Kutheni ukuHlola abaPhezulu abemi kubaluleke kakhulu kwiZiko loLondolozo lweZakhono
Abaninzi abanezakhono zononophelo baqhuba ukuvavanya kwabahlali ngaphambi kokuba bavume ukunyamekela, nokuba ngaba yinto emfutshane ye-rehab ye-rehab , ukunakekelwa kwexesha elide okanye ukunyamekela kwengqondo. Olu vavanyo lwangaphambi kokungeniswa lunokukunceda ukuqonda iimfuno zomntu kwaye uqinisekise ukuba isibonelelo sixhotyiswe ngokufanelekileyo ukujongana nezidingo. Ukuchonga ukuba yiziphi izixhobo zokuvavanya, kunye nokuqonda ukuba kutheni ukuvavanywa kwangaphambili kubaluleke kakhulu, kunokuncedisa ukuphuculwa kwiiNgingqi zeMediare & Medicaid Services (CMS) amanyathelo omgangatho weenkwenkwezi ezinhlanu kunye nokwaneliseka komhlali.
Izixhobo zoVavanyo
Amanani abantu
Olu lwazi lubandakanya igama, umhla wokuzalwa, isondo kunye nedilesi.
Imbali Yonyango Yonyango
Oku kubandakanya ulwazi olunjengokuphakama kunye nesisindo, ukunyuka kwamachiza kunye nokutya, kunye nohlu olupheleleyo lokuxilongwa. Kufuneka uphinde ubuyekeze imbali yakutshanje kunye nomzimba ukuze ufumane umfanekiso omhle wezonyango zengxelo yonyango. (Imbali kunye nempilo kuyadingeka ukuba kwamkelwe, ngoko ukuyiqwalasela ngaphambi kwexesha kubalulekile.)
Ukuba kufanelekile, ubuze ukuba kukho na i- hospice okanye ukunakekelwa kokunyamekela okubandakanyekayo ekunyamekeleni kwakhe, njengoko oku kuya kuphazamisa isicwangciso sakhe sokunyamekela kunye nokufumaneka kwe-Medicare.
I-inshurensi, iimali kunye neNtlawulo
Qinisekisa ii-Insurances
Ukuqokelela ulwazi lwe-inshorensi ukuchonga ukuba ngaba kufikeleleka. I-inshurensi, kuquka ne-Medicare, iMedicaid, inshorensi yonyango lwangexesha elide, kunye nezinye iifenisi ezizimeleyo zonke kufuneka ziqinisekiswe ukulungiselela kunye neenkqubo zokugunyazwa.
I-Medicare okanye i-Medicare Benevantage Plan phambi kokugunyazwa
Iinjongo eziNinzi zoNcedo zifuna ukuba indawo ifumane imvume phambi kokuba ihlawulwe i-rehabic rehab. Oku kuthetha ukuba isicwangciso se-inshorensi siqinisekisa kwaye sivuma ukumboza umntu ngomlinganiselo othile weentsuku. Ukugqithiswa okungekho ngaphaya kwezi ntsuku zokuqala kudlalwa kodwa kusekelwe kwingcaciso ehlaziyiweyo emva kokuba umntu uhlala kwindawo yakho kwiintsuku ezimbalwa.
Iimfuno kunye nexesha zihlala zihluke kwiibhenkethi ezahlukeneyo, ngoko uya kufuna ukuqinisekisa ukuba uyazazi ezo zinto.
Inkcazo yempilo yeMveli ayifuni naluphi na ugunyaziso oludlulileyo, kodwa uya kufuna ukuqinisekisa ukuba umhlali onokuhlala unempilo ngokufanelekileyo kwi-Medicare Part A coverage, ukwenzela ukuba xa uqhuba uvavanyo lwakho lwe-Minimum Data Set (MDS), awumangalisi nqanaba lakhe lononophelo.
