Ukubheka Ifenisha Yegumbi Lokudlela Lekhaya Labahlengikazi Elingcono Kakhulu Emhlabeni

Manje uqala iphrojekthi yakhe ebaluleke kakhulu: ezama ukuguqula ikhaya labathatha umhlalaphansi, lapho ezoqala khona ukubeka umama wakhe, endaweni efana ne-Leonard Center yaseFlorence.

Izindlu zabahlengikazi zaziyindawo yokuhlala unomphela lapho asebekhulile nabakhubazekile (ikakhulukazi abampofu nasebekhulile abakhubazekile) bengathola usizo lwezokwelapha oludingekayo futhi bathole ukudla kwansuku zonke.

Ukuze kwandiswe ukubamba iqhaza kwezakhamuzi ekwelashweni nasezinqumweni zobuhlengikazi, bavunyelwe ukubamba iqhaza emihlanganweni yezinhlanga ezahlukene futhi bavakashele mathupha odokotela emakhaya asebekhulile [25]. Kulolu cwaningo, amalungu omndeni aphinde aveza ukuthi izinga lomndeni lithinteka kakhulu umthwalo wokusebenza, ubuntu namandla omnakekeli oqeqeshiwe, nokulingana phakathi komqashi nendawo yokunakekela. Lo mbono uye waqashelwa odokotela, abakhathazekile ngokuntuleka kwabasebenzi ukunikeza usizo olwanele kubahlali [22, p. 17]. 9] Noma ukuthi bafuna ukunaka kakhulu umhlali ngamunye [31, p. 2495]. Abanye baye bathola ukuthi izakhamuzi nemikhaya yaneliseka kakhulu ngezindlu ezibamba ukushisa kunamakhaya asebekhulile. 8.12 U-David Grabowski, uprofesa wenqubomgomo yezempilo e-Harvard Medical School, owayeyilungu leqembu lezinga lika-2016, uthe ukuvakasha kwakhe endaweni ebamba ukushisa kwammangaza.

Ukunakekelwa kwesikhathi eside kuyabiza futhi abantu abaningi bayanqikaza ukungena ekhaya lasebekhulile abakwazi ukulikhokhela, elivame ukuba namagumbi omphakathi, ama-canteens asefekthri, kanye nabasebenzi abagcwele amandla. Abantu abaningi futhi abakwazi ukukhokhela ukuhlala ekhaya, ikakhulukazi uma bedinga ukunakekelwa 24/7. Izindlu zabahlengikazi zingaba “njengezibhedlela” futhi abasebenzi bangakhungatheka ngokwenani labahlali ababanakekelayo. Ezikhungweni eziningi zamakhaya asebekhulile, kufanele kube nabasebenzi abenele ukuze banikeze ukunakekelwa okufanele kubahlali.

Ngenxa yokuthi izindawo zokuhlala ezizimele ezabantu abadala abanesidingo esincane noma abangenaso nhlobo usizo ekuphileni kwabo kwansuku zonke, iningi alinikezi ukunakekelwa kwezempilo noma abahlengikazi. Uma udinga usizo lwamahora angu-24 ngokudla, ukugqoka nokusebenzisa indlu yangasese, noma uma udinga usizo lwezokwelapha njalo, ezinye izinketho zezindlu, njengamakhaya anesevisi noma amakhaya asebekhulile, zingase zifaneleke kakhudlwana. Isibonelo, uma izakhamuzi ziqala ukudinga usizo ngemisebenzi yazo yansuku zonke, zingase zisuke endaweni yokuziphilisa ziye endaweni yokulala yabahlengikazi noma indawo yabahlengikazi endaweni efanayo. Impesheni namakhaya asebekhulile yizikhungo ezikhethekile eziklanyelwe ukunikeza labo abadinga usizo lokunakekela asebekhulile, kokubili izindlu nokunakekelwa okufanele.

Lezi zikhungo zinikeza inhlobonhlobo yezinsizakalo, kusukela kokuhlala ngokuzimela kuya ekunakekelweni kwamakhaya asebekhulile endaweni efanayo. Lezi zikhungo zihlinzeka ngokugada noma usizo ngemisebenzi yansuku zonke (ADL); I-ALF iwumjikelezo oqhubekayo wokunakekelwa esikhundleni sokunakekela asebekhulile kubantu abangakwazi ukuphila ngokuzimela kodwa abangakudingi ukunakekelwa kwekhaya labahlengikazi okungu-24/7 futhi besebancane kakhulu ukuthi bangahlala ekhaya lasebekhulile. Amakhaya asebekhulile kanye nama-ICF/IID ahlinzeka ngokunakekelwa kubantu abadala kanye/noma izakhamuzi ezinezimo zezempilo ezingamahlalakhona ezibabeka engcupheni enkulu yokuba nezinkinga ezinkulu ezivela ku-COVID-19.

Njengoba kushiwo kokuthi Vakashela Ikhaya Labahlengikazi i-CMS QSO-20-39 (PDF), uma isikhungo singenazo izehlakalo ze-COVID-19 ezinsukwini eziyi-14 ezedlule futhi isifunda sinemiphumela ephansi (eluhlaza) noma emaphakathi (ephuzi), umhlengikazi ekhaya kufanele kwenziwe lula ngokuvakasha komuntu siqu ngokuhambisana nemithetho nezimiso ezibalulekile zokuvimbela ukutheleleka nge-COVID-19. Nakuba i-COVID-19 isalokhu iwusongo eWisconsin, umlawuli we-SNF, ngokubonisana noMqondisi Wezokwelapha kanye/noma uMqondisi Wobuhlengikazi, angase anqume ukuthi lesi sikhungo singasingatha umhlali ngokuphephile uma kucatshangelwa izinto ezithile.

