Kutarisa paPasirose Yakanakisa Imba Yekudyira Imba Yekudyira

Iye zvino ari kutanga purojekiti yake ine nharo zvikuru: kuyedza kushandura imba yekurega basa, kwaaizotanga kuisa amai vake, munzvimbo yakafanana neLeonard Center yaFlorence.

Misha yevakoti yaiva nzvimbo yekugara yechigarire apo vakwegura nevakaremara (kunyanya varombo nevakwegura vakaremara) vaigona kugamuchira kurapwa kwakakodzera uye kugamuchira zvokudya zvezuva nezuva.

Kuti vawedzere kubatanidzwa kwevagari mukurapa uye sarudzo dzevakoti, vanobvumidzwa kutora chikamu mumisangano yemarudzi akasiyana uye ivo pachavo kushanyira vanachiremba mumisha inochengeterwa vakwegura [25]. Muchidzidzo chimwechete, nhengo dzemhuri dzakaratidzawo kuti hutano hwemhuri hunonyanya kukanganiswa nebasa, hunhu uye simba remuchengeti wenyanzvi, uye kukwana pakati pemuroja nenzvimbo yekuchengeta. Maonero aya akacherechedzwa nevarapi, vanonetsekana nekushaikwa kwevashandi kupa rubatsiro rwakakwana kuvagari [22, p. 17]. 9] Kana kuti ivo vanoda kubhadhara zvakanyanya kune mumwe nemumwe mugari [31, p. 2495]. Vamwe vakawana kuti vagari nemhuri vanogutsikana zvikuru nedzimba dzinochengeterwa vakwegura kupfuura misha inochengeterwa vakwegura. 8.12 David Grabowski, purofesa wehutano hwehutano paHarvard Medical School, uyo akanga ari nhengo yeboka repamusoro re2016, akati kushanya kwake kugreenhouse kwakamushamisa.

Kuchengeta kwenguva refu kunodhura uye vanhu vazhinji vanozeza kupinda mumusha unochengeterwa vakwegura wavanokwanisa kutenga, unowanzova nemakamuri anogara vanhu vose, maketeni efekitari, uye vashandi vakaremerwa. Vanhu vazhinji havagonewo kugara pamba, kunyanya kana vachida 24/7 kutarisirwa. Dzimba dzevakoti dzinogona kuita "sezvipatara" uye vashandi vanogona kuremerwa maererano nehuwandu hwevagari vavanotarisira. Munzvimbo dzakawanda dzinochengetwa vakwegura, panofanira kuva nevashandi vakakwana kuti vape tarisiro yakakwana kuvagari.

Nekuti dzimba dzakazvimiririra ndedzevakuru vane zvishoma kana kuti vasingadi rubatsiro muhupenyu hwavo hwezuva nezuva, vazhinji havape hutano kana vashandi vehukoti. Kana uchida rubatsiro rwemaawa 24 pakudya, kupfeka uye kushandisa chimbuzi, kana kuti uchida kurapwa kwenguva dzose, dzimwe nzvimbo dzokugara, dzakadai sedzimba dzinochengetwa vakwegura, dzingave dzakakodzera. Semuyenzaniso, kana vagari vakatanga kuda rubatsiro nemabasa avo ezuva nezuva, vanogona kubva pakugara vakazvimiririra kuenda kunzvimbo inorara vakoti kana nzvimbo inochengeterwa vakwegura munzvimbo imwe chete. Mudyandigere nemisha inochengeterwa vakwegura masangano akakosha akagadzirirwa kupa avo vanoda rubatsiro rwekuchengeta vakwegura, zvose pokugara uye kutarisirwa kwakakwana.

Zvivakwa izvi zvinopa huwandu hwakasiyana hwesevhisi, kubva pakugara wakazvimiririra kuenda kune yekuchengetwa kwemba yevakoti munzvimbo imwechete. Aya masangano anopa kutarisira kana rubatsiro nemabasa ezuva nezuva (ADL); ALF inzira inoenderera mberi yekuchengeta kune vachembera kune vanhu vasingakodzeri kurarama kwavo vakazvimiririra asi vasingade 24/7 yekuchengetwa kwevakoti uye vachiri vadiki kuti vagare mumusha unochengeterwa vakwegura. Dzimba dzevakoti uye ICF / IIDs dzinopa rubatsiro kune vanhu vakura uye / kana vagari vane chirwere chisingaperi chinovaisa panjodzi huru yekuva nezvinetso zvakakomba kubva kuCOVID-19.

Sezvakataurwa muNursing Imba Shanyira CMS QSO-20-39 (PDF), kana nzvimbo iyi isina nyaya dzeCCIDID-19 mumazuva gumi nemana apfuura uye dunhu rine zvakaderera (girinhi) kana zvine mwero (yero) zvakanaka, mukoti kumba kunofanirwa kufambiswa nekushanya kwemunhu zvinoenderana nemirairo yakakosha uye misimboti yekudzivirira kutapukira kweCOVID-19. Nepo COVID-19 ichiri kutyisidzira muWisconsin, maneja weSNF, mukubvunzana naMedical Director uye / kana Director weNursing, anogona kusarudza kuti nzvimbo iyi inogona kugamuchira mugari zvakachengeteka kana zvimwe zvinofungwa zvikatariswa.