Ukuhlawulwa kwangasese okanye ukuVunywa kweMedicaid
Ukuba umntu ohlala kuyo uceba ukuhlala kwindawo yakho kwaye afumane iinkonzo zonyango lwangexesha elide, qaphela ukuba kukho iimali ezizimeleyo okanye ukuba uya kulungelelanisa ukuxhaswa kweMedicaid kumakhaya angamahlengikazi. Kubalulekile ukubuza imibuzo eyaneleyo ukuba uyazi ukuba sele sele ivunyiwe kwi-Medicaid, ukuba isetyenziswe kwiMedicaid kwaye isicelo sakhe sisalindelwe, nokuba ingaba uya kuvunywa, kwaye ukuba unikwe imali kude (imali ekhutshweyo) engayifanelekanga okanye umlibazise ukuba angamkeli imvume yeMedicaid.
Uluhlu lweMvavanyo lweNgcaciso yoKhathalelo
Ukuba ukwamkelwa kwakho kungena kwiziko lakho ukusuka kwiphondo kunye nezicwangciso zokugqithiswa nguMedicaid, qi niqiniseke ukuba uvavanya ngokungagqibekanga inqanaba lakhe lokunyamekela kwiziko lakho lokunakekela i-Medicaid.
Nangona ungeke ukwazi ukungena kulo vavanyo kwi-Medicaid system ngaphambi kokuba umntu avunyelwe kwisiko sakho, kufuneka ukwazi ukuba iMedicaid iya kukukhathalela ukuba uba ngumhlali kwindawo yakho. Uxilongo lufuna ukufaneleka kwemali kunye nezokwelapha.
Okubalulekileyo, uhlola ukuba ngubani ohlala kuyo unelungelo lokhathalela okwaneleyo ukwenzela ukuba iMedicaid ikhuphe ukunyamekela kwakhe kwiziko lakho. Okanye, ngaba kufuneka afune ezinye iinkonzo ekhaya lakhe kuba "ulungile kakhulu" ukuba agqitywe nguMedicaid kwiziko lokunakekelwa kwexesha elide?
Inkqubo yeNtsapho kunye nenkxaso
Uvavanyo lwakho lufanele luchonge amagama kunye neenkcukacha zoqhagamshelwano kubameli beentsapho kunye nabemi abahlala kuzo, kubandakanye ukuba amandla ommeli weenkonzo zezempilo okanye iimali zikhoyo, kunye nokuba umgcini wezomthetho unyuliwe enkundleni.
Kwakhona kubalulekile ukuchonga ukuba kukho abanye abanokuxhasa umhlali ukuba amalungu omndeni ayengekhoyo.
Uluhlu loLwimi noNxibelelwano
Ukuchonga ulwimi olusisiseko sokuhlala ukuze uqinisekise ukuba kuya kufuneka isichazili. Kufuneka uqinisekise uxhulumaniso olwaneleyo nomhlali.
Ukongeza kwilwimi, kubalulekile ukuhlola ukuhlala komntu ukuba axoxe kunye neemfuno zokunxibelelana nabanye. Ukuxilongwa njengesifo se-Alzheimer kunokunciphisa kokubili ukuthetha kunye nokuthobela.
Umntu okwazi ukuhlala naye okwazi ukuthetha naye unokuchaphazeleka ngokuva kwakhe kunye nokukwazi ukubona umbono.
Uluhlu lweMithi kunye ne-Pharmacy Cost Estimation
Qiniseka ukuba ubuyekeze uluhlu olupheleleyo lweemithi ezinqunyelwe umntu othethiweyo. Kufuneka izizathu ezibini.
Iyokuqala ukwenzela ukuba unokhathalela ngokufanelekileyo umntu. Uluhlu olupheleleyo lwezonyango lufunekayo ukuze uvume umntu kummandla wakho ngemimiselo. Udinga ukwazi yonke imirhumiselo yonyango, ngoko ubuze ukuba kukho nayiphi na into engokwemvelo okanye izongezo ezithathayo.
Isizathu sesibini sokuhlolisisa imishanguzo sinxulumene nemali. Ukuba i-Medicare A okanye iNkqubo ye-Medicare Benevantage ngumthombo oyintloko wokuhlawula, isixhobo kufuneka sihlawule onke amayeza ale mntu. Oku kungenxa yokuba iindleko zemithi zifakwe kwizinga lemihla ngemihla elihlawulwa phantsi kwe-inshurensi yokubuyisela i-inshorensi, kodwa loo ntlawulo ayilungiswanga ngokusekelwe kwimiba enikwe imithi.
