Doku: Pflegenotstand in Deutschland | Rettung durch ausländische Fachkräfte — Transcript
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- 0:04Germany is aging. More and more people
- 0:06need care. But there is a massive
- 0:09shortage of staff.
- 0:11We won't be able to maintain care
- 0:13security if we don't get support from
- 0:14abroad.
- 0:15But are skilled workers from abroad
- 0:17really the solution? How are caregivers
- 0:20from Southern Europe or Asia received
- 0:22by German seniors? It is not easy to
- 0:26have so many foreigners here in the
- 0:29building.
- 0:31Benedetta from Italy is also leaving
- 0:33her home. The nurse from the Abruzzo
- 0:35region wants to become a geriatric
- 0:36nurse in Bavaria.
- 0:39Good morning. How are you doing?
- 0:46Everything okay?
- 0:49Will she manage the difficult
- 0:50transition to Germany? How young people
- 0:53from abroad are supposed to save our
- 0:55care system. The Bad Segeberg district
- 0:58in Schleswig-Holstein. In the middle of
- 1:01an idyllic landscape stands the Haus
- 1:03Diana nursing home. For decades, the
- 1:07facility was considered a top address
- 1:08for seniors in need of care in the
- 1:10entire region. The building has been
- 1:13empty since June. 30 residents had to
- 1:16find a new place to live. Many tears
- 1:20were shed, not only by the residents,
- 1:22but also by the director and operator
- 1:25of the house, Petra Sangermann.
- 1:29An era has naturally come to an end. It
- 1:31was, of course, a part of my life. It
- 1:33was my livelihood. It was everything,
- 1:36actually. I’ve never known it any
- 1:38other way. I was practically born into
- 1:41it. We had our 50th anniversary in '22
- 1:43and, um, I have been part of the
- 1:45business for just as long.
- 1:48The facility always enjoyed a good
- 1:50reputation. The beds in the home were
- 1:51in high demand. Why did the house have
- 1:55to close? Film footage from spring 2018
- 1:58documents everyday life at Haus Diana.
- 2:01What the seniors didn't know back then.
- 2:05Home director Petra Sangermann is
- 2:07lacking staff. The 57-year-old has been
- 2:10desperately searching for nursing staff
- 2:12for months, through job ads and job
- 2:14platforms. Her employees urgently need
- 2:18relief and the laws are strict. But
- 2:21where can you find them if the labor
- 2:22market has nothing to offer?
- 2:26The response was almost zero. Nothing,
- 2:29absolutely nothing. And you know, when
- 2:31you consider that I only have half the
- 2:33skilled staff I should have, or a
- 2:35little more—in any case, three
- 2:36full-time positions—can you somehow
- 2:38compensate for that long-term?
- 2:41In June, the bitter consequence. Haus
- 2:44Diana must close forever. The shock
- 2:47runs deep for the residents. The
- 2:49elderly Edith Michelsen is also losing
- 2:51her home and must find a new place to
- 2:54stay.
- 2:56So many tears have already been shed
- 2:58here. We are all leaving here very sad.
- 3:02It's just the way it is. I'm starting
- 3:03again already. I'm not that kind of
- 3:05person, but unfortunately, it is the
- 3:07case. It has given me so many sleepless
- 3:10nights, you can't imagine. So I
- 3:12pondered and thought a lot. What can I
- 3:16do? What happens next? How can I
- 3:17somehow turn things around here? But
- 3:20yes, ultimately I had to realize, for
- 3:22myself as well, that it just doesn't
- 3:25work. It simply doesn't work, it's not
- 3:28getting any better, and this shortage
- 3:30of skilled workers remains and will
- 3:32likely only get worse.
- 3:33Already today, around 2.9 million
- 3:35Germans are in need of care. By 2030,
- 3:38that number will rise to 3.5 million.
- 3:41But who will take care of them? A
- 3:43solution could come from beautiful
- 3:45Italy. Ripa Teatina, a mountain village
- 3:48in the province of Chieti in the
- 3:50Abruzzo region. Benedetta Salvatore
- 3:53still lives here, but she is on the
- 3:55verge of emigrating to Germany.
- 4:00I am leaving because I am keen to have
- 4:02an experience outside of Italy. I don't
- 4:05say "abroad" because we are neighbors,
- 4:07and above all, we are in the European
- 4:09Union. The 23-year-old nurse didn't
- 4:13hesitate when the offer came for a
- 4:15permanent position as a geriatric nurse
- 4:17in Bavaria. Because Italy has more
- 4:21nursing staff than are needed. The
- 4:23younger generation has a hard time
- 4:24there. When thinking of Germany,
- 4:26however, one small worry plagues
- 4:28Benedetta.
- 4:30I am afraid of freezing because I get
- 4:32cold quite quickly.
- 4:35The stethoscope has to come along, too.
- 4:37Benedetta gained quite a bit of
- 4:39experience in geriatric care during her
- 4:41three-year studies. She is looking
- 4:43forward to what is coming. Only her
- 4:46German language skills are still a bit
- 4:48sparse.
- 4:49I hope I can manage to say: good day,
- 4:52how's it going, how are you today? Try
- 4:54it, then. Good morning. How are you?
- 5:06Everything okay. Quest.
- 5:09That's it. Nothing more.
- 5:12Benedetta has been taking German
- 5:14lessons for four months. The Italian
- 5:16will still have to cram a lot to master
- 5:18the language well. 10 kilometers from
- 5:21her hometown lies the renowned
- 5:24University of Pescara. This is where
- 5:27Benedetta studied. In Italy, many young
- 5:30people train in nursing. The job is
- 5:32well-regarded. The problem there is
- 5:35that there are many nurses, but hardly
- 5:36any permanent positions. Wages are low
- 5:39compared to Germany. Daniela Daniele
- 5:42was Benedetta's favorite lecturer. Now
- 5:45it is time for the farewell.
