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Doku: Ausländische Pflegekräfte als Rettung? — Transcript

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  1. 0:04There are more than 4 million people in
  2. 0:06need of care in Germany, but far too
  3. 0:08few staff. Caregivers from abroad are
  4. 0:11meant to close this gap.
  5. 0:14This profession is burdened with so
  6. 0:16many negative things like death, dying,
  7. 0:19and maybe the pay, too, so it’s a
  8. 0:21huge help to us when someone agrees to
  9. 0:24travel 4, 5, 6, 7,000 km to do exactly
  10. 0:26this job here.
  11. 0:30Many of these women and men come from
  12. 0:31all over Europe, Asia, or Latin America
  13. 0:33. A major challenge is the language.
  14. 0:37Now. I understand a little more. Better
  15. 0:41.
  16. 0:42Those who can afford it hire a foreign
  17. 0:43caregiver to come to their home. Costs
  18. 0:46are up to € 3,000 a month.
  19. 0:51This is my old patient, my favorite
  20. 0:53patient.
  21. 0:55I'm satisfied.
  22. 0:57The foreign caregivers have to overcome
  23. 0:59several hurdles here. From German exams
  24. 1:02and additional training to encountering
  25. 1:04a foreign culture, can the helpers from
  26. 1:07abroad solve our nursing shortage?
  27. 1:10Start of shift for Brandon Errera. The
  28. 1:1325-year-old Mexican has been working at
  29. 1:15a Bavarian Red Cross nursing home for
  30. 1:17about 3 months. He moved to Germany
  31. 1:20specifically for this. The morning
  32. 1:24shift is a tough one.
  33. 1:26I work from 6 a.m. to 2:30 p.m. Yes,
  34. 1:31it's exhausting.
  35. 1:32It's normal in the whole world. I think
  36. 1:36nurses have to wake up early and start
  37. 1:40their work at 6, that's normal. It’s
  38. 1:43like that in Mexico, too.
  39. 1:45Good morning.
  40. 1:46Good morning. Morning. Good morning.
  41. 1:51Morning.
  42. 1:51How are you all?
  43. 1:55Great.
  44. 1:55And you?
  45. 1:56Did you sleep well too?
  46. 1:59Yes. Hours are enough.
  47. 2:03The nursing facility in the Munich
  48. 2:04district of Paring currently cares for
  49. 2:06about 220 residents. Shift supervisor
  50. 2:09Thomas Preuß assigns Brandon’s group
  51. 2:11.
  52. 2:12You have Mrs. Faller today.
  53. 2:14Okay.
  54. 2:14Mrs. Faller, we already showered her
  55. 2:16yesterday.
  56. 2:17Okay.
  57. 2:20She had intertrigo under her right
  58. 2:22breast.
  59. 2:23Okay. Okay.
  60. 2:24Very severe. She has some Multilind
  61. 2:27ointment as needed. She has it in her
  62. 2:28room. Just apply it a little. The
  63. 2:31compresses are in the nightstand.
  64. 2:33And then the right side. Okay.
  65. 2:35And then you'll manage. If there's
  66. 2:36anything, just ask.
  67. 2:37Okay,
  68. 2:38then you can get started.
  69. 2:40Now it’s time to start.
  70. 2:42A total of 169 employees work here, and
  71. 2:45two-thirds come from abroad. The trend
  72. 2:48is rising.
  73. 2:49Good morning. Morning.
  74. 2:52Good morning, Mrs. Faller.
  75. 2:54Yes.
  76. 2:55Are you already awake? I was in school
  77. 2:58for quite a while.
  78. 3:00Okay. The light is on.
  79. 3:03Should I turn on the light or do you
  80. 3:05not need it?
  81. 3:07Yes, I need it.
  82. 3:08Yes, of course.
  83. 3:09Did you sleep well?
  84. 3:11A bit restless.
  85. 3:13Restless. I spoke with my colleagues.
  86. 3:16Yes.
  87. 3:17Do you have a little problem with your
  88. 3:19chest? Here on your chest, it's a bit
  89. 3:24red.
  90. 3:24It was completely red here. Brandon
  91. 3:28helps the old lady get dressed. Erna
  92. 3:30Faller originally comes from Northern
  93. 3:32Germany and has been alone since her
  94. 3:34husband died.
  95. 3:35I am a young girl of 96 years. I've
  96. 3:39been here 3 years or 4 years, I don't
  97. 3:42know. And I have been very, very, very,
  98. 3:45very, very, very well received here. I
  99. 3:50made friends with him right away. I am
  100. 3:54a people person too, I approach people.
  101. 3:57I don't turn them away. And I know a
  102. 4:02few Spanish words too, so that works
  103. 4:05out right away, right? He once told me
  104. 4:09beer in Spanish is "cerveza". Good
  105. 4:13morning.
  106. 4:13Good morning. Yes.
  107. 4:15Good morning.
  108. 4:15Good morning. "Un" something, of course
  109. 4:19.
  110. 4:20Yes. Oh, "cerv". Yes. A "cerveza"
  111. 4:22a beer.
  112. 4:23A beer.
  113. 4:24Yes, that's right.
  114. 4:25Those are the kinds of things, right?
  115. 4:27It doesn't matter.
