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Kuti uite mari yakadaro, unofanirwa kuva nechokwadi chokuti ichashanda. Isu tinotenda zvakakosha kuti usarudze macheya ane miyedzo yekiriniki kuti ive nechokwadi chekuti mhedzisiro inogona kuburitswa mumba mako kana kuchipatara. Isu tinokukurudzira kuti utsvage kuraira kwachiremba, senge murapi wepabasa kana nyanzvi akagara, anokutumira uye kukupa ruzivo nezve zvinodikanwa zvenguva refu zvemurwere wako kana nhengo yemhuri uye kuti zvavanoda zvingachinja sei nekufamba kwenguva kuti iwe. inogona kuenderana nezvido zvako. Mhinduro.
Kunzwisisa zvinhu izvi kwakakosha kuti ugadzire uye uedze fungidziro dzinogona kufanotaura uye pakupedzisira kugadzirisa mamiriro ekugara munzvimbo dzekugara. Chinangwa chechidzidzo ichi ndechekuongorora zvine hungwaru zvinhu zvinopesvedzera kunzwa kwekugara muvanhu vakura vanogara muzvikoro. Kunzwisisa kwakazara kwezvikonzero zvipi zvinopesvedzera manzwiro ekuve pamba zvinogona kutungamira kune yakagadziridzwa pfungwa yemusha kune vagari vekumba inochengeterwa vakwegura. Manzwiro ekuve pamba anopesvedzerwa nezvakawanda zvinhu zvine chekuita nepsychology yevagari uye magariro nemagariro.
Izvi zvinosanganisira kwete chete zvinodiwa nevagari zvinoenderana nezera rehuwandu, murume kana mukadzi uye rudzi, asiwo zvinodiwa nevagari zvinoenderana nehunhu hwakadai sechitendero. Zvinofungawo nezve mwero wekutarisira unodiwa nevagari vemudzimba dzevakoti. Kuwanda kwemaawa evashandi vanoyamwisa ari kuwanikwa pamugari wega wega pazuva, iyo yepamusoro nhanho yekutarisirwa kwevarwere inofanirwa kupihwa. Semuyenzaniso, kudzinga vashandi vasingazvizivi vanobata zvisina kufanira kana kusatarisira maroja zvakanaka vanogona kuvandudza kunaka kwekutarisirwa.
Ongororo mbiri idzi dzakaratidza kuti kuchinja kwevashandi kungangokanganisa kuchengetwa kwechipatara kuburikidza nenzira dzinosvika nhanhatu. Zvichienderana nezvikonzero izvi, tinofungidzira kuti kukwira kwepamusoro mudzimba dzevakoti kungangove kwakabatana nemhando yakaderera. Izvi zviri muchikamu nekuti zviratidzo zvemhando yemusha wevakoti hazvitarise kutarisirwa kwakasarudzika uye zvimwe zvinhu zvemunhu. Zvichipa kuti nhamba ye5-nyeredzi yakanga yakaremerwa nemaitiro ekugara kwenguva refu kwevarwere vasati vasvika 2016, vanyori vanopikisa kuti sezvo misha yevakwegura yakatarisa pahutano hwekugara kwenguva refu, hutano hwemashure ekukurumidzira hunogona kubviswa. ...
Ryskina et al. Takaona kuti nepo 5-nyeredzi yekuyera musha wevakoti mushumo nekufamba kwenguva yakakonzera kuyera kurinani kwemusha wevakoti, shanduko idzi hadzina kuperekedzwa nekuvandudzwa kwekupinzwa muchipatara, chiyero chakakura chemhando yekuchengetwa kwepashure. Kuenzanisa kushanda kwepamusoro uye kwakaderera (kutarisira uye hunhu hwakanangana nevagari) mumisha yevakwegura (Community Life Centers) yeveteran health management, Sullivan et al. Chivako. tsika inosimbisa kuenderera mberi kwekuvandudzwa kwehutano, kugonesa uye kuchinja, uye kuwedzera kushandiswa kwekudzidziswa uye zvinokurudzira zvekugara-centered health care delivery. Sechikamu chekuedza uku, CMS yakatora seti nyowani yemhando yekusimbisa matanho kumisha inochengeterwa vakwegura iyo yaisanganisira, kune vagari venguva refu, chiyero chevagari vane weti tract infections, marwadzo, maronda ekumanikidzwa, kana hurema hwemuviri. uye kune varwere venguva pfupi, iyo muzana ye delirium, kurwadziwa uye kumanikidza maronda.
Healthcare Quality Indicator Profiles The Center for Health Systems Research and Analysis yakagadzira zviratidzo zvinogona kushandiswa kuyera kuchengetwa kwemusha (Zimmerman, 2003) - inowanzonzi zviratidzo zvemusha wevakoti (kana IQ) zviratidzo. Izvi zvinosanganisira mamiriro epamusha unochengeterwa vakwegura, kodzero dzevagari vemo, kusangana kwevashandi nevagari vemo, kuchengetwa kweganda, kutonga kwezvinodhaka, kunaka kwehupenyu, kutariswa kwemba inochengeterwa vakwegura, uye kugadzirira nekuchengetedza chikafu nemazvo. Resident Care Indicators vanoongorora kuti zvinodikanwa zvemuviri uye zvehutano zvevagari vekumba inochengeterwa vakwegura zvinosangana sei.
