Umhlahlandlela wakho wokuthola okuningi ukunakekelwa kwakho kwe-OT ku-SNF
Uma wena noma othandekayo ungeniswa esikhungweni sokuhlengikaza esinamakhono (SNF), kunethuba elihle ukuthi uzokwazi ngokushesha umnyango wokuvuselela, okukhona phakathi kwawo okuwukuthi ukwelashwa komsebenzi .
Sibutsetelo
Abantu abaningi bafika eSNF ngoba abasafuni isidingo sokunakekela esibhedlela kodwa abakwazi ukuya ekhaya. Ungase usadinga ukufinyelela kwansuku zonke kumasevisi anesiko abanamakhono (njengokuqapha ukuphulukiswa kwesilonda noma usizo ngemithi), izinsizakalo zokuvuselela nsuku zonke, noma ukuhlanganiswa kokubili kokubili.
Udokotela wakho uhlala engumbonisi omkhulu ekunakekeleni kwakho, kodwa abasebenzi bokuhlengikaza kanye nokuvuselela labo ozokubona njalo.
I-Medicare iqinisekisa izakhiwo zokuhlengikaza ezinamakhono; Ngakho-ke, imithethonqubo ye-Medicare nokubuyiselwa kwemali kudlala indima ebalulekile ekusebenzeni kwezikhungo.
Imibhede Yokuguqula
Kwezinye izimo, uzohlala egumbini lakho lesibhedlela kodwa ushintshele izinga lokunakekelwa kwe-SNF. I-Medicare iqinisekisa izibhedlela ezincane zasemaphandleni (ezaziwa ngokuthi izibhedlela ezibucayi ezibucayi) ukuhlinzeka ukunakekelwa kwezinga le-SNF ngaphansi kwesimo se-Swing Bed uma ukutholakala kwezindawo ezisezingeni lokuhlaziya phansi kunciphile.
Ngisho noma uhlala endaweni efanayo, kufanele uqaphele ushintsho ekunakekeleni okutholayo.
I-OT's Distinct Role
Abahlinzeki bama-occupational banombono ophelele wempilo. Baqeqeshwe ukuhlola nokungenela ezindabeni zezempilo (njengezikhwepha, izinyathelo zokuhamba, ukuhamba, ukuqonda, ukuhlelwa kwezimoto, njll) kodwa ekugcineni banesithakazelo ukuthi lezi zici zithinta kanjani ikhono lakho lokwenza imisebenzi oyidingayo futhi ofuna ukuyenza yenza (eyaziwa ngokuthi "imisebenzi").
Kula maklayenti esikhungweni sokunakekelwa abanekhono, le misebenzi ivame ukwenza imisebenzi emincane edingekayo ukubuyela esimweni sasekhaya noma izinga lokunakekela elincane.
Yini edingekayo ukuba umuntu akhululwe ngokuphepha kusuka ku-SNF ehlukahlukene. Isibonelo, uma uhlala wedwa endlini yezintatheli ezimbili, imisebenzi ebalulekile okufanele uyenze ukuze ubuyele ekhaya iyohluka uma umuntu ebuyela endaweni ephilayo esizayo.
Okubaluleke kakhulu kuzo zonke iziguli, noma kunjalo, yiqembu lemisebenzi ebizwa ngokuthi imisebenzi eyisisekelo ye-Daily Living (ADLs). Lezi yimisebenzi ebalulekile ukuthi iziguli kufanele zibe nesicwangciso sokwenza ukuze zikhule. Ama-ADL afaka ukugqoka, ukugeza, ukudla, ukulungisa nokuhamba.
Imisebenzi ye-Instrumental yokuphila kwansuku zonke (i-IADLs) yimisebenzi ebaluleke kakhulu emgangathweni wokuphila komuntu kodwa ijwayele ukuba yinkimbinkimbi futhi kulula ukuhambisa abanye abahlinzekeli. Uma kufanelekile, uchwepheshe wakho wezokwelapha (OT) uzohlola futhi anikeze ukwelashwa okuhlobene ne-IADLs.
Ukuze wenze ushintsho lwakho oluvela kwi-SNF luphumelele ngangokunokwenzeka, i-OTs ingase iphinde iphakamise futhi inikeze ukuqeqeshwa ekuguquleni imvelo yakho nemishini ongayisebenzisa ekwenzeni imisebenzi yansuku zonke.
