Chifukwa Chiyani Kufufuza Anthu Otha Kudziwa Ndi Ofunika Kwambiri M'zipatala Zophunzitsa Azimayi
Amwino ambiri okhwima amatha kuyesa zochitika za anthu omwe angakhale nawo asanawavomereze kuti azisamalira, kaya ndizokhalitsa nthawi yayitali, kusamalira nthawi yaitali, kapena kusamalidwa kwa maganizo. Kufufuza kumeneku kusanalo kungathandize kuthana ndi zosowa za munthuyo ndikuonetsetsa kuti malowa akukonzekera bwino kuti athetse zosowa zawo. Kuzindikiritsa zomwe zimapangidwira, komanso kumvetsetsa chifukwa chake kuyesedwa kovomerezeka n'kofunika kwambiri, kukhoza kusintha m'zipatala za Medicare & Medicaid Services (CMS) miyezo yapamwamba ya nyenyezi zisanu ndikukhutira.
Zotsatira Zowunika
Chiwerengero cha anthu
Zambirizi zikuphatikizapo dzina, tsiku lobadwa, kugonana, ndi adilesi.
Mbiri Yachibadwidwe Yamankhwala
Izi zikuphatikizapo chidziwitso monga kutalika ndi kulemera, kupweteka kwa mankhwala kapena zakudya, ndi mndandanda wathunthu wa ma diagnosti. Muyeneranso kuwonanso mbiri yakale ndi zakuthupi kuti mupeze chithunzi chabwino cha chithunzi chachipatala cha munthu wokhalamo. (Mbiri ndi zakuthupi zimafunikila kuvomerezedwa, kotero kuyang'anitsitsa patsogolo pake n'kofunika.)
Ngati kuli koyenera, funsani ngati pakhala pali chipatala kapena chisamaliro cholandilira kuchipatala, chifukwa izi zidzakhudza ndondomeko yake yosamalira komanso momwe angapangire chithandizo cha Medicare.
Inshuwalansi, Ndalama, ndi Malipiro
Onetsetsani Insurances
Sungani malonda a inshuwalansi kuti mudziwe ngati kufalitsa kulipo. Inshuwalansi, kuphatikizapo Medicare, Medicaid, inshuwalansi yodalirika ya nthawi yaitali, ndi inshuwalansi zina zapadera zonse ziyenera kutsimikiziridwa kuti ziwathandize komanso njira zowunikira.
Medicare kapena Medicare Advantage Plan Pambuyo-Kutumidwa
Ndondomeko Zambiri Zopindulitsa zimafuna kuti malowa akhale ndi chilolezo chisanayambe kuti athe kulipiritsa ndalama zowonongeka. Izi zikutanthauza kuti ndondomeko ya inshuwalansi ikuwatsimikizira ndikuvomereza kubisala munthuyo kwa masiku angapo. Kuonjezera kwina kupitirira masiku awa oyambirira nthawi zambiri kumaperekedwa koma kumachokera kumasinthidwe atsopano pambuyo poti munthuyo akhala kumalo anu kwa masiku angapo.
Zofunikira ndi nthawi nthawi zambiri zimakhala zosiyana ndi inshuwalansi zosiyanasiyana, kotero mudzafuna kutsimikiza kuti mukudziŵa zenizenizo.
Zolemba za Medicare Zachibadwidwe sizikufuna zilolezo zilizonse zapambuyo, koma mufuna kuonetsetsa kuti munthu amene akukhalapo ndi woyenera kumwa mankhwala a Medicare Part A, kotero kuti mukachita kafukufuku wanu wa Minimum Data Set (MDS), simudabwa mlingo wake wa chisamaliro.
Kulipira Pay kapena Medicaid Kuyenerera
Ngati munthu wokhalapo akukonzekera kukhala kumalo anu ndikupatsidwa chithandizo cha nthawi yaitali, dziwani ngati pali ndalama zapadera zomwe zilipo kapena ngati angakwanitse kupeza chithandizo cha Medicaid kwa anthu okalamba. Ndikofunika kufunsa mafunso okwanira kuti adziwe ngati atavomerezedwa ku Medicaid, ngati akugwiritsidwa ntchito kwa Medicaid ndipo ntchito yake ikuyembekezereka, kaya idzavomerezedwe, ndipo ngati apatsidwa ndalama (ndalama zopatulidwa) zomwe sizidzakwanira kapena kumulepheretsa kuti asamalandire Medicaid.
Ndondomeko ya Kusanthula Mankhwala
Ngati kuvomereza kwanu kungasunthire ku malo anu kuchokera ku nyumba ndipo mukufuna kukonzekera Medicaid, onetsetsani kuti muyese mosamalitsa kayendedwe ka ntchito yake pa chida cha boma cha Medicaid.
