Isikhokelo sakho sokufumana uncedo olukhulu lwe-OT kwi-SNF
Ukuba wena okanye othandekayo uyamkelwa kwisibonelelo esinonophelo lwezonyango (SNF), kukho ithuba elihle ngokukhawuleza ukuba uqhelane nesebe lokuvuselela, phakathi kokuphi unyango lomsebenzi .
Sibanzi
Abantu abaninzi bafika kwi-SNF kuba bengasadingi ukunakekelwa kwinqanaba lokunakekelwa esibhedlele kodwa abakwazi ukubuyela ekhaya. Usenokufuna ukufikelela kwimihla ngemihla kwiinkonzo zononophelo ezinonophelo (ezifana nokongamela ukuphilisa isilonda okanye uncedo ngamachiza), iinkonzo zemihla ngemihla, okanye ukuhlanganiswa kokubili.
Ugqirha wakho usoloko ungumgcini obalaseleyo wokunyamekela kwakho, kodwa abongikazi kunye nabasebenzi bokuvuselela abaya kubonwa rhoqo.
I-Medicare inikezela ubungqina bongikazi abanezakhono; ngoko, imimiselo ye-Medicare kunye nokubuyiselwa kwemali idlala indima ebalulekileyo ekusebenzeni kwezibonelelo.
Iibhedi zokuguquka
Kwezinye iimeko, uya kuhlala kwisigumbi sakho esibhedlele kodwa utshintshe kwizinga lezempilo le-SNF. I-Medicare iqinisekisa izibhedlele ezincinane zasemaphandleni (ezibizwa ngokuba zizibhedlele ezifikeleleko eziphambili) ukubonelela ngononophelo lwe-SNF phantsi kwesimo se-Swing Bed xa ukufikelela kweendawo ukuya kwindawo yokuhlaziywa kwinqanaba elingaphantsi.
Nangona uhlala kwindawo efanayo, kufuneka uqaphele utshintsho kwiinkathalo ozifumanayo.
Indima ehlukileyo ye-OT
Abagqirha bezemisebenzi banombono opheleleyo wezempilo. Baqeqeshwe ukuvavanya nokungenelela kwimpilo (njengamandla, ukuhamba, ukuhamba, ukuqonda, ukucwangciswa kwemoto, njl.) Kodwa ekugqibeleni banomdla kwindlela ezi zinto zichaphazela ngayo ukukwazi ukwenza imisebenzi oyifunayo kwaye ufuna ukwenza (eyaziwa ngokuba "imisebenzi").
Kubaxhamli kwiziko lokunakekelwa abanonophelo, le mi sebenzi ibininzi kwimisebenzi efunekayo yokubuyela kwindawo yokuhlala okanye inqanaba elincinci lokunyamekela.
Yintoni efunekayo ukuba umntu akhululwe ngokukhuselekileyo esuka kwi-SNF eyahluka. Umzekelo, ukuba uhlala wedwa kwikhaya lamabini amabini, imisebenzi ebalulekileyo kufuneka uyenze ukubuyela ekhaya iya kuba yinto eyahlukileyo kumntu obuyela kwindawo yokuphila encedisayo.
Kubaluleke kuzo zonke izigulane, nangona kunjalo, liqela lemisebenzi ebizwa ngokuba yiSebenzi eziSeko zoBomi bemihla ngemihla (ADLs). Le yimisebenzi ebalulekileyo ukuba izigulane kufuneka zibe nesicwangciso sokwenza ukuze zikhule. I-ADL ziquka ukugqoka, ukuhlamba, ukutya, ukulungisa nokuhamba.
Imisebenzi yeCandelo leMpilo yoLuntu (i-IADLs) yimisebenzi ebaluleke kakhulu kumgangatho wobomi bomntu kodwa ithambekele ekubeni yinkimbinkimbi kwaye kulula ukunikezela kwabanye abanonophelo. Xa kufanelekile, u-otherasi wezentlalo (OT) uya kuhlola kunye nokubonelela unyango oluhambelana nee-IADL.
