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Updated: May 2, 2026

Assessment and Communication for People with Disorders of Consciousness
Published on: August 1, 2017
[Special care units for acutely ill patients with cognitive impairment in Germany. Position paper]
1Deutsche Gesellschaft für Geriatrie (DGG) e. V., Kunibertskloster 11-13, 50668, Köln, Deutschland, geschaeftsstelle@dggeriatrie.de.
Background:
Dementia is an increasing challenge for care providers in nursing homes and hospitals. Since the 1980s, special acute care units in nursing homes have developed rapidly. In Germany, the first unit in a hospital opened in 1990. In 2013, there were 22 units.
Materials And Methods:
In the following paper, the German Geriatric Society ("Deutsche Gesellschaft für Geriatrie e. V.") recommends basic standards for these wards.
Results:
The basic standards for these wards include the following: a maximum of 20 beds, an area physically separated from the geriatric hospital department, their own dayroom and therapy room, a structured daily routine suitable for patients with dementia, the selection of permanent staff on a voluntary basis, specialized training, extended geriatric assessment, and special consideration of the background and social situation of the patients.
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