Mafunso ndi Mayankho Ponena za Subacute Kukonzanso
Kupititsa patsogolo kachilombo ka HIV (komwe kumatchedwanso kuti subacute kukonzanso kapena SAR) ndikumaliza kusamalira munthu amene akudwala kapena kuvulala. SAR ndi yopereŵera nthawi ndi cholinga chodziwika chokhazikika pakugwira ntchito ndi kuchoka panyumba.
SAR nthawi zambiri imaperekedwera ku chithandizo chaubwino wothandizira odwala (SNF) . Nthawi zina, SNFs ndi mbali ya chipatala komanso ngakhale malo omwe ali pamsasa umodzi, pomwe nthawi zina, iwo ndi mabungwe odziimira okhaokha. Mosasamala, SNF iyenera kupatsidwa chilolezo ndi Centers for Medicare ndi Medicaid (CMS) kuti apereke SAR. Ndondomekoyi ikuphatikizapo kufufuza nthawi zonse kuti zitsimikizidwe kutsatiridwa ndi zofunikira zaumoyo komanso malamulo otetezera moyo (monga kuteteza moto ndi njira zotuluka).
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Ndani Akukhazikitsa SAR?Ngati mukufuna rehab chifukwa cha kuchepa kwa mphamvu kuchokera kugwa, kupweteka kwa m'chiuno , kapena matenda, SAR ikhoza kukuthandizani. SAR imaperekedwa kwa Medicare kapena pulogalamu ya Medicare Advantage. Medicare ndi pulogalamu ya inshuwalansi ya federal yomwe mumalipiritsa m'zaka zomwe mukugwira. Mapulogalamu Opindulitsa a Medicare ndi magulu apadera omwe amasamalira anthu omwe ali oyenerera ku Medicare koma asankha kukhala mbali ya maguluwa.
Kupeza ndalama ndi zofunikira zimasiyana, malingana ndi dongosolo lomwe mwasankha.
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Kodi Zipangizo Zothandizira Padzikoli Zimapereka Chiyani?SAR imapereka thandizo m'madera awiri:
- Odwala opaleshoni, ogwira ntchito ndi olankhula malingaliro amapereka mankhwala kuti akule mphamvu ndi ntchito yanu. Mwachitsanzo, malingana ndi zomwe mukufunikira, angagwiritse ntchito kuti awonjezere kuchuluka kwanu, apange chitetezo chanu poyenda, akuthandizani kuti musunthirenso miyendo musanayambe kupwetekedwa, pangani ufulu wanu ndi zochita zanu za tsiku ndi tsiku (ADLs) . mtima wa mtima (cardio) (matenda) mtima pambuyo pa matenda a mtima, ndi zina zambiri.
- Odwala omwe ali ndi chilolezo amapereka chithandizo chamankhwala monga kuyang'anira mabala , kupweteka kwa kupweteka , kusamalira kupuma , ndi maubwino ena omwe akuyenera kuperekedwa kapena kuyang'aniridwa ndi RN kapena LPN.
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Ndani Angapindule ndi Kukhala pa SAR?Anthu amene agwa , kuvulala kapena matenda amatha kupindula ndi kanthawi kochepa ku SAR. Cholinga cha SAR ndi kupereka thandizo laling'ono lomwe limapangidwa kuti lipititse patsogolo kugwira ntchito ndi chitetezo kunyumba kapena malo okhalamo (monga malo othandizira okhala ndi malo ogona).
Zomwe anthu ambiri amalandira SAR zimaphatikizapo kugwiritsidwa ntchito (mavupa, maondo, mapewa) zophulika kapena m'malo, matenda a mtima, kupweteka kwa shuga, matenda a shuga, kugwidwa ndi matenda , kugwidwa ndi matenda osokoneza mtima (CHOP) , kupweteka mtima kwa mtima (CHF), kuvulala kwa msana , kutumizidwa ndi zina zambiri.