Ngakhale kuti simungathe kulowetsa muyezo wa Medicaid munthu asanavomerezedwe ku malo anu, muyenera kudziwa kuti Medicaid adzasamalira ngati akukhala pa malo anu. Medicaid imafuna kuyenerera ndalama ndi zamankhwala.
Chofunika kwambiri, mukuyesa ngati wokhalamo akukhala ndi zosowa zokwanira kuti Medicaid azisamalire pamalo anu. Kapena, kodi amafunikira kupeza zina zambiri kunyumba kwake chifukwa "ndi zabwino kwambiri" kuti aziphimbidwa ndi Medicaid pa malo osamalira nthawi yaitali?
Banja ndi Zothandizira
Kuwunika kwanu kuyenera kutchula maina ndi mauthenga okhudzana ndi abambo ndi omwe akukhala nawo, kuphatikizapo ngati ali ndi mphamvu ya woweruza wa zaumoyo kapena zachuma , komanso ngati wothandizira malamulo akukhazikitsidwa kukhoti.
Ndikofunika kudziwa ngati alipo ena omwe angathandize munthu wokhalamo ngati achibale ake sapezeka.
Mphamvu ya Chilankhulo ndi Kulankhulana
Dziwani chilankhulo chachikulu chomwe mungakhale nacho kuti muwone ngati womasulira adzafunika. Muyenera kuonetsetsa kuti mukulankhulana bwino ndi wokhalamo.
Kuphatikiza pa chinenero, nkofunikanso kufufuza momwe wokhalamo angathe kukambirana ndikusowa kuyankhulana kuchokera kwa ena. Matenda monga Alzheimer's disease angathe kuchepetsa kulankhulana momasuka komanso kumvetsera.
Munthu yemwe angathe kukhala ndi mphamvu yolankhuliranso angakhudzidwe ndi luso lake lakumvetsera ndi masomphenya.
Mndandanda wa mankhwala ndi Pharmacy Cost Estimate
Onetsetsani kuti muwerenge mndandanda wathunthu wa mankhwala omwe akulamulidwa kwa omwe akutchulidwa. Mukufunikira izi pazifukwa ziwiri.
Yoyamba ili kuti mutha kusamalira bwino munthuyo. Mndandanda wa mankhwala oyenera ndi wofunikira kuti munthu avomereze ku malo anu potsatira malamulo. Muyenera kudziwa mankhwala onse, choncho funsani ngati pali zinthu zina zakuthupi kapena zowonjezereka zomwe akuzitenga.
Chifukwa chachiwiri chowerengera mankhwala chikugwirizana ndi ndalama. Ngati Medicare A kapena ndondomeko ya Medicare Advantage ndiyo gwero lalikulu la malipiro, malowa ayenera kulipira mankhwala onse a munthu ameneyo. Izi ndizo chifukwa mtengo wa mankhwala umaphatikizidwa mu mlingo wa tsiku ndi tsiku womwe umaperekedwa pansi pa pulogalamu ya inshuwalansi yobwezeretsa inshuwalansi, koma mlingowo sungasinthidwe malinga ndi mankhwala omwe akulamulidwa.
Zina zimakhala zosautsa kwambiri chifukwa munthu amene akutchulayo amafunika kuchipatala ndipo mungathe kukwaniritsa zosowa zake, koma akhoza kukhala ndi mankhwala omwe amawononga kwambiri kuposa momwe mlingo wanu umaperekera kuti mumusamalire.
Zida Zamankhwala Zosatha
Kodi ndi zosowa zotani zomwe zilipo? Mwachitsanzo, kodi iye ali ndi mpweya wabwino? Kodi amagwiritsa ntchito woyendayenda kapena olumala kuti azizungulira? Kodi amagona ndi makina a CPAP chifukwa cha kugona kwa mpweya ? Ngakhale zina mwa zipangizozi zingabwere ndi kuvomerezedwa kwatsopano, zina (monga oxygen) ziyenera kuyambika pofika ku malo anu.
Kuwonjezera apo, zipangizo zina zamagetsi zogwiritsira ntchito zowonjezera zingakhale zodula, kotero mtengo wa zipangizozi ungakhudzire chisankho cha ngati malo anu angathe kusamalira ndalama za anthu omwe akukhalamo.
Nkhani za MDS
Ngati munthu wokhala ndi chithandizo cha nthawi yaitali amachokera kumalo ena kupita kumalo ena, mungapemphe zambiri za Deta Data Set (MDS) . Izi ziyenera kukupatsani chithunzithunzi cha zosoŵa zake, kuti muthe kuonetsetsa kuti mukukumana nawo.