  116. 4:28How do the stockings feel? It's good.
  117. 4:31Yes, they are good.
  118. 4:32They are good. Yes, I think it's great
  119. 4:35that they are coming to us in Germany
  120. 4:38now. I'm amazed that everyone is coming
  121. 4:42to Germany now to learn with us. And I
  122. 4:46find that incredibly nice.
  123. 4:50More than 200,000 nursing staff from
  124. 4:52abroad are currently working in Germany
  125. 4:54. Yes, let me look. Okay,
  126. 4:58there are compresses.
  127. 4:59Do you still have any
  128. 5:01in my nightstand? That is a bit bad.
  129. 5:06Yes, I know.
  130. 5:07Since when has it been like that?
  131. 5:08Since the day before yesterday.
  132. 5:09The day before yesterday?
  133. 5:10Yes.
  134. 5:12Are you in pain?
  135. 5:13No.
  136. 5:14Burned? What burned? No,
  137. 5:16no,
  138. 5:20I studied 5 years as a nurse and 3
  139. 5:24years as a paramedic. Uh, nursing is a
  140. 5:30degree in Mexico and paramedic is a
  141. 5:34qualification here, and that was
  142. 5:37simultaneous. Weekdays I did university
  143. 5:42and weekends rescue and paramedic. Now
  144. 5:46in Germany, Brandon is working as a
  145. 5:48nursing assistant for around € 2,000
  146. 5:51a month. Later, he must pass an exam to
  147. 5:54be recognized as a certified nursing
  148. 5:56professional.
  149. 5:58This profession is burdened with so
  150. 6:00many negative things like death, dying.
  151. 6:03It is not really socially recognized as
  152. 6:05it actually deserves to be. Although it
  153. 6:09is a very important profession, the pay
  154. 6:11, perhaps also unattractive working
  155. 6:13hours, and so it is naturally a great
  156. 6:16help to us when someone agrees to
  157. 6:18travel 4, 5, 6, 7,000 km to practice
  158. 6:20exactly this profession here.
  159. 6:24Nationwide there are about 12,000
  160. 6:26retirement and nursing homes. Currently
  161. 6:28, about 200,000 foreign nursing staff
  162. 6:31work there. Nevertheless, many
  163. 6:33facilities are understaffed. Throughout
  164. 6:35Germany, around 35,000 nursing
  165. 6:37professionals are missing. Monday
  166. 6:43morning in a suburb of Nuremberg.
  167. 6:46Katharina Habala is preparing breakfast
  168. 6:48. The 47-year-old Pole lives in the
  169. 6:51house with an old lady and looks after
  170. 6:53her 24 hours a day. 7 days a week. I am
  171. 7:01up at 7 o'clock Marianne up. 8 o'clock
  172. 7:04washing. I later make breakfast oatmeal
  173. 7:09. This is favorite food my Marianne
  174. 7:13very slowly. Oh Marianne good morning.
  175. 7:20Marianne Kotschenreuter is 98 years old
  176. 7:23. She lives alone in her terraced house
  177. 7:25. Her husband died 8 years ago. For 4
  178. 7:28years, the pensioner has been using a
  179. 7:3124-hour care service. Without the help
  180. 7:34of the privately organized caregiver,
  181. 7:36the old lady would have to move out of
  182. 7:38her house and into a nursing home. A
  183. 7:40fate she shares with around 2.5 million
  184. 7:43Germans. Katharina is not just a
  185. 7:47full-time caregiver, but also the
  186. 7:49housekeeper.
  187. 7:53What is this housekeeper?
  188. 7:55Exactly.
  189. 7:57The two get along well.
  190. 8:00Marianke, enjoy your meal.
  191. 8:02Thank you. Soon.
  192. 8:03Thanks.
  193. 8:06Tastes
  194. 8:07good. Good. Good. Mm.
  195. 8:10The two eat all meals together.
  196. 8:14Katharina makes breakfast, lunch, and
  197. 8:16dinner. She is always there for the
  198. 8:20senior and available. Oh, my dear
  199. 8:24Mariane is
  200. 8:26can laugh sometimes
  201. 8:27laugh. Well, Marianne is
  202. 8:30this is my my old patient. My favorite
  203. 8:34patient is my princess my madame. Well
  204. 8:39Marianne, you are madame, you are
  205. 8:41everything. Well Marianke everything.
  206. 8:43Yes, Mrs.
  207. 8:44is no problem.
  208. 8:45Also Mrs. Doctor.
  209. 8:46Yes. Hi, I am Mrs. Doctor.
  210. 8:48Yes, I am happy very well cared for am
  211. 8:56well taken care of.
  212. 8:59Besides daily care, caregivers from
  213. 9:01abroad must also perform minor medical
  214. 9:04tasks, e.g., measuring blood pressure.
  215. 9:09Marianne, what today at noon
  216. 9:12to eat?
  217. 9:13Mhm. You say
  218. 9:16Kiss.
  219. 9:17No.
  220. 9:19What are the round ones called then?
  221. 9:21No, no, no,
  222. 9:22no, no, no,
  223. 9:23no,
  224. 9:24no. Spi Spinach.
  225. 9:29Ah, spinach to eat.
  226. 9:32Yes.
  227. 9:33Mm.
