Umbuzo Omfushane Wokuhlolwa Kwesimo Sengqondo Njengengxenye ye-MDS
I-BIMS imele imibuzo emfushane yesikhundla sengqondo. Isivivinyo se-BIMS sisetshenziselwa ukuthola isifinyezo esheshayo sokuthi usebenza kahle kanjani okwamanje. Ithuluzi lokuhlola elidingekayo elisetshenziselwa amakhaya asebekhulile ukuhlola ukuqonda. Ngenxa yokuthi i-BIMS inikezwa njalo ngekota, izikolo zingasiza ukukala uma uthuthuka, uhlala ngokufanayo noma wehla ekwenzeni ikhono lokuqonda.
Yini Okuqukethwe I-BIMS Test?
Ingxenye yokuqala ye-BIMS ihlola ikhono lokuphinda ulwazi ngokukhumbula ngokushesha futhi lihlolisise ukunakwa. Kukhulunywa kuwe amagama amathathu, futhi kufanele uphindele emuva kumqondisi wokuhlola. Amagama aqinile, ahlaza okwesibhakabhaka nombhede . Ngemuva kokuphinda uphinde uphinde ubuyekeze amagama kumuntu ozama ukuhlola, amagama ashiwo ngamazwi athi: i- sock-into yokugqoka, i-blue- umbala nombhede- ifenisha .
Ingxenye yesibili ye-BIMS ihlola ukuma . Uzocelwa ukuba ubone ukuthi iyiphi inyanga esiyiyo njengamanje, unyaka onjalo nokuthi yikuphi usuku lwesonto.
Ingxenye yesithathu ye-BIMS ihlola imemori yesikhathi esifushane ngemuva komsebenzi ophazamisayo wemibandela yokuqondisa. Ikucela ukuba ukhumbule amagama amathathu owadingeka uphinde uwenze ngaphambili. Uma ungeke ukwazi ukukhumbula amagama, uzonikezwa ukusizwa ukusiza ukuqala inkumbulo, njengokuthi "into okufanele ugqoke" ukucacisa ukuthi lokho kukusiza ukuthi ukhumbule futhi usho igama elithi "sock."
I-BIMS ihlaselwe kanjani?
Ukulinganisa kanje:
Khumbula Ngokushesha (Amandla Okuphinda) Isigaba:
- Iphuzu elilodwa lamagama amathathu aqale ngokuphindaphindiwe ngokunembile: Ingqikithi yamaphuzu amathathu okungenzeka
Isigaba Sokwazisa:
Ukukhomba koMnyaka-
- Ayikho impendulo noma engalungile eminyakeni engaphezu kwengu-5 = amaphuzu angu-0
- Impendulo engalungile engaphenduliwe ngeminyaka engu-2-5 = 1 iphuzu
- Impendulo engalungile engaphenduliwe ngonyaka ongu-1 = 2 amaphuzu
- Impendulo efanele = amaphuzu amathathu
Ukukhomba kwenyanga-
- Impendulo engalungile engaphenduli inyanga eyodwa = 0 amaphuzu
- Impendulo engalungile ayikho ngezinsuku ezingu-6 kuya kwenyanga eyodwa = 1 iphuzu
- Impendulo efanele ngaphakathi kwezinsuku ezingu-5 = amaphuzu amabili
Ukuthola usuku lwesonto-
- Impendulo engalungile = amaphuzu angu-0
- Impendulo efanele = 1 iphuzu
Isigaba se-Orientation sinamaphuzu ayisithupha angenzeka.
Isigaba Sokukhumbula Isikhathi Esifushane:
Ngamagama amathathu, nikeza amaphuzu angu-0 uma igama lingeke likhunjulwe, iphuzu elilodwa legama ngalinye elikhunjulwa ngamagama kanye namaphoyinti angu-2 wegama ngalinye elihlelwe kahle ngaphandle kwamazwi.
Isigaba Sokukhumbula Isikhathi Esifishane sinamaphuzu ayisithupha angenzeka.
Ukuze uphume isivivinyo, engeza amaphuzu aphelele.
- Amaphuzu angu-13-15: umuntu uhlaselwe kahle.
- Amaphuzu angu-8-12: umuntu uphelelwe amandla ngokwemvelo.
- 0-7 amaphuzu: lo muntu unzima kakhulu.
I-BIMS isetshenziswa kanjani?
