He alakaʻi piha i nā ʻano lako hale kahu hānai no ke kūʻai ʻana

ʻAʻole nānā wale ka loiloi i nā kumuwaiwai i hoʻolilo ʻia, akā i ka ʻoluʻolu o nā kamaʻāina (e like me ke ʻano o ka palekana, ka leʻaleʻa o ka ʻai ʻana); mālama ola kino (no ka laʻana, ka hoʻolālā ʻana i ke olakino o kēlā me kēia kamaʻāina); e hahai i ka lāʻau lapaʻau i kauoha ʻia e kāu kauka, ka lāʻau lapaʻau, a me nā papa ʻai; ka maikaʻi o ka nohona (e like me ka maʻemaʻe o nā lumi); kūlana lumi; a me ka ʻai ʻana (no ka laʻana, inā hāʻawi ka meaʻai i nā pono meaʻai kumu a inā makemake nā kamaʻāina i ka meaʻai). Hōʻike ka hoʻohālikelike ʻana i ka hoʻokaʻawale ʻana i nā hale () he ʻoi aku ka nui o nā kumukūʻai o nā hale kiʻekiʻe no ka mālama ʻana i nā mea maʻi e like me ka meaʻai, nā kahu hānai, nā mea kōkua, nā lāʻau lapaʻau a me ka hoʻoponopono hou ʻana, ka hoʻomaʻemaʻe, ka holoi lole a me nā moe. o nā hale kahu hānai ʻo Ohio Medicaid kiʻekiʻe a haʻahaʻa.

Ma keʻano laulā, ua manaʻoʻia inā he hale hānai a mālamaʻia e kahi hui kūʻokoʻa a iʻole ka waiwai waiwaiʻole,ʻaʻole ia e pili wale i ke kumukūʻai a me ka maikaʻi o ka mālamaʻana, akā, inā paha he mea kūpono aʻaʻole paha. ĪnAwaao ānahaka. Āʻ. ʻO kahi hale kahu hānai paha ka koho kūpono no ka poʻe nona nā pono olakino e pono ai ka mālama mau a me ke komo ʻana i nā lawelawe i manaʻo ʻia e like me ka haukapila ma mua o ka home. ʻO kahi hale kahu hānai paha ka koho maikaʻi loa no ka poʻe e pono ai ka mālama olakino a me ka nānā ʻana 24/7. Hāʻawi nā hale kahu hānai i ka mālama 24/7 no ka poʻe ʻelemakule i loaʻa i nā kūlana olakino paʻakikī a pono i ka mālama pono a me ka nānā ʻana.

Hāʻawi kekahi mau hale hānai i nā lawelawe hospice, e hāʻawi ana i ka mālama palliative no ka poʻe ʻelemakule e kokoke ana i ka hopena o ko lākou ola. Eia nō naʻe, inā ʻoi aku ka liʻiliʻi o nā pono o ka ʻelemakule, e like me ke kōkua ʻana me ADL, e like me ka ʻauʻau ʻana, ka ʻaʻahu ʻana, a i ʻole ka hele ʻana i ka lua, a i ʻole inā makemake ka ʻelemakule i ka mālama maʻalahi e like me ka hoʻomaʻamaʻa kino a me ka lāʻau lapaʻau, hiki i kahi hale hānai ke hana. kaohi. ... ŌhoʻokHawai ʻu mihele. Hāʻawi kekahi mau kaiāulu i ka mālama ola ʻana ma o ka ʻaelike ʻana me nā hui kahu hānai mākaukau a i ʻole ka hāʻawi ʻana i nā hale hānai no nā kamaʻāina e loli ana nā pono kākoʻo. Hāʻawi nā Serviced Homes i nā haʻawina a me nā manawa hoʻonaʻauao no ka poʻe ʻelemakule i hiki ʻole i ka mālama home ke hāʻawi, me ka hoʻomaʻamaʻa kiʻi a me ka hana hana, nā papa kuke, nā pāʻani noʻonoʻo a me nā mea hou aku.