Ezinye iimeko zibuhlungu gqitha kuba umntu okhutshweyo ufuna i-rehab rehabati kwaye unokuhlangabezana neemfuno zakhe, kodwa mhlawumbi uya kuba kwiyeza elithengisa ngaphezu kwezinga lemihla yakho inkokhelo yakho iya kuhlawulwa ukuze imnakekele.
Izixhobo zonyango ezizinzileyo
Ziziphi iimfuno zezixhobo ezikhoyo? Ngokomzekelo, ingabe i-oksijini? Ingaba usebenzisa i-walker okanye isihlalo sabakhubazekile ukuba bajikeleze? Ngaba ulala nomshini we-CPAP ngenxa yokugula kwe- apnea ? Nangona ezinye zezixhobo ziza kufakwa ngokutsha, ezinye (ezifana ne-oksijeni) ziya kufuneka ziqaliswe xa zifika kwisibonelelo sakho.
Ukongezelela, ezinye izixhobo zonyango ezinokuhlala zinokubiza, ngoko indleko yezixhobo zingathintela isigqibo sokuba isibonelelo sakho sinokunyamekela ngemali umntu ohlala kuyo.
Ulwazi lweMDC
Xa umhlali weziko lokunakekelwa kwexesha elide usuka kwindawo enye ukuya kwelinye, unokucela ulwazi oluNcinci lweData (MDS) . Oku kufuneka kukunike umfanekiso omhle weemfuno zakhe, ukuze uqinisekise ukuba unokukwazi ukuhlangabezana nabo.
Iimfuno zoNcedo lweMpilo
Ukuba awukwazi ukufikelela kwi-MDS okanye ukuhlolwa kobugcisa okanye ngokomsebenzi, kufuneka uhlolisise amanqanaba encedo olufunekayo.
Umzekelo, ngaba ufuna uncedo lomntu omnye okanye ezimbini ukutshintshwa? Ngaba unako ukuhamba embhede ngokuzimela okanye ufuna uncedo? Ngaba udla ngokuzimela okanye ufuna uncedo? Kuthiwani ngokukwazi kwakhe ukuhamba? Ngaba ufuna uncedo ngokugqoka? Ingaba lizwekazi yezilwanyana kunye nesisu , ingabe usebenzisa iimveliso ezithile ukukunceda ukulawula loo nto, okanye ingabe kufuneka ukuba ilahleke ngexesha elithile lomhla? Yonke le ngcaciso inokukunceda uqonde yonke imifanekiso yendlela yokunyamekela lo mntu uhlala kwindawo yakho.
Imbali yePop
Qinisekisa ukuba unayo nayiphi na ukuwa kwamhlanje. Ukuba kunjalo, buza nini kwaye kwenzekani, ukuze usebenzise olu lwazi ukuba lusebenze ngononophelo lwakhe lwezonyango kwaye uzame ukunciphisa ukuwa kwakhe .
Umzimba Wesikhumba
Kubalulekile ukwazi ukuba umntu uza kuwe kunye nayiphi na indawo evulekileyo, njengengcinezelo enkulu. Kufuneka ukwazi oku kuhlola ukukwazi kwakho ukubonelela ngononophelo olufunekayo kunye nokubhala ukuba uya kuza kuwe ngesifo, kunokuba ufumene loo nto emva kokungena kwakhe kwaye engakwazi ukubonisa ukuba unayo ngaphambi kokuza kuwe . Kufuneka kwakhona uqaphele indleko zonyango olumiselwe kuyo nayiphi na ingcinezelo.
Kwakhona kubalulekile ukubuza malunga naluphi na ukulimaza , kubandakanywa izivalo zangoku kunye neembali zokubethelwa lula ngenxa ye-anticoagulants ezifana ne-Aspirin okanye ezinye izinto ezinobungozi.
