Ukufeza Izihlalo Zakho Zasekhaya Labahlengikazi nge-Wheels Regimen

Isihlalo esinamasondo kufanele sidingeke ngokwezempilo, silungiswe futhi senziwe ukuze sihlangabezane nezidingo zomuntu ngamunye umhlali, futhi kuhloswe ukuba kusetshenziswe umhlali yedwa futhi unomphela. Ukuze uthole inhlanganisela yesistimu yokulala kagesi kanye nesistimu yezihlalo ezihlezi (ikhono lokuhlala), umhlali kufanele abonise isidingo sokuphumula endaweni ephansi izikhathi ezimbili noma ngaphezulu ngosuku lapho umhlali engakwazi ukuhamba phakathi kombhede nesihlalo sabakhubazekile ngaphandle kosizo futhi / noma basengozini yokulimala esikhumbeni ngenxa yokungakwazi ukushintsha isikhundla esihlalweni ukuze unciphise ukucindezela ezindaweni.

Izinsimbi zokulala zingasetshenziselwa ukuthuthukisa ukuhamba kwezakhamuzi ngokuzisiza ukuhambahamba embhedeni, ukuhlala noma ukuphuma embhedeni. Ama-alamu ombhede nezicabha anganikeza inkululeko kumuntu onokuwohloka komqondo kuyilapho ekwazisa ngesidingo sakhe sosizo. Ukusebenzisa imisebenzi ehlukahlukene ukuze kuhileleke umuntu ngezinye izikhathi kungavimbela ukuziphatha okuthile okunjengokukhathazeka, ukubambana ngokuqaphile, nokuzulazula.

Umthwalo wokunakekela abanye njengabanakekeli namalungu omndeni ungowethu ngoba siyabakhathalela. Lokhu akusho nje izinhloso ezinhle kuphela, kodwa ukuqonda okuqhubekayo kwezingozi nezinzuzo zendlela esinikeza ngayo ukunakekelwa, okuhlanganisa ifilosofi yethu kanye nokusetshenziswa kwamakhambi ezigulini zethu nabathandekayo.

Umvuzo uzoba ukunakekelwa kwezempilo okungcono nokufaneleka kakhudlwana kubahlali ngabanye bekhaya lasebekhulile, abangeke babhekane nokweqisa kanye nemiphumela eyingozi yemikhawulo engokomzimba engadingekile. Ukugcina izakhamuzi zasemakhaya asebekhulile ziphephile kuyinto ehamba phambili emindenini nabasebenzi bezempilo.

Amakhaya eqembu, izibhedlela, amakhaya asebekhulile, nezinye izikhungo ezikhethekile zihlinzeka ngezinsizakalo ezivamile zasebusuku nezimo eziphuthumayo, okuvumela abanakekeli bakho ukuba bathole ukunakekelwa ubusuku nemini. Usizo lunganikezwa ekhaya lakho, inkulisa noma indawo yokuhlala, noma kubahlengikazi abalale ebusuku. Okokugcina, ukunakekelwa kwesikhashana kungasho ukusebenzisa izinhlelo ezingaphandle kwekhaya, njengezikhungo zosuku lwabadala, amakamu osuku, noma amakhaya asebekhulile, ukuze unikeze wena nabathandekayo bakho ukunakekelwa okuqhubekayo abakudingayo.

Noma, ukunakekelwa kwesikhashana kungase kusho ukuthola amavolontiya noma abanakekeli abakhokhelwayo ukuze banikeze usizo lwasekhaya kobathandayo, ngezikhathi ezithile noma njalo. Le nketho yokunakekelwa ethandwayo ivumela othandekayo wakho ukuthi ahlale ekhaya labo ngenkathi eqhubeka nokuthola usizo futhi ingaba wusizo kuwe njengomnakekeli oyinhloko. Abahlinzeki bokunakekelwa komuntu siqu bangasiza ngamakhono empilo yansuku zonke njengokugeza, ukugqoka, noma ukuphakela. Nakuba abahlinzeki abazimele bevame ukushibhile, ukusebenzisa ama-ejensi okunakekelwa kwasekhaya kanye nezinsizakalo zokudlulisela kungaba lula.

I-ADA idinga ukufinyelela ezinsizeni zokunakekelwa kwezempilo kanye nezinsiza lapho zihlinzekwa khona. Le mithetho idinga abahlinzeki bezempilo ukuthi benze izinsiza zabo zitholakale. Lokhu kushicilelwa kosizo lobuchwepheshe kunikeza isiqondiso kubahlinzeki bokunakekelwa kwezempilo mayelana nezimfuneko zezokwelapha ze-ADA zabantu abakhubazekile ukuhamba, ezihlanganisa, isibonelo, labo abasebenzisa izihlalo zabakhubazekile, ama-scooters, izihambi, izinduku, noma abangenazo izinto zokuhamba. Nakuba ucwaningo lubhale phansi izinselelo ezibhekene nabahlali balezi zikhungo, bambalwa asebecabange indima yezihlalo ezinamasondo njengento engaba yizithiyo zokuhamba nokubamba iqhaza abayidlalayo ezimpilweni zabo.