- 5:49Benedetta, it is so nice to see you
- 5:52again.
- 5:53Hello my dear, how lovely. It really is
- 5:56a pleasure to see you.
- 5:58Thank you, me too. I heard that you are
- 6:01going to Germany.
- 6:02Yes, very soon.
- 6:04I am really very happy for you. And
- 6:05your parents?
- 6:06Yes, they are happy too. They are a bit
- 6:09sad, but they accept it.
- 6:10It will be a great experience. I am
- 6:12happy for you, my beautiful one, my
- 6:13star. And here is Benedetta's future
- 6:17employer, the Bavarian Red Cross in
- 6:19Munich. It already employs caregivers
- 6:22from 60 nations in its residential and
- 6:24nursing homes for seniors. Including
- 6:26Lee from Vietnam. The 29-year-old is on
- 6:28the morning shift today at the
- 6:30Kieferngarten home.
- 6:33With her countryman, she picks up a
- 6:35colleague at the staff residence.
- 6:38Morning.
- 6:39Morning.
- 6:40It's 6 o'clock in the morning. Okay,
- 6:43okay, have to get going.
- 6:45See you this afternoon. Yes, okay. Have
- 6:48fun.
- 6:50The Asian women quickly change into
- 6:52their uniforms and are ready for the
- 6:54day on the ward. First up is the
- 6:57handover from the night shift.
- 7:00Good morning.
- 7:04And how was the night?
- 7:06Quiet, quiet,
- 7:07quiet. That's good.
- 7:09She walked around a bit like usual.
- 7:11Went to the toilet. He had heartburn.
- 7:16We'll have to see how he's doing this
- 7:18morning. He he got his medication. He
- 7:21was fine afterward. Yes, he he also
- 7:23slept again. I checked on him earlier,
- 7:25he's sleeping. So everything is fine.
- 7:27Yes. And please check how he's doing
- 7:29today. She vomited, see if she needs a
- 7:31bit more help than usual. Otherwise, it
- 7:34was a quiet night. Phuong's day is
- 7:37tightly scheduled. The first resident
- 7:39is already waiting. Good morning, Ms.
- 7:41Wegan. Good
- 7:42morning.
- 7:43So, this is on. Good morning.
- 7:47Good morning.
- 7:48How are you, Ms. Walgand?
- 7:50Thanks. Good.
- 7:51Good.
- 7:52Yes.
- 7:52Mhm. Waited a little while, didn't you?
- 7:56No.
- 7:56No, that's good.
- 7:59And did you sleep well too?
- 8:01Yes,
- 8:01that's good. God, have I
- 8:05I'll help you finish getting dressed on
- 8:07your upper body.
- 8:09Yes. And then we can go to breakfast.
- 8:12And then we can go to breakfast. Yes.
- 8:15Would you like to continue dressing?
- 8:18In Vietnam, respect for older
- 8:20generations is especially important.
- 8:23Her gentle manner is well-received by
- 8:25the 90-year-old. I always try to treat
- 8:29my residents, my old folks, as well as
- 8:33possible and communicate with them like
- 8:37I do with my grandma.
- 8:41I once had one who was so volatile, she
- 8:44threw me onto the bed because I wasn't
- 8:47fast enough, you know?
- 8:50But they think you're very nice.
- 8:52Me?
- 8:52Yes.
- 8:53And me?
- 8:53Yes, she's a sweetheart. Thanks. She's
- 8:58a real gem.
- 8:59Yes, I always try to give something
- 9:03good.
- 9:03Yes,
- 9:04always.
- 9:04You can tell that just by looking at
- 9:06her.
- 9:06Thanks.
- 9:08Working in a nursing home. For many
- 9:11Germans, that's unimaginable. Currently
- 9:13, a position in elderly care remains
- 9:16vacant for an average of 175 days,
- 9:18longer than in almost any other
- 9:20profession. And the number of those who
- 9:23need care as they age is rising
- 9:25dramatically. By 2030, there are
- 9:27expected to be 3.5 million people,
- 9:29about one and a half million more than
- 9:32today. Without helpers like Phuong, the
- 9:35emergency would be even worse. Good
- 9:37morning.
- 9:39The 26-year-old wants to bring a little
- 9:42bit of sunshine into the residents '
- 9:44lives every day. She even treats severe
- 9:48care cases with the politeness and
- 9:51respect she was taught from an early
- 9:53age in her culture in Vietnam. When I
- 10:01was a child, I always learned that, uh,
- 10:05you have to have respect for older
- 10:08people.
- 10:10Lee comes to help out. Together, they
- 10:13want to wash the resident in bed and
- 10:15put fresh clothes on her. In Vietnam,
- 10:18relatives take care of elderly and
- 10:20frail family members. There are
- 10:23practically no nursing homes there.
- 10:27Exactly. Is that
- 10:30good or warm enough?
- 10:34The woman cannot speak.
- 10:36Close your eyes a little, then. Yes.
- 10:38Communication only happens through eye
- 10:41contact.
- 10:43Very good. Does that feel good? Well,
- 10:48she w-she wanted to say yes.
- 10:53Fong and Lee came to Munich from
- 10:55Vietnam three years ago. Back then,
- 10:57with almost no German skills, a
- 10:59Vietnamese nursing diploma in their
- 11:01luggage, and a lot of curiosity. Now,
- 11:04both professionals manage entire wards.
- 11:07The Bavarian Red Cross is desperately
- 11:09looking for exactly this kind of
- 11:10potential. We simply have too few, um,
- 11:14too few people here in Germany who want
- 11:17to do this job. There will perhaps be
- 11:20even more from Asia. We are now working
- 11:22on the new project with Italy. There is
- 11:24good training available, but there are
- 11:26no jobs, and we have the jobs.