Ukuhlolwa kwe-OT kanye noHlelo lokuNakekela
Kungenzeka ukuthi uthola ukwelapha emsebenzini emsebenzini wesibhedlela, kepha ukudluliselwa kwakho esikhungweni sokunakekela abanekhono kuzoqala isiqephu esisha sokunakekelwa. Umhlinzeki wakho womsebenzi uzoba nomyalelo ovela kudokotela ukuze enze ukuhlolwa okubuyekeziwe.
Ukuhlolwa kuzokufaka amaphepha alandelayo, okungenani ubuncane:
- Ukuxilongwa ngezokwelapha
- Ukukhubazeka kokwelashwa noma ukungasebenzi
- Ukuqapha okungaqondakali
- Ukubhekwa kwenjongo
- Ukuhlola
- Hlela
Uma i-OT ithola ukuthi izinsizakalo zayo ziyadingeka ngokwezokwelapha futhi ziqondakala, izosungula uhlelo lokunakekelwa. Lolu hlelo lokunakekela luzoqukatha, okungenani , okulandelayo:
- Ukuxilongwa
- Izinjongo zokwelashwa zesikhathi eside
- Thayipha, inani, ubude, kanye nokuvama kokwelapha emsebenzini
Lolu hlelo lokunakekelwa luzothunyelwa kudokotela ukuze luvunyelwe.
I-OT Treatments
Izindlela zokwelashwa zakho zingase zibe mfushane njengoba imizuzu engu-8 futhi ngokuvamile ingaphansi kwehora. (Khumbula ukuthi ukwelashwa kufanele kube okunengqondo.)
Ukwelapha kwakho kufanele kuhlotshaniswe nemigomo yakho bese uwela ngaphakathi kohlelo lokunakekelwa. Isibonelo, uma uqala ukuba nobunzima ngesitulo sabakhubazekile, kungaphakathi kwesizinda se-OTs sokusebenza ukubhekana nalokhu, kodwa uma ukuphathwa kwabakhubazekile kwakungekho ohlelweni lokuqala lokunakekelwa, kuzomele kubuyekezwe uhlelo lokunakekelwa futhi uthole imvume evela kudokotela ngaphambi kokuqhubeka.
Uchwepheshe wezisebenzi noma umuthi osebenza ngokuqinisekiswa ngokomsebenzi angenza ukwelashwa. Ukuhlinzeka ngemithi yokwelashwa emsebenzini kungase kube khona ukusiza ngenqubo kodwa ayikwazi ukuletha ukwelashwa okunekhono.
Izindlela zokwelapha zakho ze-OT cishe ziyoba inhlanganisela yokwenza amakhono oyodinga ukuya ekhaya nokubhekana nezimo ezingokwenyama, ezingqondweni, ezingokomzwelo ezenza le misebenzi ebalulekile ibe nzima.
Isibonelo, iseshini esisodwa singase sigxile ekuqiniseni komzimba okuphezulu ekulungiseleleni ukusebenzisa ibhentshi lokudlulisela ukuze ufinyelele eshaweni sakho ekhaya. Ngesinye iseshini, i-OT yakho ingahle ifake isimo sokugezela esimweni sokugezela futhi ikuqeqesha ngendlela ephephile yokusebenzisa ibhentshi lokudlulisa.
Izinsizakalo ze-OT ezikhethekile
Abaqeqeshiwe basezifundweni eziqeshwe esikoleni se-OT njengabaphathi bezinga lokungena. Kodwa, ngisho ne-grad entsha kufanele ifunde kahle futhi ilungiswe ekusizeni ekuhlangabezaneni nezinhloso zakho ze-ADL ne-iADL.
Ngesikhathi sezemisebenzi yabo, ama-OTs amaningi azoqhubeka ngokukhethekile emasu athile yokwelapha kanye nezindawo zokusebenza. Ama-SNF angase afune ukusebenzisa ama- OT ngokuqeqeshwa okukhethekile nokuqinisekiswa .
