{"id":9383,"date":"2024-12-10T19:11:12","date_gmt":"2024-12-10T18:11:12","guid":{"rendered":"https:\/\/extali.eu\/docs\/gute-hospitalpraxis\/1-kontext-des-krankenhauses\/1-2-patientenorientierung\/1-2-20-anregung-einer-betreuung\/"},"modified":"2025-11-11T11:05:19","modified_gmt":"2025-11-11T10:05:19","slug":"1-2-20-suggestion-of-supervision","status":"publish","type":"docs","link":"https:\/\/gutehospitalpraxis.de\/en\/handbuch\/1-kontext-de-krankenhauses\/1-2-patientenorientierung\/1-2-20-anregung-einer-betreuung\/","title":{"rendered":"1.2.20 Suggestion of supervision"},"content":{"rendered":"<h2 class=\"wp-block-heading\" id=\"zweck_und_ziel\">1 Purpose and objective<\/h2>\n\n\n\n<p>If an adult is unable to manage all or part of their affairs due to a mental illness or a physical, mental or psychological disability, the guardianship court will appoint a guardian for them at their request or ex officio.<br>When appointing a carer, a number of circumstances must be taken into account, but these are outside the hospital's remit. The only thing that can be done here is to recognise the need for care in order to suggest the appointment to relatives or the guardianship court.<\/p>\n\n\n\n<p>The entire procedure, including contact details for the courts and authorities, must be regulated. Communication with the carers and the obligations towards them must be explained<br><\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"anwendungsbereich\">2 Scope of application<\/h2>\n\n\n\n<p>Patients who can no longer or only inadequately manage their own affairs, e.g. in the area of healthcare, and in particular can no longer give effective consent to medical measures.<br><\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"beschreibung\">3 Description<\/h2>\n\n\n\n<p>If a patient is no longer able to manage their own affairs, a guardianship must be set up in accordance with Section 1896 of the German Civil Code (BGB). In hospital, this situation usually arises when a medical procedure is necessary, but the patient has not been informed of the purpose and risks and is therefore no longer able to give effective consent.<br>The need should first be raised with the relatives. The social services will provide support in providing information and, if necessary, clarifying the family background. If the situation does not allow any delay, e.g. before a medical procedure or if the patient is restrained, the suggestion should be made to the court immediately.<br>Form Appendix 1 should be used for this purpose.<br>A medical certificate can be helpful for the decision of the guardianship court. Form Appendix 2 can be used for this purpose.<br><\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"dokumentation\">4 Documentation<\/h2>\n\n\n\n<p>Suggestion of support<a href=\"https:\/\/gutehospitalpraxis.de\/en\/wiki\/_media\/10_auftrag_und_vision\/20_patientenorientierung\/1.2.20_01_iq_betreuung_anregung.pdf\/\">&nbsp;(Form 1)<\/a>&nbsp;Medical certificate&nbsp;<a href=\"https:\/\/gutehospitalpraxis.de\/en\/wiki\/_media\/10_auftrag_und_vision\/20_patientenorientierung\/1.2.20_02_iq_betreuung_zeugnis.pdf\/\">(Form 2)<\/a>&nbsp;Records in the medical file: Date, time of application, name, address, contact details of the carer and area of responsibility for which the carer has been appointed.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"ressourcenzeitbedarf\">5 Resources\/time required<\/h2>\n\n\n\n<p>Approx. 15 minutes for completing and sending the forms <\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"zustaendigkeiten\">6 Responsibilities<\/h2>\n\n\n\n<p>Nursing staff, medical service: Determination of necessity <\/p>\n\n\n\n<p>Social services: clarification of the social background<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"hinweise_und_anmerkungen\">7 Notes and comments<\/h2>\n\n\n\n<p>Guardianship is set up for certain defined areas of responsibility. The areas of health care and financial matters are important for the hospital <\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"mitgeltende_unterlagen\">8 Applicable documents<\/h2>\n\n\n\n<p><\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"literatur_vorschriften\">8.1 Literature, regulations<\/h3>\n\n\n\n<p><a href=\"http:\/\/dejure.org\/gesetze\/BGB\" target=\"_blank\" rel=\"noreferrer noopener\">Civil Code,<\/a>&nbsp;Section 3 - Guardianship, legal care, curatorship (\u00a7\u00a7 1773 - 1921) Title 2 - Legal care (\u00a7\u00a7 1896 - 1908k)<br><\/p>\n\n\n\n<div class=\"wp-block-file\"><a id=\"wp-block-file--media-6dcf5103-fd0b-49bb-b853-70bfcff156b4\" href=\"https:\/\/gutehospitalpraxis.de\/wp-content\/uploads\/2024\/12\/1.2.20_03_iq_betreuung_literatur.