- 11:29Back in Chieti in the Abruzzo region,
- 11:31at the university, project coordinator
- 11:33Corin Del Re and her husband, Professor
- 11:35Michael Demiter Ikonomu, are searching
- 11:37on behalf of the Social Service Society
- 11:40(SSG) of the Bavarian Red Cross for
- 11:41nurses willing to work in retirement
- 11:43homes in Bavaria. Not easy. The SSG
- 11:49approached us because they simply need
- 11:52specialists everywhere, especially for
- 11:55their senior care homes, and we have
- 11:57many well-trained young people here who
- 12:00cannot all find placements. And the
- 12:04idea was then: how do we prepare these
- 12:08young people so they can integrate
- 12:10actively and professionally into the
- 12:14job in Bavaria? In the beginning, I
- 12:17must say, I thought it must be very
- 12:21simple, it will go quickly. In Italy,
- 12:26we need work, the young people need
- 12:28work, we are giving them this
- 12:30opportunity, but it was really hard to
- 12:32believe in this project because,
- 12:35perhaps in Italy, we always have a bit
- 12:37of a negative idea. What comes next?
- 12:42What are these gifts, what is in this
- 12:44gift? Benedetta Salvatore is one of a
- 12:49group of seven nurses who have accepted
- 12:51the job offer and are now emigrating.
- 12:54She is heading tomorrow to a home in
- 12:56the Bavarian town of Altomünster.
- 13:00Are you looking forward to leaving?
- 13:01Yes, I am really very excited.
- 13:03A bit nervous.
- 13:05Yes,
- 13:07it will, it will work out.
- 13:09It will work.
- 13:10It will go well.
- 13:11Yes. Yes. Here are the two books.
- 13:13Mhm. Thank you.
- 13:15For the B2 course.
- 13:17B2.
- 13:18Mira Command. Important: read a lot, a
- 13:21lot. You also need to listen a lot.
- 13:24Okay.
- 13:25Speak a lot, also watch a lot of TV.
- 13:28Okay.
- 13:28Listen to the radio.
- 13:30Very important. Very nice.
- 13:32We'll do that.
- 13:34Well, all the best, good luck.
- 13:37And we'll see you in Altomünster.
- 13:40Ciao, Benedicte. Bye, Benedetta.
- 13:43I won't be here when you leave. Come
- 13:45here for a hug.
- 13:47Ciao.
- 13:49Books. Forget the books.
- 13:53She almost forgot the most important
- 13:55thing. Benedetta's thoughts are already
- 13:57revolving around her upcoming farewell
- 13:59to her family. In Ripatransone, her
- 14:02home village, mother Cinzia is
- 14:04preparing dinner. The high school
- 14:07teacher views her daughter's plans with
- 14:09mixed feelings. The whole family wants
- 14:12to sit down together tonight. I admire
- 14:15her decision. I would never have been
- 14:18able to take such a step at that age.
- 14:21She is so brave. I'm coming.
- 14:28Mother Cinzia needs a bit more ham for
- 14:30the farewell dinner. Benedetta should
- 14:33go and get some quickly. In the future,
- 14:35one of her four brothers will have to
- 14:37do the shopping.
- 14:40What will you miss most when Benedetta
- 14:42is no longer here?
- 14:46Benedetta, I don't know, everything
- 14:50actually. I mean, I'm about to cry. I
- 14:59couldn't name one specific thing. But
- 15:02besides me, she is the only woman in
- 15:04this house. Now I will be alone.
- 15:08For one last time, Benedetta strolls
- 15:10across the piazza of Ripatransone.
- 15:15Hello, good evening. Please. Thank you.
- 15:20In the town of 4,000, word has long
- 15:22spread that she is moving away.
- 15:25You're going to Germany for work?
- 15:27Yes.
- 15:30What do your parents say about it?
- 15:32Well, what can they say?
- 15:34And
- 15:34nothing.
- 15:35Are they sad?
- 15:36Yes, a little bit. An hour later in the
- 15:42Salvatore apartment, the family of
- 15:44seven has gathered to toast to
- 15:46Benedetta's future in Germany.
- 15:50To Benedetta, to a good life,
- 15:55and to us too.
- 15:57You can see the pain of separation in
- 15:59her parents. Melancholy is in the air.
- 16:01Benedetta's older brother Davide
- 16:02provides a distraction. Where will you
- 16:07live? Are you sharing a house with
- 16:09colleagues?
- 16:12I'll be sharing an apartment with a few
- 16:13of the people who are coming with me.
- 16:16In a few months, we want to move closer
- 16:19to our jobs. But apartments are quite
- 16:22expensive. So we have to see what we
- 16:24can find. Benedetta has lived at home
- 16:29until now. Her relationship with her
- 16:31brothers is close. What will you miss
- 16:33about your brothers? Everything. I will
- 16:36miss them every day. They have been
- 16:39with me for 23 years now. I will miss
- 16:43everything about them.
- 16:46Back in Munich. Benedetta will move
- 16:49into an apartment here on the grounds
- 16:51of the Kieferngarten retirement complex
- 16:52, where geriatric nurse Le works.
- 16:57How are you doing?
- 16:58I'm doing well.
- 16:59Good.
- 17:00When I see you, I’m always doing well
- 17:02.
- 17:02That makes me happy. Elena Zettele was
- 17:05always proud of her independence. But
- 17:08since she’s been in a wheelchair, she
- 17:10needs help around the clock.
- 17:13Good. Fresh
- 17:14fresh laundry.
- 17:15Okay.
- 17:16Oh, I admire you. We are so small and
- 17:21so petite and have to do such heavy
- 17:23work.
- 17:24I like that.
