Izihlalo ZaseKhaya Labahlengikazi Ikhwalithi Ethintwa Iziphi Izinto

Ukuze wenze utshalomali olunjalo, udinga ukuqiniseka ukuthi luzosebenza. Sikholelwa ukuthi kubalulekile ukukhetha izihlalo ezinokuhlolwa komtholampilo ukuze uqinisekise ukuthi imiphumela ingaphinda ikhiqizwe ekhaya noma esikhungweni sakho. Sincoma ukuthi ufune iseluleko sikadokotela, njengomelaphi wemisebenzi noma uchwepheshe ohlezi, ozokudlulisela futhi akunikeze ulwazi mayelana nezidingo zesikhathi eside zesiguli sakho noma ilungu lomndeni nokuthi izidingo zabo zingashintsha kanjani ngokuhamba kwesikhathi ukuze ingazanelisa izidingo zakho. Isixazululo.

Ukuqonda lezi zici kubalulekile ukuze udale futhi uhlole imibono engabikezela futhi ekugcineni ithuthukise izimo zokuhlala ezindaweni zokuhlala. Inhloso yalolu cwaningo ukuhlaziya ngendlela ehlelekile izinto ezithinta umuzwa wekhaya kubantu abadala abahlala ezikhungweni. Ukuqonda okuphelele kokuthi yiziphi izici ezithonya umuzwa wokuba sekhaya kungaholela kumqondo othuthukisiwe wekhaya kubahlali basemakhaya asebekhulile. Umuzwa wokuba sekhaya uthonywa yizici eziningi ezihlobene nengqondo yabahlali kanye nesimo senhlalo nemvelo.

Lokhu akubandakanyi kuphela izidingo zezakhamuzi ngokusekelwe eminyakeni yobudala, ubulili nobuhlanga, kodwa futhi nezidingo zezakhamuzi ezisekelwe ezicini ezifana nenkolo. Kuphinde kubhekwe izinga lokunakekelwa okudingwa abahlali basemakhaya asebekhulile. Uma amahora amaningi abasebenzi abahlengikazi etholakala umhlali ngamunye ngosuku, kufanele kuhlinzekwe izinga eliphezulu lokunakekelwa kwesiguli. Isibonelo, izisebenzi ezixosha ngokungenhloso ezihlukumeza noma ezinganakekeli abaqashile kungenzeka zithuthukise ikhwalithi yokunakekelwa.

Lezi zibuyekezo ezimbili zibonise ukuthi ukushintsha kwabasebenzi kungase kuphazamise ukunakekelwa kwesibhedlela okungenani ngezindlela eziyisithupha. Ngokusekelwe kulezi zici, sicabanga ukuthi inzuzo ephezulu emakhaya asebekhulile ingase ihlotshaniswe nekhwalithi ephansi. Lokhu kungenxa yokuthi izinkomba zekhwalithi yekhaya labahlengikazi azinaki ukunakekelwa okukhethekile nezinye izici zomuntu siqu. Njengoba kunikezwe ukuthi ukulinganisa kwezinkanyezi ezingu-5 kwakunesisindo esikhulu sezinyathelo zesikhathi eside zeziguli ngaphambi kuka-2016, ababhali baphikisa ngokuthi njengoba amakhaya asebekhulile agxile kwikhwalithi yokuhlala isikhathi eside, ikhwalithi yokunakekelwa kwangemva kokuphuthumayo ingaqedwa. ...