Ukuze wenze utshintsho lwakho kwi-SNF ngokukhawuleza kunokwenzeka, ii-OTs zingaphakamisa kwaye zinikeze uqeqesho ekuguquleni indawo kunye nezixhobo onokuzisebenzisa ukuze wenze imisebenzi yemihla ngemihla.
Uvavanyo lwe-OT neSicwangciso soKhathalelo
Usenokuba ufumana unyango osebenza emsebenzini kwisibhedlele, kodwa ukutshintshwa kwakho kwiziko loongikazi oluqhelisayo liya kuqala isiqhelo esitsha sokunyamekela. Umgqirha wakho wezemisebenzi uya kuba nomyalelo kumgqirha ukuze enze uvavanyo oluhlaziyiweyo.
Uvavanyo luya kuqukwa maxwebhu alandelayo:
- Uxilongo lwezonyango
- Ukukhubazeka kwonyango okanye ukungasebenzi
- Ukuqwalaselwa ngokuchanekileyo
- Ukuqwalasela injongo
- U vavanyo
- Cwangciso
Ukuba i-OT ifumanisa ukuba iinkonzo zayo ziyimfuneko yonyango kwaye zinengqiqo, iya kuseka isicwangciso sokunyamekela. Esi sicwangciso senkonzo siya kubandakanya, ubuncinane , oku kulandelayo:
- Ukuxilongwa
- Iinjongo zonyango lwexesha elide
- Uhlobo, isixa, ubude, kunye nexesha lokusebenza kwonyango
Esi sicwangciso sokunyamekela siya kuthunyelwa kugqirha ukuze kuvunywe.
OT Treatments
Izonyango zakho zinokuba zifutshane njengemizuzu eyisibhozo kwaye ngokuqhelekileyo ingaphantsi kweyure. (Khumbula ukuba unyango lufanelekile.)
Izonyango zakho kufuneka zihambelane neenjongo zakho uze uwele kwisicwangciso sokunyamekela. Umzekelo, ukuba uqala ukufumana ubunzima ngesitulo sabakhubazekile, kusekuhlaleni lwe-OTs ukulungisa oku, kodwa ukuba ukulawulwa kwezihlalo zabakhubazekile kwakungekho kwisicwangciso sokuqala, kufuneka ukuba ahlaziywe icebo lokunyamekela aze afumane imvume evela kugqirha ngaphambi kokuqhubeka.
Umsetyenzana osebenzayo okanye oncedisayo unyango osebenzayo unokwenza unyango. I-aides ye-medical aid ingasetyenziswa ukuze incedise kwinkqubo kodwa ayikwazi ukuhambisa unyango olunezakhono.
Iipilisi zakho ze-OT ziyakuthi zidibanise ukuzisebenzisa izakhono oya kuzodinga ukuba uye ekhaya uze ujongane nezinto eziphathekayo zengqondo, ezengqondweni, ezenza ukuba le mi sebenzi ebalulekileyo ilukhuni.
Ngokomzekelo, iseshoni esinye sinokugxila ekuqiniseni komzimba ophezulu ekulungiseleleni ukusebenzisa ibhentshi yokudlulisa ukufikelela kwisitya sakho ekhaya. Kwesinye iseshoni, i-OT yakho inokumisela imeko yokuhlamba kunye nokuqeqesha ngendlela ekhuselekileyo yokusebenzisa ibhentshi yokudlulisa.
IiNkonzo zeOT ezizodwa
Abagqwesileyo abaphumelele kwizikolo ze-O njengabaphathi bezinga lokungena. Kodwa, i-grad entsha kufuneka ifunde kakuhle kwaye ilungiselelwe ekuncedeni ekuhlangabezaneni neenjongo ze-ADL kunye ne-iADL.
Ngaphezulu kwekhosi yabo, ezininzi zee-OTs ziza kuqhuba ngokukhethekileyo kwiinkqubo ezithile zonyango kunye neendawo zokusebenza. I-SNF ingafuna ukusebenzisa ii- OTs ngoqeqesho olulodwa kunye nesatifikethi .