Izindawo ezijwayelekile zokuzikhethela ngaphakathi kokufakwa kwe-SNF zifaka:
- Ukuphathwa kwe-Lymphedema
- I-Falls Prevention
- Ukuhlala nokuhamba
- Ukucindezelwa Kokucindezeleka
- Ukunakekelwa kwe-Dementia
- Ukulawulwa Kwemvumelwano
- Ukunciphisa Ukuvimbela
- Ukuhlola Ukushayela
I-Medicare, i-OT, ne-SNF
Iziqu zamazinga ahlukene okubhekwa nge-Medicare zingaba zinkimbinkimbi futhi kufanelekile ukuxoxa ngokuningiliziwe neqembu lakho lokukhishwa esibhedlela kanye neqembu le-admissions le-SNF.
Ukukunikeza ukuqonda okujwayelekile ukuthi i-Medicare ihlinzeka kanjani ngezinsizakalo zokwelapha emsebenzini, uzothola ngezansi ezinye izingxenye eziyinhloko zamazinga amabili omsebenzi we-Medicare.
I-lingo ingaba yinkimbinkimbi kepha ihlale lapho, ngoba le mininingwane ihlobene ngokuqondile nokukhuthaza ukunakekela okungcono.
I-Occupational Therapy ne-Medicare Ingxenye A
Uma unezinsuku ezintathu zokuhlala esibhedlela futhi udokotela wakho enquma ukuthi uzoqhubeka udinga ukunakekelwa okunolwazi, ungase ufanelekele i-Medicare Part A.
I-Medicare Ingxenye A idlulisela izinsuku zokuqala eziyi-100 ku-SNF futhi inezidingo ezikhethekile zezidingo.
Ingxenye yezidingo ukuthi abasebenzi abasebenza kule ndawo baqedela i-Minimum Data Set (MDS).
Njengengxenye ye-MDS, inani lemaminithi yokwelashwa lomsebenzi lizohlanganiswa nokwelashwa ngokomzimba nangokwenkulumo ukuze kutholakale izinga leNsiza yokuSebenza (RUG). Le nqanaba le-RUG izothinta umthamo uMedare uzobuyisela lesi sikhungo. Leli zinga lihlelwe ezinsukwini ezintathu ezinhlanu, 14, 30, 60, kanye nezinsuku ezingu-90 zokuhlala kwesiguli esikhungweni esincane. Izinga lizocacisa inani lemali isikhungo esikhokhwa kuze kufike usuku lokubuyekeza olulandelayo.
Amanqanaba ama-RUG ayisihlanu anjengoba:
- I-Ultra High: okungenani imizuzu engu-720. Ukwelapha okungenani okungenani okungu-2 (ukwelashwa ngokomzimba, ngokomsebenzi noma kwenkulumo); okungenani izinsuku ezinhlanu.
- Okuphakeme kakhulu: okungenani imizuzu engu-500. Okungenani 1 ukujeziswa izinsuku ezinhlanu.
- Okuphakeme: okungenani imizuzu engu-325. Okungenani 1 ukujeziswa izinsuku ezinhlanu.
- Phakathi: okungenani imizuzu engu-150. Izinsuku ezinhlanu ezincane.
- Okuphansi: okungenani imizuzu engu-45. Okungenani izinsuku ezintathu.
I-Occupational Therapy kanye ne-Medicare Part B
I-Medicare Part B ihlanganisa ukwelashwa okusebenzayo ku-SNF uma ungafaneleki ku-Part A noma uma lezo zinzuzo seziphelile. Ukwelapha kuthiwa ukhokhiswe ngokusebenzisa uhlelo oluhluke ngokuphelele kanye neqoqo lamakhodi.
Thola Okungaphezulu Kokunakekelwa kwe-OT SNF
Yazi Izinhloso Uchwepheshe Wakho Usebenza Kuzo
Abahlinzeki bezisebenzi bazama ukuba iklayenti-okugxilwe ekubekeni kwabo imigomo. Kodwa, njengoba lolu cwaningo lwezocwaningo luka-2006 luqokomisa, kungaba lula ukuhlukanisa phakathi kwezinhloso zabahlinzeki nezinhloso zamakhasimende. Lesi sihloko sikhombisa ukuthi iziguli zihlanganyele engxoxweni mayelana nemigomo abayithola ukuthi inenjongo futhi inenjongo.
