses look after 30 to 40 clients. Three employees are permanently employed. Support is always in demand. Zimmermann: "But we need employees who live here."

The need for nursing staff in the district will increase dramatically in the next few decades - a finding from the "IGES report on care Bavaria 2025-2050", which is the basis of the district's current assessment of the need for care. Around 300 more skilled and auxiliary workers will then be needed by 2030, around 600 more by 2050. The reason: around 11,000 over 80-year-olds currently live in the district - according to the report, there will be more than 12,000 by 2025. ➔ PAGE 5

Source: merkur

All news articles on 2021-08-15

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