U-Ryskina et al. Kutholwe ukuthi nakuba umbiko wokulinganisa wekhaya labahlengikazi lezinkanyezi ezi-5 ngokuhamba kwesikhathi uphumele ekulinganisweni okungcono kwekhaya labahlengikazi, lezi zinguquko azihambisananga nokuthuthukiswa kokulaliswa esibhedlela, isilinganiso esibanzi sekhwalithi yokunakekelwa kwangemva kokugula. Ukuqhathanisa ukusebenza kahle okuphezulu nokuphansi (ukunakekelwa kanye nekhwalithi kugxile kubahlali) emakhaya asebekhulile (Izikhungo Zokuphila Komphakathi) zokuphathwa kwezempilo komakadebona, uSullivan et al. isakhiwo. isiko eligcizelela ukuthuthukiswa kwekhwalithi okuqhubekayo, ukunikwa amandla kanye noshintsho, kanye nokusetshenziswa okwandisiwe kokuqeqeshwa kanye nezisusa zokulethwa kokunakekelwa kwezempilo okugxile kubahlali. Njengengxenye yalo mzamo, i-CMS yamukela isethi entsha yezinyathelo zokuqinisekisa ikhwalithi yamakhaya asebekhulile ehlanganisa, kubahlali besikhathi eside, ingxenye yezakhamuzi ezinezifo zomgudu womchamo, izinhlungu, izilonda zokucindezela, noma ukukhubazeka ngokomzimba. futhi ezigulini zesikhashana, iphesenti le-delirium, izinhlungu kanye nezilonda zengcindezi.

Amaphrofayli Ezinkomba Zekhwalithi Yezempilo Isikhungo Sokucwaninga Nokuhlaziya Kwezinhlelo Zezempilo sesenze izinkomba ezingasetshenziswa ukukala ukunakekelwa kwasekhaya (Zimmerman, 2003) - okuvame ukubizwa ngokuthi izinkomba zekhwalithi yasekhaya labahlengikazi (noma i-IQ). Lokhu kuhlanganisa izimo zamakhaya asebekhulile, amalungelo abahlali, ukusebenzisana kwezisebenzi nabahlali, ukunakekelwa kwesikhumba, ukuphathwa kwezidakamizwa, izinga lempilo, ukuphathwa kwekhaya lasebekhulile, ukulungiswa nokugcinwa okufanele kokudla. Izinkomba Zokunakekela Abahlali zihlola ukuthi izidingo zomzimba nezezempilo zabahlali basemakhaya asebekhulile zihlangatshezwa kanjani.

Inkomba yekhwalithi isekelwe kudatha yomuntu siqu equkethwe kusethi yedatha encane kakhulu. Inkomba yesibili yekhwalithi, isilinganiso sabasebenzi basekhaya labahlengikazi (izinga lezisebenzi), isetshenziselwa ukunquma ukuthi ikhaya labadala linenani elanele labahlengikazi, okuhlanganisa abahlengikazi ababhalisiwe, abahlengikazi abaqeqeshelwa umsebenzi, abahlengikazi abaqeqeshiwe nabasizi babahlengikazi, ukuze banakekele ngendlela efanele. izakhamuzi. Okwesibili, kubo bonke Ezinhlotsheni ezahlukene zabasebenzi basemakhaya asebekhulile, ubudlelwano phakathi kwenzuzo yabasebenzi kanye nekhwalithi akufani, ngakho-ke ikhadi lombiko kungase kudingeke lifake izinkomba ezintathu ezingase zidukise abathengi.

Ngokwesibonelo, amanye amakhaya asebekhulile asebenza ngokukhethekile ekwelapheni isimo esithile (njengezilonda zomfutho wegazi) noma akhe idumela lokuhlinzeka ngokunakekelwa kwekhwalithi ephezulu endaweni ethile, ngaleyo ndlela ahlalise izakhamuzi eziningi ezinalesi simo. Ngokuvamile isitobhi sokugcina soshintsho oluningi ezindaweni ezihlukahlukene zokunakekela zesikhathi eside, ikhwalithi yamakhaya asebekhulile ngokuqinisekile ibingaba ngcono uma izakhamuzi bezinakekelwa esimweni sangaphambilini. Elinye isu elifundwayo ukusebenzisa amayunithi akhethekile e-Alzheimer's (SCU). Amakhaya asebekhulile ahlinzeka ngokunakekelwa kwamaqembu asengozini abantu asebekhulile ababuthaka abangakwazi ukuzihlalela ngenxa yenhlanganisela yezifo ezingalapheki eziyisisekelo, ukukhubazeka kwengqondo nomzimba, kanye neminye imingcele yobudala.3 Izakhamuzi zivame ukubhekana nengozi eyengeziwe ye-SARS-CoV -2 ukutheleleka kanye nesifo se-COVID -19 esibangelwa izici zangaphandle ezifana nokungenelela kokuvimbela ukutheleleka kanye nezindlela zokulawula ukuvimbela ukudluliselwa kokutheleleka ekhaya.

