Ukujongwa kwelona Fanitshala yeGumbi lokutyela elona Khaya liPhakamileyo eHlabathini
Ngoku uqalisa eyona projekthi ibalulekileyo: ezama ukuguqula ikhaya lomhlalaphantsi, apho aqale abeke umama wakhe, kwindawo efana neFlorence's Leonard Centre.
Amakhaya abongikazi ayeyindawo yokuhlala esisigxina apho abantu abadala kunye nabakhubazekileyo (ingakumbi abahluphekayo kunye nabakhulileyo abakhubazekileyo) babenokufumana unyango oluyimfuneko kwaye bafumane ukutya kwemihla ngemihla.
Ukuze kwandiswe inxaxheba yabahlali kunyango kunye nezigqibo zabongikazi, bavunyelwe ukuba bathathe inxaxheba kwiintlanganiso zeenkqubo ezahlukeneyo kunye nokutyelela oogqirha kumakhaya abongikazi [25]. Kolu phando lunye, amalungu osapho aphinda achaza ukuba umgangatho wentsapho uchaphazeleka kakhulu ngumthwalo womsebenzi, ubuntu namandla omgcini oqeqeshiweyo, kunye nokulingana phakathi komqeshi nendawo yokunyamekela. Lo mbono uye waqatshelwa ngabasebenzi, abaxhalabileyo ngokungabikho kwabasebenzi ukunika uncedo olwaneleyo kubahlali [22, p. 17]. 9] Okanye ukuba bafuna ukunikela ingqalelo ngakumbi kumhlali ngamnye [31, p. 2495]. Abanye baye bafumanisa ukuba abahlali kunye neentsapho zaneliseka ngakumbi ngamakhaya ahlala kwindawo eluhlaza kunamakhaya abantu abalupheleyo. 8.12 UDavid Grabowski, unjingalwazi womgaqo-nkqubo wezempilo eHarvard Medical School, owayelilungu leqela leqela le-2016, wathi ukutyelela kwakhe kwi-greenhouse kwammangalisa.
Ukhathalelo lwexesha elide lubiza imali eninzi kwaye abantu abaninzi bayathandabuza ukungena kwikhaya labalupheleyo abanokukwazi ukulihlawula, elihlala linamagumbi oluntu, iicanteens zasefektri, kunye nabasebenzi abaxineneyo. Abantu abaninzi nabo abanakukwazi ukuhlala ekhaya, ngakumbi ukuba bafuna ukhathalelo lwe-24/7. Amakhaya abongikazi anokuthi "afane nezibhedlele" kwaye abasebenzi banokuxakeka ngokwenani labahlali ababakhathalelayo. Kumaziko amaninzi amakhaya abalupheleyo, kufuneka kubekho abasebenzi aboneleyo bokubonelela ngononophelo olufanelekileyo kubahlali.
Ngenxa yokuba iindawo zokuhlala ezizimeleyo zezabantu abadala abanesidingo esincinci okanye abangenaso soncedo kubomi babo bemihla ngemihla, uninzi alunikezeli ngokhathalelo lwempilo okanye abongikazi. Ukuba ufuna uncedo lweeyure ezingama-24 ngokutya, ukunxiba nokusebenzisa indlu yangasese, okanye ukuba ufuna unyango oluthe rhoqo, ezinye iindlela zezindlu, njengamakhaya aneenkonzo okanye amakhaya abantu abalupheleyo, zisenokuba zifanelekile. Umzekelo, ukuba abahlali baqala ukufuna uncedo kwimisebenzi yabo yemihla ngemihla, banokusuka kwindawo yokuhlala ezimeleyo baye kwigumbi lokuhlala abongikazi okanye indawo yokonga kwindawo enye. Ipenshini kunye namakhaya abantu abalupheleyo ngamaziko akhethekileyo alungiselelwe ukubonelela abo basweleyo ngokunyamekela abakhulileyo, kokubini indawo yokuhlala kunye nokunyamekela okwaneleyo.
Ezi zibonelelo zibonelela ngoluhlu olubanzi lweenkonzo, ukusuka ekuhlaleni ngokuzimeleyo ukuya kukhathalelo lwekhaya labalupheleyo kwindawo enye. La maziko abonelela ngolawulo okanye ngoncedo kwimisebenzi yemihla ngemihla (ADL); I-ALF yindlela eqhubekayo yokukhathalela abantu abadala abangaphilanga ngokuzimeleyo kodwa abangadingi 24/7 ukhathalelo lwekhaya labalupheleyo kwaye basebancinci kakhulu ukuba bangahlala kwikhaya labalupheleyo. Amakhaya abongikazi kunye ne-ICF / IIDs zibonelela ngokhathalelo kubantu abadala kunye / okanye abahlali abaneemeko zonyango ezingapheliyo ezibabeka emngciphekweni omkhulu wokuba neengxaki ezinzulu ezivela kwi-COVID-19.
Njengoko kuphawuliwe kuNdwendwelo lweKhaya labongikazi CMS QSO-20-39 (PDF), ukuba iziko alinazo iimeko ze-COVID-19 kwiintsuku ezili-14 ezidlulileyo kwaye idolophu ineziphumo ezisezantsi (eziluhlaza) okanye eziphakathi (tyheli), umongikazi ikhaya kufuneka liququzelelwe lutyelelo lomntu ngokungqinelana nemithetho esisiseko kunye nemigaqo yothintelo losulelo lwe-COVID-19. Ngelixa i-COVID-19 isesisoyikiso eWisconsin, umlawuli we-SNF, ngokubonisana noMlawuli wakhe wezoNyango kunye / okanye uMlawuli wezoMongikazi, unokugqiba kwelokuba iziko linokusingatha ngokukhuselekileyo umhlali ukuba izinto ezithile ziyathathelwa ingqalelo.
