Imibuzo Nezimpendulo Nge-Subacute Rehabilitation
I-rehab acute ephansi (ebizwa nangokuthi ukuvuselelwa kwe-subacute noma i-SAR) igcina ukunakekelwa kokubeletha komuntu obhekene nokugula noma ukulimala. I-SAR ikhawulelwe isikhathi nenhloso ecacile yokuthuthukisa ukusebenza nokuphuma ekhaya.
I-SAR ivame ukuhlinzekwa ekuhlinzekeni okuhlinzekwa ngabahlengikazi abanekhono (SNF) . Ngezinye izikhathi, ama-SNF ayingxenye yesistimu yesibhedlela ngisho noma ehlala endaweni efanayo ekamelweni elifanayo, kanti ngezinye izikhathi, ziyizinhlangano ezizimele. Kungakhathaliseki ukuthi, i-SNF kumele ilayisensi yi-Centers ye-Medicare ne-Medicaid (i-CMS) ukuze inikeze i-SAR. Le nqubo yokufaka amalayisensi ihlanganisa ukuhlola okujwayelekile okuzoqinisekisa ukuhambisana nokufunwa kwezempilo okulawulwayo kanye namakhodi okuphepha empilo (njengokuvikela umlilo kanye namasu okuphuma).
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Ubani okhokhela i-SAR?Uma udinga ukuvuselela okuthile ngenxa yokwehla kwamandla kusukela ekuwa, ukwephuka kweqhwa , noma isimo sezokwelapha, i-SAR ingaba yinzuzo kuwe. I-SAR ivame ukukhokhelwa yi-Medicare noma uhlelo lwe-Medicare Advantage. I-Medicare wuhlelo lomshuwalense we-federal okhokhela phakathi neminyaka njengoba usebenza. Izinhlelo ze- Medicare Advantage yizinhlangano zangasese ezibhekene nokuphatha abantu abafanelekayo kwi-Medicare kodwa bakhethe ukukhetha ukuba yingxenye yalezi zinhlangano.
Ukufakwa kwezezimali nezidingo kuyahluka, kuye ngokuthi yiliphi uhlelo oyikhethile.
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Yisiphi Isevisi Isikhungo SAR Esihlinzeka Ngayo?I-SAR inikeza usizo ezindaweni ezimbili ezihlukene:
- Amaphilisi asemthethweni, asebenzayo kanye nenkulumo anikezela ukwelapha ukwandisa amandla nokusebenza kwakho. Isibonelo, kuye ngokuthi yikuphi isidingo sakho, bangase basebenze ukwandisa ibhalansi yakho, bathuthukise ukuphepha kwakho lapho behamba, sebenzela ukukusiza ukuhambisa imilenze yakho futhi emva kokushaya, ukuthuthukisa ukuzimela kwakho nemisebenzi yokuphila kwansuku zonke (ADLs) , ngcono ukuqina kwe-cardio (inhliziyo) emva kokuhlaselwa yinhliziyo, nokuningi.
- Abanakekeli abanelayisensi banikeza ukunakekelwa kwezempilo njengokwengamela ukulimala , ukuphathwa kobuhlungu , ukunakekelwa kokuphefumula , kanye nezinye izinsizakalo zokunakekela okumele zinikezwe noma ziqondiswe yi-RN noma i-LPN elayisensi.
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Ubani Ongase Azuze Ngokuhlala E-SAR?Abantu abaye bawa , ukulimala noma isimo sezokwelapha bangase bazuze ekuhambeni okufushane ku-SAR. Umgomo we-SAR ukuhlinzeka ngosizo olulinganiselwe isikhathi olwenzelwe ukuthuthukisa ukusebenza nokuphepha ekhaya noma indawo yokuhlala yangaphambilini (njengendawo yokusiza ephilayo noma indawo yokuhlala yokuzimela).
Izimo ezivamile zabantu abathola i-SAR zibandakanya ukuhlanganiswa (ukuhlunga, idolo, ihlombe) ukuhlukumeza noma ukufaka esikhundleni, izimo zenhliziyo, isifo sofuba, isifo sikashukela, ukwehluleka okuhlobene nokuwa, isifo esingavamile sokuphazamiseka kwenhliziyo (i-COPD) , ukulimala kwenhliziyo kwangempela (CHF), ukulimala kwamagundane , ukuxoshwa nokuningi.
