Izitulo zeKhaya labongikazi Umgangatho ochatshazelwa ziziphi izinto
Ukwenza utyalo-mali olunjalo, kufuneka uqiniseke ukuba luya kusebenza. Sikholelwa ukuba kubalulekile ukukhetha izitulo ezinovavanyo lweklinikhi ukuqinisekisa ukuba iziphumo zinokuphinda ziveliswe kwikhaya lakho okanye kwiziko lakho. Sicebisa ukuba ufune iingcebiso kugqirha, njengogqirha osebenza emsebenzini okanye ingcali ehleliyo, oya kukuthumela kwaye akunike ulwazi malunga neemfuno zexesha elide zesigulana sakho okanye ilungu losapho kunye nendlela iimfuno zabo ezinokutshintsha ngayo ekuhambeni kwexesha ukuze inokwanelisa iimfuno zakho. Isisombululo.
Ukuqonda le miba kubalulekile ukuze udale kwaye uvavanye iingqikelelo ezinokuqikelela kwaye ekugqibeleni ziphucule iimeko zokuhlala kwiindawo zokuhlala. Injongo yolu phando kukuhlalutya ngokucwangcisiweyo izinto eziphembelela ukuziva ekhaya kubantu abadala abahlala kumaziko. Ukuqonda ngokupheleleyo ukuba zeziphi izinto eziphembelela imvakalelo yokuba sekhaya kunokukhokelela kwimvakalelo ephuculweyo yekhaya kubahlali bamakhaya abongikazi. Uvakalelo lokuba sekhaya luphenjelelwa zizinto ezininzi ezinxulumene nesayikholoji yabahlali kunye nentlalo kunye nemeko yokusingqongileyo.
Oku akubandakanyi kuphela iimfuno zabahlali ngokusekelwe kwiminyaka yobudala, isini kunye nobuhlanga, kodwa neemfuno zabahlali ngokusekelwe kwiimpawu ezifana nenkolo. Ikwathathela ingqalelo inqanaba lokhathalelo olufunwa ngabahlali bamakhaya abongikazi. Okukhona iiyure zabongikazi zifumaneka ngomhlali ngamnye ngosuku, kokukhona umgangatho wokhathalelo lwesigulane kufuneka unikezelwe. Umzekelo, ukugxotha abasebenzi abaxhaphaza okanye abangabakhathaleli ngokufanelekileyo abaqeshi banokuwuphucula umgangatho wokhathalelo.
Olu phononongo lubini lubonise ukuba utshintsho lwabasebenzi lunokuchaphazela ukhathalelo lwesibhedlele ubuncinane ngeendlela ezintandathu. Ngokusekelwe kwezi zinto, sicinga ukuba ingeniso ephezulu kumakhaya abongikazi kusenokwenzeka ukuba inxulunyaniswe nomgangatho ophantsi. Oku kuyingxenye ngenxa yokuba izikhombisi zomgangatho wekhaya labongikazi azithatheli ngqalelo ukhathalelo olulodwa kunye nezinye izinto zobuqu. Ngenxa yokuba i-5-star rating yayinzima kakhulu kwimilinganiselo ye-inpatient yexesha elide ngaphambi kwe-2016, ababhali baxela ukuba ekubeni amakhaya asebekhulile agxininise kumgangatho wokuhlala ixesha elide, umgangatho wokunyamekela emva kwexesha likaxakeka unokupheliswa. ...