Indekisi yemhando yakavakirwa pane yemunhu anogara data iri mune diki data set. Chechipiri chemhando yechiratidzo, chiyero chevashandi vekumba (yevashandi), chinoshandiswa kuona kana imba inochengeterwa vakwegura ine nhamba yakakwana yevanamukoti, kusanganisira vanamukoti vakanyoreswa, vanamukoti vanodzidzira basa, vanamukoti vanoita basa uye vabatsiri vevakoti, kuti vatarisire zvakanaka. vagari. Chechipiri, kune vese Kune marudzi akasiyana evashandi vekumba yevakoti, hukama pakati pekuchinja kwevashandi uye mhando haina kufanana, saka kadhi reshumo rinogona kunge richisanganisira zviratidzo zvitatu zvinogona kutsausa vatengi.
Somuenzaniso, dzimwe misha inochengeterwa vakwegura inyanzvi mukurapa chirwere chakati (chakadai semaronda emushonga) kana kuti inovaka mukurumbira wokupa tarisiro yemhando yepamusoro munzvimbo yakati, zvichiita kuti vagari vakawanda vane chirwere ichi vagare. Kazhinji kumira kwekupedzisira pakuchinja kwakawanda munzvimbo dzakasiyana-siyana dzekugara kwenguva refu, mhando yemisha inochengeterwa vakwegura yaizonyatsovandudza kana vagari vakachengetwa mumamiriro ekutanga. Imwe nzira iri kudzidzwa ndeye kushandiswa kweakasarudzika Alzheimer's units (SCU). Dzimba dzevakoti dzinopa rubatsiro kumapoka ari munjodzi evanhu vakura vasina simba vasingakwanise kugara vega nekuda kwekusangana kwezvirwere zvisingaperi, kushaya njere nekuremara kwemuviri, uye zvimwe zvirambidzo zvezera.3 Vagari vanowanzotarisana nenjodzi yakawedzera yeSARS-CoV. -2 hutachiona uye chirwere cheCOVID -19 chinokonzerwa nekunze zvinhu senge kusakwana kwekudzivirira kutapukirwa uye matanho ekudzivirira kudzivirira kutapurirana kwehutachiona mudzimba.
Kana yangotapukirwa, hunhu hwevarwere huchaita kuti vamwe vagari vatarise njodzi yekufa kupfuura vamwe4-10. Aya maitiro, akasanganiswa nenzvimbo yekugara yakagovaniswa uye kudiwa kwekuchengetwa kwepamusoro-soro, zvinoita kuti dzimba dzinyanye kuve panjodzi yeCCIDID-19 nemhedzisiro yayo. Muuyo. Ose ari maviri anozivikanwa njodzi yekufa mune vasiri-COVID-19 vagari vekumba inochengeterwa vakwegura. 28,29 Kuisa zvese izvi njodzi zvinhu pamwechete uye kupfupikisa hukama hwavo hwenjodzi kwakakosha kuona vagari vekumba inochengeterwa vakwegura neCCIDID-19. Ngozi yokutapurwa. Kufa. Kunyange zvazvo zvinhu zvinokonzerwa nengozi zvakadai sekuchinja kwezera uye zvirwere zvisingaperi hazvigone kugadziriswa, njodzi yekuwa kwevagari inogona kuderedzwa kuburikidza nehutungamiri. Nekuongororwa kwakakodzera uye kurapwa, manejimendi ekurapa kwezvirwere zvakanyanya uye zvisingaperi zvinogona kuvandudzwa.
Maitiro emhando zviratidzo anogonawo kubatsira kuona nzira dzekuvandudza kunaka kwekutarisira. Izvi zvinoita kuti misha inochengeterwa vakwegura yega yega izvidavirire pamusoro pehutano hwavanopa, uye inogona kuvakurudzira kuvandudza kunaka kwekutarisira uye kuratidza nzvimbo dzekuvandudza. Chinangwa chekubatsira vatapi vehutano kupa munhu, vanhu-anotarisana nehanya, uye kuvandudza maitiro avo ekudonha kwekutarisira uye mhedzisiro kuburikidza nedzidzo uye zvemhando yepamusoro maturusi.
Izvi zvinogona kutsanangura chikonzero nei misha yevakoti yakasangana nekuderera kwemabasa uye kuwedzera kwekuvharwa mukati memakumi maviri emakore apfuura. Isu tinotarisira matanho anofanirwa kutorwa mune ramangwana kugadzirisa uye kungangovandudza kunaka kwekuchengetwa kwevakoti, kusanganisira makadhi emishumo, kubhadharwa kwemabhenefiti, incentives yemusika, uye shanduko yepolicy muhurongwa hwekupihwa zvitupa.
Taratidza zvakabuda muweb content ongororo muVhoriyamu II yemushumo uyu. Kuti tidzidze nezve izvo zvakapesvedzera sarudzo dzekusarudza imba inochengeterwa vakwegura uye kushandisa zviwanikwa zveruzivo, takaita nhevedzano yemapoka ekutarisa pakati pevanhu vakasangana nekugara kwenguva pfupi mumisha inochengeterwa vakwegura, vanhu vakaisa nhengo dzemhuri paLTC nevamiriri veruzivo ( mazvikokota mukuronga zvekubuda muchipatara nevachengeti venharaunda) vane basa raive rekubatsira vanhu kutsvaga LTC yenhengo yemhuri. Dzidza nzira yekuchengetwa kwemba nekufamba kwenguva mumapoka maviri evakuru vakapihwa sarudzo yekutamira kumusha diki wevakwegura kana kugara munzvimbo yavo yekugara, yakajairika imba inochengeterwa vakwegura, kupa ruzivo rwehukama hwakaoma pakati pezvido uye zvishuwo zvemunhu. , iyo LTC nharaunda, kuzivana uye hutano.