Iindawo eziqhelekileyo zobungcali kwisicwangciso se-SNF ziquka:
- Ulawulo lweLymphedema
- Ukukhusela
- Ukuhlala kunye nokuhamba
- Uxinzelelo lokuxhaswa
- Ukukhathazeka kweMfuno
- Ulawulo lweMvumelwano
- Ukunciphisa umqobo
- Uvavanyo lokuqhuba
I-Medicare, i-OT kunye ne-SNF
Iziqinisekiso zamanqanaba ahlukeneyo okufikelela kwi-Medicare zinokuba nzima kwaye zifanele ukuxoxa ngokucacileyo kunye neqela lakho lokukhupha esibhedlele kunye neqela le-admission SNF.
Ukukunika ingqiqo ngokubanzi malunga nendlela i-Medicare ejongene ngayo neenkonzo zonyango lwezonyango, uya kufumana apha ngezantsi kwezinye iinqununu eziphambili zamanqanaba amabini e-Medicare.
I-linguisti inokuba nzima kodwa ixhomekeke apho, kuba le nkcukacha zihambelana ngqo nokukhuthaza ukunyamekela.
Ulwaphulo lwezeMisebenzi kunye ne-Medicare Icandelo A
Ukuba unesibhedlele sosuku lweentsuku ezintathu kwaye ugqirha ugqiba ukuba uya kuqhubeka nokufuna unonophelo olunezakhono, unakho ukufaneleka kwi-Medicare Part A.
I-Medicare Ingxenye A idlulisela iintsuku eziyi-100 zokuqala kwi-SNF kwaye ineemfuno ezizodwa zemfuno.
Icandelo leemfuno kukuba abasebenzi baseziko bazalisa i-Minimum Data Set (MDS).
Njengengxenye ye-MDS, inani leemviwo zemizuzu yonyango liya kudibaniswa nezobugcisa zenyama kunye nentetho yokuseka iQela lokuSebenza koLuntu (RUG). Eli nqanaba le-RUG liyakuchukumisa umlinganiselo we-Medicare uza kubuyiselwa kwesi sikhungo. Eli nqanaba libekwe kwiintsuku ezintathu kwi-5, yesi-14, 30, 60 neye-90 iintsuku zokuhlala kwesigulane kwisibonelelo esisezantsi. Eli nqanaba liza kugqiba inani lemali eliya kuhlawulwa lize lihlawule umhla wokuhlaziya.
Iinqanaba ezihlanu ze-RUG zilandelayo:
- Uphakamileyo ophezulu: ubuncinane imizuzu engama-720. Uqeqesho oluphantsi kwe-2 (unyango lomzimba, usebenza okanye ulwimi); ubuncinane iintsuku ezintlanu.
- Ephakamileyo kakhulu: ubuncinane imizuzu engama-500. Umyinge woku-1 uqeqesho ezintlanu iintsuku.
- Ephakamileyo: ubuncinane imizuzu engama-325. Umyinge woku-1 uqeqesho ezintlanu iintsuku.
- Phakathi: ubuncinane imizuzu engama-150. Ezincinane iintsuku ezintlanu.
- Ephantsi: ubuncinane imizuzu engama-45. Ubuncinane iintsuku ezintathu.
Uphuhliso lwezakhono kunye ne-Medicare Part B
I-Medicare Part B ibhekiselela unyango lwasemsebenzini kwi-SNF ukuba awufaneleki kwiCandelo A okanye ukuba ezo nzuzo ziphelile. Ulwaphulo luya kuhlawulwa ngokusebenzisa inkqubo ehlukileyo ngokupheleleyo kunye neqoqo yeekhowudi.
Fumana Uninzi lwe-OT SNF Care
Yazi iinjongo zakho I-Therapist yakho isebenza
Abaphengululi bezemisebenzi bazama ukuba ngabaxhasi abaxhomekeke ekujoliseni kwabo. Kodwa, njengolu cwaningo lophando luka-2006 lubonisa ukuba, kunokuba lula ukunqumla phakathi kweenjongo zeengcali kunye neenjongo zabaxhasi. Eli nqaku libonisa ukuba izigulane zibambe iqhaza kwiingxoxo malunga neenjongo abazifumana ukuba zinenjongo kwaye zinenjongo.