Muzviitiko zvekutarisirwa kwevarwere, vashanyi vanozoganhurirwa kune imwe kamuri chete. Kana zvichikwanisika, zvivako zvinogona kutanga nzvimbo dzakatsaurirwa dzekushanyira (semuenzaniso "makamuri akachena") padyo nemusuwo wenzvimbo, apo vagari vanogona kusangana nevashanyi munzvimbo inofefetera, kana zvichibvira. Nzvimbo yacho inofanirwa kuvharirwa utachiona mushure memusangano wega wega wevagari nevashanyi.

Vanamukoti vanochinja pakati pedzimba uye mugari wega wega anogamuchira ingangoita awa yekuchengetwa pazuva. Penjeni nedzimba dzevakoti dzinowanzoitwa nenyanzvi dzine marezenisi, kusanganisira vanamukoti, vanachiremba, nevamwe vashandi vehutano. Vagari vemumisha inochengeterwa vakwegura vanogona kubhadhara muhomwe kuti vatarisirwe, vamwe vari muUnited States vanogona kuwana Medicare kwenguva pfupi, utano hweveruzhinji hunogona kuwanikwa kune dzimwe nyika, uye vamwe vanogona kushandisa zvirongwa zveinishuwarenzi zvenguva refu. Kurojesa kunogona kusanganisira masevhisi eruzhinji akadai sezvirongwa zvekutandara, masevhisi ekufambisa, uye chikafu mukamuri yekudyira yakajairika.

Dzimba dzinosiyana-siyana, kubva kudzimba dzemafurati kusvika kudzimba dzemhuri imwe chete. Muchokwadi, huwandu hwakawanda hwedzimba dzevaenzi nedzimba dzemudyandigere dzakagadzirirwa kugara vanhu vasingasviki vatanhatu. Anokurudzira kuti misha inochengeterwa vakwegura iedze kuita kuti ukuru hwemba yacho huve hudiki, ive nechoto ine imba yekudyira, imba yekutandarira nekicheni, ive nemakamuri akaparadzana evagari, dhoo rekupinda pamba imwe neimwe, uye rinobvumira varwere kuti vashande vakazvimirira sezvinobvira. . Chero imba inochengeterwa vakwegura inoda kushanduka kuita chimwe chinhu chakafanana neGreen Home inofanirwa kuziva kuti hunyanzvi hwekuyamwisa uye nekuchengetedza hunogona kupihwa sei nenzira dzakasiyana dzekushandura sangano ravo, akadaro.

Iyo chaiyo imba yekuchengetera fenicha inogona kugadzira chitarisiko chinokwezva vatsva uye inochengeta vagari varipo munharaunda yemusha wevakoti. Kwalu akakodzera fenicha yehukoti inoratidzira inodziya yehuni zviyo zvinopera zvinoyevedza uye zvepamba.

Iyo yekuvaka innovation yaive yekugadzira yega yega Green House ine yekurara yakaparadzana nekicheni hombe, imba yekudyira uye yekutandarira inoshanda sepakati pehupenyu mumba. Haasi munhu wese anoenda kuimba yekudyira, uye vamwe vanofarira kudyira mumakamuri avo.

Panzvimbo pekudya kwemangwanani na7 am, kudya kwemangwanani kunopihwa kubva na7 am kusvika 10 am. Kudya katatu pazuva, kunyangwe kwakajairwa, kunowedzerwa nezvikafu zvidiki zvakati wandei zuva rese, zvichienderana nekuravira uye maitiro ekudya evagari.

Zvichida imba yako ine bindu rakakura rinoda kugadziridzwa nguva dzose, kana kuti zvingave zvichiwedzera kuoma kuchenesa mamwe makamuri ayo asinganyanyi kushandiswa. Kutarisira imba yako kunogona kuva kudada kwenguva refu kwauri, asi kunogonawo kuva mutoro sezvaunokura.

Hunhu hwakasiyana hwedzimba dzevakweguru sekuziva kwedu - nzvimbo dzinogara vanhu vakawanda vasina simba munzvimbo dzakavharirwa uye vanowanzogovana dzimba dzekurara, dzekugezera nedzimba dzekudyira - dzaita kuti zvive nyore kubatwa nehutachiona, uhwo hunowedzera zvakanyanya uye hunoparadzanisa mhepo. Pakati pezvinhu zvinoumba magariro emanzwiro emumba kudyidzana uye hukama nevashandi, vamwe vagari, mhuri neshamwari, mhuka dzinovaraidza, uye zviitiko. Cooney [15, mapeji. 192] yakatsanangura kuti vatori vechikamu vakabatanidza pfungwa yeku "ve" nepfungwa yekumba.

Sezvo misha zhinji inochengeterwa vakwegura yakanga isina nyaya dzehurwere kana rufu, timu yakatarisa kudzimba dzinochengeterwa vakwegura dzine huwandu hwepamusoro hwehutachiona hwe50% uye huwandu hwepamusoro hwekufa kwe20% uye vakaverengazve nhamba idzi kuti dziratidzirwe semhosva pamakore zana. yekugara (100 vagari, imwe neimwe yakateverwa mukati megore rimwe). Ichavakira pakuedza kutsva kubva kune dzimwe nzvimbo uye ichagamuchira vanhu vane mihoro yakasiyana pamwe nevasiri vakuru vane mamiriro ezvinhu anonetesa akadai seALS neMS.