Zothandizira Thupi Lathupi
Ngati mulibe MDS kapena mankhwala othandizira odwala, muyenera kupenda momwe mungathandizire.
Mwachitsanzo, kodi iye amafunikira kuthandizidwa ndi munthu mmodzi kapena awiri kuti asamuke? Kodi amatha kugona pabedi popanda kuthandizidwa? Kodi amadya yekha kapena amafuna thandizo? Nanga bwanji mphamvu yake yakuyenda? Kodi iye amafunikira kuthandizidwa ndi kuvala? Kodi ali kontinenti yamatumbo ndi chikhodzodzo , kodi amagwiritsira ntchito mankhwala ena kuti athandize kuyendetsa, kapena kodi amafunika kuti asayese nthawi zina za tsikuli? Zonsezi zikhoza kukuthandizani kumvetsetsa chithunzi chonse cha momwe mungasamalirire munthu amene angakhalepo pamalo anu.
Mbiri ya Falls
Dziwani ngati iye wagwa posachedwa. Ngati ndi choncho, funsani nthawi ndi zomwe zinachitika, kotero kuti mutha kugwiritsa ntchito chidziwitso ichi kuti muzitha kuchita nawo chithandizo chamankhwala ndikuyesera kuchepetsa kugwa kwake .
Khungu Khungu
Ndikofunika kudziwa ngati wina akubwera kwa inu ndi malo alionse otseguka, monga kupweteka koopsa . Muyenera kudziwa izi kuti muyese kulingalira kuti mumatha kupereka chisamaliro chofunikira komanso kulemba kuti akubwera kwa inu ndi zovuta, osati kupeza zovuta pambuyo povomerezeka ndikulephera kutsimikizira kuti ali nazo asanabwere kwa inu . Muyeneranso kudziwa za mtengo wa chithandizo chomwe chimaperekedwa pavuto lililonse.
Ndikofunikanso kufunsa za kuvulaza kulikonse, kuphatikizapo mikwingwirima yamakono komanso mbiri yakuvulaza mosavuta chifukwa cha anticoagulants monga Aspirin kapena zina zoopsa.
Ntchito Yoganizira
Ngati mukuyang'ana munthu yemwe amakhala mumudzimo, nkofunika kupeza chithunzi chakumvetsetsa kwake. Pang'ono ndi pang'ono, mungathe kufunsa mafunso okhudza kukumbukira kwake ndi kulingalira kwake. Ngati mukupita kukayesa yekha, mungagwiritse ntchito BIMS , SLUMS kapena MoCA kuti muwone bwinobwino, ngati mukuona kuti ndi koyenera.
Chiwerengero cha Chisamaliro cha Dementia Chimafunika
Ngati munthu wokhalamo ali ndi matenda a maganizo, ganizirani ngati akusowa chitetezo chotetezeka chaumtima kapena ngati ali otetezeka mu gawo lotseguka. Kuzindikiritsa kuti vutoli ndi lofunika kwambiri chifukwa mutadziwa kuti akulowa mu malo anu, muli ndi udindo wopezeka chitetezo chake, kuphatikizapo kumuletsa kuti asatuluke pakhomo.
Zosowa Zamaganizo ndi Maganizo
Dziwani matenda aliwonse a m'maganizo kapena matenda a maganizo omwe angakhalepo omwe ali nawo ndipo atsimikizireni kuti mutha kukwaniritsa zosowazo. Izi zimaphatikizapo matenda monga schizophrenia ndi matenda osokonezeka maganizo.
Zokhudzana ndi Khalidwe
Dziwani kuti khalidwe lililonse likukhudzidwa. Izi zimakhala makamaka mwa iwo omwe ali ndi chifuwa chachikulu. M'malo mofunsa mafunso ambiri za " makhalidwe ovuta ," funsani ngati akukhumudwa kapena kukwiya pamene akulandira chisamaliro, ngati ayesa kuchoka panyumba, kapena chifukwa chake amalandira mankhwala othandizira . Ngati mukuganiza za kutumizidwa kuchokera kuchipatala, onetsetsani kuti mufunse ngati ali ndi "wogwira ntchito," "wogwira ntchito payekha," kapena kuwonjezereka chifukwa cha khalidwe.
Kusokoneza bongo
Muyenera kudziwa ngati pali mbiri yamagwiritsidwe ntchito kapena nkhanza, kaya ndizovomerezeka kapena zoletsedwa. Nkhawa yodalirika m'derali idzakhudza dongosolo lanu la mankhwala kwa wokhalamo.
Ndondomeko Yoyamba Kwambiri
Kwa odwala omwe ali ndifupipafupi, afotokozereni komwe akhalapo mpaka pano, ndipo ngati malo awo okhala angalole kuti abwererenso atalandira kachiwiri kuntchito yanu.
