Key Duties of §43b and §53b Nursing Care Assistants

The care sector in Germany continues to grow rapidly, and with it the demand for well-trained care and support assistants. Among the most essential roles in modern long-term care are professionals certified according to 43b and 53b regulations. Their work focuses on providing emotional support, daily life assistance, and meaningful activities for residents in care facilities.

In this article, we explore the Key Duties of 43b and 53b Nursing Care Assistants, the skills required, and how these professionals enrich the quality of life for elderly and cognitively impaired individuals. We also introduce the upcoming training course at TSA Bildungsakademie Berlin, beginning February 9, 2026.

Understanding the Role of 43b and 53b Nursing Care Assistants

Before diving into the Key Duties of 43b and 53b, it's important to understand who these professionals are. Care and support assistants trained under these regulations specialize in everyday support, social engagement, and activation. They are not nurses, nor do they perform medical procedures. Instead, they create a safe, structured, and emotionally supportive environment for seniors, especially those living with dementia, mobility limitations, or cognitive challenges.

These assistants are employed in nursing homes, day-care centers, assisted living facilities, and ambulatory care services. Their focus on emotional well-being and daily structure makes them an essential part of a holistic care team.

Why 43b and 53b Roles Are Important in Today’s Care Sector

As life expectancy increases and more individuals require long-term care, the need for professionals trained in person-centered support grows. The Key Duties of 43b and 53b care assistants help close the gap between medical care and emotional well-being.

They reduce stress for nursing staff, support daily routines, and ensure that residents remain socially engaged and mentally stimulated. This balanced approach to care significantly improves overall quality of life - a central goal in modern elder care.

Primary Duties of 43b and 53b Nursing Care Assistants

1. Emotional and Social Support

A core element within the Key Duties of 43b and 53b is emotional support. Many residents in care homes struggle with loneliness, confusion, or fear due to cognitive or physical limitations. Care assistants help by:

• Building trusting relationships
• Offering companionship through conversations, games, or shared activities
• Providing comfort during emotional distress
• Supporting residents with dementia through gentle communication strategies

This consistent presence fosters a sense of safety and belonging.

2. Daily Life Assistance

Daily life assistance forms another major part of the Key Duties of 43b and 53b Nursing Care Assistants. While they do not perform medical tasks, they help residents manage their everyday routines by:

• Accompanying them during walks inside or outside the facility
• Assisting with structured daily timetables
• Encouraging independence whenever possible
• Supporting residents at mealtimes, without providing medical feeding

This guidance helps residents feel more grounded and confident.

3. Planning and Leading Activation Activities

Activation and cognitive stimulation are essential elements of resident well-being. Care assistants design and lead activities that promote mental, emotional, and social health.

Examples include:

• Memory exercises
• Music and rhythm sessions
• Arts and crafts
• Gardening projects
• Seasonal celebrations
• Gentle movement and relaxation exercises
• Board games and creative workshops

These activities support cognitive function, reduce anxiety, and encourage meaningful participation.

4. Mobility Support

Another key duty is supporting residents in safe mobility. While care assistants do not perform professional physiotherapy, they can:

• Motivate residents to move regularly
• Accompany them on walks
• Support simple movement exercises recommended by the care team

This type of support helps prevent isolation and promotes physical well-being.

5. Documentation and Communication

Every activity, change in behavior, or observation must be documented and communicated clearly. Proper documentation ensures:

• Transparent communication with nurses and therapists
• Accurate assessment of resident needs
• Compliance with facility guidelines

Effective communication and teamwork are essential parts of the Key Duties of 43b and 53b professionals.

6. Collaboration With the Multidisciplinary Care Team

Care assistants regularly collaborate with:

• Nurses
• Therapists
• Social workers
• Facility managers

They share observations, coordinate activities, and ensure that the care plan aligns with each resident’s abilities and needs.

What 43b and 53b Assistants Do Not Do

To maintain safety and clear role boundaries, care assistants:

• Do not administer medication
• Do not perform wound care
• Do not provide medical or nursing procedures
• Do not conduct physiotherapy

These tasks remain the responsibility of qualified nursing staff. Understanding this distinction helps ensure safe, well-coordinated care.

Skills and Training Required

To perform the Key Duties of 43b and 53b effectively, assistants receive specialized training that typically includes:

• Around 160 hours of theory
• Practical training in a care facility
• Annual refresher courses

Training focuses on:

• Understanding dementia
• Communication techniques
• De-escalation and conflict management
• Activity planning
• Documentation methods
• Promoting mobility and independence

These skills prepare care assistants to work confidently in a variety of care environments.

Why Train With TSA Bildungsakademie Berlin?

For those seeking nursing assistant training in Berlin, TSA Bildungsakademie Berlin is one of the leading educational institutions specializing in activation and care support training.

What makes us unique?

• Practical, hands-on learning
• Highly experienced instructors
• Modern training environment
• Support with internship placement
• Preparation for real-world care environments
• Guidance on job opportunities after graduation

Our graduates are highly sought after in Berlin’s expanding care sector.

Upcoming Course: Care and Support Assistants According to 43b and 53b

Start Date: February 9, 2026

This program is designed for individuals who are compassionate, patient, and eager to make a meaningful difference in the lives of seniors. Students will learn all theoretical foundations, participate in practical training, and graduate with a recognized qualification.

Early registration is recommended due to high demand.

Conclusion

The Key Duties of 43b and 53b Nursing Care Assistants play a vital role in today’s care landscape. Through emotional support, daily life guidance, activation activities, documentation, and teamwork, these professionals significantly improve the well-being and independence of residents in long-term care settings.

As the need for skilled care assistants continues to rise across Germany, this qualification provides excellent career opportunities, especially for those seeking meaningful, people-centered work.

If you are ready to begin a fulfilling career in care, we invite you to join our upcoming training course starting February 9, 2026, at TSA Bildungsakademie Berlin.