- 17:26Dealing with us when we are so heavy
- 17:28and thick. Must
- 17:30don’t you worry. We have aids, after
- 17:33all. Ms. Zettele has led an eventful
- 17:37life. She knows what homesickness feels
- 17:40like. The competition
- 17:43I also admire you so much because you
- 17:46are here alone, aren’t you? And so
- 17:48far from home. They have to put up with
- 17:52so much, the homesickness and taking
- 17:55care of us. Le also needs a great deal
- 18:00of sensitivity for her work. After
- 18:03having her hair brushed, the 92-
- 18:05year-old resident can now look at
- 18:06herself in the mirror. The joy is
- 18:08visible on her face. It’s moments
- 18:11like these that keep Le motivated to do
- 18:13her job in a foreign country. But
- 18:16everyday life is often exhausting. The
- 18:19workload is intense, the time pressure
- 18:20is high, and the responsibility for
- 18:22those in need of care is enormous. Is
- 18:25this fairly compensated? Well, I don't
- 18:30think the wage we get is enough because
- 18:33we constantly have to work so much
- 18:36overtime. We are so physically and
- 18:41mentally burdened, so often, that we
- 18:45are all on the wards because of illness
- 18:48, because of colleagues' illness, for
- 18:51nearly 30 residents, but for that, we
- 18:54need more support from other caregivers
- 18:57, staff.
- 19:00Le’s colleague, Fen, is leading the
- 19:02morning shift today. Her list of tasks
- 19:04is long. Preparing medication, doing
- 19:07documentation on the PC, and organizing
- 19:10meetings with relatives. There is often
- 19:13not enough time for many things.
- 19:16The work, uh, is really so exhausting.
- 19:21I find it a shame that here in Germany
- 19:24there isn't real appreciation for our
- 19:28profession. That, uh, that I find a
- 19:31shame.
- 19:34Geriatric nurse Vanam Nuyen is on his
- 19:36way to the senior home's dining hall.
- 19:40Every day, he picks up a 97-year-old
- 19:42resident here after lunch.
- 19:46Ms. Ströte.
- 19:47Yes.
- 19:48Did you eat well?
- 19:49Yes, indeed. Did you enjoy your lunch?
- 19:53Super.
- 19:54Good, we're going back to your room,
- 19:56right?
- 19:57Yes, please.
- 19:58Good.
- 20:00Maria von Schröter has lived in the
- 20:02complex for 6 years and has a small
- 20:04apartment.
- 20:07Yes, indeed.
- 20:10So,
- 20:11caregivers from many nations work at
- 20:13Kieferngarten. For the residents, the
- 20:16language is often a problem. I will
- 20:18bring you to the dining room again
- 20:20tomorrow. Yes.
- 20:21Yes, because you want to. Yes.
- 20:23Yes. All right, then
- 20:25yes.
- 20:25I wish you a good afternoon. Yes, and
- 20:28we will see each other again tomorrow.
- 20:29Yes.
- 20:30Yes. All the best.
- 20:31Good. Ciao.
- 20:34It is not easy having so many
- 20:36foreigners here in the house, but when
- 20:40they all speak German as well as he
- 20:43does, it is much easier.
- 20:48Good day, Mrs. Jerod.
- 20:5188-year-old Henriette Girou is already
- 20:53waiting for her caregiver. You get eye
- 20:56drops every day. In the process, the
- 20:58two often have conversations.
- 21:00Thank you very much, that was it. Yes.
- 21:03Yes,
- 21:04she also values good German. about 3
- 21:07years ago. I already learned German in
- 21:11Vietnam uh and that takes uh that my
- 21:15German course took about 11 months and
- 21:19before I uh flew to Germany.
- 21:23Excuse me, in that moment, he had, in
- 21:27case you noticed, enough mistakes in
- 21:30what he said to you. If you hadn't been
- 21:37there, I would have either done this
- 21:40here
- 21:42or said back.
- 21:45And he had to repeat that. Sorry for
- 21:48interrupting.
- 21:50Those were the beginnings when he was
- 21:53here.
- 21:53Mhm. Back in Ripatransone in the
- 21:56Italian Abruzzo. Somber mood in the
- 22:01Salvatore house. After dinner, the time
- 22:04has come to say goodbye to Benedetta.
- 22:10The 23-year-old is now setting off for
- 22:12a new life in Germany. Her parents and
- 22:15brothers have gathered to say ciao. Mom
- 22:18Chinzia is very upset. The farewell is
- 22:21also hard on Dad Luciano. Ciao.
- 22:27Ciao.
- 22:28Tomaso, Stefano
- 22:32Davide
- 22:32C
- 22:34and Samuele are proud of their sister
- 22:37and admire her courage. Ciao.
- 22:46The bus takes her to Rome and from
- 22:48there by plane to Munich. Jinia hopes
- 22:52to see her daughter again at Christmas.
- 22:57A few hours later at Munich Airport,
- 23:00the plane from Rome lands. On board is
- 23:03Benedetta. Her employer, the social
- 23:08service company SSG, spares neither
- 23:10effort nor money to bring professionals
- 23:12from Italy. An employee has come
- 23:15specifically to the airport to welcome
- 23:17them. Rika Ertel checks if the flight
- 23:20is on time. A German teacher for the
- 23:23Italian caregivers is also expected.
- 23:28Hello, hello, hello. Good to see you.
- 23:34Hello.
- 23:35Everything good?
- 23:36Yes. Had a good trip.
- 23:38Yes. Very tired now or is it okay? Are
- 23:42you very tired? Very tired.
- 23:44A what?
- 23:46Okay, then let's just go. I parked
- 23:49right here.
- 23:50The managing director's assistant has a
- 23:52small surprise with her. I brought you
- 23:55something else. Yes, thanks. You're
- 23:58welcome. A little gift.
- 24:03The journey continues to the Red Cross
- 24:05staff dormitory in Munich. Although
- 24:08Benedetta will work near Dachau, she is
- 24:10being put up in the state capital for
- 24:12the first few weeks because she has to
- 24:14attend a language course here. Of all
- 24:16places, in expensive Munich.
- 24:19Especially in Munich, it is very
- 24:21difficult to find nursing staff, partly
- 24:23because there is so little living space
- 24:26, and because we often simply have to
- 24:28provide apartments for the caregivers
- 24:30who move here from other cities within
- 24:33Germany or from elsewhere.