ʻOiai ke hāʻawi nei ka mālama home i ka mālama pilikino i hoʻohālikelike ʻia i nā pono o kēlā me kēia kanaka, ʻoi aku ka maikaʻi o ka poʻe ʻelemakule e noho ana me ka mālama ʻana mai nā ʻano papahana kaiaulu a me nā hele ʻana i ke kaiāulu hoa. Hāʻawi nā kikowaena i kahi wahi palekana no ka poʻe ʻelemakule e hoʻolimalima manawa me nā hoaaloha, mālama pilikino a me nā lawelawe kōkua me nā ADL e like me ka mea e pono ai, a me nā hana leʻaleʻa i hoʻolālā ʻia e hoʻokomo i nā mea komo. Hāʻawi kēia mau kikowaena i nā lawelawe mālama lā no ka poʻe ʻelemakule e pono e hana ma waho o ka home, nā poʻe ʻelemakule e kaʻawale a makemake e launa pū, a me nā mea ʻē aʻe. Inā makemake ka ʻelemakule i ka lāʻau lapaʻau a i ʻole kekahi mākaʻikaʻi a me ka launa pū ʻana, aia nā limahana mālama manawaleʻa hiki ke hāʻawi i ka pae o ka mālama e pono ai lākou.

Aia nā ʻano like ʻole o ka mālama wā lōʻihi e kūpono i ka poʻe ʻelemakule me nā pono mālama like ʻole. Hāʻawi nā mea hoʻolako pilikia i nā ʻano lawelawe i hiki ke hoʻokō ʻia e like me nā pono o kēlā me kēia mea kūʻai. ʻOiai hiki ke hāʻawi aku nā ʻano o ka mālama ʻelemakule i nā lawelawe mālama ʻelemakule like, aia kekahi mau ʻokoʻa koʻikoʻi e pono e ʻike. Nā lawelawe mālama hoʻomanaʻo home Nursing Homes Nā lawelawe mālama mālama ola ponoʻī xxxx Nā lawelawe hoʻomaʻemaʻe a me ka holoi lole xxxx Nā hana kaiapuni xxxx Nā papa haʻahaʻa a me ka maikaʻi xxxx Nā lāʻau lapaʻau xxx Kōkua me nā hana o kēlā me kēia lā (ADL) xxx mālama kūikawā no nā maʻi me ka poho hoʻomanaʻo xx kōkua 24-hola a kiaʻi xx Komo palekana a puka i waho no ka pale ʻana i ka hele ʻana xx ʻO ka lawe ʻana i nā koho xxx ʻO ka hoʻomaʻamaʻa hoʻomanaʻo hoʻonui no ka mālama ʻana i ka ʻelemakule.

No nā kumu o kēia hāʻawi, ʻo ke keʻena kūikawā ʻo ia ka hoʻokaʻawale ʻana i kahi hale kahu hānai kahi e noho ai nā kamaʻāina me ka pono maʻamau no ka mālama kūikawā, e komo pū ana akā ʻaʻole i kaupalena ʻia i ka mālama dementia, hospices, a i ʻole nā ​​keʻena olakino noʻonoʻo. Na ka hale kahu hānai e hoʻolako i nā lawelawe e hoʻokō i nā pono kikoʻī o kēlā me kēia kamaʻāina i ʻike ʻia ma o kēia loiloi komo a hiki i ka hoʻolālā ʻana o ka mālama mālama i koi ʻia e ka Rula 3701-17-14 o ke Code Administrative. E kau ʻia kēia hoʻoholo ma luna o nā kūlana kino, nā limahana mālama home a me nā lawelawe, a me ka mālama ʻana e koi ʻia e nā kamaʻāina e loaʻa a mālama paha i kahi hale hānai, a me kahi hana i ʻae ʻia e ka 'Oihana Kalepa.

