Umhlahlandlela Ophelele Wezinhlobo Ezihlukene Zefenisha Yasekhaya Labahlengikazi Ethengiswayo

Inhlolovo ayigxili kuphela ezinsizeni ezisetshenzisiwe, kodwa futhi ekwanelisekeni kwezakhamuzi (isibonelo, umuzwa wokulondeka, ubumnandi bokudla); ukunakekelwa kwezempilo kochwepheshe (ngokwesibonelo, ukuhlela impilo yomuntu ngamunye wabahlali); landela imithi enqunywe udokotela wakho, ukwelashwa, nezinhlelo zokudla; izinga lendawo yokuhlala (isibonelo, ukuhlanzeka kwamakamelo); izimo zegumbi; kanye nokudla (isibonelo, uma ukudla kunikeza izidingo eziyisisekelo zomsoco futhi uma izakhamuzi zithanda ukudla). Ukuqhathaniswa kokwabiwa kwesikhungo () kukhombisa ukuthi amakhaya asezingeni eliphezulu anezindleko eziphakeme zokunakekela isiguli ngqo njengokudla, abahlengikazi, abasizi, ukunakekelwa kwezempilo nokubuyisela esimweni esijwayelekile, ukuhlanza, ilondolo kanye nezingubo zokulala.25 ITAFULA 6 Umehluko wezindleko zesiguli ngosuku phakathi kwesampula yamakhaya asebekhulile ase-Ohio Medicaid asezingeni eliphezulu nasezingeni eliphansi.

Ngokuvamile, kukholelwa ukuthi noma ngabe ikhaya labahlengikazi liphethwe futhi liqhutshwa inhlangano yangasese noma engenzi inzuzo ngeke lithinte kuphela izindleko nekhwalithi yokunakekelwa, kodwa futhi ukuthi lithengeka ngokulinganayo noma cha. Kubo bonke abantu abayidingayo. Usizo. Ikhaya labahlengikazi lingase libe yisinqumo esifanele kulabo abanezidingo zabo zezokwelapha ezidinga ukunakekelwa okuqhubekayo kanye nokufinyelela ezinsizeni ezizizwa njengesibhedlela kunekhaya. Ikhaya labahlengikazi lingase libe inketho engcono kakhulu kubantu abadinga ukunakekelwa kwezokwelapha nokugadwa okungu-24/7. Izindlu zabahlengikazi zinikeza ukunakekelwa okungu-24/7 kubantu asebekhulile abanezimo zezokwelapha ezinzima futhi abadinga ukunakekelwa okungokoqobo nokugadwa.

Amanye amakhaya asebekhulile nawo anikeza izinkonzo zokunakekela abagugile, enikeza ukunakekela okuthambile kwasebekhulile abasondela ekupheleni kokuphila kwabo. Nokho, uma izidingo zomuntu osekhulile zizincane kakhulu, njengokusiza nge-ADL, njengokugeza, ukugqoka, noma ukuya endlini yangasese, noma uma umuntu osekhulile edinga ukunakekelwa okulula njengokwelashwa ngokomzimba nemithi, ikhaya lasebekhulile lingase libe nalo. imingcele. ... futhi wengeze izindleko ezingadingekile. Eminye imiphakathi ehlinzekiwe ihlinzeka ngokunakekelwa impilo yonke ngokwenza inkontileka nemiphakathi yabahlengikazi abanamakhono noma ngokunikeza amakhaya asebekhulile abahlali abanezidingo zabo zokwesekwa eziguqukayo. Izindlu Ezihlinzekwa Ngezinkonzo zinikeza izifundo namathuba okufunda impilo yonke kwasebekhulile ukunakekelwa kwasekhaya okungenakukwazi ukukunikeza, okuhlanganisa ukuqeqeshwa kobuciko nomsebenzi wezandla, amakilasi okupheka, imidlalo yengqondo nokunye.