URyskina et al. Kufunyenwe ukuba ngelixa i-5-star rating ingxelo yekhaya labahlengikazi ekuhambeni kwexesha ibangele ukulinganiswa kwekhaya labahlengikazi abangcono, olu tshintsho aluzange luhambe kunye nokuphuculwa kokulaliswa esibhedlele, umlinganiselo obanzi womgangatho wokunyamekela emva kokukhawuleza. Ukuthelekisa ukusebenza okuphezulu kunye nokuphantsi (ukunyamekela kunye nomgangatho ojoliswe kubahlali) kumakhaya asebekhulile (Amaziko oBomi oLuntu) olawulo lwezempilo lwamagqala, uSullivan et al. isakhiwo. inkcubeko egxininisa ukuphuculwa komgangatho oqhubekayo, ukuxhotyiswa kunye nokutshintsha, kunye nokwanda kokusetyenziswa koqeqesho kunye nenkuthazo yokunikezelwa kwezempilo okujoliswe kubahlali. Njengenxalenye yale nzame, i-CMS yamkele isethi entsha yamanyathelo okuqinisekisa umgangatho kumakhaya asebekhulile abandakanya, kubahlali bexesha elide, umlinganiselo wabahlali abanezifo ze-urinary tract, intlungu, izilonda zoxinzelelo, okanye ukukhubazeka ngokomzimba. kunye nezigulane zexesha elifutshane, ipesenti ye-delirium, intlungu kunye noxinzelelo lwezilonda.
IiProfayili zeZalathi zoMgangatho wezeMpilo Iziko loPhando lweeNkqubo zezeMpilo kunye noHlalutyo liphuhlise izikhombisi ezinokuthi zisetyenziswe ukulinganisa ukunakekelwa kwekhaya (Zimmerman, 2003) - edla ngokubizwa ngokuba ngumgangatho wekhaya labahlengikazi (okanye i-IQ) iimpawu. Oku kuquka iimeko zekhaya labalupheleyo, amalungelo abahlali, ukusebenzisana kwabasebenzi nabahlali, ukukhathalelwa ulusu, ulawulo lweziyobisi, umgangatho wobomi, ulawulo lwekhaya labalupheleyo, nokulungiswa nokugcinwa ngokufanelekileyo kokutya. Izalathisi zoNonophelo lwabahlali zivavanya ukuba zihlangatyezwa njani na iimfuno zomzimba kunye nempilo yabahlali bamakhaya abongikazi.
Isalathiso somgangatho sisekelwe kwidatha yomntu ohlala kuyo equlethwe kweyona datha incinci. Isalathisi somgangatho wesibini, umyinge wabasebenzi abakwikhaya labongikazi (inqanaba labasebenzi), isetyenziselwa ukufumanisa ukuba ikhaya labongikazi linabo na inani elaneleyo labongikazi, kubandakanywa abongikazi ababhalisiweyo, abongikazi abasenkonzweni, abongikazi abaziingcali kunye nabancedisi babongikazi, ukuba banakekele ngokufanelekileyo abahlali. Okwesibini, kubo bonke Iindidi ezahlukeneyo zabasebenzi basekhaya labahlengikazi, ubudlelwane phakathi kokuguqulwa kwabasebenzi kunye nomgangatho awufani, ngoko ke ikhadi lengxelo lingadinga ukubandakanya izikhombisi ezintathu ezinokulahlekisa abathengi.
Ngokomzekelo, amanye amakhaya abalupheleyo asebenza ngokukhethekileyo ekunyangeni imeko ethile (njengezilonda zoxinzelelo) okanye azakhela udumo ngokunikela ngononophelo olukumgangatho ophezulu kwindawo ethile, ngaloo ndlela ehlalisa abahlali abaninzi abanale meko. Rhoqo ukumiswa kokugqibela kwiinguqu ezininzi kwiindawo ezahlukeneyo zokhathalelo lwexesha elide, umgangatho wamakhaya abongikazi uya kuphucuka ngokuqinisekileyo ukuba abahlali bebekhathalelwe kwisimo sangaphambili. Esinye isicwangciso esifundwayo kukusetyenziswa kweeyunithi ezikhethekileyo ze-Alzheimer's (SCU). Amakhaya abongikazi abonelela ngokhathalelo kumaqela abuthathaka abantu abadala ababuthathaka nabangakwaziyo ukuzihlalela ngenxa yendibaniselwano yezifo ezingapheliyo, ukuphazamiseka kwengqondo kunye nomzimba, kunye nezinye izithintelo zobudala.3 Abahlali bahlala behlangabezana nomngcipheko owongeziweyo we-SARS-CoV -2 usulelo kunye nesifo se-COVID-19 esibangelwa yimiba yangaphandle efana nokungonelanga kothintelo losulelo kunye namanyathelo okulawula ukuthintela usulelo lwasekhaya losulelo.