  228. 9:34Mhm. Spinach
  229. 9:36and eggs.
  230. 9:37And eggs.
  231. 9:38Yes,
  232. 9:39am satisfied.
  233. 9:41Everything in order. Everything okay.
  234. 9:47Katharina was actually a cleaner. Just
  235. 9:50under 10 years ago, she switched to the
  236. 9:53care sector. This family I am working,
  237. 9:57four years two months I am here working
  238. 10:01two months I am Poland is change come
  239. 10:04here my colleague.
  240. 10:07A prerequisite for full-time care is a
  241. 10:10private room with internet access for
  242. 10:12the caregiver. The 47-year-old has her
  243. 10:16sanctuary on the top floor under the
  244. 10:18roof. This is my closet I come here to
  245. 10:23German. This is my colleague. Here is
  246. 10:30all bed linen, new fresh my plants all.
  247. 10:38Yes, is better. For me, this room is
  248. 10:41much better. Is small all nice is TV
  249. 10:45watching is quiet is internet. The
  250. 10:51mother of one son uses her free time to
  251. 10:53improve her German. Besides that, she
  252. 10:56talks a lot on the phone with her
  253. 10:57husband.
  254. 10:58My husband works in Poland. I am here.
  255. 11:01Is a shame, but must Poland is not good
  256. 11:05work, not good pay. Yes,
  257. 11:10in about 5 weeks, the 47-year-old will
  258. 11:12be back home in Katowice. Then she will
  259. 11:15stay with her family for two months
  260. 11:17again. Katharina is receiving a visit
  261. 11:21from Daniel Chiek today. His agency
  262. 11:24placed her in this job. The native Pole
  263. 11:27regularly checks in on the caregivers.
  264. 11:30How is our Mrs. Kotschenreut doing?
  265. 11:34Thanks. Grandma is doing very well.
  266. 11:39We go for a short walk every now and
  267. 11:41then. Later we'll play "Ludo"
  268. 11:48and then I'll make dinner and give her
  269. 11:51her medication.
  270. 11:53The costs of our service range between
  271. 11:56€ 2,100 and € 2,800 per month. Uh,
  272. 12:01depending on the woman's qualifications
  273. 12:05, her language skills, and of course
  274. 12:08the care situation in the family. what
  275. 12:11needs to be done.
  276. 12:13More than 40 employees work for Daniel
  277. 12:16across the entire country. They take
  278. 12:19care of seniors as housekeepers or
  279. 12:21caregivers at all care levels.
  280. 12:24We also have patients with care level 5
  281. 12:29, meaning they are bedridden or in a
  282. 12:33wheelchair. For that, you need staff
  283. 12:38who bring a lot of experience or have
  284. 12:41specific training in that field. But in
  285. 12:46most difficult cases, you have to bring
  286. 12:48in a nursing service and split the
  287. 12:51tasks.
  288. 12:53In Germany, around 2.5 million people
  289. 12:55in need of care are currently looked
  290. 12:57after at home. A private 24-hour
  291. 13:00caregiver costs up to € 3,000 a month
  292. 13:03. In addition, the caregiver receives
  293. 13:06free room and board. An internet
  294. 13:08connection must also be provided. After
  295. 13:12his recognition exam, Brandon will earn
  296. 13:14at least € 3,300 a month as a
  297. 13:16geriatric nurse. In Mexico, by contrast
  298. 13:19, he would get a maximum of € 1,000.
  299. 13:21See you later.
  300. 13:22See you later. Yes. Astrid Ziller
  301. 13:27brought him to Germany. The facility
  302. 13:30manager is alarmed because fewer and
  303. 13:31fewer young people in this country are
  304. 13:33applying for training in geriatric care
  305. 13:35. That is why she recruits employees
  306. 13:38from abroad.
  307. 13:39In 2019, we traveled to Mexico. We
  308. 13:42conducted interviews there with over 80
  309. 13:47applicants, um, and then made a
  310. 13:51selection and chose 44 applicants, who
  311. 13:56are now here in Germany, um, and are
  312. 14:01doing a good job.
  313. 14:04It is not the first attempt. Looking
  314. 14:07back at the year 2018. Astrid Ziller is
  315. 14:10waiting expectantly at the S-Bahn
  316. 14:11station for three Italian women. The
  317. 14:13three nurses want to work as caregivers
  318. 14:16in the retirement home. Benedetta,
  319. 14:18Maria Lisa, and Beatrice come from the
  320. 14:20Abruzzo region. Morning,
  321. 14:23welcome to Altenmünster.
  322. 14:27Let's go. We have The good thing is,
  323. 14:29it's not far. I would have wished for
  324. 14:32better weather for you. On the way to
  325. 14:37the nursing home, there are already
  326. 14:39initial communication problems.
  327. 14:41Please.
  328. 14:42Well,
  329. 14:45you have to speak German with me.
  330. 14:48Even though the three women know very
  331. 14:50little German, Astrid Ziller is happy
  332. 14:52for every helping hand. The welcome is
  333. 14:54accordingly warm.
  334. 14:59Wow.