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Ingabe Ukwelashwa Okungakanani I-SAR Ehlinzeka Ngosuku Lunye?Udokotela wakho uzokuhlinzekela ngokuthethelela ngokusekelwe kuncomo yophiko lomzimba, uchwepheshe wezokwelapha, kanye / noma isazi sokukhuluma. Abanye abantu bangakwazi ukubekezelela kuphela imizuzu engaba ngu-30 ngosuku, ngokuya ngesimo sabo. Abanye bangakwazi ukubekezelela amahora amaningi ngosuku lokwelapha. I-SAR ivame ukunikeza cishe amahora angu-3 yokwelapha ngosuku.
Uma usesikhungweni se-SAR futhi uzizwa sengathi kufanele uthole ukwelapha okwengeziwe ngosuku, kufanele ubuze udokotela wakho uma imizuzu yakho yokwelapha inganda.
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Kudala kangakanani abantu abahlala e-SAR?I-SAR ihlala ihluka kakhulu. Abanye abantu bakhona kuphela izinsuku ezimbalwa, kanti abanye bangase babe khona amasonto noma ngisho nezinsuku eziyi-100.
Izimo ezihlukahlukene zithatha isikhathi esingakanani ongase uhlale kuzo esikhungweni se-SAR, kufaka phakathi izinga lokulimala kwakho noma isimo sezokwelapha, impilo yakho yonke, umshwalense wakho uvuma isikhathi esingakanani ukuthi uhlale futhi ikhono lakho lokuphila ngokuphepha ngemuva kokushiya i-SAR.
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Uyini umehluko phakathi kwe-SAR, iRevhab Acute ne-Stay Hospital?Amagama asetshenziselwa ukukhuluma ngokunakekelwa kwezokwelapha nokuvuselelwa kungase kudideke ngezinye izikhathi. I-SAR ihluke esibhedlela noma isikhungo sokuvuselela iziguli eziphuthumayo.
Isibhedlela, ngezinye izikhathi esibizwa ngokuthi "ukunakekelwa okujulile," sifanele kuphela ngezinkinga ezibalulekile zezokwelapha ngenhloso yokuhlala esifushane kakhulu.
Isikhungo sokuhlaziya okunamandla senzelwe izidingo eziphezulu ze-rehab, okudinga amahora angaphezulu kwama-3 ngosuku lomuthi wokwenyama, umsebenzi, noma ukukhuluma.
Izikhungo ezingaphansi kwe-rehab (SAR) zivame kakhulu kubantu abadinga ukwelapha amahora angaphansi kuka-3 ngosuku, ngakho-ke ilebula "le-acute", elisho ngokuqondile noma ngaphansi, ukuvuselela okunamandla.
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Ngingayithola Kanjani I-SAR Quality High?Enye yezinselele ekubuyiseleni emuva kokushaya, isibonelo, ukhetha uhlelo oluhle kakhulu lokuhlelwa kabusha. Ukwenza ucwaningo kusengaphambili ngaphambi kokuba wena noma othandekayo wakho adinga ukuvuselelwa kungaba usizo kakhulu.
Amaseli e-Medicare ne-Medicaid (i-CMS) ahlinzeka uhlelo lokulinganisa izinkanyezi ezingu-5 emakhaya asebekhulile, futhi eziningi zazo zinikeza i-SAR. Ukuqhathanisa ukulinganisa kwezikhungo ezahlukene kungaba usizo kakhulu.
Ngokujwayelekile, imithombo yakho ebaluleke kunazo zonke kuyoba izincomo ezivela kubathandekayo noma abangani abaye basebenzisa le nqubo. Okuhlangenwe nakho kwabo siqu kubaluleke kakhulu.
Uma unesikhathi, kungasiza futhi ukuma ngezindawo ezimbalwa ezahlukene bese ucela ukuvakasha. Ukubuka ukusebenzisana kwabasebenzi neziguli kungaba inkomba ebalulekile yekhwalithi yokunakekelwa okunikeziwe. Khumbula ukuthi nakuba ezinye izakhiwo zingabheka brand entsha, yilona hlelo futhi abantu abakunakekelayo ngempela kuyoba nomthelela isipiliyoni sakho lapho.
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Ngingayikhetha Noma Yimuphi I-SAR Isikhungo Engifuna?Uma udinga i-SAR, qaphela ukuthi izikhathi eziningi, unakho ukukhetha ukuthi le SAR inikezwa kuphi. Izibhedlela zizokwenza ukuthi ziqondise izinhlelo zabo ze-SAR uma zihambisana nomunye. Futhi, nakuba lokhu kungase kube yindlela enhle, unelungelo lokunquma ukuthi ungathanda ukubuyela kuphi.