- 24:37After 20 minutes, arriving at Building
- 24:39E. By the way, the Vietnamese geriatric
- 24:42nurses live here too. That's us.
- 24:48Welcome.
- 24:51Benedetta is already quite excited
- 24:53about her new place to stay. For her,
- 24:55it means living without her family for
- 24:57the first time, but still not entirely
- 24:59alone.
- 25:04Because Marie, Lisa, and Beatrice are
- 25:06already there. The nurses know each
- 25:08other from their studies in Italy. Now
- 25:10they will share an apartment. Everyone
- 25:13has their own room.
- 25:15So, your room. Yours.
- 25:22I hope you feel comfortable.
- 25:25Yes, I like it a lot. Very nice. Cozy.
- 25:30The day was long. Benedetta wants to
- 25:32unpack quickly. The Italian is a bit
- 25:35nervous about the first night. I think
- 25:41if I can get through this night, I'll
- 25:43manage everything else too. Suddenly,
- 25:46there is a knock at the door. It is Lee
- 25:49, Fong, and Nam. The three Vietnamese
- 25:51are happy about their new neighbor.
- 25:54I am F.
- 25:56Welcome to Germany.
- 25:58Thank you.
- 25:59Exactly.
- 26:00We live upstairs. I live on the first
- 26:03floor. Exactly. And if you need
- 26:05anything. Exactly. Need help. Thanks.
- 26:08Thank you very much.
- 26:10Thanks.
- 26:11Or if you also have questions, then
- 26:14just come by.
- 26:17Okay.
- 26:17See you soon. See you soon. Then
- 26:20and
- 26:20we'll see each other. G. Yes, thanks.
- 26:28As much as the spontaneous visit
- 26:30pleased Benedetta, now she just wants
- 26:32to go to bed, because tomorrow is her
- 26:34first day at work in a nursing home,
- 26:36and it's located 60 km outside of
- 26:38Munich. That means getting up early.
- 26:42Getting up early. Nam has gotten used
- 26:45to that by now. When he came to Munich
- 26:48three years ago, he barely spoke German
- 26:50. In the meantime, he has mastered the
- 26:52language almost perfectly. The
- 26:54Vietnamese man works in the assisted
- 26:55living section of the senior home. The
- 26:58staff office is connected to all
- 26:59residential units via an intercom
- 27:01system. Nam sees who is calling.
- 27:05Hello, Mr. Juritko.
- 27:06Yes, Juritko Manfeld here.
- 27:08Yes, can I help you with something? Yes
- 27:11, I request it, I have a swelling on my
- 27:14left ankle, it's been three days now
- 27:17and I urgently need medicine to treat
- 27:20it.
- 27:21With pleasure. I'm coming to you right
- 27:23away. Yes, wait a moment. Yes,
- 27:26okay.
- 27:26Good. See you in a bit.
- 27:29The nurse goes straight upstairs to the
- 27:31resident.
- 27:36Good day, Mr. Jitko.
- 27:38Good day. May I come in?
- 27:42Namen greets the gentleman in Bavarian.
- 27:44So, greetings. So, I am coming to you
- 27:49because of your pain. Yes, tell me
- 27:52where exactly you have pain.
- 27:54Yes, I have the pain here in my left
- 27:57ankle.
- 27:57Mhm.
- 27:58And it's been two days now.
- 28:00Mhm.
- 28:00And I don't know, did I walk too much?
- 28:03Yes. Uh, it's likely about the uh ankle
- 28:06joint and so on.
- 28:08That's right. Exactly. I have a scale
- 28:10with me. It's about assessing the pain.
- 28:14Exactly. For example, here number zero,
- 28:17that means no pain.
- 28:19Number 10 is the strongest pain. With
- 28:24which number can you describe your pain
- 28:26situation? Number 7.
- 28:28Yes,
- 28:29that is quite a strong pain, isn't it?
- 28:35Manfred Jitko used to be a manager at a
- 28:36large company. He likes that the staff
- 28:39is multicultural.
- 28:41You have to be open to the world, and
- 28:43when such people keep coming, they come
- 28:45here from all over the world. So, very
- 28:47nice people throughout. I have to
- 28:49acknowledge him too. A very nice man.
- 28:52I am giving you medication for pain now
- 28:56,
- 28:57and at the same time I will inform your
- 28:59family doctor.
- 29:00Good,
- 29:00here you go. Okay, good. Yes,
- 29:04drink it down now.
- 29:05Yes, good. Now you should rest a bit,
- 29:09okay? I'll come back to you in half an
- 29:12hour. Yes, please.
- 29:14Okay, wonderful.
- 29:15See you later, okay?
- 29:16Thank you.
- 29:17Goodbye.
- 29:18Thank you. See you later.
- 29:20Caregivers like them work hard and get
- 29:22little for it. Yet what they provide is
- 29:24becoming increasingly important.
- 29:27Well, I can sum it up. I think the pay
- 29:30is not right for the caregivers. The
- 29:33caregivers do more uh than they
- 29:35actually have to, and they get way too
- 29:38little money for it, because this work
- 29:40is so important for us older people uh
- 29:42to get back on our feet again. And I'm
- 29:45not writing myself off at 80 either,
- 29:48you know? I want to, I want to reach at
- 29:51least 100.
- 29:54In the nursing home with the foreign
- 29:56caregivers, the nearly hundred-year-old
- 29:58Elonore Moll is being cared for by Lie
- 30:00today. The Vietnamese woman wants to
- 30:02remove a few facial hairs for her. A
- 30:04colleague observes the situation. Which
- 30:07device is suitable for that? That one
- 30:10was always great.
- 30:12Yes, but I find that one so strong.
- 30:15Take a look.