Ukuba unesimo apho ungayazi iinjongo ezichanekileyo ze-OT ezisebenzelayo, unganqikazi ukubuza umqeqeshi wakho wezemisebenzi! Unokucela kwakhona ukuba ubone iphepha lonyango lonyango .
Qondisisa iNqanaba lakho le-RUG kunye noMmeli kwiNqanaba leNqanaba loKhathalelo
Ukujonga ukuba unyango olunjani wena okanye wakho umthandayo uya kuzuza ngeveki ukuya kwiveki enye yezona ndawo ziphambili zokufumana ubuninzi bakho bamava eSNF. Ucwaningo olwenziwa ngo-2005 lubonisa ukuba ubukhulu bonyango obuphezulu budibaniswe nobude obufutshane bokuhlala kunye nokubonakala kunokwenzeka ekuphuculeni ukusebenza kwe-ADL.
Oko kuthethwa, iziko loongikazi abanomsebenzi zihlolisiswe (kunye nezigwebo) zokubonelela unyango olunzulu kwizigulane ngenxa yezizathu zokubuyiselwa ngokumelene neemfuno zabaxhasi.
Inkqubo yokubuyisela i-RUG echazwe ngasentla ichaza ingxaki elandelayo: ukuba ufumana imizuzu engama-499 yonyango, i-RUG Level yakho iphakamileyo, kodwa ukuba ufumana imizuzu engama-500 yonyango izinga lakho le-RUG liphezulu kakhulu kwaye i-Reward reimbursement isanda. Izixhobo, ngoko ke, zinomtsalane wokunyanzelisa iingcali zeengcali ukuba zibonelele ngcaciso emfutshane yonyango ... nangona isiguli singenakuzuza kuyo.
Ukuba ukholelwa wena okanye othandekayo ufumana iinkonzo zobuqhetseba, thetha kunye nesibonelelo sakho, okanye ungathintana noMedare ngqo.
Buza imibuzo ye-OT yakho
Ii-OTs zithola isiseko seziko loqeqesho kwisikolo se-O kodwa ziya kufumana imfundo eqhubekayo kunye noqeqesho oluqhubekayo kulo lonke umsebenzi. I-OT nganye oya kuhlangana nayo iya kuba namandla amaninzi kwaye ikhethe imimandla eyahlukeneyo yokuqhubeka imfundo. Indlela efanelekileyo yokufunda malunga neziqinisekiso zee-OTs ezizodwa kunye nezizathu zonyango abazenzayo ukubuza imibuzo. Nantsi isikhokelo sokufumana ingxoxo.
Cela iNtlanganiso Yentsapho
Olunye ucelomngeni oluqhelekileyo lokufumana unonophelo olungcono kakhulu lwe-SNF nje ukufumana onke amaqela, omabini osapho kunye nabasebenzi beziko, kwiphepha elifanayo. Ukuba ufumanisa ukuba ukungabikho koqhagamshelwano okanye ubunzima bokuzinza kwiinkqubo ezifanelekileyo kunokuba yingxaki, cinga ukuthetha neqela lakho lokunakekela malunga neentlanganiso zeentsapho.
Amancedo amaninzi aya kunika ithuba lokumisela ixesha lokufumana amaqela amaninzi atyalwe kwigumbi elinye ngexesha elifanayo ukuthetha ngeyona ndlela efanelekileyo yezenzo. Olu khetho lunokuveza ukucaca kwizigulane, abathandekayo kunye nabasebenzi.
Izikhokelo / izibonelelo
Jette, DU, Warren, RL, & Wirtalla, C. (2005). Ubudlelwane phakathi kokunyanga kwamanyango kunye neziphumo zokuvuselela kwiindawo zokunesi. IiNqoloba zoLwazi lweMpilo kunye nokuBuyiselwa, 86, 373-379.
Maitra, KK & Erway, F. (2006). Ingqiqo yenkqubo yokuxhaswa kwabaxhasi kwiingcali zomsebenzi kunye nabaxhasi babo. I-American Journal ye-Occupational Therapy, 60 (3): 298-310. i-doi: 10.5014 / ajot.60.3.298.
Incwadi yoVavanyo loHlolo loHlelo lwexesha elide. 3.0 Umhlahlandlela womsebenzisi (2015)