Ukusebenza kweCognitive
Ukuba uhlola umntu ohlala kuluntu, kubalulekile ukufumana umfanekiso wokusebenza kwakhe kwengqondo. Ngaphantsi, unokubuza imibuzo malunga nememori yakhe kunye nokwenza izigqibo. Ukuba uhamba ukuza kumhlola , ungasebenzisa i- BIMS , i- SLUMS okanye i- MoCA ukuyihlolisisa ngakumbi, ukuba uvakalelwa ukuba kulungile.
Inqanaba loLondolozo lwe-Dementia olufunekayo
Ukuba umhlali onokuhlala enomdemokhrasi, qwalasela ukuba ufuna i- unit of dementia ekhuselekileyo okanye ukuba uya kukhuseleka kwiyunithi evulekileyo. Ukuchonga umngcipheko we-elopment kubalulekile kuba xa uvuma ukuba uhlala kwindawo yakho, unembopheleleko yokhuseleko lwakhe, kuquka ukukhusela ukuba angaphambuki emnyango.
Iimfuno Zengqondo Neengqondo
Ukuchonga nasiphi na isifo sengqondo okanye ugqirha lweengqondo uhlalutye umntu onokuhlala kwaye unokuqinisekisa ukuba unako ukuhlangabezana nezidingo. Oku kubandakanya ukuxilongwa okunjenge-schizophrenia kunye nesifo sengxaki yokuxinzelela emva kokudandatheka.
Ukukhathazeka ngokuziphatha
Ukuchonga naziphi na iingxaki zokuziphatha ezikhoyo. Ezi zinokwenzeka ngokukhethekileyo kulabo abahlala nomqondo wokugula ngengqondo. Kunokuba ubuze umbuzo oqhelekileyo malunga " nokuziphatha okulukhuni ," buza ukuba udidekile okanye utyhafile xa efumana unyameko, ukuba uzama ukushiya indlu, okanye isizathu esithile sokuba ufumana unyango olusisigxina . Ukuba ucinga ngokuthunyelwa esibhedlele, qiniseka ukuba ubuza ukuba "unobumba," "umntu oyedwa" ilungu lezisebenzi, okanye ukunyuswa okongeziweyo ngenxa yokuziphatha.
Ukuhlukunyezwa kwesiyobisi
Uya kufuneka ukwazi ukuba kukho nayiphi na imbali yokusetyenziswa kweziyobisi okanye ukusetyenziswa gwenxa, nokuba ingaba mthethweni okanye iziyobisi ezingekho mthethweni. Inkxalabo echongiweyo kule ndawo iya kuba nefuthe kwisicwangciso sakho sokhathalelo kulo mhlali.
Izilungiso eziPhambi kokuPhila
Izigulane ze-rehab zexesha elifutshane, cacisa apho bahlala khona kuze kube ngolu hlobo, kwaye ukuba amalungiselelo abo okuphila aya kubavumela ukuba babuyele apho emva kokuba bafumana ukulungiswa kwiziko lakho.
Plans Plans
Ngokufanayo, ukucoca ukucoca kufuneka kuqale ngaphambi kokuba umhlali abeke isantya emnyango wakho. Kubalulekile ukuchonga izicwangciso zabo kwaye unqwenela ukwenzela ukuba uzimisele ukuvavanya ukhuseleko lwazo zicwangciso kwaye uhambele kubo.
Imibuzo kunye noKhenketho
Vumela ixesha lokuba ngumhlali kunye noxanduva lokubuza imibuzo malunga nesibonelelo sakho kwaye ukhuthaze ukuba baze batyelele ukuze baqinisekise ukuba kulungile kubo. Unokuba unomdla wokuzalisa iibhedi zakho, kodwa ukunika ixesha lokuba la ma nyathelo angaphaya angakugcina ixesha elizayo.
Amava angaphathekanga
Ukuba umntu onomdla unethemba lokwedlulisa kwesinye isibonelelo esifanayo, mbuze ngokuzibuza ukuba uya kukukhathalela ukwabelana ngezizathu zakhe zokuba ufuna ukuhamba.