  335. 15:01A Bavarian breakfast is meant to make
  336. 15:03starting work easier. This gives the
  337. 15:05three Italians a chance to get to know
  338. 15:08some of their new colleagues. Nursing
  339. 15:11director Stefanie Botteek is about to
  340. 15:13show them around. They are
  341. 15:17Benedetta Salvatore hadn't expected
  342. 15:19such a welcome. I think it's a very
  343. 15:23nice gesture that we are being welcomed
  344. 15:25so warmly. I think we will feel
  345. 15:29comfortable here. The atmosphere is
  346. 15:33good. Ambience.
  347. 15:35Astrazilla is happy that the Italians
  348. 15:38want to work in her retirement home.
  349. 15:40They could have chosen a different
  350. 15:43location.
  351. 15:45I heard from you that all three of you
  352. 15:47wanted to come to Alto Münster.
  353. 15:50Why? We think that a small town is
  354. 16:03better for speaking and
  355. 16:09for Germany.
  356. 16:12Yes. In Italy, there are enough
  357. 16:16caregivers on the labor market. In
  358. 16:18Germany, however, people are
  359. 16:19practically fighting over them.
  360. 16:21Marilisa Adario feels almost
  361. 16:23uncomfortable. I am impressed by how
  362. 16:28accommodating the people we've met so
  363. 16:30far are. Everyone is so patient with us
  364. 16:34, even though we speak so little and so
  365. 16:37poorly. No one wants to embarrass us.
  366. 16:41It touches me that we are experiencing
  367. 16:42so much patience and helpfulness. The
  368. 16:49first day is going smoothly so far, but
  369. 16:52now things get serious. Follow.
  370. 16:55They are starting with the clothes and
  371. 16:57keys now,
  372. 16:58so that they can begin. Please, come
  373. 17:01with me.
  374. 17:02I wonder how the Italians will like the
  375. 17:04uniforms. The three nurses from the
  376. 17:07south are now visually turning into
  377. 17:09German geriatric nurses.
  378. 17:13So, we are done with the fitting.
  379. 17:16Hello, now
  380. 17:16they are already in gear. Work clothes,
  381. 17:19right? Yes. Hello.
  382. 17:21Yeah.
  383. 17:25Looking very good. Good. Um, does
  384. 17:27everything fit?
  385. 17:29Size?
  386. 17:29Yes.
  387. 17:30Yes.
  388. 17:30Length?
  389. 17:31Yes.
  390. 17:34And how do you like the new outfit?
  391. 17:37Yes, I like it. It's cute. White and
  392. 17:40familiar? No, in Italy we also wear
  393. 17:43white. In Chieti, I also wore white. So
  394. 17:47you like it? Yes, it's a bit more
  395. 17:49feminine. The colleagues are happy
  396. 17:53about the reinforcement from Italy. But
  397. 17:56how will the residents react? The
  398. 17:59facility has space for 90 people. Among
  399. 18:02them are many severe care cases.
  400. 18:06New faces are coming. May I interrupt
  401. 18:10you for a second? Hello,
  402. 18:11we have we have three ladies here from
  403. 18:17Italy. They are joining us now.
  404. 18:20The trained nurses introduce themselves
  405. 18:22to all the seniors.
  406. 18:30I am also Italian. Where are you from?
  407. 18:33From Rome. From Rome? I come from the
  408. 18:36Abruzzo region, from Chieti.
  409. 18:38I don't know, I'm not familiar with
  410. 18:40that. No.
  411. 18:42About half of the residents suffer from
  412. 18:45dementia.
  413. 18:50We had a great many such patients in
  414. 18:52Chieti, both with age-related dementia
  415. 18:54as well as Alzheimer's or Parkinson's.
  416. 18:59These diseases lead to a sense of
  417. 19:00alienation from the reality in which
  418. 19:02one is currently living. While touring
  419. 19:07the Bavarian nursing home, the three
  420. 19:09nurses from Italy meet a resident in a
  421. 19:11single room. They immediately notice
  422. 19:14how friendly everything looks.
  423. 19:18Benedetta takes the opportunity for a
  424. 19:20little chat.
  425. 19:23How many months? Uh
  426. 19:27I've been here for a year and a half
  427. 19:28now.
  428. 19:30Excuse me?
  429. 19:31I've been here for a year and a half
  430. 19:34now. Okay.
  431. 19:34Mhm.
  432. 19:35Are you a woman? Woman
  433. 19:38Woman? Wheth-
  434. 19:40Are you happy? Yes. Yes, I like it here
  435. 19:44. I still do everything myself.
  436. 19:46Exactly. And that's what I was trying
  437. 19:49to explain, say "qualita de vita.""
  438. 19:54Qualita de vita" means in German
  439. 19:57Quality of life. Super. Very good.
  440. 20:01That makes learning German fun. The
  441. 20:06first workday is over at 12 noon. How
  442. 20:10did the three Italians go over with the
  443. 20:12nursing director?
  444. 20:14Very likable young people who are eager
  445. 20:16to get to know this profession, and
  446. 20:19that is not always a given. This smile
  447. 20:22and this, yes, the commitment they show
  448. 20:23by saying they want to work here is a
  449. 20:25positive sign for us. I have a very,
  450. 20:27very good feeling. At this point, no
  451. 20:29one suspects that the three women's
  452. 20:31commitment will come to an abrupt end.