Nokho, izinketho zakho zinganqunywa ukuthi ngabe umshuwalense wakho ubeka yini izindawo ozikhethayo njengangaphakathi noma ngaphandle kwenethiwekhi , nokuthi ngabe lezo zakhiwo zikhetha ukwamukela yini ohlelweni lwabo.
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Kuthiwani Uma Ngifuna Ukushiya I-SAR Ngaphambi Kokuthi Ngilungele?Uma nje uhlakulela ukuya ekhaya ngaphambi kokuba abasebenzi bezokwelapha bacabange ukuthi kufanele, unelungelo lokushiya isikhungo nganoma yisiphi isikhathi. Uma udokotela ezwa ngokuqinile ukuthi awuphephile ukushiya okwamanje futhi ukhetha ukushiya noma kunjalo, cishe bazokucela ukuba usayine ifomu elithi ushiya iseluleko sezokwelapha (AMA).
Lokhu kusho ukuthi nakuba bengenakukwenza uhlale. abakholelwa ukuthi uphephile ukubuyela ekhaya okwamanje, Kuyisimo sokuvikela salesi sikhungo ngoba ngaphandle kwemibhalo ukuthi ikhaya lakho lokukhishwa liphikisana neseluleko sezokwelapha, kungenjalo kungaba nesibopho sokulimala okwenzeka ngenxa yokukhishwa kwakho kokuqala.
Okungafani nalomthetho wukuthi uma unesifo sengqondo somqondo ngokwezinga lokuthi amandla akho ommeli wokunakekelwa kwezempilo asetshenzisiwe , lo muntu kumele abe nguye okhombisa ukuthi uphume endaweni.
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Kungani Umshwalense Wami Umisa Ukuphepha Kwami ku-SAR?Iningi lezinkampani zomshuwalense ziqapha ukusetshenziswa kwe-SAR eduze, nezindawo ezidingekayo ukuze zenze ukuhlolwa okuningiliziwe njalo futhi zithole ukugunyazwa kwangaphambili nokuqhubekayo ukuhlinzeka nge-SAR kumalungu ayo.
Uma kunqunywe ukuthi ukukhishwa kwakho kwe-SAR kuphelile, kufanele uthole isaziso esandulele salokhu ukuphika kokukhishwa. Lokhu ngezinye izikhathi kubizwa ngokuthi "incwadi enqunywe" noma "isaziso sokuphika," futhi kufanele unikezwe ikhophi yakho futhi ugcinwe efayeleni esikhungweni ukuze uqinisekise ukuthi unikezwe isaziso salolu shintsho ngaphambi kokuba kwenzeke.
Ukuphakama kungase kuphele ngezizathu ezihlukahlukene, kubandakanya ukuthi awusadingi ukwelashwa okunekhono noma usizo lwezokwelapha abanekhono, ukuthi awukwazi ukubamba iqhaza kumasevisi wezokwelapha (isibonelo, uma une-dementia kanye nememori yakho engaphumeleli , kungenzeka ngeke ukwazi ukukhumbula futhi ufunde imiyalo emisha kahle), ukuthi ukhetha ngokuqhubekayo ukungabambi iqhaza kumasevisi wezokwelapha noma ukuthi usetshenzisile inombolo yakho yezinsuku ezinikezwe i-SAR.
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Yini engingayenza uma ngingacabangi ukuthi ngikulungele ukuya ekhaya nokho?Ngemva kokutshelwa ukuthi ukukhokhelwa kwe-inshuwalense kuphelela ukuhlala kwakho kwe-SAR, abantu abaningi benza izinhlelo zokubuyela ekhaya noma kwisakhiwo sabo sangaphambilini ezinsukwini ezimbalwa ezilandelayo.
Ngenkathi ungase uzimisele ukubuyela ekhaya, kungenzeka ukuthi ungakhathazeka kakhulu ukuthi awunamandla okwanele okwamanje ukuya ekhaya. Uma unomuzwa wokuthi umshuwalense wakho awufanele uqede okwamanje, uvunyelwe ukufaka isikhalazo kulokhu ukuphika kokufaka. Ungacela isikhalazo esivumelekile ukuze uthole impendulo masinyane. Izikhombisi zokukhangisa zizofakwa ekunqatsheni isaziso sokuqashwa ositholayo.