Uma kubhekwa ukuguquguquka kwamandla phakathi kwezakhamuzi nabasebenzi, ukwanda kokusetshenziswa kwezihlalo ezinamasondo ezikhungweni zabahlengikazi kanye nethuba lokusetshenziswa kabi, siqedele ucwaningo lwe-ethnographic ukuthuthukisa ukuqonda kwesimanje kwezimpilo zezakhamuzi ezisebenzisa izihlalo zabakhubazekile kulezi zilungiselelo. Ikakhulukazi, besihlose ukuhlaziya ngokujulile ukuthi izakhamuzi, imindeni kanye nabasebenzi ezikhungweni zokuhlala basebenzisa izihlalo zabakhubazekile. Sixoxisane nabasebenzi abahlanu abavela esikhungweni ngasinye (abezimo eziphuthumayo ababili, odokotela bomzimba ababili, odokotela ababili basemsebenzini, abahlengikazi ababili, odokotela ababili abasebenzayo/abasizi bokubuyisela esimweni esijwayelekile). Ngokwesilinganiso, babeneminyaka engu-17 yokuhlangenwe nakho (kusukela eminyakeni emi-2 kuye kwengama-30) emisebenzini ehlukahlukene kanye neminyaka eyi-8 yesipiliyoni ezikhungweni zokuhlala ezikhona (kusuka ezinyangeni eziyisi-6 kuye kwengama-20).

Akukhona umlawuli wekhaya lasebekhulile noma umuntu ogunyazwe uhulumeni ukuthi ahlinzeke ngosizo lwezokwelapha noma ukwelashwa kunoma yimuphi umuntu ongase athamele noma abambe iqhaza kunoma yiluphi ucwaningo oluhlolwayo noma ukwelashwa komhlali, okuhlanganisa ucwaningo lokubheka emuva, ngaphandle kwemvume ebhaliwe yangaphambili yabaphathi. umphetho. Isakhamuzi kumele siqinisekiswe ukuthi siyahlonishwa futhi siyimfihlo ohlelweni lwaso lwezempilo nokunakekelwa komuntu siqu. Umhlali kufanele abe nelungelo lokuphatha ukuqapha okugunyaziwe nge-elekthronikhi kwegumbi lomhlali kusetshenziswa izinto zokuqapha zikagesi ezibekwe egumbini ngokuhambisana noMthetho Wokuqapha Okugunyaziwe Kwe-elekthronikhi Ezikhungweni Zokunakekela Isikhathi Eside.

Isaziso sihlanganisa nefomu lesimemezelo elingasetshenziswa yisakhamuzi ukuhlonza abangaba ababambe iqhaza kwezokunakekelwa kwezempilo noma isikhungo ukuze sibhale noma yikuphi ukwehluleka noma ukwenqaba ukwenza leso simemezelo. Ukwenqaba komhlali kukhulula isakhiwo esibophweni sokuhlinzeka ngokwelashwa. Nokho, uma umhlali enesidingo esiphuthumayo sokunakekelwa, imingcele yesikhashana yokuthola ukwelashwa ingase isebenze, ngaphandle kwalapho isikhungo siye saqaphela ukuthi umhlali uye wenqaba ngokomthetho ukwelashwa okukhulunywa ngakho.

Izikhungo kufanele futhi zibe nomyalelo ongaguquki ovela kudokotela wokusebenzisa noma yiziphi izindlela zokuzithiba, futhi umuntu, umnakekeli wakhe noma ummeli wakhe wezokwelapha kufanele azazi izingozi ezihambisana nezinzuzo zokusebenzisa imingcele, futhi bayinikeze imvume yokwenza kanjalo. ... Ukuze ikhaya lasebekhulile lisebenzise izivimbelo, abasebenzi kufanele baqale bazame ngokungaphumeleli ukusebenzisa ezinye izindlela ezinemingcele encane, futhi le mizamo kufanele ibhalwe ngokucacile. Imizamo iyaqhubeka ezingeni likazwelonke yokunciphisa ukusetshenziswa kwezivimbelo ezingokwenyama emakhaya asebekhulile, futhi ochwepheshe bezokunakekelwa kwempilo bamatasa bafuna ezinye izindlela zokugcina izakhamuzi ziphephile.

Ochwepheshe bezempilo bacele uMnyango Wezempilo waseMinnesota ukuthi usize ukufundisa izakhamuzi nemindeni yazo ngezingozi zokuzithiba ngokomzimba nezinye izindlela zokuphepha. Lokhu okutholakele, kuhambisana nokugxila okuthuthukile kwekhwalithi yempilo emakhaya asebekhulile, kubangele ukucabanga kabusha komkhuba wangaphambilini wokusebenzisa ukuzithiba. Abanakekeli nemindeni basebenzisa lezi zixhobo ngenkolelo yokuthi benza ngendlela ezuzisa abathandekayo babo.

Ngenxa yezingqinamba, abantu abakhubazekile mancane amathuba okuthi bathole ukunakekelwa okujwayelekile kokuvimbela kunabantu abangakhubazekile. Ngaphezu kwalokho, zonke izakhiwo, kuhlanganise nalezo ezakhiwa ngaphambi kosuku lokuqala lokusebenza kwe-ADA, kufanele zihambisane nezidingo ezingenazithiyo zezakhiwo ezikhona. Ingxenye III idinga ukususwa kwezithiyo zezakhiwo okulula ukuzifinyelela ezakhiweni ezikhona.

Uma ukususa umgoqo kungafinyeleleki kalula, inhlangano kufanele inikeze izinsizakalo zayo ngezinye izindlela, uma lezo zindlela zifinyeleleka kalula. I-ADA ibeka izidingo zokwakhiwa okusha nokulungiswa kwezakhiwo nezakhiwo, okuhlanganisa nezokwelapha. I-Medicare ayifaki i-CPWC kubahlali be-SNF. Izihlalo Zamasondo Ezinamandla Okuzenzela (CPWC) ziyinzuzo kumalungu e-STAR PLUS / Medicare-Medicaid Plan (MMP) ahlala e-Medicaid Registered Medical Facility (NF) lapho i-CPWC idingeka ngokokwelashwa nangemvume yangaphambili evela kuKhomishani Yezempilo Nezenhlalakahle. Izinsizakalo zaseTexas (HHSC) noma ummeleli wayo.