Kwiimeko zokhathalelo lwesigulane, iindwendwe ziya kulinganiselwa kwigumbi elithile kuphela. Ukuba kuyenzeka, amaziko angaseka iindawo zokutyelela ezizinikeleyo (umz. “amagumbi acocekileyo”) kufutshane nesango lesakhiwo, apho abahlali banokudibana nabatyeleli kwindawo engena umoya, ukuba kunokwenzeka. Indawo kufuneka ibulawe iintsholongwane emva kwentlanganiso nganye yabahlali neendwendwe.
Abongikazi bayatshintsha phakathi kwezindlu kwaye umhlali ngamnye ufumana malunga neyure yokhathalelo ngosuku. Ipenshini kunye namakhaya abongikazi ahlala eqhutywa ngabasebenzi abanelayisenisi, kubandakanya abongikazi, oogqirha, kunye nabanye abasebenzi bezempilo. Abahlali bamakhaya abongikazi banokuhlawula epokothweni ukuze banyanyekelwe, abanye eUnited States banokufumana iMedicare okwexeshana, ukhathalelo lwempilo lukawonke-wonke lunokufumaneka kwamanye amazwe, yaye abanye banokusebenzisa izicwangciso zeinshorensi zexesha elide. Iirenti zingabandakanya iinkonzo zoluntu ezifana neenkqubo zokuzonwabisa, iinkonzo zothutho, kunye nokutya kwigumbi lokutyela eliqhelekileyo.
Izindlu zahluka kakhulu, ukusuka kwizakhiwo zokuhlala ukuya kwizindlu zentsapho enye. Ngapha koko, uninzi lwezindlu zeendwendwe kunye nezindlu zomhlalaphantsi ziyilelwe ukuhlalisa abantu abangaphantsi kwe-6. Ucebisa ukuba amakhaya abalupheleyo azame ukugcina ubungakanani bekhaya lincinci, abenendawo yomlilo enegumbi lokutyela, igumbi lokuhlala nekhitshi, abe namagumbi ahlukeneyo abahlali, umnyango wokungena kwikhaya ngalinye, kwaye avumela abaguli ukuba basebenze ngokuzimeleyo kangangoko kunokwenzeka. . Naliphi na ikhaya labalupheleyo elifuna ukuvela libe yinto efana neKhaya eliGreen kufuneka lazi ukuba ukongiwa kwezakhono kunye nokhathalelo banokubonelelwa njani ngeendlela ezahlukeneyo zokuguqula iziko labo, utshilo.
Ifenitshala efanelekileyo yekhaya labalupheleyo inokudala inkangeleko etsala abatsha kwaye igcine abahlali abasele bekhona kuluntu lwekhaya labalupheleyo. Ifenitshala yobuhlengikazi eKwalu ineenkozo zomthi ezifudumeleyo ezigqityiweyo ezintle kwaye zisekhaya.
Uyilo loyilo lwezakhiwo yayikukuyila iNdlu yoHlaza nganye enamagumbi okulala ahlukeneyo kunye nekhitshi elikhulu, igumbi lokutyela kunye negumbi lokuhlala elisebenza njengeziko lobomi endlwini. Ayinguye wonke umntu oya kwigumbi lokutyela, kwaye abanye bakhetha ukutya kumagumbi abo.
Endaweni yesidlo sakusasa ngentsimbi yesi-7 kusasa, isidlo sakusasa sifumaneka ngentsimbi yesi-7 ukuya kweyeshumi kusasa. Izidlo ezithathu ngosuku, nangona zisemgangathweni, zincediswa kukutya okuncinci okuncinci imini yonke, kuxhomekeke kwincasa kunye nemikhwa yokutya yabahlali.
Mhlawumbi ikhaya lakho linesitiya esikhulu esifuna ukugcinwa rhoqo, okanye kuya kuba nzima ngakumbi ukucoca loo magumbi ongezelelweyo angafane asetyenziswe. Ukunyamekela ikhaya lakho kunokuba ngumthombo webhongo elihlala ixesha elide kuwe, kodwa kunokuba ngumthwalo njengoko ukhula.
Iipropathi ezikhethekileyo zamakhaya abantu abalupheleyo njengoko sibazi - iindawo apho inani elikhulu labantu abadala ababuthathaka bahlala kwiindawo ezivaliweyo kwaye bahlala bebelana ngamagumbi okulala, amagumbi okuhlambela kunye namagumbi okutyela - babenze babe lixhoba elilula lentsholongwane, ephindaphindeka ngokusondeleyo kwaye yahlula umoya. Phakathi kwezinto ezenza imiba yentlalo yokuziva ekhaya lunxibelelwano kunye nobudlelwane nabasebenzi, abanye abahlali, usapho kunye nabahlobo, izilwanyana zasekhaya kunye nemisebenzi. Cooney [15, iphe. I-192] ichaze ukuba abathathi-nxaxheba banxulumanisa imvakalelo "yokuba" kunye nengqondo yekhaya.
Kuba amakhaya abongikazi amaninzi ayengenazo iimeko zokugula okanye zokusweleka, iqela lajonga kumakhaya abantu abalupheleyo anelona zinga liphezulu losulelo lwe-50% kunye nelona zinga liphezulu lokusweleka kwe-20% kwaye laphinda labala amanani ukuze abonakaliswe njengemeko kwiminyaka eli-100. yokuhlala (abahlali abali-100, emnye ulandele kwisithuba sonyaka omnye). Iza kwakha phezu kovavanyo olutsha oluvela kweminye imithombo kwaye iya kwamkela abantu abanemivuzo eyahlukeneyo kunye nabangengabo abadala abaneemeko ezibuthathaka ezifana ne-ALS kunye ne-MS.
