Kuyang'ana Pamipando Yapamwamba Yapanyumba Yodyerako Namwino Padziko Lonse

Tsopano akuyamba ntchito yomwe akufuna kwambiri: kuyesa kusintha nyumba yopuma pantchito, komwe angayike amayi ake, pamalo ngati a Leonard Center a Florence.

Nyumba zosungirako okalamba zinali malo okhalamo okhazikika kumene okalamba ndi olumala (makamaka osauka ndi okalamba olumala) akanatha kulandira chithandizo chamankhwala chofunikira ndi kulandira chakudya cha tsiku ndi tsiku.

Pofuna kuonjezera kutenga nawo mbali kwa anthu pazisankho za chithandizo ndi unamwino, amaloledwa kutenga nawo mbali pamisonkhano yamagulu osiyanasiyana ndikuchezera madokotala kumalo osungirako anthu okalamba [25]. Mu phunziro lomwelo, mamembala a m'banja adanenanso kuti ubwino wa banja umakhudzidwa kwambiri ndi ntchito, umunthu ndi mphamvu za mlangizi wodziwa ntchito, komanso kugwirizana pakati pa wobwereka ndi malo osamalira. Lingaliro ili lazindikiridwa ndi ogwira ntchito, omwe ali ndi nkhawa chifukwa cha kusowa kwa ogwira ntchito kuti apereke chithandizo chokwanira kwa anthu okhalamo [22, p. 17]. 9] Kapena kuti akufuna kumvetsera kwambiri wokhalamo aliyense [31, p. 2495]. Ena apeza kuti anthu okhalamo ndi mabanja amakhutira ndi nyumba za greenhouses kuposa nyumba zosungirako anthu okalamba. 8.12 David Grabowski, pulofesa wa ndondomeko ya zaumoyo ku Harvard Medical School, yemwe anali membala wa gulu lapamwamba la 2016, adanena kuti ulendo wake wopita ku greenhouse unamudabwitsa.

Chisamaliro cha nthawi yayitali n'chokwera mtengo ndipo anthu ambiri safuna kulowa m'nyumba yosungirako okalamba yomwe angakwanitse, yomwe nthawi zambiri imakhala ndi zipinda zamagulu, ma canteens afakitale, ndi antchito olefuka. Anthu ambiri sangathenso kukhala kunyumba, makamaka ngati akufunikira chisamaliro cha 24/7. Nyumba zosungirako anthu okalamba zitha kukhala "monga zipatala" ndipo ogwira ntchito amatha kulemedwa ndi kuchuluka kwa anthu omwe amawasamalira. M’malo ambiri osungira anthu okalamba, payenera kukhala antchito okwanira opereka chisamaliro choyenera kwa okhalamo.

Chifukwa nyumba zodziyimira pawokha ndi za okalamba omwe safuna thandizo pang'ono kapena sasowa chilichonse pa moyo wawo watsiku ndi tsiku, ambiri sapereka chithandizo chamankhwala kapena unamwino. Ngati mukufuna chithandizo cha maola 24 pakudya, kuvala ndi kugwiritsa ntchito chimbudzi, kapena ngati mukufuna chithandizo chamankhwala nthawi zonse, njira zina za nyumba, monga nyumba zosungirako anthu okalamba kapena nyumba zosungira anthu okalamba, zingakhale zabwino kwambiri. Mwachitsanzo, ngati anthu ayamba kufuna kuthandizidwa ndi zochita zawo za tsiku ndi tsiku, akhoza kuchoka kumalo odziimira okha kupita kumalo ogona okalamba kapena malo osungirako okalamba omwe ali m'dera lomwelo. Mapenshoni ndi nyumba zosungira anthu okalamba ndi mabungwe apadera omwe amapangidwa kuti azisamalira okalamba, ponse paŵiri nyumba ndi chisamaliro choyenera.

Malowa amapereka mautumiki osiyanasiyana, kuyambira pa moyo wodziyimira pawokha kupita ku chisamaliro cha okalamba m'dera lomwelo. Mabungwewa amapereka kuyang'anira kapena thandizo pazochitika za tsiku ndi tsiku (ADL); ALF ndi njira yosalekeza yosamalira okalamba kwa anthu omwe moyo wawo wodziyimira pawokha siwoyenera koma safuna chisamaliro cha 24/7 kunyumba yosungirako okalamba ndipo ali aang'ono kwambiri kuti azikhala m'nyumba yosungirako okalamba. Nyumba zosungirako anthu okalamba ndi ma ICF / IIDs amapereka chisamaliro kwa okalamba komanso / kapena okhala ndi matenda osatha omwe amawayika pachiwopsezo chachikulu chotenga zovuta zazikulu kuchokera ku COVID-19.

Monga tafotokozera mu Nursing Home Visit CMS QSO-20-39 (PDF), ngati malowa sanakhalepo ndi milandu ya COVID-19 m'masiku 14 apitawa ndipo chigawocho chili ndi zobiriwira (zobiriwira) kapena zapakati (zachikasu), namwino kunyumba kuyenera kutsogozedwa ndi kuyendera munthu payekha motsatira malamulo ofunikira ndi mfundo zopewera matenda a COVID-19. Ngakhale COVID-19 ikadali chiwopsezo ku Wisconsin, woyang'anira SNF, mogwirizana ndi Medical Director ndi / kapena Director of Nursing, atha kusankha kuti malowa atha kukhala ndi munthu wokhalamo ngati zinthu zina zitaganiziridwa.