  453. 20:36Back in Nuremberg with Marianne
  454. 20:38Kotschenreuter. The 98-year-old wants
  455. 20:41to continue living in her house and
  456. 20:43avoid moving to a home. A Polish
  457. 20:46caregiver helps her with that. In the
  458. 20:48senior age group, three-quarters of the
  459. 20:51population are in need of care. Mm.
  460. 20:57Here you go, my dear.
  461. 21:01Thank you very much.
  462. 21:02Mhm.
  463. 21:03You're welcome.
  464. 21:06While Marianne takes a little break,
  465. 21:08the Polish woman is already taking care
  466. 21:09of lunch. 24/7 care is very demanding
  467. 21:13and time-consuming. The 47-year-old
  468. 21:16runs the household and has to shop and
  469. 21:18cook.
  470. 21:21Today for lunch, there's mashed
  471. 21:24potatoes, spinach, and eggs.
  472. 21:28Until a few years ago, the senior could
  473. 21:30still take good care of herself in her
  474. 21:32house. Then, mild age-related dementia
  475. 21:35set in. The 98-year-old wasn't drinking
  476. 21:37enough and had to go to the hospital.
  477. 21:40Her sons then organized the 24-hour
  478. 21:43home care service.
  479. 21:46Thank you, thank you.
  480. 21:47You're welcome, you're welcome. M
  481. 21:51Round-the-clock care costs Marianne
  482. 21:53Kotschenreuter a little more than €
  483. 21:552,000 a month.
  484. 21:58Tastes good.
  485. 22:01And after eating
  486. 22:03Take a break.
  487. 22:05Take a break. Sleep.
  488. 22:06Yes. Sleep? Yes.
  489. 22:08Or the sofa. So. Okay. Later, drink
  490. 22:11coffee.
  491. 22:12Yes. Yes, drink coffee.
  492. 22:14Terrace.
  493. 22:15On the terrace.
  494. 22:16Exactly.
  495. 22:17Oh yes, that's nice because the sun is
  496. 22:20shining.
  497. 22:21Come, Marianne. Cover up, cover up. Now
  498. 22:27I'm here. Wait a bit more. Wait a bit
  499. 22:30more. Wait again. Covering up, covering
  500. 22:35up, covering up, one more. Stand up,
  501. 22:42Marianne, coffee, cake. Yes
  502. 22:43yes, yes
  503. 22:44My Marianne is sleeping here, I'm going
  504. 22:49to the butcher shop, also later, uh,
  505. 22:53having coffee. I'm going for a walk. A
  506. 22:59short walk is good. Marianne sleeps for
  507. 23:02at least an hour every afternoon.
  508. 23:04During this time, the caregiver can
  509. 23:05leave the pensioner alone without worry
  510. 23:07. And so, Katharina heads off to the
  511. 23:10butcher. It's just around the corner.
  512. 23:13What's special here is that Marianne
  513. 23:15Kotschenreuter sold meat products
  514. 23:18behind the counter for almost 30 years.
  515. 23:22The senior is well-remembered by
  516. 23:24everyone here.
  517. 23:27Is it for her again, right?
  518. 23:28Yes. How are you doing?
  519. 23:30All good.
  520. 23:31All good.
  521. 23:32All good.
  522. 23:34I've known Ms. Kotschenreuter since I
  523. 23:36was a little child, and I have an 86-
  524. 23:38year-old mother myself who is being
  525. 23:40cared for, who apparently got breast
  526. 23:42cancer last year and had to go through
  527. 23:45the whole program. We only have an
  528. 23:48outpatient care service now. I am
  529. 23:49grateful that we have it, but we are
  530. 23:52there 10 minutes out of 24 hours, and
  531. 23:54such all-day care is optimal. But who
  532. 23:58can afford at least 2000 € a month
  533. 24:01for such care? In Munich, Brandon from
  534. 24:05Mexico is finished with the care of the
  535. 24:08first pensioner at 8 a.m. The next
  536. 24:10resident is already waiting.
  537. 24:12Ms. Schauffer is never completely
  538. 24:14independent. Should I help her with
  539. 24:18washing, basic care, and feeding her?
  540. 24:24So, good morning, Ms. Schaff. Morning.
  541. 24:30How are you feeling?
  542. 24:32How are you feeling?
  543. 24:34A bit at peace.
  544. 24:36At peace. Very good. We should use new
  545. 24:39pads. Change her pads.
  546. 24:41Yes, you have to freshen everything up.
  547. 24:44Freshen everything up. Very good.
  548. 24:47Brandon was already in Germany in 2019
  549. 24:50and completed a voluntary social year.
  550. 24:54Since then, he has wanted to come to
  551. 24:55the Federal Republic as a geriatric
  552. 24:57nurse and build a secure life here.
  553. 25:01Crime in Mexico is a big problem. My
  554. 25:05mom was always afraid when I was
  555. 25:09walking on the street. Maybe I couldn't
  556. 25:15get home calmly, and it's a bit sad
  557. 25:19growing up in such a country, and yes,
  558. 25:23I'm just looking for a safe place, and
  559. 25:27unfortunately my country is dangerous,
  560. 25:31so very good. Can you walk?
  561. 25:36I cannot walk.
  562. 25:37Walk. Very good. So, sit now.