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Literature<\/a><a href=\"https:\/\/gutehospitalpraxis.de\/wp-content\/uploads\/2024\/12\/1.2.20_03_iq_betreuung_literatur.pdf\" class=\"wp-block-file__button wp-element-button\" aria-describedby=\"wp-block-file--media-6dcf5103-fd0b-49bb-b853-70bfcff156b4\" download>Download<\/a><\/div>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"begriffe\">8.2 Terms<\/h3>\n\n\n\n<p><\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"anlagen\">Attachments<\/h3>\n\n\n\n<div class=\"wp-block-file\"><a id=\"wp-block-file--media-cdb8a6e3-ee00-45a6-a207-dbd1bd548966\" href=\"https:\/\/gutehospitalpraxis.de\/wp-content\/uploads\/2024\/12\/1.2.20_01_iq_betreuung_anregung.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Suggestion of supervision (Form 1)<\/a><a href=\"https:\/\/gutehospitalpraxis.de\/wp-content\/uploads\/2024\/12\/1.2.20_01_iq_betreuung_anregung.pdf\" class=\"wp-block-file__button wp-element-button\" aria-describedby=\"wp-block-file--media-cdb8a6e3-ee00-45a6-a207-dbd1bd548966\" download>Download<\/a><\/div>\n\n\n\n<div class=\"wp-block-file\"><a id=\"wp-block-file--media-d8bce572-93ca-40ea-9b75-e7808b7694be\" href=\"https:\/\/gutehospitalpraxis.de\/wp-content\/uploads\/2024\/12\/1.2.20_02_iq_betreuung_zeugnis.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Medical certificate (Form 2)<\/a><a href=\"https:\/\/gutehospitalpraxis.de\/wp-content\/uploads\/2024\/12\/1.2.20_02_iq_betreuung_zeugnis.pdf\" class=\"wp-block-file__button wp-element-button\" aria-describedby=\"wp-block-file--media-d8bce572-93ca-40ea-9b75-e7808b7694be\" download>Download<\/a><\/div>\n\n\n\n<div class=\"wp-block-file\"><a id=\"wp-block-file--media-e5eb1f37-fadc-4ee9-ac37-9065795bd021\" href=\"https:\/\/gutehospitalpraxis.de\/wp-content\/uploads\/2024\/12\/1.2.20_00_qm_betreuung.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">PDF of this SOP<\/a><a href=\"https:\/\/gutehospitalpraxis.de\/wp-content\/uploads\/2024\/12\/1.2.20_00_qm_betreuung.pdf\" class=\"wp-block-file__button wp-element-button\" aria-describedby=\"wp-block-file--media-e5eb1f37-fadc-4ee9-ac37-9065795bd021\" download>Download<\/a><\/div>\n\n\n\n<p><\/p>","protected":false},"excerpt":{"rendered":"<p>1 Zweck und Ziel Kann ein Vollj\u00e4hriger aufgrund einer psychischen Krankheit oder einer k\u00f6rperlichen, geistigen oder seelischen Behinderung seine Angelegenheiten ganz oder teilweise nicht besorgen, so bestellt das Vormundschaftsgericht auf seinen Antrag oder von Amts wegen f\u00fcr ihn einen Betreuer.Bei der Bestellung eines Betreuers sind einige Umst\u00e4nde zu ber\u00fccksichtigen, die aber au\u00dferhalb der Kompetenz des [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":9325,"menu_order":29,"comment_status":"open","ping_status":"closed","template":"","doc_tag":[],"doc_badge":[],"class_list":["post-9383","docs","type-docs","status-publish","hentry","no-post-thumbnail"],"acf":[],"author_avatar":"https:\/\/secure.gravatar.com\/avatar\/c6b2616140d9fcd6a1c5d6d2ebbf43422308c9322c032ef03f88ec3235855dcf?s=96&d=mm&r=g","author_name":"admin","_links":{"self":[{"href":"https:\/\/gutehospitalpraxis.de\/en\/wp-json\/wp\/v2\/docs\/9383","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/gutehospitalpraxis.de\/en\/wp-json\/wp\/v2\/docs"}],"about":[{"href":"https:\/\/gutehospitalpraxis.de\/en\/wp-json\/wp\/v2\/types\/docs"}],"author":[{"embeddable":true,"href":"https:\/\/gutehospitalpraxis.de\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/gutehospitalpraxis.de\/en\/wp-json\/wp\/v2\/comments?post=9383"}],"version-history":[{"count":2,"href":"https:\/\/gutehospitalpraxis.de\/en\/wp-json\/wp\/v2\/docs\/9383\/revisions"}],"predecessor-version":[{"id":14309,"href":"https:\/\/gutehospitalpraxis.de\/en\/wp-json\/wp\/v2\/docs\/9383\/revisions\/14309"}],"up":[{"embeddable":true,"href":"https:\/\/gutehospitalpraxis.de\/en\/wp-json\/wp\/v2\/docs\/9325"}],"wp:attachment":[{"href":"https:\/\/gutehospitalpraxis.de\/en\/wp-json\/wp\/v2\/media?parent=9383"}],"wp:term":[{"taxonomy":"doc_tag","embeddable":true,"href":"https:\/\/gutehospitalpraxis.de\/en\/wp-json\/wp\/v2\/doc_tag?post=9383"},{"taxonomy":"doc_badge","embeddable":true,"href":"https:\/\/gutehospitalpraxis.de\/en\/wp-json\/wp\/v2\/doc_badge?post=9383"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}