Uma ukhetha ukukhalaza, lesi sakhiwo sizohlinzeka ngenkampani yomshuwalense ngemininingwane yakho yomtholampilo efanele futhi bayovuma noma bayiphike isikhalazo sakho sokwesekwa kwe-SAR eyengeziwe.
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Kuthiwani uma i-SAR ingangisizi ukuba ngivikelekile ngokwanele ukuya ekhaya?Ngesinye isikhathi, naphezu kwemizamo yakho emihle ekubuyiseleni esikhungweni se-SAR, ungase ungatholi amandla noma ukusebenza ukuze uphephe ekhaya ngokushesha. Ukungakwazi ukuhlangabezana nomgomo wakho wokuya ekhaya kungase kudikibala.
Umsebenzi wezenhlalakahle we-SAR uzokusiza ukuba ubheke ezinye izinketho ezingabandakanya ukuguqula endaweni yokuhlengikaza enekhono, njengokuphila okusizwayo, noma ekhaya lokunakekela izingane ezindala. Bangase bakwazi futhi ukusebenza namalungu omndeni wakho kanye ne-ejensi yomphakathi ukunikeza usizo olwengeziwe ekhaya ukukhulisa ukuphepha kwalolu khetho.
Khumbula ukuthi abanye abantu bathatha isikhathi eside ukuze baphulukise futhi baphinde basebenze kunabanye, ngakho-ke kubalulekile ukuthi uqhubeke usebenza ukuze ulondoloze futhi uthuthukise amandla akho, nomaphi lapho uhlala khona. Isibonelo, ungase ukwazi ukuthola amasevisi wezokwelapha ezincane nge- Medicare Part B ekhaya elihlengikazi elinamakhono elingenza kube lula ukubuyela ekhaya esikhathini esizayo njengoba uthola kancane kancane ukusebenza.
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Kuthiwani Uma Ngisadingeka Ngisize Ekhaya?Kuvamile ukuqhubeka udinga usizo ekhaya isikhathi esithile ngemuva kwe-SAR. Umgomo we-SAR ungakusiza ukubuyela ezingeni lakho langaphambilini lokusebenza. Kodwa-ke, njengoba izinkampani eziningi zomshuwalense zizama ukunciphisa izindleko abazikhokha amakhasimende abo, umgomo osebenzayo kakhulu ku-SAR ungaba ukusiza ukuthi uphephe futhi unamandla ngokwanele ukuba ubuyele ekhaya lakho bese uqhubeka nenqubekela phambili yakho ye-rehab lapho.
Ngaphambi kokuba ukhululwe ku-SAR, lesi sikhungo kufanele sinikeze ukuhanjiswa futhi senze amalungiselelo okuthola ukunakekelwa okuqhubekayo njengasevisi yezempilo yasekhaya, uma uvumelana nalezi zinsizakalo zokusekela. Ama-ejensi wokunakekelwa kwezempilo ekhaya angakusiza ekhaya nge ukwelapha ngokomzimba, ukwelashwa komsebenzi, ukwelashwa kwenkulumo, ukunakekelwa kochwepheshe ukunakekelwa, kanye nezinsizakalo zomsebenzi wezenhlalakahle.
Ukusebenzisa lezi zinsiza zomphakathi kungakusiza ukuguquka ngempumelelo ekhaya, okuyinto umgomo owabelwane ngawo kokubili wena nabasebenzi be-SAR abasebenza nawe.
Izwi kusuka
Ukukwazi ukuthi yini ongayilindela kusuka ku-SAR kungakusiza ukuba usebenzise kakhulu izinsizakalo ezinikezwe khona futhi ubuyele ekhaya ngokuphepha. Siyaqonda ukuthi ungaba nemibuzo eminingi lapho uhamba khona, futhi ithemba lethu ukuthi lo mhlahlandlela ungakusiza endleleni ngokusebenzisa izimo ezihlukahlukene.
> Imithombo:
> Medicare.gov. Ukunakekelwa kwezikhungo zokunakekela abanekhono (SNF). https://www.medicare.gov/coverage/skilled-nursing-facility-care.html
> I-Sheltering Arms Isikhungo sokuvuselela umzimba. I-Acute ne-Sub-Acute. http://www.shelteringarms.com/sa/acutecareinfo.aspx