  563. 25:43So,
  564. 25:45Germany is becoming more and more
  565. 25:46dependent on foreign caregivers.
  566. 25:50I don't speak German very well. I come
  567. 25:54from Mexico. Where do you come from?
  568. 25:58Moscow.
  569. 25:59Mosc? Yes,
  570. 26:02Moscow meets Mexico. Brandon is caring
  571. 26:06for Ms. Chafür for the first time
  572. 26:08today.
  573. 26:10Make sure I'm not cold.
  574. 26:12Yes, I'm taking care of that. So, now
  575. 26:19in here. Very good. Ms. Schafir, open
  576. 26:24your mouth, please. So, breakfast now.
  577. 26:37I'll ask Thomas, should I get fresh
  578. 26:39food for outside or eat here?
  579. 26:43Well, she can stay outside.
  580. 26:45Okay. Ms. Schafir,
  581. 26:47how are you doing? Good morning.
  582. 26:49Good morning. It’s quite
  583. 26:53It’s okay. Brandon will bring you
  584. 26:55your breakfast now. Yes. I
  585. 27:00Brandon will bring you your breakfast
  586. 27:02now.
  587. 27:03I don’t know, that they give
  588. 27:06Okay, she didn’t, she actually sounds
  589. 27:09a bit congested.
  590. 27:11Shift supervisor Thomas Preuß keeps
  591. 27:13looking over Brandon’s shoulder.
  592. 27:16After all, he is still in his
  593. 27:17probationary period.
  594. 27:20Naturally, when someone is new, you
  595. 27:21have to keep checking: what can they do
  596. 27:23, what are they doing, and how are they
  597. 27:25doing it. Yes, it’s a bit complicated
  598. 27:29, but whenever I have questions or if I
  599. 27:32think of something or don't do
  600. 27:34something right, my colleagues tell me,
  601. 27:37and I’m open to criticism; it’s
  602. 27:39normal for me.
  603. 27:42For the team, new colleagues always
  604. 27:44mean stress, but at the same time, they
  605. 27:46are happy for the extra help, because
  606. 27:48helping hands are needed everywhere.
  607. 27:50Nationwide, 35,000 nursing positions
  608. 27:53remain vacant. A little coffee.
  609. 27:57A little
  610. 28:03Open your mouth. Very good. Tastes good
  611. 28:10. Tastes good.
  612. 28:15Tastes good. After breakfast, Brandon
  613. 28:19also has a break. He meets with two
  614. 28:22compatriots who, like him, recently
  615. 28:24started working at the facility. Alison
  616. 28:28Madrid and Manuel Silva are, however,
  617. 28:30assigned to a different department. How
  618. 28:36is the language going? It is difficult,
  619. 28:40but little by little it is getting
  620. 28:42better.
  621. 28:45Yes, it is quite hard. When you think
  622. 28:47you know everything, new grammar comes
  623. 28:49along and everything gets even more
  624. 28:50complicated. I think it is the most
  625. 28:55difficult thing I have ever experienced
  626. 28:57, arriving here. the country is
  627. 29:03definitely good,
  628. 29:06but the work
  629. 29:08the work is hard, but I like it too.
  630. 29:12I arrived with colleagues and a
  631. 29:16resident said something to me and I
  632. 29:20didn't understand. So you, please come.
  633. 29:25Yes, now I understand a little more and
  634. 29:28I think it’s better. The three of
  635. 29:31them still have to study a lot of
  636. 29:32German grammar, because professional
  637. 29:34recognition is only granted after
  638. 29:36passing a language test. In 2018, three
  639. 29:41Italian nurses also learned how
  640. 29:43demanding communication is for nursing
  641. 29:46staff from abroad. Hardly arrived in
  642. 29:49Germany, Marilisa, Benedetta, and
  643. 29:51Beatrice start German lessons at the
  644. 29:53residential care home. A total of seven
  645. 29:56nurses from Italy have gathered here to
  646. 29:59study with teacher Flavia. Benedetta
  647. 30:05Salvatore from Abruzzo is asked to
  648. 30:07describe her day.
  649. 30:09Do you already know your tasks? Tasks?
  650. 30:14Mhm. Yes. Um, we have seen the staff.
  651. 30:25Mhm. And we have met our colleagues.
  652. 30:35If Benedetta passes her German exam,
  653. 30:38she will be a recognized geriatric
  654. 30:40nurse in a few months, and then all
  655. 30:42doors will be open to her in Germany.
  656. 30:45But there is also the homesickness.
  657. 30:47Many nursing staff are thousands of
  658. 30:49kilometers away from home. So contact
  659. 30:51with family is important. How are you
  660. 30:54doing? Good, I wanted to tell you how
  661. 30:59today went. Well, we took a look at the
  662. 31:03facility. We went there by tram. We
  663. 31:10traveled for an hour and a half.
  664. 31:13Are you happy?
  665. 31:14Yes, very. I am happy.
  666. 31:17But that happiness is short-lived.
