March 10 Pflegebegutachtung Checklist

Assessment Date: March 10, 2026
Location: Home visit
Present: Both parents, Ellis
Assessor: Medizinischer Dienst Gutachter/in

Pre-Assessment Preparation (Complete by March 8)

Documents to Gather

Medical/Diagnostic: - [ ] FASD diagnosis letter (copy ready) - [ ] SPZ developmental reports (most recent) - [ ] Therapy evaluations (Logopädie, Ergotherapie) - [ ] Eye specialist reports - [ ] Heart specialist reports - [ ] School support plan (if applicable) - [ ] Any psychological/neuropsychological assessments

Care Documentation: - [ ] Daily care diary (3–5 days completed using template) - [ ] Therapy schedule (weekly appointments documented) - [ ] Medical appointment calendar (next 6 months visible) - [ ] Incident log (recent meltdowns/behavioral challenges)

Optional Support Letters: - [ ] Letter from Logopädie therapist - [ ] Letter from Ergotherapie therapist - [ ] Letter from SPZ doctor/psychologist - [ ] Letter from school (if attending) - [ ] Letter from pediatrician

Physical Preparation (Day Before)

Home Setup:

[ ] Clean, organized space for assessment (living room or kitchen table)
[ ] Documents in folder/binder (organized, easy to reference)
[ ] Ellis’s typical day visible (schedule on wall/fridge if you use one)
[ ] Medical/therapy appointment reminders visible
[ ] Calm environment (toys put away, minimal distractions)

Parent Preparation:

[ ] Both parents read ellis-interview-script.md together
[ ] Align on key examples (morning routine, meltdowns, social barriers)
[ ] Practice answering likely questions
[ ] Decide who will lead which sections (e.g., one parent for medical history, other for daily care)
[ ] Review ellis-pflegegrad-prep.md for module breakdown

Ellis Preparation:

[ ] Brief Ellis age-appropriately: “A nice person is coming to learn about you and how we help you every day.”
[ ] No need to coach him to perform or not perform — let him be himself
[ ] Plan quiet activity he can do during parent interview portion (coloring, toy, tablet)

Day-Of Checklist (March 10)

Morning:

[ ] Both parents rested, calm
[ ] Ellis has eaten, dressed (with usual support)
[ ] Documents organized and ready
[ ] Phone on silent
[ ] Pet secured (if applicable)
[ ] Other child care arranged (if applicable)

During Assessment:

Opening (First 10 minutes): - [ ] Greet assessor warmly - [ ] Offer coffee/water - [ ] Briefly introduce Ellis and reason for assessment - [ ] Use prepared opening statement (see interview script)

Interview Portion (~45 minutes): - [ ] Have documents visible/accessible - [ ] Refer to daily care diary when describing routines - [ ] Give specific, recent examples (not generalizations) - [ ] Both parents contribute (consistent messaging) - [ ] Stay calm, factual, matter-of-fact - [ ] Don’t minimize or exaggerate

Ellis Observation Portion (~20 minutes): - [ ] Assessor may ask Ellis to do tasks (dressing, drawing, following instructions) - [ ] Don’t coach or correct Ellis — let assessor see natural behavior - [ ] Don’t apologize for what Ellis can’t do - [ ] If Ellis has a meltdown, this is data — demonstrate how you intervene

Closing (~5 minutes): - [ ] Ask when you’ll receive the gutachten - [ ] Ask when Pflegekasse will send decision - [ ] Thank assessor - [ ] Confirm contact info for follow-up questions

Key Messaging Reminders

What to Emphasize: 1. Constant supervision required (can only play 5–10 min independently) 2. Step-by-step prompting for all self-care tasks 3. Daily emotional dysregulation (meltdowns requiring hour-long intervention) 4. Social participation impossible without 1:1 trusted adult 5. Time burden: ~8 hours/day of direct support

What to Request: - Therapy hours (continue weekly Logopädie + Ergotherapie) - Respite care (parental breaks from constant supervision) - Buddy support (so Ellis can access activities/community independently)

Tone: - Factual, not emotional - Specific, not vague - Consistent between both parents - Loving but realistic

After the Assessment

Immediate:

[ ] Debrief with partner: anything forgotten or misstated?
[ ] Note any follow-up questions assessor asked
[ ] Relax — you did your best

Next 2–4 Weeks:

[ ] Gutachten (assessment report) arrives from MD
[ ] Read carefully — note any inaccuracies
[ ] Pflegekasse sends Bescheid (decision letter)

If Approved for Pflegegrad 3:

[ ] Celebrate
[ ] Schedule therapy hours, respite care, buddy services
[ ] Confirm start dates

If Not Approved or Lower Pflegegrad:

[ ] Review gutachten for errors or misrepresentations
[ ] File Widerspruch (appeal) within 1 month
[ ] Request copy of full assessment documentation
[ ] Consider getting additional supporting letters from therapists/doctors
[ ] We’ll strategize next steps together

Emergency Contact (Day-Of)

If something goes wrong (assessor doesn’t show, Ellis has major meltdown before arrival, etc.): - Pflegekasse contact: [Your insurance contact info] - Backup plan: Reschedule if necessary (don’t force it if conditions are terrible)

Final Reminders

You’ve got this.

You know Ellis better than anyone. You’ve documented his needs thoroughly. You’re not asking for special treatment — you’re asking for the support he’s entitled to under the law.

Be confident. Be clear. Be consistent.

The assessor’s job is to determine if Ellis meets the criteria. Your job is to show them the reality of his daily life. You’ve prepared well.

Good luck on March 10.

Updated: 2026-03-02