Ezimeni zokunakekelwa kwesiguli, izivakashi zizokhawulelwa egunjini elithile kuphela. Uma kungenzeka, izikhungo zingasungula izindawo zokuvakashela ezizinikele (isb. "amagumbi ahlanzekile") eduze nomnyango wendawo, lapho izakhamuzi zingahlangana nezivakashi endaweni enomoya ohlanzekile, uma kungenzeka. Indawo kufanele ibulawe amagciwane ngemva komhlangano ngamunye wezakhamuzi nezivakashi.

Abahlengikazi bayashintsha phakathi kwezindlu futhi umhlali ngamunye uthola cishe ihora lokunakekelwa ngosuku. Izimpesheni namakhaya asebekhulile ngokuvamile aqhutshwa ochwepheshe abanamalayisense, okuhlanganisa abahlengikazi, odokotela, nabanye ochwepheshe bezempilo. Izakhamuzi zasemakhaya asebekhulile zingakhokha ephaketheni ukuze zizinakekele, ezinye e-United States zingathola i-Medicare isikhashana, ukunakekelwa kwezempilo komphakathi kungase kutholakale kwamanye amazwe, kanti ezinye zingasebenzisa izinhlelo zomshwalense wesikhathi eside. Ukuqashwa kungabandakanya izinsiza zomphakathi njengezinhlelo zokungcebeleka, izinsiza zokuhamba, nokudla endaweni yokudlela evamile.

Izindlu ziyahlukahluka kakhulu, kusukela emafulethini kuya ezindlini zomndeni owodwa. Eqinisweni, iningi lezindlu zezivakashi kanye namakhaya asebekhulile aklanyelwe ukuhlalisa abantu abangaphansi kwabayisi-6. Utusa ukuba amakhaya asebekhulile azame ukugcina ubukhulu bekhaya buncane, abe nendawo yomlilo enegumbi lokudlela, igumbi lokuphumula nekhishi, abe namakamelo ahlukene abahlali, umnyango wokungena wekhaya ngalinye, futhi avumela iziguli ukuba zisebenze ngokuzimele ngangokunokwenzeka. . Noma yiliphi ikhaya lasebekhulile elifuna ukuguqukela ekubeni into efana neGreen Home lidinga ukwazi ukuthi ubuhlengikazi nokunakekelwa okunekhono kungahlinzekwa kanjani ngezindlela ezahlukene zokuguqula isikhungo sabo, kusho yena.

Ifenisha efanele yekhaya labahlengikazi ingakha ukubukeka okuheha abasha futhi kugcine izakhamuzi ezikhona emphakathini wekhaya labahlengikazi. Ifenisha yabahlengikazi abaqeqeshiwe yakwa-Kwalu ifaka okusanhlamvu kokhuni okufudumele okuhle nokunekhaya.

Ukwakhiwa kabusha kwezakhiwo kwakuwukuklama i-Green House ngayinye enamagumbi okulala ahlukene kanye nekhishi elikhulu, igumbi lokudlela kanye negumbi lokuphumula elisebenza njengesikhungo sempilo endlini. Akuwona wonke umuntu oya endlini yokudlela, futhi abanye bakhetha ukudlela emakamelweni abo.

Esikhundleni sesidlo sasekuseni ngo-7 ekuseni, isidlo sasekuseni sinikezwa kusukela ngo-7 ekuseni kuya ku-10 ekuseni. Izidlo ezintathu ngosuku, nakuba zijwayelekile, zihambisana nezidlo ezincane ezimbalwa usuku lonke, kuye ngokunambitha kanye nemikhuba yokudla yabahlali.

Mhlawumbe ikhaya lakho linengadi enkulu edinga ukunakekelwa njalo, noma kungase kuba nzima ngokwengeziwe ukuhlanza lawo makamelo engeziwe angavamile ukusetshenziswa. Ukunakekela ikhaya lakho kungaba umthombo wokuziqhenya isikhathi eside kuwe, kodwa futhi kungaba umthwalo njengoba ukhula.

Izakhiwo ezihlukile zamakhaya asebekhulile njengoba sizazi - izindawo lapho inqwaba yabantu asebekhulile ababuthaka ihlala ezindaweni ezivalekile futhi ivame ukwabelana ngamakamelo okulala, izindlu zangasese kanye nezindawo zokudlela - ibenze babe isisulu esilula saleli gciwane, eliphindaphindeka eduze futhi lihlukanise umoya. Phakathi kwezinto ezakha izici zenhlalo yemizwa yasekhaya ukuxhumana nobudlelwano nabasebenzi, abanye abahlali, umndeni nabangane, izilwane ezifuywayo, kanye nemisebenzi. Cooney [15, p. 192] uchaze ukuthi ababambiqhaza bahlobanisa umuzwa "wokuba" nomuzwa wekhaya.

Njengoba amakhaya asebekhulile amaningi ayengenazo izimo zokugula noma zokufa, ithimba labheka amakhaya asebekhulile anezinga eliphakeme kakhulu labantu abatheleleka ngama-50% kanye nezinga eliphezulu lokufa kwabantu elingama-20% futhi labala kabusha izinombolo ukuze zivezwe njengamacala eminyakeni eyikhulu. yokuhlala (izakhamuzi eziyi-100, ngayinye ilandelwa ungakapheli unyaka owodwa). Izokwakhela phezu kokuhlola okusha okuvela kweminye imithombo futhi izokwamukela abantu abanemiholo ehlukene kanye nabangewona abadala abanezimo eziwohlozayo njenge-ALS ne-MS.