  667. 31:19After just 6 months, the three nurses
  668. 31:22returned to Italy. For nursing home
  669. 31:26manager Astrizilla, it was a bitter
  670. 31:28setback, as recruiting nursing staff
  671. 31:30from Italy was intended to alleviate
  672. 31:32the staff shortage. I didn't quite
  673. 31:35understand it. I mean, I didn't really
  674. 31:39understand why they, well, I think it's
  675. 31:41a big step to go to another country. Um
  676. 31:45, perhaps the impression remained that
  677. 31:50they said to themselves, maybe a year
  678. 31:55is quite nice, and then we're going
  679. 31:57back anyway, or something like that.
  680. 32:01And then they were gone again. That was
  681. 32:04a huge disappointment.
  682. 32:06The manager's hope is all the greater
  683. 32:09now that the Mexican workers will stay
  684. 32:11in Munich, because they are urgently
  685. 32:14needed here. Thank you very much.
  686. 32:20Good morning.
  687. 32:20Hello. Good morning.
  688. 32:21Good morning, Ms. How are you? Good.
  689. 32:24And you?
  690. 32:25Thanks. Good.
  691. 32:26Very good.
  692. 32:27Have you settled in a bit with us?
  693. 32:30Yes, I think so. That's enough.
  694. 32:33We are now having a social gathering
  695. 32:35with movement, music, and singing.
  696. 32:52Turn around like this.
  697. 32:54Brandon brings a bit of joy to everyday
  698. 32:56life in the home. I think this job is
  699. 33:03super. It's my whole life. I do my job.
  700. 33:06I want to stay in this profession for
  701. 33:09my whole life.
  702. 33:11And if it's up to Astrid Zilla, Brandon
  703. 33:13is welcome to keep working at her
  704. 33:14nursing home in the future.
  705. 33:17With the Mexicans, I have the
  706. 33:19impression that the decision to stay in
  707. 33:22Germany and build a life here is much
  708. 33:24firmer than it was with the colleagues
  709. 33:27from Italy, who went back so quickly at
  710. 33:29the time. Um, the journey is also
  711. 33:35further. It is, you need, I believe, a
  712. 33:39firmer resolve to say, I'm going to
  713. 33:43Europe.
  714. 33:45Homesickness and language problems are
  715. 33:47the biggest hurdles to successfully
  716. 33:49settling in as a foreign nursing
  717. 33:50professional. Brandon also misses his
  718. 33:54family and especially his girlfriend.
  719. 33:58But she is coming to visit him in two
  720. 34:00days.
  721. 34:03Hello, my love. Good morning.
  722. 34:05Hello.
  723. 34:08Were you just sleeping?
  724. 34:10Yes.
  725. 34:12What time is it there?
  726. 34:146 o'clock.
  727. 34:156 o'clock. Then let's talk about your
  728. 34:18flight later.
  729. 34:23How are you?
  730. 34:26Tired. I am.
  731. 34:28Are you sleeping?
  732. 34:29Tired.
  733. 34:31Then I'll let you go back to sleep.
  734. 34:34I love you.
  735. 34:35I love you too. Bye.
  736. 34:3748. Hours of night. Must wait in this
  737. 34:41moment. I have no control, it feels
  738. 34:44like so many feelings at once.
  739. 34:47How long has it been since you saw your
  740. 34:49friends?
  741. 34:50Almost two months. Almost two months.
  742. 34:53Yeah, not that many, but I'm making it
  743. 34:55here. I hope I want to see them here.
  744. 34:58Yes, I'm going home. I'm tired. Yeah,
  745. 35:01I'd rather sleep. Yeah, bye.
  746. 35:05Brandon hopes that his girlfriend, who
  747. 35:07is studying medicine in Mexico, will
  748. 35:09eventually move to Germany to be with
  749. 35:10him. Back in Nuremberg. Katharina
  750. 35:15Habala is coming back from shopping.
  751. 35:18The caregiver from Poland looks after a
  752. 35:2098-year-old pensioner around the clock
  753. 35:22and even lives at her home. The 47-
  754. 35:28year-old is self-employed. As a 24-hour
  755. 35:31caregiver, she is paid a flat rate and
  756. 35:34earns around € 2300 a month. Her
  757. 35:38working time is spread across the
  758. 35:40phases where the patient needs concrete
  759. 35:42support or household tasks arise. This
  760. 35:46allows Katharina to manage her daily
  761. 35:47routine relatively freely and decide
  762. 35:49for herself when to take a break.
  763. 35:52Get up, my dear. Drink cappuccino.
  764. 35:58Yes. And coffee and cake.
  765. 36:01I like to have that.
  766. 36:02Yes,
  767. 36:03yes, yes, yes, yes, yes. Wait a minute,
  768. 36:05wait, wait. Sunshine.
  769. 36:10Yes, drink coffee on the terrace. Over
  770. 36:13here. Oh,
  771. 36:15where can I sit down?
  772. 36:16Here, here,
  773. 36:17here, here, here. A piano.
  774. 36:20Oh,
  775. 36:21nice. Slept really well.
  776. 36:26Here you go, my dear.
  777. 36:28Yes, thanks. Thank you. It's all good,
  778. 36:33it's all nice. Support or care from her
  779. 36:38own family was not possible for
  780. 36:39Marianne Kotschenreuter, because her
  781. 36:41two sons are long since retired
  782. 36:43themselves.
  783. 36:45Hello Mom, Mom. Hello. A surprise.
  784. 36:57You're doing well, aren't you? Good day
  785. 37:00.