Wahi a ka National Center for Long-Term Care Ombudsman, pono e laikini pono ʻia nā hale kahu hānai e like me ka mea i koi ʻia e ko lākou mokuʻāina a kau ʻia i ka nānā ʻana a me nā loiloi e hōʻoia i ka hoʻokō ʻana i nā koi. ʻO ke Keʻena ʻOihana Ola a me ka ʻelemakule, ka ʻāpana hoʻoponopono no ka mālama lōʻihi, ke kuleana no ka nānā ʻana a me ka hāʻawi ʻana i nā laikini aupuni no nā hale mālama noho (RCF a me RCF *), nā hale hānai (ALF a me ALF **), a me nā hale mālama interim (ICF) . ), a me nā keʻena kahu hānai akamai (SNF). No ka ʻike hou aku e pili ana i ka laikini ICF / IID, e kipa i ka pūnaewele DMH.

Hoʻokumu ʻia kāu hoʻolālā olakino ma kāu ʻike olakino a pono e loiloi ʻia i loko o nā lā 14 mua a ma kahi liʻiliʻi i kēlā me kēia 90 mau lā ma hope. Ma kona ʻano ākea, koi ia i kēlā me kēia kamaʻāina kahu hānai e loaʻa i nā lawelawe āpau e pono ai lākou e hana ma ka pae kiʻekiʻe. He kuleana ko ke kama'āina i ka pilikino e pili ana i nā ʻano a pau o ka mālama ʻana, me ke kōkua ʻana i nā pono pilikino, ke kipa ʻana i ka ʻohana a me nā hoaaloha, a me ke kamaʻilio ʻana me nā poʻe ʻē aʻe ma ke kelepona a me ka leka uila.

ʻOiai he nui nā kuleana o ka poʻe kahu hānai e like me nā mea ʻē aʻe, ʻo ka hui pū ʻana o nā kūlana hoʻonaʻauao a me nā hemahema e hoʻokau mua i ke kanaka i loko o kahi ʻoihana e hopena pinepine i ka nalowale o ka hanohano a me ka mālama pono ʻole. Pono kēia mau mea ʻelua no ka poʻe ʻelemakule i ke kaʻina ola o ka poʻe ʻelemakule, a ʻike paha ʻoe e pono ana ʻoe a i ʻole kāu mea aloha i kahi noho pōkole i loko o kahi hale hānai e hoʻōla ai mai ka haukapila ma mua o ka hoʻi ʻana i nā ʻelemakule. E noʻonoʻo e hoʻolimalima i kahi kahu home a i ʻole kōkua mālama home e mālama i kāu mea aloha i kēlā me kēia manawa, a i ʻole e noiʻi i nā hale noho e like me nā lawelawe mālama kiʻekiʻe e hāʻawi i nā lawelawe e kūpono ana i nā pono o kāu poʻe aloha.

Eia nō naʻe, inā ʻike ʻoe e pono ana ʻoe i ke kōkua mau a paʻakikī paha kou mau ʻohana ʻelemakule e mālama, pono paha ʻoe e hoʻololi i kahi hoʻomaha hoʻomaha. Hāʻawi i ke kōkua kūloko no ka poʻe ʻelemakule He mea nui ka ʻae ʻana i ka poʻe ʻelemakule e noho kūʻokoʻa e like me ka hiki no ka mea ua manaʻo lākou i ka lawa ʻana iā lākou iho a no ka mea ʻoi aku ka maikaʻi o ke kumu kūʻai. I mea e hoʻoikaika ai i ke ola kūʻokoʻa, pono maʻamau ke kūʻai ʻana i nā mea lapaʻau paʻa a me ka hoʻoponopono hou ʻana i ka hale e hoʻokipa ai i nā mea lapaʻau kahiko a me nā hoʻomaʻamaʻa. ʻO nā lako olakino lōʻihi ʻO nā lāʻau lapaʻau lōʻihi, i kapa ʻia ʻo DME a i ʻole nā ​​mea lapaʻau home, e pili ana i nā lāʻau lapaʻau paʻa, hiki ke hoʻohana hou ʻia e hiki ke kōkua i ka poʻe e hana kūʻokoʻa a mālama i nā hana o kēlā me kēia lā i ko lākou ola i kēlā me kēia lā.