Nje ukuba bosulelekile, iimpawu zomgangatho wesigulana ziya kwenza ukuba abanye abahlali bajongane nomngcipheko omkhulu wokufa kunabanye4-10. Ezi mpawu, zidityaniswa nendawo yokuhlala ekwabelwana ngayo kunye nemfuno yokhathalelo olukwinqanaba eliphezulu, zenza amakhaya abe sesichengeni ngakumbi kwi-COVID-19 kunye neziphumo zayo ezibi. Isiphumo. Zombini zizinto ezaziwayo ezisemngciphekweni wokusweleka kubahlali abangeyiyo i-COVID-19 kumakhaya abantu abalupheleyo. 28,29 Ukubeka zonke ezi zinto zomngcipheko kunye kunye nokushwankathela imibutho yabo yomngcipheko kubalulekile ukuchonga abahlali bamakhaya abongikazi abane-COVID-19. Umngcipheko wokosuleleka. fa. Nangona imingcipheko yendalo efana neenguqu ezinxulumene neminyaka kunye nezifo ezingapheliyo azikwazi ukusonjululwa, umngcipheko wokuwa kwabahlali unokuncitshiswa ngolawulo. Ngovavanyo olufanelekileyo kunye nonyango, ulawulo lwezonyango lwezifo ezinzima kunye nezingapheliyo zingaphuculwa.
Izalathi zomgangatho wenkqubo nazo zinokunceda ekumiseleni iindlela zokuphucula umgangatho wokhathalelo. Oku kwenza ukuba amakhaya abongikazi azimeleyo aphendule ngenqanaba lokhathalelo abalunikezelayo, kwaye lunokubakhuthaza ukuba baphucule umgangatho wokhathalelo kwaye babonise iinkalo ekufuneka kuphuculwe kuzo. Ijolise ekuncedeni ababoneleli bezempilo ukuba babonelele ngomntu, ukunakekelwa kwabantu, kunye nokuphucula iinkqubo zabo zokunyamekela ukuwa kunye neziphumo ngokusebenzisa imfundo kunye nezixhobo zokuphucula umgangatho.
Oku kunokucacisa ngokuyinxenye ukuba kutheni amakhaya abongikazi efumene ukuhla kwengqesho kunye nokwanda kokuvalwa kwemisebenzi kule minyaka ingamashumi amabini idlulileyo. Silindele amanyathelo amele athathwe kwixesha elizayo ukujongana kunye nokuphucula umgangatho wokunakekelwa kwekhaya labahlengikazi, kubandakanywa namakhadi engxelo, ukuhlawulwa kweenzuzo, ukukhuthazwa kweemarike, kunye nokuguqulwa komgaqo-nkqubo kwinkqubo yokuqinisekiswa.
Sibonise iziphumo zophando lomxholo wewebhu kuMqulu II wale ngxelo. Ukufunda malunga nezinto eziphembelele izigqibo malunga nokukhetha ikhaya labahlengikazi kunye nokusetyenziswa kwemithombo yolwazi, senze uluhlu lwamaqela ekugxilwe kuwo phakathi kwabantu abaye bafumana ixesha elifutshane lokuhlala kumakhaya asebekhulile, abantu abaye babeka amalungu entsapho kwi-LTC kunye nabalamli bolwazi ( iingcali kucwangciso lokukhutshwa esibhedlele kunye nabongi basekuhlaleni) indima yabo ibikukunceda abantu bafumane i-LTC yelungu losapho. Funda umkhondo wokhathalelo lwasekhaya ngokuhamba kwexesha kumaqela amabini abantu abadala abanikwe ithuba lokufudukela kwikhaya elincinci labalupheleyo okanye bahlale kwindawo yabo yokuhlala ekhoyo, ikhaya labalupheleyo eliqhelekileyo, ukunika ulwazi malunga nobudlelwane obunzima phakathi kweemfuno kunye neminqweno yomntu ngamnye. , indawo ye-LTC, ukuqhelana kunye nempilo.