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Kodi Mankhwala Ambiri Amapereka Chiyani Tsiku Lililonse?Dokotala wanu amakukonzerani chithandizo potsatira malingaliro a wodwalayo, wothandizira ntchito, ndi / kapena wolankhula mawu. Anthu ena amangokhalira kulekerera pafupi mphindi 30 patsiku poyamba, malingana ndi chikhalidwe chawo. Ena amatha kupirira maola ambiri patsiku la mankhwala. SAR nthawi zambiri amatha kupereka maola pafupifupi atatu pa tsiku.
Ngati muli pa malo a SAR ndipo mumamva ngati mukuyenera kupeza mankhwala ambiri pa tsiku, muyenera kufunsa dokotala ngati maminiti anu amatha kupititsa patsogolo.
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Kodi Anthu Amakhala Nthawi Yanji Pakati pa SAR?SAR amakhala osiyana kwambiri. Anthu ena ali kumeneko kwa masiku angapo, pamene ena angakhalepo kwa milungu kapena ngakhale masiku 100.
Pali zifukwa zosiyanasiyana zomwe mungapangire nthawi yayitali ku SAR, kuphatikizapo kuvulala kwanu kapena matenda anu, thanzi lanu lonse, inshuwalansi yanu ikuvomerezeka kuti mukhale ndi chiyani komanso kuti mutha kukhala ndi moyo mutatha kuchoka ku SAR.
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Kodi kusiyana pakati pa SAR, Achabiti Rehab ndi Chipatala N'kutani?Mawu ogwiritsidwa ntchito pokamba za chithandizo chamankhwala ndi kukonzanso angakhale osokoneza nthawi zina. SAR ndi yosiyana ndi chipatala kapena chipatala chovuta kuchipatala.
Chipatala, chomwe nthawi zina chimatchedwa "chisamaliro chapadera," n'choyenera kokha pa nkhani zazikulu zachipatala ndi cholinga cha kukhala kochepa kwambiri.
Pakatikatikatikatikati mwa malo amtundu wokhala ndi zida zapamwamba zimapangidwira zosowa zapamwamba zowonongeka, zomwe zimafunikira maola oposa atatu pa tsiku la thupi, ntchito, kapena mankhwala.
Malo osungirako masewera olimbitsa thupi (SAR) ndi omwe amayenera kwambiri kwa anthu omwe amafunika maola ochepera atatu pa tsiku, motero chizindikiro cha "gawo lochepa", lomwe limatanthauza mozama kapena mocheperachepera .
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Kodi ndingapeze bwanji khalidwe lapamwamba SAR?Imodzi mwa mavuto omwe mukukumana nacho mukamaliza kugwidwa ndi matenda, mwachitsanzo, ndikusankha pulogalamu yabwino yomwe mungakambirane nayo. Kufufuza patapita nthawi, iwe kapena wokondedwa wanu akusowa kukonzekera kungakhale kothandiza kwambiri.
Maofesi a Medicare ndi Medicaid (CMS) amapereka ndondomeko ya nyenyezi zisanu pa malo osungirako okalamba, ndipo malo ambiriwa amapereka SAR. Kuyerekezera kuwerengera kwa malo osiyana kungathandize kwambiri.
Kawirikawiri, chithandizo chanu chamtengo wapatali chidzakhala malangizowo kuchokera kwa okondedwa kapena abwenzi omwe atha kale kupyolera mu njirayi. Zochitika zawo payekha ndizofunika kwambiri.
Ngati muli ndi nthawi, zingakhale zothandiza kuyimilira ndi zipinda zosiyana ndikupempha ulendo. Kuwona momwe ogwira ntchito akugwirira ntchito ndi odwala kungakhale chizindikiro chofunikira cha ubwino woperekera. Kumbukirani kuti ngakhale nyumba zina zikhoza kuwoneka ngati zatsopano, ndi pulogalamu ndipo anthu akukusamalirani omwe adzakhudza zomwe mumakumana nazo kumeneko.
