Brief description of the nursing service

Address:
Outpatient care service Floriane GmbH

Eosanderstr. 5

10587 Berlin

Our office hours during the week are daily from 8:30 a.m. to 4:00 p.m. and by appointment.

The 24-hour availability, 7 days a week, is ensured by a separate mobile phone number for the nurse on duty.

The office is conveniently located in Berlin-Charlottenburg, Eosanderstr. 5.

Personnel structure
The professional supervision and guidance of nursing staff is ensured by the constant presence or availability of a specialist. She supports the nursing staff in emergency situations, with handovers or is the contact person for questions relating to nursing.

Relatives
Relatives, as well as caregivers, are a very important basis for promoting the well-being of clients.
However, family members are often exposed to great stress and need professional support, which we are happy to offer them in the form of advice and desired training.

We also strive to involve relatives more in the nursing process in order to further promote the bond.

Care model
This is the basis of care activities in our facility

"Model of activities and existential experiences in life" according to Monika Krohwinkel .

Care models are based on a holistic view of people and their basic needs in the event of illness and the need for care.
We work according to the care model of Prof. Monika Krohwinkel , as this model includes the "activities and existential experiences of daily life".

The AEDL provide the nursing staff with an orientation aid for assessing the nursing situation. Once the problem has been identified and assessed on the basis of the AEDL, the nursing staff can plan and determine the need for assistance, taking into account the needs and skills of the client in need of care. For our clients, this means that we focus on independence and support them in becoming independent again.

The ADEL structure
The following overview shows Monika Krohwinkel's AEDL:

• To be able to communicate

• To be able to move

• Maintain vital functions of life

• Being able to eat and drink

• Can leave

• Being able to take care of yourself

• Knowing how to dress

• Rest, sleep and relax

• Learn to occupy yourself and be able to develop

• Feeling like a man or woman and being able to behave

• Being able to provide a safe and supportive environment

• Being able to secure and shape social relationships and areas

• Be able to handle existential experiences

Our primary care goal is to support the person in need of care in maintaining or regaining independence and well-being. These approaches should be reflected in our daily work.

Nursing process
The maintenance process is a collection and analysis of problems, resources and skills as well as the definition of goals.

The first interview, which is carried out by the responsible nurse, is used to obtain all relevant information. On the basis, the problems and resources of the client in need of care, based on the care model according to Monika Krohwinkel, are recorded, taking into account the wishes of the client.
The nurse is responsible for the entire nursing process.

The information collection is composed as follows:

biography
Anamnesis (personal anamnesis / external anamnesis)
Medical reports and hospital reports
Transfer form

The nursing process model according to Krohwinkel is divided into four phases, which enable an individual problem-solving and relationship process.

• a) Phase: Survey → Nursing anamnesis

• b) Phase: Planning → Nursing goal and measures

• c) Phase: Implementation → Implementation of the care planning

• d) Phase: Evaluation → Evaluation

Elevation
The problems, resources and skills are questioned and documented in connection with the symptoms and causes in care planning.

planning
The nursing goals are planned for the client in cooperation with all those involved and recorded by the nursing staff in the nursing plan and in the nursing report.

execution
After defining the activities and care goals, the care employees take the planned measures.
The nursing staff are responsible for controlling the nursing process, the nursing measures must be reflected in the nursing planning, the nursing report and the performance record.

Evaluation
The evaluation of the nursing plan and thus the nursing process primarily relates to the nursing goals; if there are changes here, the client's entire nursing plan must be changed. However, if the care goals remain as planned, the goals are simply given a new date and continue to be monitored.
The responsible nurse conducts a nursing visit to each client at regular intervals. The services performed by the nursing staff are checked and controlled here. In addition, the planned care is evaluated (evaluation), the care goals are checked, and reasons are sought why these may not have been achieved.

The care round is used for the professional review of the care and the review of the entire documentation at our clients, their satisfaction with our care service, the cleanliness of the environment and the apartment as well as the examination of the physical condition of the client.

Case meetings
Case discussions serve to ensure the nursing process evaluation and take place regularly in the team meetings.

This should ensure the regular recording and analysis of the client's nursing situation and all employees are more closely involved in the nursing process.

Closing word
The concept is the basis for our actions, which we further expand, review and adjust as required in accordance with the development of the company.
The agreements reached should essentially apply to all employees of this facility in order to ensure a well-founded framework for the company and the clients.