Wotsogolera wanu kuti muthandize kwambiri pa chisamaliro chanu cha OT mu SNF
Ngati inu kapena wokondedwa wanu mwavomerezedwa ku malo osungirako odwala (SNF), muli ndi mwayi wabwino kuti mudziwe mwamsanga deta yothandizira, yomwe ndi ntchito yothandizira .
Mwachidule
Anthu ambiri amabwera ku SNF chifukwa safunanso kuti azisamalidwa kuchipatala koma sangathe kupita kwawo. Mwina mungafunikire kupeza mwayi wopezera maubwino othandizira (monga kuyang'anira machiritso a mankhwala kapena thandizo la mankhwala), ntchito zowonetsera tsiku ndi tsiku, kapena kuphatikiza zonse ziwiri.
Dokotala wanu amakhalabe woyang'anila woyang'anira chisamaliro chanu, koma ogwira ntchito yosamwitsa ndi othandizira anthu ndi omwe mudzawawona nthawi zambiri.
Medicare imatsimikizira amwino odziwa zaukhondo; Choncho, malamulo a Medicare ndi kubwezera ndalama zimathandiza kwambiri momwe zipangizo zikuyendera.
Kusambira Mabedi
Nthaŵi zina, mumakhala m'chipinda chanu chomwe mumagwiritsa ntchito chipatala koma mutsegule ku SNF. Medicare imatsimikizira zipatala zazing'ono zapakati za kumidzi (zomwe zimadziwika ngati zipatala zofikira kwambiri) kupereka SNF chisamaliro choyang'anira pansi pa malo a Swing Bed pamene malo omwe angapeze malo ochepetsera malo ochepa amalephera.
Ngakhale kuti mukukhala pamalo omwewo, muyenera kuzindikira kusintha kumene mukulandira.
Udindo wosiyana wa OT
Ogwira ntchito pantchito ali ndi lingaliro lokwanira la thanzi. Amaphunzitsidwa kuyesa ndi kuthandizira pazinthu zathanzi (monga mphamvu, kuyenda, kuyenda, kuzindikira, kupanga magalimoto, ndi zina zotero) koma pamapeto pake zimakhudza momwe izi zikukhudzidwira kuthekera kwanu kuchita ntchito zomwe mukufuna ndikuzifuna kuchita (kutchedwa "ntchito").
Kwa makasitomala ogwira ntchito yosungirako anthu odziwa bwino ntchito, nthawi zambiri ntchitozi ndizochepa zomwe zimafunika kuti abwerere kunyumba kapena kuchepetsa kuchepetsa.
Chofunika kuti munthu atulumuke bwinobwino kuchokera ku SNF amasiyana. Mwachitsanzo, ngati mukukhala nokha m'nyumba yam'nyumba iwiri, ntchito zofunika zomwe muyenera kuchita kuti mubwerere kunyumba zidzakhala zosiyana ndi munthu amene akubwerera ku malo omwe akukhala.
Chofunika kwa odwala onse, ndilo ntchito yayikulu yotchedwa Basic Activities of Daily Living (ADLs). Izi ndizofunikira zomwe odwala ayenera kukhala ndi ndondomeko kuti achite. ADL imaphatikizapo kuvala, kusamba, kudya, kudzisamalira, ndi kuyenda.
Zochita Zogwiritsira Ntchito Zamoyo Zamasiku Onse (IADLs) ndizo ntchito zomwe ziri zofunika kwambiri pa moyo wa munthu koma zimakhala zovuta kwambiri ndipo zimakhala zophweka kugawira kwa ena osamalira. Pamene kuli koyenera, wodwala ntchito yanu (OT) adzawonanso ndikupereka mankhwala okhudzana ndi IADLs.
Kuti mutembenukire ku SNF mwakhama momwe mungathere, OTs angalimbikitsenso ndikupangitsani maphunziro pakukonza malo anu ndi zipangizo zomwe mungagwiritse ntchito pochita ntchito za tsiku ndi tsiku.
Kufufuza kwa OT ndi ndondomeko ya chisamaliro
Mwinamwake mwalandira chithandizo chamankhwala kuchipatala, koma kupita kwanu ku malo osungirako anzeru kumayambitsa gawo latsopano la chisamaliro. Wodwala wanu wa ntchito adzakhala ndi dongosolo lochokera kwa dokotala kuti apange ndondomeko yatsopano.
Kuwunikira kudzakhala ndi zolemba izi:
- Kuchiza matenda
- Kulephera kwa chithandizo kapena kusagwira ntchito
- Kuwona mosamala
- Cholinga chowunikira
- Kufufuza
- Sungani
Ngati OT akupeza kuti ntchito zake ndizofunikira ndi zofunikira, amatha kukhazikitsa dongosolo la chisamaliro. Ndondomeko iyi yodalirika idzakhala ndi zotsatirazi:
- Kusokonezeka
- Zolinga zam'tsogolo za mankhwala
- Mtundu, kuchuluka kwake, nthawi yake, ndifupipafupi za mankhwala opaleshoni
Ndondomeko ya chisamaliroyi idzatumizidwa kwa dokotala kuti avomereze.