Pankhani ya chisamaliro cha odwala, alendo amangokhala m'chipinda china chokha. Ngati n'kotheka, malo akhoza kukhazikitsa malo ochezera odzipereka (monga "zipinda zoyera") pafupi ndi khomo la malo osungiramo malo, kumene okhalamo amatha kukumana ndi alendo pamalo opuma mpweya wabwino, ngati n'kotheka. Malowa akuyenera kupha tizilombo toyambitsa matenda pakatha msonkhano uliwonse wa anthu okhala ndi alendo.

Anamwino amasintha pakati pa nyumba ndi wokhalamo aliyense amalandira pafupifupi ola limodzi la chisamaliro patsiku. Penshoni ndi nyumba zosungirako anthu okalamba nthawi zambiri zimayendetsedwa ndi akatswiri omwe ali ndi zilolezo, kuphatikiza anamwino, madotolo, ndi akatswiri ena azachipatala. Anthu okhala m’nyumba zosungira anthu okalamba angathe kulipira m’thumba powasamalira, ena ku United States angapeze Medicare kwa kanthaŵi kochepa, chithandizo chamankhwala chaboma chikhoza kupezeka m’maiko ena, ndipo ena angagwiritse ntchito mapulani a inshuwalansi a nthaŵi yaitali. Malo obwereketsa angaphatikizepo ntchito zapagulu monga mapologalamu achisangalalo, zamayendedwe, ndi chakudya m'chipinda chodyera wamba.

Nyumba zimasiyana mosiyanasiyana, kuchokera ku nyumba zogona mpaka za banja limodzi. M'malo mwake, nyumba zambiri za alendo ndi nyumba zopuma pantchito zidapangidwa kuti zizikhala anthu osakwana 6. Iye akulangiza kuti nyumba zosungira anthu okalamba ziyesetse kusunga kukula kwa nyumbayo kukhala yaying’ono, kukhala ndi poyatsira moto yokhala ndi chipinda chodyeramo, chipinda chochezera ndi khitchini, kukhala ndi zipinda zosiyana za anthu okhalamo, khomo lolowera m’nyumba iliyonse, ndi zimene zimalola odwala kugwira ntchito modzilamulira monga momwe angathere. . Nyumba yosungira okalamba iliyonse yomwe ikufuna kusinthika kukhala chinthu chofanana ndi Green Home iyenera kudziwa momwe unamwino waluso ndi chisamaliro zingaperekedwere m'njira zosiyanasiyana kuti asinthe malo awo, adatero.

Mipando yoyenera yapanyumba yosungiramo anthu okalamba imatha kupanga mawonekedwe omwe amakopa atsopano ndikusunga okhala m'malo osungira okalamba. Mipando yakwalu yoyenererana ndi anamwino imakhala ndi matabwa ofunda ambewu omwe ali okongola komanso okhazikika.

Zomangamangazo zinali zopanga Green House iliyonse yokhala ndi zipinda zogona komanso khitchini yayikulu, chipinda chodyera ndi chipinda chochezera chomwe chimakhala ngati likulu la moyo mnyumbamo. Sikuti aliyense amapita kuchipinda chodyera, ndipo ena amakonda kudyera m'zipinda zawo.

M'malo mwa kadzutsa pa 7 koloko, chakudya cham'mawa chimaperekedwa kuyambira 7am mpaka 10 am. Kudya katatu patsiku, ngakhale kokhazikika, kumaphatikizidwa ndi zakudya zazing'ono zingapo tsiku lonse, kutengera kukoma ndi kadyedwe ka anthu okhalamo.

Mwinamwake nyumba yanu ili ndi dimba lalikulu lomwe limafuna chisamaliro chosalekeza, kapena zingakhale zovuta kwambiri kuyeretsa zipinda zowonjezera zomwe sizimagwiritsidwa ntchito kawirikawiri. Kusamalira nyumba yanu kungakhale chinthu chonyadira kwa nthaŵi yaitali, koma kungakhalenso cholemetsa pamene mukukula.

Makhalidwe apadera a nyumba zosungirako anthu okalamba monga momwe timawadziwira - malo omwe okalamba ambiri ofooka amakhala m'malo otsekeredwa ndipo nthawi zambiri amagawana zipinda zogona, zimbudzi ndi zipinda zodyeramo - zawapangitsa kukhala nyama yosavuta ya kachilomboka, yomwe imachulukana kwambiri ndikulekanitsa mpweya. Zina mwa zinthu zomwe zimapanga chikhalidwe cha chikhalidwe cha anthu apakhomo ndi kuyanjana ndi maubwenzi ndi ogwira ntchito, okhalamo ena, mabanja ndi abwenzi, ziweto, ndi zochitika. Cooney [15, tsa. 192] adalongosola kuti otenga nawo mbali adalumikizana ndi lingaliro la "kukhala" ndi malingaliro akunyumba.

Popeza kuti nyumba zambiri zosungirako anthu okalamba zinalibe matenda kapena imfa, gululo linayang'ana kumalo osungirako okalamba omwe ali ndi matenda ochuluka kwambiri a 50% komanso chiwerengero cha anthu omwe amafa ndi 20% ndikuwerengeranso ziwerengerozo kuti ziwonetsedwe ngati milandu pazaka 100. okhala (100 okhalamo, aliyense amatsatira mkati mwa chaka chimodzi). Idzamanga pa kuyesa kwatsopano kuchokera kuzinthu zina ndipo idzavomereza anthu omwe ali ndi ndalama zosiyana komanso omwe sali akuluakulu omwe ali ndi zofooketsa monga ALS ndi MS.