Kukwaniritsa Mipando Yanu Yanyumba Za Okalamba Ndi Ma Wheels Regimen

Njinga ya olumala iyenera kukhala yofunikira pazachipatala, yosinthidwa ndikupangidwa kuti ikwaniritse zosowa za munthu wokhalamo, ndipo cholinga chake ndi kugwiritsidwa ntchito mokhazikika kwa wokhalamo. Kuphatikizika kwa magetsi otsamira magetsi ndi mpando wakutsamira (kugona pansi), wokhalamo ayenera kuwonetsa kufunikira kokhala pamalo ogona kawiri kapena kupitilira pa tsiku pamene wokhalamo sangathe kusuntha pakati pa bedi ndi chikuku popanda kuthandizidwa ndi / kapena ali pachiwopsezo chovulala pakhungu chifukwa cholephera kusintha malo pampando kuti athetse kupanikizika kwa madera.

Njanji za bedi zingagwiritsidwe ntchito kuwongolera kuyenda kwa okhalamo powathandiza kuyendayenda pabedi, kukhala kapena kudzuka pabedi. Ma alarm a pabedi ndi pakhomo amatha kupereka ufulu kwa munthu yemwe ali ndi vuto la dementia pomwe akukuchenjezani za kufunikira kwawo thandizo. Kugwiritsa ntchito zinthu zosiyanasiyana kuti munthu azichita nawo nthawi zina kumatha kulepheretsa makhalidwe ena monga nkhawa, kulimbana mochenjera, ndi kuyendayenda.

Udindo wosamalira ena monga osamalira ndi achibale ndi athu chifukwa timawaganizira. Izi sizikutanthauza zolinga zabwino zokha, koma kumvetsetsa kosalekeza za kuopsa ndi ubwino wa momwe timaperekera chisamaliro, kuphatikizapo filosofi yathu ndi kugwiritsa ntchito mankhwala kwa odwala athu ndi okondedwa athu.

Mphothoyo idzakhala chisamaliro chabwinoko komanso choyenera chaumoyo kwa anthu okhala m'nyumba yosungirako anthu okalamba, omwe sangapewe zovuta ndi zotsatira zovulaza za ziletso zosafunikira zakuthupi. Kuteteza anthu okhala m'nyumba zosungirako okalamba ndichinthu chofunikira kwambiri kwa mabanja ndi akatswiri azachipatala.

Nyumba zamagulu, zipatala, nyumba zosungirako okalamba, ndi malo ena apadera amapereka chithandizo chachizolowezi usiku ndi mwadzidzidzi, zomwe zimalola osamalira anu kulandira chithandizo usana ndi usiku. Thandizo lingaperekedwe m'nyumba mwanu, chisamaliro cha masana kapena malo ogona, kapena ndi anamwino ogona. Pomaliza, chisamaliro chosakhalitsa chingatanthauze kugwiritsa ntchito mapulogalamu akunja kwa nyumba, monga malo ochitira masiku achikulire, makampu amasiku ano, kapena nyumba zosungirako okalamba, kuti akupatseni inu ndi okondedwa anu chisamaliro chomwe mukuchifuna.

Kapena, chisamaliro chokhalitsa chingatanthauze kupeza anthu odzipereka kapena osamalira olipidwa kuti apereke chithandizo chapakhomo kwa wokondedwa wanu, nthawi ndi nthawi kapena mokhazikika. Njira yosamalidwa yodziwika bwinoyi imalola wokondedwa wanu kukhala m'nyumba mwake pomwe akupitilizabe kulandira chithandizo ndipo itha kukhala yofunikira kwa inu ngati wosamalira wamkulu. Othandizira pawekha atha kuthandiza ndi luso la moyo watsiku ndi tsiku monga kusamba, kuvala, kapena kudyetsa. Ngakhale opereka odziyimira pawokha amakhala otsika mtengo, kugwiritsa ntchito mabungwe osamalira kunyumba ndi ntchito zotumizira anthu kumakhala kosavuta.

ADA imafuna kupeza chithandizo chamankhwala ndi malo omwe amaperekedwa. Malamulowa amafuna kuti azaumoyo azipereka chithandizo chawo. Buku lothandizira zaukadauloli limapereka chitsogozo kwa opereka chithandizo chamankhwala pazofunikira zachipatala za ADA kwa anthu olumala oyenda, zomwe zimaphatikizapo, mwachitsanzo, omwe amagwiritsa ntchito zikuku, ma scooters, zoyenda, ndodo, kapena opanda zida zoyenda. Ngakhale kuti kafukufuku adalemba zovuta zomwe anthu okhala m'mabungwewa amakumana nazo, ndi ochepa chabe omwe adawona udindo wa mipando ya olumala ngati zinthu zomwe zingatheke komanso zolepheretsa kuyenda ndi kutenga nawo mbali zomwe amasewera m'miyoyo yawo.