Matenda OT
Mankhwala anu akhoza kukhala ochepa ngati maminiti asanu ndi atatu ndipo nthawi yosachepera ola limodzi. (Kumbukirani mankhwalawa ayenera kukhala ololera.)
Mankhwala anu ayenera kukhala okhudzana ndi zolinga zanu ndikulowa mu dongosolo la chisamaliro. Mwachitsanzo, ngati mutayamba kukhala ndi vuto ndi chikuku chanu, zili mkati mwa chikhalidwe cha OTs kuti mugwirizane ndi izi, koma ngati chitukuko cha olumala sichinali dongosolo lenileni la chisamaliro, ayenera kusintha ndondomeko ya chisamaliro ndi kupeza kuvomerezedwa ndi dokotala asanayambe.
Wothandizira ntchito kapena wothandizira odwala ntchito yothandizira akhoza kuchita mankhwala. Thandizo la ntchito zapamwamba zingakhalepo kuti zithandizire ndi ndondomeko koma sizingapereke mankhwala othandiza.
Maphunziro anu a OT adzakhala ophatikizapo kupanga luso lomwe mudzafunikira kupita kunyumba ndi kuthana ndi zinthu zakuthupi, zamaganizo, zomwe zimachititsa kuti ntchito izi zikhale zovuta.
Mwachitsanzo, gawo limodzi lingalimbikitse kukulitsa thupi kumtunda pokonzekera kugwiritsa ntchito benchi yosamutsira kuti mufike panyumba yanu yosamba. Mu gawo lina, OT yanu ingakhazikitse mkhalidwe wosambira wamasefu ndikukuphunzitsani njira yabwino kwambiri yogwiritsira ntchito benchi yobweretsera.
Ntchito Zapadera za OT
Omaliza maphunziro a zachipatala ophunzirira ku sukulu ya OT monga olamulira oyendetsa masitepe. Koma, ngakhale mzere watsopano uyenera kukhala wophunzira bwino ndi wokonzeka kukuthandizani kukwaniritsa zolinga zanu ADL ndi iADL.
Pogwiritsa ntchito ntchito yawo, OTs ambiri adzapitiriza kuchita zamakono ndi njira zina zothandizira. SNFs ikhoza kufunafuna antchito OTs ndi maphunziro apadera ndi certification .
Malo amodzi omwe amadziwika pazinthu za SNF ndi awa:
- Lymphedema Management
- Kuteteza kwa Falls
- Kukhala ndi Kuyenda
- Kuponderezedwa
- Chisamaliro cha Dementia
- Kusamvana kwapikisano
- Kuchepetsa Kuletsa
- Kuyendetsa Galimoto
Medicare, OT, ndi SNF
Ziyeneretso zosiyana siyana za kufalitsa kudzera mwa Medicare zikhoza kukhala zovuta komanso zoyenera kukambirana mwatsatanetsatane ndi timu yanu yowonongeka kuchipatala komanso gulu la admitted SNF.
Kuti mudziwe zambiri za momwe Medicare imakhudzira ntchito zothandizira anthu ogwira ntchito, mudzapeza pansipa zigawo zina za magawo awiri a chithandizo cha Medicare.
Tsambalo lingakhale lovuta koma limangokhala mmenemo, chifukwa mfundo izi zimagwirizana ndi kulondolera bwino.
Mankhwala Ogwira Ntchito ndi Medicare Part A
Ngati muli ndi chipatala cha masiku atatu ndipo dokotala wanu asankha kuti mupitirizebe kufunikira kusamalidwa bwino, mukhoza kukhala ndi Medicare Part A.
Medicare Part A ikupita kwa masiku 100 oyambirira mu SNF ndipo ili ndi zofunikira zapadera.
Chimodzi mwa zofunikira ndi chakuti ogwira ntchito pamsonkhanowu amatha kukwaniritsa Zomwe Zidasankhidwe (MDS).
Monga gawo la MDS, chiwerengero cha maminiti othandizira ogwira ntchito adzaphatikizidwa ndi chithandizo cha thupi ndi chilankhulo cha kukhazikitsa gulu la Gwiritsirani Ntchito Gwiritsiro (RUG). Njira iyi RUG ingakhudzire ndalama zomwe Medicare adzabwezeretse malowa. Mndandanda uwu umakhala mkati mwa masiku atatu achisanu, 14, 30, 60, ndi 90 masiku a wodwalayo pa malo ochepa. Mndandanda uyenera kudziwa momwe ndalamazo zimaperekedwa kufikira tsiku lotsatira.
Mapiri asanu RUG ndiwo awa:
- Ultra High: pafupifupi 720 mphindi. Kuchulukitsa 2 mankhwala opatsirana (mankhwala, ntchito kapena kulankhula); masiku osachepera asanu.
- Wapamwamba kwambiri: osachepera mphindi 500. Osachepera 1 chilango masiku asanu.