Uma usesimweni lapho ungazi khona imigomo eqondile i-OT yakho esebenza ngayo, ungangabazi ukubuza umhlinzeki wakho wezisebenzi! Ungacela futhi ukuthi ubone amadokhumenti akho yokwelapheka emsebenzini .
Qondisisa izinga lakho le-RUG kanye noMmeli weNqanaba elifanele lokuNakekela
Ukuhlola ukuthi ukwelashwa okungakanani wena noma othandekayo wakho kuzozuza ngeviki kuya ngesonto kungenye yezingxenye ezibucayi kakhulu zokuthola ulwazi lwakho lwe-SNF. Ucwaningo olwenziwa ngo-2005 lubonisa ukuthi ukuqina kwe-thérapie ephezulu kuhlotshaniswa nobude obufushane bokuhlala kanye nethonya elikhulu lokuthuthukisa ekusebenzeni kwe-ADL.
Lokhu kuthiwa, izindawo zokuhlengikaza ezinamakhono ziye zahlolisiswa (kanye nezigwegwe) zokuhlinzeka ngeziguli ezinamandla ngezizathu zokubuyisela ngokuhambisana nezidingo zamakhasimende.
Uhlelo lokubuyisela imali ye-RUG oluchazwe ngenhla luveza inkinga elandelayo: uma uthola amaminithi angu-499 omuthi, izinga lakho le-RUG liphakeme, kodwa uma uthola imizuzu engu-500 yokwelapha izinga lakho le-RUG liphakeme kakhulu futhi ukukhokhelwa kweMedarera kwanda. Ngakho-ke, izinsiza zinezikhuthazo zokucindezela abahlinzeki bokuhlinzeka ngomzuzu owodwa wokwelashwa ... ngisho nalapho isiguli singase singazuzi kuso.
Uma ukholwa wena noma othandekayo uthola amasevisi enkohliso, khuluma nesikhungo sakho, noma ungathintana noMedare ngqo.
Buza imibuzo ye-OT yakho
Ama-OT athola izinga lokuqeqesha esikoleni se-OT kodwa ahambe ukuze athole imfundo eqhubekayo nokuqeqeshwa okuqhubekayo kulo lonke umsebenzi wabo. I-OT ngayinye ozohlangana nayo iyoba namandla amakhulu futhi ikhethe izindawo ezihlukene zokuqhubeka nemfundo. Indlela engcono kakhulu yokufunda ngeziqu zakho ezihlukile ze-OTs kanye nezizathu zokwelashwa abakwenzayo ukubuza imibuzo. Nansi umhlahlandlela wokuthola ingxoxo ihamba.
Cela Umhlangano Womndeni
Enye inselele evamile yokwamukela ukunakekelwa okuhle kwe-SNF nje ukuthola wonke amaqembu, omabili amalungu omndeni, kanye nabasebenzi basezikhundleni, ekhasini elifanayo. Uma uthola ukuthi ukungabikho kokukhulumisana noma ubunzima ukuxazulula inkambo engcono kakhulu kunenkinga, cabanga ukukhuluma neqembu lakho lokunakekelwa ngomhlangano womndeni.
Izakhiwo eziningi zizokunikeza ithuba lokuhlela isikhathi sokuthola amaqembu amaningi asetshenzisiwe ekamelweni elilodwa ngesikhathi esifanayo ukukhuluma ngesinyathelo esihle kakhulu sokusebenza. Le nketho ingaletha ukucaca iziguli, abathandekayo nabasebenzi.
Izinkomba / Izinsiza
UJette, DU, Warren, RL, & Wirtalla, C. (2005). Ukuhlobana phakathi kwamandla we-thérapie kanye nemiphumela yokuvuselelwa ezindaweni zokuhlengikaza abanekhono. Archives of Medicine Physical and Rehabilitation, 86, 373-379.
Maitra, KK & Erway, F. (2006). Ukubona kwemiklakha ehloselwe amaklayenti kuma-therapists omsebenzi kanye namakhasimende abo. I-American Journal of Occupational Therapy, 60 (3): 298-310. doi: 10.5014 / ajot.60.3.298.
Incwadi Yomsebenzi Wokuhlola Isikhathi Sesikhathi Sesikhathi Sesikhathi Sokulondeka Isikhungo Somsebenzisi (2015)