Zokonzera Zokwanira
Mofananamo, kukonzekera kukonzekera kuyenera kuyamba munthu asanakhazikike pakhomo pako. Ndikofunika kuzindikira zolinga zawo ndi zofuna zanu kuti mukhale ndi cholinga choyesa momwe polojekitiyi idzatetezere ndikuyandikira kwa iwo.
Mafunso ndi Ulendo
Perekani nthawi kwa wokhalamo ndi phwando lofunsira mafunso pa malo anu ndikuwalimbikitsa kuti abwere kudzayang'ana kuti awonetsere kuti ndi abwino. Mwinakwake mukufunitsitsa kudzaza mabedi anu, koma kupereka nthawi kuti izi zitheke zingakupulumutseni nthawi yambiri.
Zomwe Zinachitikira Zosakayika
Ngati munthu wokondwererayo akuyembekeza kuchoka kumalo ena ofanana, mwaulemu amufunse ngati angasangalale kugawana zifukwa zomwe akufuna kuti asamuke.
Ngakhale pali nthawi zina zomwe zimakhala zosavuta (monga malo ogwirira ntchito) zingakhale zikuchititsa kusintha, pangakhale zina zomwe pakhala vuto lalikulu ndi chisamaliro chomwe munthu adalandira kumalo ena. Kudziwa zodetsa nkhaŵa musanavomereze kungakulolereni kukambirana momwe malo anu angagwirire ntchito ndikupatseni mwayi wokhala ndi chidziwitso ngati akufunabe kusamukira kumalo anu. Ikuthandizani kuti mudziwe zambiri za zomwe akuyembekeza komanso kudziwa ngati mungathe kukumana nazo.
Kufunika kwa Kuyezetsa koyamba
Kufufuza koyambirira kumatenga nthawi, koma nthawi zambiri zimakhala bwino. Nazi zifukwa zochepa zomwe zimapangitsa kuti iwo akhale ofunikira kwambiri.
Choyamba, mutavomereza wokhalamo, muli ndi udindo womusamalira. Kudziwa zomwe zosowazi ndizofunika.
Kuwonjezera pamenepo, malamulo a CMS amachititsa kuti zikhale zovuta kuti munthu athandize wina aliyense-kutetezedwa kwa chisamaliro chonse ndi umoyo wa wokhalamo. Choncho, ngati zinthu sizikuyenda bwino kapena pali zosowa zapamwamba zomwe simukuzidziwa, simungangomutumizira kwinakwake.
Kuyezetsa koyeso koyambanso kukuthandizani kukonza ngozi. Kudziwa kuti anthu akukhalabe ndi nkhawa nthawi yambiri kumakhala kovuta kuti antchito anu athe kugwira ntchito.
Monga tanenera kale, zotsatira zachuma za kuvomereza ndizofunikanso. Ngakhale cholinga cha anthu ambiri omwe akugwira ntchito yosungirako okalamba ndi malo osungirako malo ndi kusamalira anthu okhalamo, bungwe lanu liyenera kukhalabe ndi ndalama zokwanira kuti lipitirize kupereka chithandizo kwa iwo omwe amawafuna.
Kuwunikira koyambirira kumalinso kofunikira ngati kumagwirizana ndi gawo la CMS gawo la magawo awiri okhudza kutenga nawo mbali-makamaka, omwe akuyang'anira ntchito ndi luso la ogwira ntchito. Malo osungirako malowa amadziwitsa kuti ndi chithandizo chiti chomwe chipatalachi chili choyenera kukwaniritsa, pomwe luso lofunikira likuyesa kuonetsetsa kuti antchito anu (payekha) angathe kuthandizira kukwaniritsa zomwe akufunazo.
Mawu Ochokera
Kuchita zowonongeka kovomerezeka kumakhala ndi phindu lalikulu, palimodzi pa malo komanso kusamalira anthu omwe akukhala nawo. Potsirizira pake, zingakuthandizeni kukwaniritsa cholinga choonetsetsa kuti njira yovomerezeka ikuyenda mogwira mtima komanso mwachangu kwa onse omwe akukhudzidwa.
> Zotsatira:
Delaware Health and Social Services. Gawo la Medicaid & Medical Assistance. Kuyezetsa Koyenera Kwambiri (PAE) Chida Chakumalizira Kwambiri-001. http://clpc.ucsf.edu/sites/clpc.ucsf.edu/files/Delaware%20Pre-Admission%20Evaluation.pdf
> Scott & White. UDS-Pro. Kuyezetsa koyamba. http://www.sw.org/resources/docs/patient-forms/uds-pro-pre-admission-assessment.pdf