- Pamwamba: osachepera 325 mphindi. Osachepera 1 chilango masiku asanu.
- Zamkatimu: osachepera mphindi 150. Masiku osachepera asanu.
- Low: osachepera mphindi 45. Osachepera masiku atatu.
Mankhwala Ogwira Ntchito ndi Medicare Part B
Medicare Part B ikukhudzana ndi ntchito yothandizira mu SNF ngati simukuyenerera gawo A kapena ngati mapinduwa atha. Mankhwalawa amatumizidwa pogwiritsa ntchito dongosolo losiyana ndi malamulo.
Pezani Zambiri pa OT SNF Care
Dziwani Zolinga Anu Wopereka Opaleshoni Akugwira Ntchito
Ogwira ntchito zamalonda amayesetsa kuti akhale osowa-makadi pazokambirana zawo. Koma, monga momwe kafukufukuyu wa 2006 akusonyezera, pangakhale kusokonekera pakati pa zolinga za odwala ndi zolinga za ofuna chithandizo. Nkhaniyi ikusonyeza kuti odwala amayesetsa kutenga nawo mbali pazokambirana za zolinga zomwe amapeza kuti ndi zothandiza komanso zolinga.
Ngati muli mu nthawi imene simukudziwa zolinga zenizeni zomwe OT mukugwira, musazengereze kufunsa wodwala ntchito yanu! Mukhozanso kupempha kuti muwone zolemba zanu za ntchito .
Kumvetsetsani Nkhoswe Yanu RUG ndi Woimira pa Mbali Yeniyeni ya Chisamaliro
Kupita kuchipatala chomwe inu kapena wokondedwa wanu mudzapindula sabata ndi sabata ndi chimodzi mwa magawo ovuta kwambiri ophunzirira zambiri za SNF. Kafukufuku wa 2005 amasonyeza kuti mphamvu yapamwamba ya mankhwala imakhudzidwa ndi nthawi yayitali yokhalapo komanso mwayi waukulu wopambana mu ADL.
Izi zikunenedwa kuti, unamwino wothandizira amatha kufufuza (ndi milandu) pofuna kupereka chithandizo chamankhwala kwa odwala chifukwa chobwezera chifukwa cha osowa.
Mipata ya RUG yomwe ikufotokozedwa pamwambapa ikupereka vuto ili: Ngati mulandira mankhwala 499, RUG Level ndi yapamwamba, koma ngati mutalandira mankhwala a mphindi 500, chiwerengero chanu cha RUG ndichokwera kwambiri ndipo Medicare kubweza ngongole ikuwonjezeka. Choncho, zipangizo zotsitsimula zimakakamiza odwala kuti apereke chithandizo champhindi chowonjezera ... ngakhale pamene wodwalayo sangapindule nawo.
Ngati inu mukukhulupirira kuti inu kapena wokondedwa akulandira thandizo lachinyengo, lankhulani ndi malo anu, kapena mukhoza kuonana ndi Medicare mwachindunji.
Funsani Mafunso a OT Wanu
OTs amalandira chiyero chophunzitsira kusukulu ya OT koma amapita kukapitiliza maphunziro ndi maphunziro opitiliza ntchito yawo yonse. TT iliyonse yomwe mumakumana nayo idzakhala ndi mphamvu zosiyana ndikusankha malo osiyanasiyana kuti mupitirize maphunziro. Njira yabwino yophunzirira zofunikira zanu za OTs ndi zifukwa za chithandizo chimene akuchizira ndikufunsa mafunso. Pano pali chitsogozo chothandizira kukambirana.
Funsani Msonkhano wa Banja
Chinthu chinanso chovuta kulandira chisamaliro chabwino cha SNF ndikungopeza maphwando onse, onse a m'banja, ndi ogwira ntchito, pa tsamba lomwelo. Ngati mwapeza kuti kusalankhulana kapena vuto lokhazikika pa njira yabwino lakhala lovuta, ganizirani kuyankhula ndi gulu lanu la chisamaliro za msonkhano wa banja.
Malo ambiri amakupatsani mwayi wosankha nthawi yopeza maphwando ambiri mu chipinda chomwecho panthawi imodzimodzi kukambirana za njira zabwino kwambiri. Njira imeneyi ikhoza kubweretsa odwala, okondedwa, ndi antchito.
Zolemba / Zowonjezera
Jette, DU, Warren, RL, & Wirtalla, C. (2005). Chiyanjano pakati pa chithandizo chachikulu ndi zotsatira za kukhazikitsidwa kwa anamwino odziwa luso. Archives of Physical Medicine and Rehabilitation, 86, 373-379.
Maitra, KK & Erway, F. (2006). Kuzindikira kwa machitidwe okhudzana ndi kasitomala m'magulu a anthu ogwira ntchito ndi makasitomala awo. American Journal of Occupational Therapy, 60 (3): 298-310. do: 10.5014 / ajot.60.3.298.
Ndondomeko Yowunika Zosamalira Zakalekale 3. Buku la Ogwiritsa Ntchito (2015)