Uma usuthelelekile, izici zezinga lesiguli zizokwenza ezinye izakhamizi zibhekane nengozi enkulu yokufa kunabanye4-10. Lezi zici, ezihambisana nendawo yokuhlala okwabelwana ngayo kanye nesidingo sokunakekelwa okusezingeni eliphezulu, zenza amakhaya abe sengozini enkulu ye-COVID-19 kanye nemiphumela yayo emibi. Umphumela. Zombili ziyizici ezaziwayo ezibeka engcupheni yokufa kwabahlala emakhaya asebekhulile okungezona i-COVID-19. 28,29 Ukuhlanganisa zonke lezi zici zobungozi kanye nokufingqa izinhlangano zabo zobungozi kubalulekile ukukhomba abahlali bamakhaya asebekhulile abane-COVID-19. Ingozi yokutheleleka. fa. Nakuba izici zobungozi ezingokwemvelo ezifana nezinguquko ezihlobene neminyaka kanye nezifo ezingelapheki azikwazi ukuxazululwa, ingozi yokuwa kwabahlali ingancishiswa ngokuphathwa. Ngokuhlolwa nokwelashwa okufanele, ukuphathwa kwezokwelapha kwezifo ezinzima nezingamahlalakhona kungathuthukiswa.

Izinkomba zekhwalithi yenqubo nazo zingasiza ekunqumeni izindlela zokuthuthukisa ikhwalithi yokunakekelwa. Lokhu kwenza amakhaya asebekhulile ngabanye aphendule ngezinga lokunakekela abahlinzeka ngalo, futhi kungabakhuthaza ukuba bathuthukise izinga lokunakekela futhi baveze nezindawo okufanele zithuthukiswe. Ihlose ukusiza abahlinzeki bokunakekelwa kwezempilo ukuthi banikeze ukunakekelwa komuntu siqu, okugxile kubantu, futhi bathuthukise izinqubo zabo zokunakekelwa kwekwindla kanye nemiphumela ngokusebenzisa imfundo namathuluzi okuthuthukisa ikhwalithi.

Lokhu kungase kuchaze ngokwengxenye ukuthi kungani amakhaya asebekhulile abe nokwehla kokuqashwa kanye nokwanda kokuvalwa kokuvalwa eminyakeni engamashumi amabili edlule. Silindele izinyathelo okufanele zithathwe esikhathini esizayo ukuze kubhekwane futhi kuthuthukiswe ikhwalithi yokunakekelwa kwekhaya labahlengikazi, okuhlanganisa amakhadi ombiko, ukukhokhwa kwezinzuzo, izinxephezelo zemakethe, kanye nezinguquko zenqubomgomo enqubweni yesitifiketi.

Sethule imiphumela yocwaningo lokuqukethwe kwewebhu kuMqulu II walo mbiko. Ukuze ufunde mayelana nezici ezibe nomthelela ezinqumweni mayelana nokukhetha ikhaya lasebekhulile nokusebenzisa izinsiza zolwazi, senze uchungechunge lwamaqembu esigxilile phakathi kwabantu abaye bahlangabezana nokuhlala isikhathi esifushane emakhaya asebekhulile, abantu ababeke amalungu omndeni ku-LTC kanye nabaxhumanisi bolwazi ( ochwepheshe bokuhlela ukukhishwa esibhedlela nabanakekeli bomphakathi) indima yabo kwakuwukusiza abantu bathole i-LTC yelungu lomndeni. Funda umkhondo wokunakekelwa kwasekhaya ngokuhamba kwesikhathi emaqenjini amabili abantu abadala abanikezwe ithuba lokuthuthela ekhaya elincane labahlengikazi noma bahlale endaweni abahlala kuyo, ikhaya labahlengikazi elivamile, ukuze unikeze ulwazi ngobuhlobo obuyinkimbinkimbi phakathi kwezidingo zomuntu ngamunye kanye nezifiso. , imvelo ye-LTC , ukwazana nempilo.