Chifukwa cha mphamvu zamphamvu pakati pa anthu okhalamo ndi ogwira ntchito, kufalikira kwa anthu olumala m'malo osungira okalamba komanso kuthekera kogwiritsa ntchito molakwika, tatsiriza kafukufuku wamtundu wa anthu kuti timvetse bwino za moyo wa anthu omwe amagwiritsa ntchito njinga za olumala m'makonzedwe awa. Makamaka, tidafuna kusanthula mozama momwe anthu okhala, mabanja ndi ogwira ntchito m'malo okhalamo amagwiritsira ntchito zikuku. Tidafunsa anthu asanu ogwira ntchito pamalo aliwonse (awiri azachipatala, ma physiotherapists awiri, othandizira awiri ogwira ntchito, anamwino awiri, madotolo awiri / othandizira othandizira). Pafupifupi, anali ndi zaka 17 (kuyambira zaka 2 mpaka 30) m'magawo osiyanasiyana komanso zaka 8 zokumana nazo m'mabungwe omwe analipo (kuyambira miyezi 6 mpaka 20).

Ngakhale woyang'anira nyumba yosungira anthu okalamba kapena munthu wololedwa ndi boma kupereka chithandizo chamankhwala kapena chithandizo kwa munthu aliyense sangapiteko kapena kutenga nawo mbali pa kafukufuku woyesera kapena chithandizo cha munthu wokhalamo, kuphatikizapo kafukufuku wamtsogolo, popanda chilolezo cholembedwa ndi akuluakulu. Mphamvu. Wokhalamo ayenera kuwonetseredwa kuti akulemekezedwa ndi kusungidwa kwachinsinsi mu pulogalamu yake yachipatala komanso yaumwini. Wokhalayo ayenera kukhala ndi ufulu woyang'anira chipinda cham'chipindacho movomerezeka pogwiritsa ntchito zida zamagetsi zoyikidwa m'chipindacho molingana ndi Lamulo la Authorised Electronic Monitoring in Long Term Care Facilities.

Chidziwitsocho chimaphatikizapo fomu yolengeza yomwe ingagwiritsidwe ntchito ndi wokhalamo kuti adziwe omwe angakhale othandizira azaumoyo kapena bungwe kuti alembe kulephera kapena kukana kulengeza koteroko. Kukana kwa wokhalamo kumatulutsa kapangidwe kake ku udindo wopereka chithandizo. Komabe, ngati wokhalamo akufunika chisamaliro mwachangu, ziletso zosakhalitsa zopezera chithandizo chamankhwala zingagwiritsidwe ntchito, pokhapokha ngati bungwe lawona kuti wokhalamoyo anakana mwalamulo chithandizocho.

Malo ayeneranso kukhala ndi malangizo okhazikika ochokera kwa dokotala kuti agwiritse ntchito njira iliyonse yodziletsa, ndipo munthuyo, womuyang'anira kapena loya wake wachipatala ayenera kudziwa za kuopsa kotsutsana ndi ubwino wogwiritsa ntchito zoletsa, ndipo apereka chilolezo kutero. ... Kuti nyumba yosungiramo anthu okalamba igwiritse ntchito zoletsa, ogwira ntchito ayenera kuyesa kugwiritsa ntchito njira zochepetsera koma osapambana, ndipo zoyesayesazi ziyenera kulembedwa momveka bwino. Kuyesetsa kukuchitika m’dziko lonselo pofuna kuchepetsa kugwiritsa ntchito zoletsa m’nyumba zosungira anthu okalamba, ndipo akatswiri a zaumoyo akuyesetsa kufunafuna njira zina zotetezera okhalamo.

Ogwira ntchito zachipatala apempha Dipatimenti ya Zaumoyo ku Minnesota kuti ithandize kuphunzitsa anthu okhalamo ndi mabanja awo za kuopsa kwa kudziletsa kwakuthupi ndi njira zina zotetezera. Zomwe zapezazi, limodzi ndi kuwonjezereka kwa moyo wabwino m'nyumba zosungira anthu okalamba, zapangitsa kuti tiganizirenso za mchitidwe wakale wodziletsa. Osamalira komanso mabanja ankagwiritsa ntchito zipangizozi poganiza kuti zikuthandiza okondedwa awo.

Chifukwa cha zopinga, anthu olumala sangalandire chithandizo chodzitetezera mwachizolowezi kusiyana ndi anthu omwe si olumala. Kuphatikiza apo, nyumba zonse, kuphatikiza zomwe zidamangidwa tsiku lomaliza la ADA lisanafike, liyenera kutsata zofunikira zopanda malire pazomanga zomwe zilipo. Gawo lachitatu limafuna kuchotsedwa kwa zotchinga zamamangidwe zosavuta kupeza kuchokera kuzinthu zomwe zilipo kale.

Ngati kuchotsa chotchingacho sikutheka mosavuta, bungwe liyenera kupereka ntchito zake kudzera m'njira zina, ngati njira zoterezo zikutheka. ADA imakhazikitsa zofunikira pakumanga kwatsopano ndikusintha kwanyumba ndi zomanga, kuphatikiza zamankhwala. Medicare sichiphimba CPWC kwa okhala SNF. Ma Wheelchairs a Personalized Powered Powered (CPWC) ndi phindu kwa mamembala a STAR PLUS / Medicare-Medicaid Plan (MMP) omwe amakhala mu Medicaid Registered Medical Facility (NF) pamene CPWC ikufunika kuchipatala komanso ndi chivomerezo choyambirira kuchokera ku Health and Social Commission. Ntchito za Texas (HHSC) kapena nthumwi yake.