Nangona kukho amaxesha apho ukugcinwa kwezinto ezilula (njengendawo yokuhlala) kunokubangela ukuba utshintshe, kukho ezinye iimeko apho kukho ingxaki ebalulekileyo ekunyamekelweni komntu ofunyenwe kwenye indawo. Ukuchonga ezi nkxalabo ngaphambi kokungeniswa kunokukuvumela ukuba uxoxe ngendlela amaziko akho aza kubamba ngayo kwaye unike umntu onokukwazi ukuqonda ukuba uyafuna ukufuduka kwisibonelelo sakho. Kwakhona kukuvumela ukuba ufumane ulwazi malunga nokulindelekileyo kwaye unqume ukuba unako ukudibana nabo.
Ukubaluleka kokuHlola kwangaphambi kokungena
Ukuhlolwa kwangaphambi kokungena kwamkelwa ixesha lokuqhuba, kodwa ngokuqhelekileyo ixesha lichithe kakuhle. Nazi izizathu ezimbalwa zokuba kubaluleke kangakanani.
Okokuqala, xa uvuma umntu ohlala kuyo, uxanduva lokunyamekela. Ukwazi ukuba zeziphi iimfuno zokunyamekela ziyimfuneko.
Ukongezelela, imimiselo yeCMS yenza kube nzima ukukhupha umntu ngokungabandakanyeki-ukhuseleko kulondolozo jikelele kunye nenhlalakahle yomhlali. Ngaloo ndlela, ukuba izinto azihambeli kakuhle okanye zikhona iqondo eliphakamileyo leemfuno ongaziqondi, awukwazi ukuthumela loo mntu kwenye indawo kwenye indawo.
Ukuvavanywa kwangaphambili kokungeniswa kwakhona kuncedo ekulawuleni umngcipheko. Ukukwazi ukuxhalabisa kwangaphambili kwexesha kwenza kube lula ukuba abasebenzi bakho banokusebenza ukujongana nabo.
Njengoko kuchazwe ngasentla, impembelelo yemali yokwamkelwa kwayo ibalulekile. Nangona iinjongo zabantu abaninzi abasebenza kwindawo yokunakekela abantwana kunye neendawo zokuhlaziya iindawo zokunakekela abahlali babo, umbutho wakho kufuneka uhlale unemali ukuze uqhubeke nokubonelela ezo nkonzo kwabo bafuna.
Ukuhlolwa kwangaphambi kokungena kubalulekile njengoko kuhambelana nesigaba se-CMS imfuno ezimbini zokuthatha inxaxheba-ngokukodwa, okokuhlolwa kovavanyo kunye nolwazi lwabasebenzi. Uvavanyo lwesibonelelo luchonga ukuba zeziphi iimfuno zezokwelapha ezi zixhobo ezifanelekileyo ukuhlangabezana nazo, ngelixa iimfuno zobuchule zijongana neemfuno zokuqinisekisa ukuba abasebenzi bakho (ngokwamntu ngamnye) banokwaneliseka kwaye banokufezekisa ngokufanelekileyo nganye yezidingo.
ILizwi
Ukuqhuba uvavanyo oluphambili lokungeniswa kwangaphambili lunamalungelo amaninzi, kokubili kwisibonelelo kunye nomgangatho wokunakekelwa komhlali. Ekugqibeleni, kunokukunceda ufezekise injongo yokuqinisekisa ukuba inkqubo yokumkelwa ihamba ngokukhawuleza nangempumelelo kubo bonke abo babandakanyekayo.
> Imithombo:
IiNkonzo zezeMpilo neNtlalo zeDelaware. Ulwahlulo lweMedicaid & Assistance Assistance. Ukuhlolwa kokungena kwangaphambili (PAE) Ithuluzi lexesha elide loKhathalelo-001. http://clpc.ucsf.edu/sites/clpc.ucsf.edu/files/Delaware%20Pre-Admission%20Evaluation.pdf
> Scott & White. UDS-Pro. Ukuhlolwa kwangaphambi kokungena. http://www.sw.org/releases/docs/patient-forms/uds-pro-mission-assessment.pdf