Nakuba ukunakekelwa kwasekhaya kunikeza ukunakekelwa komuntu siqu okuhambisana nezidingo zomuntu ngamunye, abantu abadala abahlala ngokunakekela bayazuza ezinhlelweni ezihlukahlukene zenhlalo yomphakathi kanye nokuphuma emphakathini kontanga. Izikhungo zihlinzeka ngendawo ephephile yokuthi abadala bachithe isikhathi nabangane, ukunakekelwa komuntu siqu kanye nezinsizakalo zokusiza ngama-ADL njengoba kudingeka, kanye nemisebenzi ejabulisayo eklanyelwe ukubandakanya ababambiqhaza. Lezi zikhungo zihlinzeka ngezinsizakalo zokunakekelwa kwasemini kubantu asebekhulile abadinga ukusebenza ngaphandle kwekhaya, abantu abadala abebengahlukaniswa bodwa nabangathanda ukuzijabulisa nabanye. Kungakhathaliseki ukuthi umuntu osekhulile udinga ukunakekelwa kwezokwelapha noma ukugadwa okuthile nomngane, kunezisebenzi zokunakekela isikhashana ezinganikeza izinga lokunakekelwa ezikudingayo.

Kunezinhlobo ezahlukene zokunakekelwa kwesikhashana ezingafanela abantu abadala abanezidingo ezahlukene zokunakekelwa. Abahlinzeki bezimo eziphuthumayo banikeza uhla lwezinsizakalo ezingahlangabezwa ngokuvumelana nezidingo zeklayenti ngalinye. Nakuba ezinye izinhlobo zokunakekela asebekhulile zingase zinikeze izinsizakalo zokunakekela asebekhulile ezifanayo, kunomehluko obalulekile okufanele ukuphawulwe. Amasevisi Okunakekela Inkumbulo Amasevisi Okunakekela Amakhaya Abahlengikazi Amasevisi Okunakekela Inkumbulo Yokuziphilisa Izinsizakalo Zokuziphekela xxxx Amasevisi Okuhlanza Nokuwasha xxxx Imisebenzi Yomphakathi xxxx Amakilasi Okuzivocavoca Nokuphila Kahle xxxx Imithi xxx Usizo Ngemisebenzi Yansuku zonke (ADL) xxx Ukunakekelwa Okukhethekile Kweziguli ezinosizo Lokulahlekelwa Inkumbulo xx 24 ukugada xx Ukungena nokuphuma ngokuphephile ukuze kunqandwe ukuzulazula xx Ukuthutha ukuya ezikhathini ezimisiwe xxx Ukwelashwa kokuthuthukisa inkumbulo kokunakekelwa kwabadala kuyafana.

Ngezinjongo zalokhu kunikezwa, isigceme sochwepheshe sisho ukuhlukaniswa iziqephu kwekhaya lasebekhulile lapho izakhamuzi zihlala khona ezinesidingo esifanayo sokunakekelwa okukhethekile, okuhlanganisa kodwa okungagcini nje ngokunakekelwa kwabanesifo sokuwohloka komqondo, izikhungo ezigcina abagulayo, noma amawodi ezempilo yengqondo. Ikhaya labahlengikazi lizohlinzeka ngezinsizakalo zokuhlangabezana nezidingo ezithile zomhlali ngamunye ohlonzwe ngalokhu kuhlolwa kokwamukelwa kuze kube uhlelo lokunakekela oludingwa uMthetho 3701-17-14 weKhodi Yokuphatha seluthuthukisiwe futhi lusetshenziswa. Lesi sinqumo sizosekelwe ezimeni zomzimba, abasebenzi namasevisi asekhaya asebekhulile, kanye nokunakekelwa okudingekayo izakhamuzi ukuze zamukele noma zinakekele ikhaya lasebekhulile, kanye nomsebenzi ovunyelwe ogunyazwe uMnyango Wezohwebo.

