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Writing German care reports: the Pflegebericht and the Aufnahmebericht

Two different documents get muddled constantly, and the confusion costs marks.

• The Pflegebericht is what you write on shift: a dated entry recording what you observed, what you did, how the patient responded, and what the next shift must watch.
• The Aufnahmebericht (or Biografiebericht) is what the Deutsch B1·B2 Pflege exam actually asks you to write: a connected prose report built from a filled-in Anamnesebogen or a set of biographical notes, 120–170 words, in 30 minutes.

You need both. The exam marks the second one; the ward judges you on the first. They share a grammar and a discipline, which is why this guide covers them together.

Start with the purpose

A care report is a legal document and a handover in one. Another professional, who was not there, must be able to read your entry and know what happened, what you did, and what to watch. Everything below follows from that.

• Write what you observed, not what you assume. "Der Patient wirkt unruhig" is an observation. "Der Patient hat Angst" is a diagnosis you are not making.
• Be specific and time-stamped. "Viel getrunken" tells the next shift nothing. "Um 14:00 ca. 500 ml Tee getrunken" tells them everything.

The Pflegebericht: four blocks, in order

1. Situation / Beobachtung — what you found, with time and detail.
2. Maßnahmen — what you did, in order.
3. Reaktion — how the patient responded.
4. Weiteres Vorgehen — what happens next, who was informed, what to watch.

The fourth block is the one people drop under time pressure, and it is the one that most clearly marks a professional entry. Never end without it.

Tense and voice

• One past tense for what happened — pick Präteritum or Perfekt and stay consistent. Documentation commonly uses Präteritum: Die Patientin klagte über Schmerzen.
• Präsens for the current state: Die Wunde ist gerötet.
• Passive for the measure, when the actor is obvious: Der Verband wurde gewechselt. This is the natural voice of German care documentation, so it is worth drilling.
• Indirect speech for what the patient said: Der Patient gab an, dass er schlecht geschlafen habe. Konjunktiv I looks intimidating; in practice habe, sei and könne cover most entries.

Phrases that carry the whole text

Learn these as whole blocks, not as vocabulary. A phrase you can produce without assembling it is worth ten words you have to conjugate under exam pressure.

A worked Pflegebericht

14:20 — Bei der Nachmittagsrunde klagte Frau M. über Schmerzen im rechten Knie, Stärke 6 von 10 nach NRS. Sie gab an, dass die Schmerzen seit dem Mittagessen bestünden. Das Knie war leicht geschwollen und überwärmt.

Das Bein wurde hochgelagert und gekühlt. Nach ärztlicher Anordnung erhielt Frau M. um 14:35 die verordnete Bedarfsmedikation.

Um 15:15 gab sie die Schmerzstärke mit 3 von 10 an. Die Schwellung war unverändert.

Der diensthabende Arzt wurde um 14:30 informiert. Im Spätdienst ist auf Schwellung, Rötung und Mobilität zu achten; eine erneute Schmerzerfassung erfolgt um 18:00.

Notice what it does not do: it does not guess why the knee hurts, it does not call the patient "difficult", and it does not leave the next shift wondering what to do. Around 110 words, four blocks, no adjective carrying an opinion.

The exam task: turning a form into prose

In the written exam you choose one of two tasks and write about 120–170 words in 30 minutes.

Aufgabe A — Aufnahmebericht. You get an Anamnesebogen: a grid of ticks across communication, orientation, mobility, hygiene, nutrition, sleep, plus name, date of birth and diagnosis. Your job is to use all of it, in connected sentences, adding plausible detail where it helps. The single most common failure is a text that reads as a list of the rows in order.

What turns rows into prose is grouping and connecting. Take the mobility and hygiene rows together, name the level of help required, and use the vocabulary the form implies:

• Frau Müller benötigt eine Brille; ein Hörgerät wird vollständig übernommen.
• Sie ist zeitlich, örtlich und zur Person orientiert und kann ihre Wünsche selbst äußern.
• Beim Aufstehen und beim Gang zur Toilette benötigt sie Teilübernahme, bei der Körperpflege Anleitung.
• Aufgrund des entgleisten Diabetes mellitus Typ 2 ist auf die Blutzuckerkontrolle und die Ernährung besonders zu achten.

The register words are worth memorising exactly as the forms use them: Beaufsichtigung, Anleitung, Teilübernahme, vollständige Übernahme, Ressourcen, Hilfebedarf.

Aufgabe B — Biografiebericht. The same skill applied to a life: born where and when, family, schooling, working life, how they came into care, what matters to them now. Past tenses, dates in order, and the same rule about not editorialising.

It is marked on four criteria: Aufgabenbewältigung (did you cover the task), Kommunikative Gestaltung (does it read as a connected report), Korrektheit, and Wortschatz. Completeness beats elegance: leaving out three rows of the form costs more than an awkward sentence does.

The five mistakes that cost marks

1. Judgement words. schwierig, unkooperativ, faul. Replace with the behaviour you saw: lehnte die Mobilisation ab.
2. No times in a Pflegebericht. Without clock times it is a story, not documentation.
3. Dropping the last block — the handover instruction.
4. Mixing tenses mid-text. Choose one past tense on line one and hold it.
5. Missing the word count. In the exam, well under 120 words reads as an incomplete task, however correct the German.

Where this sits in the four courses

How to practise

Write one short report every second day for a month, and have each one corrected. Not read — corrected, with reasons. Repetition without feedback teaches you to make the same mistake faster. Alternate the two documents: a Pflegebericht from your own shift, then an Aufnahmebericht from a blank Anamnesebogen.

That feedback loop is why Pflegeling grades writing: you write the report, and corrections come back with explanations, a CEFR estimate for that task, and what to fix next, in your own language. Writing and speaking answers are sent to Google Gemini for that grading, so those two need a connection — everything else in the app works offline. See how it works.

Pflegeling dil eğitimi ve genel yönlendirme sunar. Hukuki ya da göçmenlik tavsiyesi değildir, tıbbi tavsiye de değildir. Koşullar eyaletten eyalete değişir ve zamanla güncellenir — dosyanıza bakacak Anerkennungsstelle'den mutlaka teyit alın. Hiçbir sınav kurumuyla bağlantılı değildir.

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