- 30:18Yes, because I had a strong beard and
- 30:21my son bought that for me. No,
- 30:27that
- 30:28that is the
- 30:31Oh, it cuts wonderfully.
- 30:34But I can't get along with that one.
- 30:37Why not?
- 30:38I find it is so strong. Yes, that's,
- 30:43that's, yes,
- 30:45I don't want them to get hurt.
- 30:49Compassion and patience when dealing
- 30:51with elderly people are among the most
- 30:53important skills for a geriatric nurse.
- 30:57Practice manager Barbara Gegeres is
- 30:58alarmed by the declining number of
- 31:00applicants for training in geriatric
- 31:02care. Of course, much more must be done
- 31:07so that young people return to these
- 31:09professions and do this work. A lot can
- 31:11still be changed regarding working
- 31:13hours to make them more attractive for
- 31:15families. Financial resources can be
- 31:19used to support the work so that a
- 31:21father in the profession can also
- 31:24support his family. We also have to
- 31:27implement these things as quickly as
- 31:28possible.
- 31:30Finally, the workday is over for the
- 31:32Vietnamese geriatric nurses who have
- 31:33been on their feet since early this
- 31:35morning. They are busy cooking in the
- 31:37staff residence. Almost always dishes
- 31:40from back home.
- 31:41A little longer, a little longer, maybe
- 31:44a little longer. They are making summer
- 31:49rolls, a typical recipe from Vietnam.
- 31:53Hurry, I'm already hungry.
- 31:57The work as a geriatric nurse is
- 31:59exhausting.
- 32:01Are you homesick? Yes, of course,
- 32:04because I am alone here. I have no one
- 32:07here, so to speak, because my whole
- 32:10family stays in Vietnam.
- 32:14Perhaps the food eases the longing for
- 32:16Vietnam a little. It is very easy to
- 32:21cook. Yes. Various salads and then
- 32:26fried eggs with shrimp and, uh, pork,
- 32:32right? Rice noodles. But that is
- 32:36typically fish sauce as well. Yes, that
- 32:40that is also soy, right?
- 32:41That is soy and peanuts. Peanut, so
- 32:46butter, peanut, and sauce, sauce, so
- 32:49beans, and then you make the sauce.
- 32:53Especially then you feel right at home
- 32:54again, don't you? Yes, so I—excuse me
- 32:57, but I can't wait anymore,
- 33:00because for me it is so important to be
- 33:03together while eating. Just like in the
- 33:08family, always eating at home with my
- 33:11family too.
- 33:1329-year-old Lee comes from a small town
- 33:15in southern Vietnam. She misses her
- 33:18family too, but doesn't want to go back
- 33:20there.
- 33:21I am staying here. So for my better
- 33:24future. Maybe, uh, also get married and
- 33:29see my children here see. Yes,
- 33:35even though the three feel very
- 33:37comfortable in Bavaria now, pork
- 33:39knuckle or dumplings will probably
- 33:41never be on their menu. And how are the
- 33:44Italian nursing staff doing? The next
- 33:48stop is Altomünster, 60 km northwest
- 33:51of Munich. The small community is easy
- 33:54to reach from the state capital by
- 33:56S-Bahn. Astrid Ziller is already
- 33:59standing at the train station. The
- 34:01director of the senior care home is
- 34:03waiting anxiously for her three new
- 34:05employees from Italy. It is not nice
- 34:09weather for a welcome. Morning.
- 34:15Welcome to Altomünster.
- 34:19Let's go. We have The good thing is,
- 34:21it’s not far. I would have wished for
- 34:24better weather for them.
- 34:27On the way to the nursing home, there
- 34:29are already the first communication
- 34:31problems.
- 34:33Please. Well,
- 34:37you have to speak German with me.
- 34:41Even though the three women know very
- 34:43little German, Astrid Ziller is happy
- 34:45for every helping hand. The nurses from
- 34:50Southern Europe will be a great support
- 34:52for the care team at the Upper Bavarian
- 34:54retirement home. They are welcomed
- 34:58there accordingly warmly.
- 35:06Wow.
- 35:07A Bavarian breakfast is meant to make
- 35:09starting work easier. Recruiter Markus
- 35:11Schlicht is also there. He helped set
- 35:14up this project with the Italian
- 35:16nursing staff. Nursing manager
- 35:18Stephanie Botek will show the three
- 35:20around shortly. Are you surprised?
- 35:24Benedetta hadn't expected such a
- 35:26reception.
- 35:29I find it a very nice gesture that we
- 35:31are being welcomed so warmly. I think
- 35:35that we will feel comfortable here. The
- 35:39atmosphere is good. Astrid Ziller is
- 35:43pleased that the Italians want to work
- 35:45in her retirement home. They could have
- 35:48chosen a different location in Bavaria.
- 35:51I heard from you that all three of you
- 35:54wanted to come to Altomünster.
- 35:56Why? M because um Altus is uh uh a not
- 36:14a city is
- 36:16small small. We think, that a small
- 36:26city uh is better for spea and uh
- 36:34German learn.
- 36:37Yes. Markus Schlicht has recruited more
- 36:42than 70 nursing professionals from all
- 36:44over the world in the last two years.
- 36:46In the beginning, almost everyone had
- 36:48language problems. He wants to
- 36:50encourage the women.
- 36:52You will learn quickly. You don't need
- 36:54to be afraid of German. It is very
- 36:56difficult at the beginning. You will
- 36:57work a little bit here now, then you
- 36:59will take your German course
- 37:01and then we'll see. And in four weeks
- 37:03the world will look very different. In
- 37:05Italy, the young nurses would have a
- 37:07hard time on the job market. In Germany
- 37:09, people are literally fighting for
- 37:11them. Marielisa Adario finds this
- 37:13almost uncomfortable. I am impressed by
- 37:19how courteous the people are that we
- 37:20have met so far. Everyone is so patient
- 37:24with us, even though we speak so little
- 37:27and such poor German. No one wants to
- 37:30embarrass us. It really moves me that
- 37:32we are experiencing so much patience
- 37:34and helpfulness. So far, the first day
- 37:41is running smoothly, but now it's
- 37:43getting serious. They are starting now
- 37:47with the clothing and keys,
- 37:49so that they can then begin. Please
- 37:51come in one by one.
