Nursing assistant – private household Main task of the profession

Nursing assistants in a private household support, look after or look after people who need help because of a disability, illness or their age.

tasks and activities

Home-based caregivers provide life-saving help and light nursing activities so that people in need can stay in their familiar home environment.

Their work is not only practiced in close consultation with family members, doctors and nurses, but they are also active on behalf of the people in need of care themselves. They do, for example, Purchases and administrative procedures, drive the carers to the doctor or to the doctor or go for a walk with them. In addition, they help with tidying up, with the daily body care or possibly when using the toilet. They assist people in need of food intake, cover the beds and are listeners or contact persons for all sorts of things. As assistants and assistants for people with disabilities, they help to balance existing physical limitations according to their instructions or their individual needs whose self-determined lifestyle is maintained.

Work / business sectors

They work predominantly in private households. In addition, outpatient social services offer further employment opportunities.

Industries in detail

• households

• Households with domestic staff

In addition, there are job opportunities in the following areas / sectors:

• Welfare

• Outpatient social services

working conditions

Nursing assistants in a private household carry out their activities in the home environment of the people in need of care and assistance. On walks, shopping and errands, they are occasionally out in the open. Assistive care for people with disabilities may also be travel assistance or holiday support.

Some activities, such as the Umbett Bettlägeriger, are sometimes associated with a high physical effort.

Because they are often in direct physical contact with the people in need of care, they are confronted with body exudates, wounds and blood as well as corresponding odors. To protect against infections, they follow the work instructions and may wear protective clothing. When handling disinfectants and skin care products protect gloves against skin irritation and allergies. In addition to the physical strain, nursing assistants in a private household are also exposed to mental stress, e.g. when they accompany the dying.

Nursing assistants in a private household carry out all activities very carefully, in order to ensure an optimal care of the person to be cared for. Some of the people in need of care are very lonely,

others no longer have the courage to live. Here empathy is needed above all. In particular, in dealing with dementia patients need to be patient. A sense of responsibility is just as necessary in this profession as the ability to keep the balance between compassion and professional detachment.

As working time is often tied to the needs of the person to be cared for, nursing assistants in a private household are often expected to have great flexibility of time.

Working conditions in detail

Work in walking and standing

Handicraft (for example helping people in need of daily grooming or feeding)

heavy lifting and carrying (eg resettlement of patients)

Handling chemicals (e.g., disinfectants)

infection risk

Wearing protective clothing, equipment (eg gloves)

close physical contact with people (for example, assisting with personal hygiene)

emotionally stressful situations and activities (for example accompanying the dying)

Dealing with old people

Dealing with body odor, excreta (for example, accompanying people in need of toilet visits) Dealing with sick and injured people (including people with dementia and people with disabilities) Responsibility for persons

Income / income

The following information should serve as a guide and give an impression of the range of income. Claims can not be derived from them.

The income is substantially dependent on the respective requirements. In addition, work experience and accountability are usually taken into account.

In addition to a basic remuneration, additional allowances and special payments such as 13th monthly salary, holiday pay and capital contributions are paid in part. There are regional and industry-dependent differences in income.

Tariff collection of the Bavarian Ministry of Labor and Social Affairs, Family and Women

Access to the activity

Training is not required. Nursing assistants in a private household are usually admitted at the workplace.

A completed vocational training, for example as a health and nursing assistant, can be an advantage, but it is not absolutely necessary.

Immediate employment and occupation alternatives

In the following, occupations or activities are mentioned which have similarities with the initial occupation. These occupations are a potential alternative for applicants. In addition, employers may consider employing these professions as alternatives to filling a job in the initial profession.

Some alternative occupations involve only part-activities of the initial occupation, others require a training period, which may vary in individual cases.

Job and occupation alternatives

for the whole activity (i.o .: short training):

• Helper / assistant for care

• Helper / assistant in geriatric care

• Helper / assistant in inpatient nursing

A list of all possible kinship levels can be found here:

Explanations of the individual kinship levels

Training at a glance

To stay updated

The occupational demands on nursing assistants in a private household are constantly changing. In the care sector, for example, Nursing models or approaches or the claim to quality assurance. Anyone who wants to keep up and contribute to securing his or her job needs to keep his specialist knowledge up-to-date, complemented and deepened by continuing education.

Attending courses and courses can help to stay up-to-date with the subject and thus be able to work on the market. The variety of topics is vast and ranges from communication in the care of hygiene in health care to terminal care.

Moving forward professionally

If you would like to progress professionally, there are various ways to improve your education and to obtain a degree:


Anyone who already has several years’ professional experience as a nursing assistant in a private household can complete various training courses in the area of nursing, possibly in abbreviated form, e.g. as a geriatric care assistant or as a geriatric nurse.

external audit

But even without regular training, it is possible to obtain a degree in a recognized training occupation in the care sector. Prerequisite for this is i.d.R. a multi-year professional experience. In preparation for an external exam, you can supplement and deepen theoretical knowledge and practical skills. On-the-job post-qualification measures, where individual modules are certified, also allow access to the external examination.

further education

In addition, nursing assistants in a private household with several years of relevant professional experience, even without a vocational qualification, have the option, e.g. to be admitted to further training as a specialist for elderly and nursing care or as a specialist caregiver.

Retrieve a school leaving certificate

In order to participate in many training and further education courses, certain qualifications are required. In seminars and courses, one can look forward to completing a school leaving certificate, such as Prepare secondary school or intermediate education.

An overview of the range of educational opportunities can be found in the KURSNET database.


The following list contains a selection of the most important skills and knowledge that may be relevant, depending on the field of activity.

• Activating care

• Behindertentransport

• Assisted living

• Ironing

• disinfection

• leisure activities

• Garden, green area maintenance

• Prepare and serve drinks

• Basic Care

• Utility

• ambulance

• food, prepare meals

• Nursing assistance (elderly, sick, disabled care)

• Clean

• Rescue, first aid

• Create associations

• Laundry and clothing care

• To wash

Specialist magazine for home economics.

Selection of books / media available in the book trade

• Family care. Understand and educate Heike Kreß Handwerk und Technik 2004

• Home care system Ingeborg Sauer Handwerk und Technik 2009

• Guidelines for Home Care Ariane Herrmann (ed.), Heike Palte (ed.) Urban & Fischer in Elsevier 2008

• Nursing Aid – Questions and Answers for Examination and Practice Kay Röpke Schlütersche 2009

• Sales talks in the care – Convince with your services Mona Schöffler Schlütersche