  786. 37:01Where are you from? I'm coming from
  787. 37:04home. Hello Kati.
  788. 37:07Hello.
  789. 37:08How are you?
  790. 37:08All good.
  791. 37:09All good.
  792. 37:10Yes.
  793. 37:11You're living quite well here.
  794. 37:12No.
  795. 37:13Out.
  796. 37:14Yes. Knut Kotschenreuter lives 200 km
  797. 37:18away. He visits his mother every 14
  798. 37:21days when possible and oversees her
  799. 37:23care. The 70-year-old and his brother
  800. 37:27organized the full-time care for their
  801. 37:2998-year-old mother.
  802. 37:31She was in short-term care at least
  803. 37:33three times after hospital stays and
  804. 37:36couldn't integrate or adapt to anything
  805. 37:38at all. They do activities, but she
  806. 37:41couldn't participate in anything.
  807. 37:43Whenever we came to visit, it was
  808. 37:45always, "Mrs. Kotsch is lying in bed
  809. 37:47and I'm just wasting away in there."
  810. 37:50That was the only practical solution
  811. 37:53for her. So, as for the cost factor, I
  812. 37:57would say about 2,300 euros a month.
  813. 38:02Plus room and board for the caregiver.
  814. 38:06Thanks to her late husband's civil
  815. 38:08servant pension and her own, the senior
  816. 38:10can afford care from Katharina from
  817. 38:12Poland.
  818. 38:1724/7 care also means providing
  819. 38:19entertainment and distraction. No
  820. 38:22matter how the dice fall. She likes to
  821. 38:27play, and well, you have to say, "Now
  822. 38:29we're playing," and then she doesn't
  823. 38:31want to stop. We have to say, "That's
  824. 38:34enough," and she doesn't make a fuss,
  825. 38:36she's like, "Okay, can I play too?" The
  826. 38:42almost hundred-year-old enjoys the game
  827. 38:44; it's a pastime that keeps her
  828. 38:46mentally fit as well. At 6:30 PM, it's
  829. 38:54time for supper. Regular meals give
  830. 38:58structure to the day. Here you go,
  831. 39:01Marianne. Thank you.
  832. 39:03And a napkin. A napkin, too.
  833. 39:18Hope it tastes good, Marianne.
  834. 39:22Around 8 PM, evening care begins. Now,
  835. 39:27a...
  836. 39:31toilet time. Oh. Oh, oh.
  837. 39:40Very slowly, Marianne. Ouch. La. That
  838. 39:47hurts.
  839. 39:48Yes, I'm...now. Toilet.
  840. 39:57Toilet. Yes, come.
  841. 40:00About 300,000 people in need of care in
  842. 40:03Germany legally utilize this type of 24
  843. 40:06-hour assistance. In Munich, Mexican
  844. 40:11caregiver Brandon is waiting at the
  845. 40:13airport for his girlfriend from back
  846. 40:14home. Her plane has just landed.
  847. 40:18I'm, I'm excited, nervous. I think
  848. 40:22she's still lost.
  849. 40:26Brandon works in a Munich nursing home
  850. 40:29and wants to build a new life here. For
  851. 40:32that, he accepts homesickness and
  852. 40:33lovesickness. After a good two months,
  853. 40:50the first reunion.
  854. 41:00I brought you flowers. I...am so happy.
  855. 41:11I am glad that I am finally here. In
  856. 41:15Amsterdam, it was difficult to find the
  857. 41:16connecting flight, but now I'm here.
  858. 41:21Now it's...
  859. 41:23let's go.
  860. 41:26Almost 10,000 km lie between Mexico and
  861. 41:29Munich. A long-distance relationship
  862. 41:31that demands quite a lot from the
  863. 41:33engaged couple. She is finally with me
  864. 41:40now. 10 days together, a little bit.
  865. 41:44Yes. Brandon lives in a shared
  866. 41:49apartment in the northeast of Munich.
  867. 41:52He lives here with other caregivers.
  868. 41:55There is a communal kitchen and
  869. 41:57everyone has their own small room.
  870. 42:02I am studying medicine in Mexico. In a
  871. 42:06year, I will be finished with my
  872. 42:07studies. So do you want to work here as
  873. 42:14a doctor afterward? Yes, I would really
  874. 42:18like to, but it's a dream. There are no
  875. 42:22concrete plans yet. But I would like to
  876. 42:25stay here with him. In Mexico, the
  877. 42:31situation for doctors and nurses is
  878. 42:34very difficult. You don't earn enough
  879. 42:38money to be able to live there. That is
  880. 42:43very difficult. Fernanda has already
  881. 42:47completed a beginner's German course in
  882. 42:49her home country. Her initial language
  883. 42:53skills?
  884. 42:55My name is Fernand. I live from Mexico.
  885. 43:01I come from Puebla, I am 23 years old.
  886. 43:11Uh, I am in my profession. My dream is
  887. 43:22in 5 years to have already reached my
  888. 43:26recognition and be married, a child
  889. 43:30maybe, yes, maybe a small apartment.
  890. 43:36Yes, but for now, the recognition of my
  891. 43:38studies.
  892. 43:41Brandon is just one of many dedicated,
  893. 43:43courageous young people who care for
  894. 43:45our elderly far away from home.

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