- 37:52I wonder how the uniforms will go over
- 37:54with the Italians. The three nurses
- 37:57from the south are now, purely visually
- 37:59, becoming German geriatric nurses.
- 38:03So, we are done with the trying on.
- 38:07Hello,
- 38:07now they are already in unif. Work
- 38:09clothes, right? Hello
- 38:12Great.
- 38:13Yeah
- 38:15they look very good. Good. Um, does
- 38:18everything fit?
- 38:20Size?
- 38:21Yes.
- 38:21Yes.
- 38:21Length?
- 38:22Yes.
- 38:23And how does Benedetta like her new
- 38:26outfit?
- 38:28Yes, I like it. It’s cute. White and
- 38:31familiar? No, we wear white in Italy
- 38:34too. In Chieti, I wore white as well.
- 38:37So you like it? Yes, it's a bit more
- 38:40feminine. Next
- 38:42we’re taking a tour of living area 1
- 38:44in the nursing home. The colleagues are
- 38:47happy about the reinforcement from
- 38:48Italy. But how will the residents react
- 38:51? The facility has room for 90 people.
- 38:55Among them are many severe care cases.
- 38:57New faces are coming. May I interrupt
- 39:01you for a second? Hello,
- 39:02we have we have three ladies here from
- 39:08Italy. They’re joining us now.
- 39:10Beatrice, Marielisa, and Benedetta are
- 39:12introducing themselves to all the
- 39:14seniors.
- 39:17This lady is Italian. Someone who
- 39:19understands you?
- 39:21I am Italian too. Where are you from?
- 39:24From Rome. From Rome? I am from Abruzzo
- 39:27, from Chieti.
- 39:29I don’t know, I’m not familiar with
- 39:31that. No,
- 39:31no.
- 39:33About half of the residents suffer from
- 39:35dementia. Benedetta has experience with
- 39:38such patients.
- 39:41We had a lot of such patients in Chieti
- 39:43, both with age-related dementia and
- 39:45Alzheimer’s or Parkinson’s. These
- 39:49diseases lead to one becoming estranged
- 39:52from the reality they currently live in
- 39:54. During a tour through the retirement
- 39:59home in Alto Münster, Bavaria, the
- 40:00three nurses from Italy meet a resident
- 40:03in a single room on their first day of
- 40:05work. The Italians immediately notice
- 40:08how friendly everything looks.
- 40:10Benedetta takes the chance for a little
- 40:12chat.
- 40:14How many months? Uh
- 40:18I’ve been here for a year and a half
- 40:19now.
- 40:21Excuse me.
- 40:22I’ve been here for a year and a half
- 40:24now. Okay. Mhm. Are you woman? Woman
- 40:29Woman? If
- 40:31Are you happy? Yes. Yes, I like it here
- 40:35. I still do everything myself.
- 40:37Exactly. And that is what I tried to
- 40:40explain before, say qualita de vita.
- 40:45Qualita de vita means in German
- 40:48quality of life. Super. Very good.
- 40:52That’s how learning German is also
- 40:54fun. The first workday is over at 12:00
- 40:57noon. They’re taking the S-Bahn back
- 40:59to Munich shortly. And how did the
- 41:02three do with the nursing manager?
- 41:05Very likable. Young people who are keen
- 41:08to learn this profession, and that
- 41:10isn't always a given. That smile and
- 41:13that, well, that commitment, that she
- 41:14says they want to work here, is
- 41:16positive for us. I have a very, very
- 41:18good feeling.
- 41:19In the afternoon, the program features
- 41:21a German course. In four months, the
- 41:24Italians must pass a language exam. Two
- 41:28hours later at the Kieferngarten senior
- 41:30living home in Munich. Marielisa,
- 41:33Benedetta, and Beatrice arrive, feeling
- 41:36almost upbeat from their first day of
- 41:38work in Alto Münster. But now comes
- 41:40the exhausting part. Cramming German.
- 41:44All seven Italian nurses have gathered
- 41:46around a large conference table to
- 41:48study with teacher Flavia.
- 41:54Benedetta is asked to describe her day.
- 41:58Do you already know your task? Tasks?
- 42:03Mhm. Yes. Um, um, we have, uh, seen the
- 42:13staff, uh.
- 42:14Mhm. And we have met our colleagues.
- 42:23Good day, ladies. Hello.
- 42:25Hello.
- 42:26Hello.
- 42:26The surprise visitor is Christian
- 42:28Pietich, managing director of the
- 42:30social services company. As a
- 42:32co-initiator of the recruitment project
- 42:34in Italy, he wants to get an impression
- 42:36of the language course. Because German
- 42:39nursing homes lack caregivers, for
- 42:41their operators, such initiatives are
- 42:43now a matter of survival. The fact is
- 42:46that, if I look at how many ladies and
- 42:49gentlemen are retiring, uh, if I look
- 42:51at our average age, then in the long
- 42:53run we will not be able to manage
- 42:56without support from abroad, but we—
- 42:58well, we—will also not be able to
- 43:00maintain the security of supply if we
- 43:03don't get support from abroad. And
- 43:06unfortunately, the mills, the
- 43:07bureaucratic mills are very, very
- 43:09difficult, until someone is allowed to
- 43:11enter the country, until they receive
- 43:12recognition. So I do hope that
- 43:15policymakers will set a few more
- 43:18barriers to green.
- 43:20It seems there is a green light for
- 43:22Benedetta, at least. If everything goes
- 43:24according to plan for her, she will be
- 43:26a recognized nursing specialist in a
- 43:28few months, and all doors will be open
- 43:30to her. The young Italian woman has
- 43:32settled in well in her shared apartment
- 43:34. But she does miss her parents in the
- 43:36Abruzzo region a little.