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Kodi Ndingasankhe Malo Onse A SAR Amene Ndikufuna?Ngati mukufuna SAR, dziwani kuti nthawi zambiri muli ndi kusankha komwe SAR iyi ikuperekedwa. Mzipatala nthawi zambiri zimakutsogolerani ku mapulogalamu awo a SAR ngati ali ogwirizana. Ndipo, ngakhale izi zingakhale zabwino, mungakhale ndi ufulu wosankha komwe mungakonde kubwerera.
Zomwe mungasankhe zingakhale zochepa ngati inshuwalansi yanu ikukhazikitsa malo omwe mumasankha, kapena ngati maofesiwa akusankha kukuvomerezani.
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Kodi Ndingatani Ngati Ndikufuna Kusiya Sura Asananene Kuti Ndine Wokonzeka?Ngati mukungoyamba kupita kunyumba asanamangoganizira kuti akuyenera kutero, muli ndi ufulu wochoka pakhomo nthawi iliyonse. Ngati dokotalayo akudzimva kuti mulibe chitetezo kuti mutulukemo komanso mutasamuka kuchokapo, iwo angakufunseni kuti mulembe fomu yomwe imati mukuchoka motsutsana ndi mankhwala (AMA).
Izi zikutanthauza kuti ngakhale sangathe kukupangitsani kukhalabe. Iwo samakhulupirira kuti muli bwino kupita kunyumba komabe ndi mawonekedwe otetezera a chipatala chifukwa popanda umboni woti nyumba yanu ikutsutsana ndi uphungu, iwo angakhale oyenera kuvulaza zomwe zinachitika chifukwa choyamba mwamsanga.
Chosiyana ndi lamulo ili ndi chakuti ngati muli ndi matenda a 'dementia' mpaka pamene mphamvu yanu ya woweruza wa zaumoyo yakhazikitsidwa , munthuyu ayenera kukhala amene amakuwonetsani kuchokera ku malo.
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N'chifukwa Chiyani Inshuwalansi Yanga Imasiya Kutsegula Panga ku SAR?Makampani ambiri a inshuwalansi amayang'anitsitsa kugwiritsa ntchito SAR mosamala, ndi malo omwe akuyenera kufufuza kafukufuku kawirikawiri ndi kulandira chilolezo choyambirira ndi chopitilira kupereka SAR kwa mamembala ake.
Pambuyo patsimikiziridwa kuti kufotokoza kwako kwa SAR kumatha, uyenera kuzindikira mwatsatanetsatane izi zotsutsana. Izi nthawi zina zimatchedwa "kalata yodulidwa" kapena "chizindikiritso chokana," ndipo mukuyenera kupatsidwa chikalata kwa inu ndikupitiriza kuyika pa malo kuti mutsimikize kuti mwalandira chithunzi cha kusintha kumene musanachitike.
Zowonjezera zingathe kukhalapo chifukwa cha zifukwa zosiyanasiyana, kuphatikizapo kuti simukufunanso chithandizo chamankhwala kapena maubwino okhwima odziwa bwino, kuti simungathe kutenga nawo mbali pa chithandizo cha mankhwala (mwachitsanzo, ngati muli ndi maganizo aumtima ndi kukumbukira kwanu, mukhoza osakhoza kukumbukira ndikuphunzira malangizo atsopano bwino), kuti mupitirize kusankha kuti musatenge nawo mbali zothandizira mankhwala kapena kuti mwagwiritsira ntchito masiku anu owerengedwa kwa SAR.
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Kodi Ndingatani Ngati Sindikuganiza Kuti Ndine Wokonzeka Kupita Kunyumba?Atauzidwa kuti inshuwalansi ikutha kwa SAR yanu, anthu ambiri amakonza zoti abwerere kunyumba kapena kumalo awo akale masiku angapo otsatira.
Ngakhale mutakhala wofunitsitsa kubwerera kunyumba, nkokanso kuti mungakhale okhudzidwa kwambiri kuti mulibe mphamvu zokwanira kuti mupite kunyumba. Ngati mukuganiza kuti inshuwalansi yanu siikhalanso, muloledwa kudandaula izi. Mukhoza kupempha pempho kuti muthe kuyankha mwamsanga. Malangizo okhudzidwa adzaphatikizidwa mu kukana chidziwitso chodziwitsira chomwe mumalandira.