Ngokusho kweNational Center for Long-Term Care Ombudsman, amakhaya asebekhulile kufanele anikezwe amalayisense afanele njengoba kudingwa umbuso wawo futhi angaphansi kokuhlolwa nokuhlolwa kwamabhuku ukuze kuqinisekiswe ukuthi ayahlangabezana nezidingo. Umnyango Wezempilo Nokuguga, Isigaba Esilawulayo Sokunakekelwa Kwesikhathi Eside, unesibopho sokubuyekeza nokukhipha amalayisense kahulumeni ezikhungweni zokunakekela zokuhlala (RCF kanye ne-RCF *), izikhungo zabahlengikazi (ALF kanye ne-ALF **), kanye nezinhlaka zokunakekelwa kwesikhashana (ICF) . ), kanye nezindawo zabahlengikazi abanekhono (SNF). Ukuze uthole ulwazi olwengeziwe mayelana nokulayisensa kwe-ICF/IID, vakashela iwebhusayithi ye-DMH.

Uhlelo lwakho lwezempilo lusekelwe olwazini lwakho lwezempilo futhi kufanele luhlolwe zingakapheli izinsuku eziyi-14 futhi okungenani njalo ezinsukwini ezingu-90 ngemva kwalokho. Ngomqondo obanzi, kudinga ukuthi wonke umhlali wekhaya labahlengikazi bathole zonke izinsiza abazidingayo ukuze bazenze ezingeni eliphezulu kakhulu. Isakhamuzi sinelungelo lokuba nemfihlo elifinyelela kuzo zonke izici zokunakekelwa, okuhlanganisa ukusiza ngezidingo zomuntu siqu, ukuvakashela umndeni nabangane, nokuxhumana nabanye ngocingo nangeposi.

Nakuba izakhamuzi zasemakhaya asebekhulile zinamalungelo amaningi njenganoma ubani omunye, inhlanganisela yezimo zesikhungo nokukhubazeka okubeka umuntu phambili esikhungweni ngokuvamile kuholela ekulahlekelweni kwesithunzi kanye nokunakekelwa okunganele. Zombili lezi zixazululo zabantu abadala ziyadingeka kuwo wonke umjikelezo wokuphila wabadala, futhi ungase uthole ukuthi wena noma othandekayo wakho nidinga ukuhlala isikhashana ekhaya lasebekhulile ukuze alulame esibhedlela ngaphambi kokubuyela kubantu abadala. Cabangela ukuqasha umnakekeli wekhaya noma umsizi wokunakekela ikhaya ukuze anakekele othandekayo wakho njalo, noma ucwaninge izindawo zokuhlala ezifana nezinsizakalo zokunakekela abantu abadala ezihlinzeka ngamasevisi ahlangabezana nezidingo zabathandekayo bakho.

Nokho, uma uthola ukuthi udinga usizo oluqhubekayo noma izihlobo zakho esezikhulile ziba nzima ngokwengeziwe ukuzinakekela, kungase kudingeke ushintshele ekuphumuleni okungokomthetho. Ukunikeza usizo lwendawo kwasebekhulile Kubalulekile ukuvumela asebekhulile ukuba baphile ngokuzimela ngangokunokwenzeka ngoba bazizwa bekwazi ukuzimela futhi ngenxa yokuthi kubiza kakhulu ukwenza kanjalo. Ukuze kuthuthukiswe ukuphila ngokuzimela, ngokuvamile kuyadingeka ukuthi uthenge amathuluzi ezokwelapha ahlala isikhathi eside kanye nokulungiswa kwendlu ukuze kuhlaliswe imishini yezokwelapha nomakadebona. Imishini yezokwelapha ehlala isikhathi eside Imishini yezokwelapha ehlala isikhathi eside, eyaziwa nangokuthi i-DME noma imishini yezokwelapha yasekhaya, ibhekisela ezintweni zezokwelapha ezihlala isikhathi eside, ezisebenziseka kabusha ezingasiza abantu ukuba bazisebenzele ngokuzimela futhi balawule imisebenzi yansuku zonke ekuphileni kwabo kwansuku zonke.