- 43:39How are you doing?
- 43:41Good. I wanted to tell you how it went
- 43:45today. So, we looked at the facility.
- 43:53We took the tram there. We traveled for
- 43:56an hour and a half.
- 43:59Are you happy?
- 44:00Yes, very much. I am happy.
- 44:03Hopefully, it stays that way. Only one
- 44:04in three geriatric nurses in Germany is
- 44:06still doing the tough job after 10
- 44:08years. The consequences of the shortage
- 44:11of skilled workers in the care sector
- 44:13are being felt more and more elsewhere.
- 44:16In Seekamp, Holstein, where the Diana
- 44:18nursing home had to close in June due
- 44:21to staff shortages, former home manager
- 44:23Petra Sangermann wants to find out how
- 44:26her former residents are doing today.
- 44:31Most had to move to other homes. Four
- 44:34have since passed away. One senior in
- 44:37need of care was able to move in with
- 44:39her family. That is where we are
- 44:41heading now.
- 44:41This was certainly a drastic experience
- 44:44and for many almost traumatic, I would
- 44:47think, especially when it comes to
- 44:49dementia patients. That is, of course,
- 44:52a heavy thing, that it doesn't leave
- 44:54someone untouched is clear. You know
- 44:56that from yourself, too, when living
- 44:58conditions change so dramatically. it
- 45:00doesn't leave you completely unaffected
- 45:01either.
- 45:02The small town of Berlin in the
- 45:03municipality of Seedorf. Here, 91-
- 45:05year-old Elsbeth Schönau is now
- 45:08staying with her granddaughter. When
- 45:10she heard about the care home closing,
- 45:12she was horrified.
- 45:13I found out all around, oh God, the
- 45:15home is supposed to be closed. And then
- 45:17we were all packed together, you know?
- 45:20And then oh God, oh God, many were just
- 45:23torn apart and that's not nice at all,
- 45:25is it? Peter Sangermann and Elsbeth
- 45:28Schönau haven't seen each other since
- 45:30the home was shut down 5 months ago.
- 45:33Granddaughter Mandy Dolle is happy
- 45:35about the visit. The lady is here.
- 45:39Yes, good.
- 45:40Yes. Hello, Mrs. Schönau. Good day. Hi
- 45:44.
- 45:46It’s been a long time since we saw
- 45:47each other.
- 45:48No, it has.
- 45:49That’s so nice. How are you doing?
- 45:50Yes, thank you. Good. As you can see.
- 45:52Yes, I think that's great. The food and
- 45:54drink taste good. Oh,
- 45:55look, you have it nice here. That's
- 45:57just great. Ah, that’s so kind.
- 45:58Just like I had it in the home.
- 46:00Yes, everything is here too. Yes,
- 46:01exactly.
- 46:02We always got along well. Wonderful,
- 46:05all of us, right?
- 46:07But one person,
- 46:08they are still talking about it.
- 46:10Yes,
- 46:11when are we going home again? They
- 46:14don't like it in the home there. Yes, a
- 46:16pity.
- 46:17It was a nice home and we all got along
- 46:19well. I told you, we were like a family
- 46:21, weren't we? Now the 91-year-old lives
- 46:25back in the family circle. Shortly
- 46:27before the home closed, Mandy's husband
- 46:29passed away. Nevertheless, the 38-
- 46:32year-old didn't hesitate to take her
- 46:34grandma in and care for her.
- 46:39I only found out from you,
- 46:42then I read the letter. It was already
- 46:45clear to me, Grandma is coming here and
- 46:47that's it. No discussion. Dad looked at
- 46:50me, we look. I said, you don't need to
- 46:51look at all. She gets the playroom
- 46:52downstairs and that's it. I—
- 46:56then your bed was ordered, then the
- 46:58other thing was ordered and that was
- 46:59that. One day after the funeral, I
- 47:01started remodeling.
- 47:03Fate has brought grandma and
- 47:05granddaughter together across the
- 47:06generations. Petra Sangermann is
- 47:09relieved that the two get along so well
- 47:11.
- 47:12Yes, that was nice. Yes, I'm glad
- 47:13they're doing so well and that
- 47:14they’ve found such a good situation.
- 47:16Lovely. I wish you all the best and
- 47:18stay as lively and healthy as you are
- 47:20now, okay?
- 47:21Yes, we'll definitely see each other
- 47:23again. I'll come by again sometime.
- 47:25But how are the other seniors from the
- 47:28home doing? Petra Sangermann still has
- 47:30a few visits to make. For Elzbert
- 47:32Schönau, her granddaughter is a stroke
- 47:34of luck. Even though the lady is still
- 47:37spry for her advanced age, she needs
- 47:39some help with basic care.
- 47:41Not cold, not cold. Mandy Dolle has
- 47:47found a new purpose since the death of
- 47:48her husband. Especially now, caring for
- 47:51her grandmother gives her a new sense
- 47:53of meaning.
- 47:55You help people, and they actually give
- 47:57you so much in return. They are
- 47:58grateful for every little bit.
- 48:04And what will happen to the former
- 48:05nursing home in Seekamp? House Diana is
- 48:08now being renovated and converted into
- 48:10a vacation guesthouse. The nursing
- 48:16bathtub has served its time. Petra
- 48:19Sangermann takes one last walk through
- 48:22the empty rooms. Fifty years ago, her
- 48:24grandmother founded the care facility.
- 48:27Now this chapter is ending forever. How
- 48:30does she feel about that?
- 48:32Wistful. Melancholy, but I’m also
- 48:34looking forward to what comes next. So,
- 48:37one thing has unfortunately come to an
- 48:40end now. As they say, one door closes
- 48:42and the next one opens. There’s some
- 48:44truth to that, isn't there? Yeah.
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