Ngati mukufuna kusankha, malowa amapereka kampani ya inshuwaransi ndi zambiri zokhudza kachipatala ndipo amavomereza kapena amakana pempho lanu la kuonjezera kwa SAR.
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Bwanji ngati SAR Singandithandize Kuti Ndikhale Otetezeka Kukwanira Kwathu?Nthawi zina, ngakhale mutayesetsa kubwerera ku SAR, simungapeze mphamvu kapena kugwira ntchito mokwanira kuti mutetezeke kunyumba mwamsanga. Kulephera kukwaniritsa cholinga chanu chopita kunyumba kungathe kukhumudwitsa.
Wogwira ntchito za SAR adzakuthandizani kuyang'ana njira zina zomwe zingaphatikizepo kusamukira ku malo osungirako anzeru, monga moyo wothandizira, kapena nyumba yothandizira abambo akuluakulu. Angathenso kugwira ntchito ndi mamembala anu ndi mabungwe ammudzi kuti apereke thandizo lina pakhomo kuti awonjezere chitetezo cha njirayi.
Kumbukirani kuti anthu ena amatenga nthawi yaitali kuti adziritse ndikuyambiranso kugwira ntchito kuposa ena, choncho nkofunika kuti mupitirize kugwira ntchito kuti musunge mphamvu zanu, kulikonse kumene mukukhala. Mwachitsanzo, mutha kulandira thandizo laling'ono la mankhwala kudzera mu Medicare Part B ku nyumba yosungirako anzeru yomwe ingathandize kuti abwerere kunyumba mtsogolomu pamene mukupitirizabe kugwira ntchito.
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Kodi Ndingatani Ngati Ndikufunikira Thandizo Panyumba?Ndizofala kuti tipitirizebe kuthandizidwa panyumba kwa kanthawi pambuyo pa SAR. Cholinga cha SAR chili kukuthandizani kuti mubwererenso kuntchito yanu yapitayi. Komabe, popeza makampani ambiri a inshuwalansi akuyesera kuchepetsa ndalama zomwe amapereka kwa makasitomala awo, cholinga china choonjezera ku SAR chingakhale kukuthandizani kuti mukhale otetezeka komanso olimba kuti mubwerere kwanu ndipo pitirizani kupita patsogolo kwanu.
Musanayambe kuchoka ku SAR, malowa ayenera kupereka zolembera ndikukonzekera kuti mukhale osamalidwa nthawi zonse monga ntchito zapakhomo, pokhapokha mutavomereza thandizoli. Mabungwe othandizira zaumoyo kunyumba angakuthandizeni kunyumba ndi mankhwala, mankhwala othandizira ntchito, chithandizo chamalankhula, athandizi othandizira, komanso ntchito zachipatala.
Kugwiritsira ntchito zipangizo zamtunduwu kungakuthandizeni kusintha bwino kwanu, chomwe chiri cholinga chomwe inu ndi antchito a SAR omwe mwakhala mukugwira nawo ntchito.
Mawu ochokera
Kudziwa zomwe mungathe kuyembekezera ku SAR kungakuthandizeni kuti mupindule kwambiri ndi mautumiki operekedwa kumeneko ndi kubwerera kwanu bwinobwino. Timadziwa kuti mungakhale ndi mafunso ambiri pamene mukupita, ndipo chiyembekezo chathu ndi chakuti mtsogoleri uyu angakuthandizeni m'njira zosiyanasiyana.
> Zotsatira:
> Medicare.gov. Chisamaliro cha athandizi (SNF) chithandizo. https://www.medicare.gov/kofunika/skilled-nursing-facility-care.html
> Zopangira Zida Zopangira Zowonongeka. Zovuta motsutsana ndi Zowonjezera. http://www.shelteringarms.com/sa/acutecareinfo.aspx