I-BIMS isetshenziswa kaningi njengengxenye yethuluzi lokuhlola elibizwa ngokuthi i- Minimum Data Set (MDS) emakhaya asebekhulile. I-BIMS iqhutshwa ngezikhathi ezithile ukuhlola ukuqonda ngokuhamba kwesikhathi. Ayisetshenziselwa ukuhlolisisa i- dementia kodwa ingasiza ukulandelela nokuqhathanisa izinguquko ngokuhamba kwesikhathi. Ukulahlekelwa okuphawulekayo ku-BIMS kungabangela ukuhlola okunye, okuphelele, nokuqonda kwengqondo ukuze kuhlolwe ukuwohloka komqondo.
I-BIMS score ingasiza ukukhomba izidingo ezithile zomuntu. Isibonelo, uma ungakwazi ukuphindaphinda amagama amathathu esigabeni sokuqala sohlolo, mhlawumbe unokukhubazeka kokuzwa noma awukwazi ukukhuluma ngamazwi. Noma, uma ukwazi ukukhumbula amagama amathathu ekupheleni kokuhlolwa uma kunikezwa amagama, lokhu kungaba yisikhumbuzo kumalungu abasebenzi okunikeza amazwi okukhuluma noma okubonakalayo angasiza ekusebenzeni kwakho kwansuku zonke .
Kulungile kangakanani ama-BIMS?
I-BIMS ihlola izindawo ezinqunyelwe ekuqondeni futhi ngakho-ke ayiniki isithombe esinembile sokuqashelwa.
Umuntu angase abonakale esebenza ngendlela ephakeme ukuthi nguye ngoba i-BIMS ayihlolisi ezinye izindawo zokuqashelwa njengokusebenza okuphezulu . Kodwa-ke, ucwaningo olwenziwe nge-BIMS lubonisa ukuthi kuyindlela enokwethenjelwa yokwenza umsebenzi wokuqonda kunokubona okulula.
Umgomo we-BIMS ukuhlinzeka ngezindlela eziphansi (izindleko eziphansi kanye nesikhathi) ukuqapha izinguquko ekuqondeni futhi ngokusekelwe ekubukeni kwemitholampilo, kubonakala sengathi iphumelela kahle ekufezeni lo mgomo.
Kungani Kubalulekile?
Uma usendlini yokwelapha-noma ekunakekelwa isikhathi eside noma ngokuvuselelwa okwesikhashana-i-BIMS izophathwa, ngokuvamile isisebenzi senhlalakahle. Ungacela abasebenzi basezindaweni ukuthi uzuze kanjani kwi-BIMS. I-BIMS iqhutshwa njalo ngekota kodwa ingasetshenziswa ngokuphindaphindiwe uma izinguquko ezibalulekile zenzeka esimweni sakho.
Ukunciphisa amaphuzu, isibonelo, 13 kuya ku-9, kubonisa ushintsho oluphawulekayo kwamakhono engqondo. Ukuhlaselwa okungazelelwe kwinqalo ye-BIMS kungasiza ukukhomba isimo ezifana nesipiliyoni Delirium ngezinye izikhathi sivela ezifweni , kubandakanya ukutheleleka kwamagciwane kanye ne- pneumonia . Ukutholakala okusheshayo nokwelashwa kungase kuvuselelwe ngokugcwele noma ngokugcwele ukubuyisela ukusebenza kwengqondo kuya ezingeni layo ngaphambi kwe-delirium.
Izwi kusuka
Ngenkathi ungase uzizwe ukhathazekile ngokuthatha ukuhlolwa kokuhlolwa kokucutshungulwa, kungasiza ukubuka i-BIMS njengesivikelo esiza ukuqapha amakhono akho okungaqondakali nganoma yiziphi izinguquko. Uma ukwehla kukhula, ukuhlonza kokuqala kungasiza labo abakuzungezile ukuthi bahlole ukuthi yini engabangela lolu shintsho nokuthi lungaphathwa kanjani nokuthi lungasuswa kanjani .
> Imithombo:
> I-American Association of Post-Acute Care Nursing. Umqulu we-RAI Version 3.0 we-CMS. https://www.aanac.org/docs/mds-3.0-izibuyekezo-manual/11118_mds_3-0_chapter_3_-section_c_v1-12.pdf?svvrsn=6
> I-BCA: Ikhaya leSikhashana Uhlolo Lokuqonda. Buza i-Faculty ye-BCAT: Ukukhathazeka okuqondile ne-BIMS Screen Screen.
> Amasevisi e-Medicare naseMedicaid Services. I-MDS 3.0 . Januwari 2008.
> UMnyango wezeMisebenzi yoMuntu waseMaine. Isigaba C Amaphethini Okuqonda (BIMS) . Agasti 2010.
> I-Maryland Medicaid Iwebhusayithi. Izinsiza Zokunakekelwa Kwesikhathi Eside. Ukubuzwa Okufushane Kwesimo Sengqondo (BIMS) - Ifomu & Iziqondiso.