Ukufezekisa izitulo zakho zeKhaya labahlengikazi kunye ne-Wheels Regimen
Isitulo esinamavili kufuneka sibe yimfuneko ngokwezonyango, silungelelaniswe kwaye senziwe ukuze sihlangabezane neemfuno zomntu ngamnye wabahlali, kwaye senzelwe ukusetyenziswa yedwa kunye nokusisigxina komhlali. Ukudityaniswa kwenkqubo yokuhlalisa umbane kunye nenkqubo yesihlalo sokulala (ikhono lokuhlala), umhlali kufuneka abonise imfuneko yokuphumla kwindawo yokulala kabini okanye ngaphezulu ngosuku xa umhlali engakwazi ukuhamba phakathi kwebhedi kunye nesitulo esinamavili ngaphandle koncedo kwaye / okanye basengozini yokulimala kwesikhumba ngenxa yokungakwazi ukutshintsha isikhundla kwisihlalo ukukhulula uxinzelelo kwiindawo.
Iintsimbi zokulala zingasetyenziselwa ukuphucula ukuhamba kwabahlali ngokubanceda bajikeleze ebhedini, bahlale okanye baphume ebhedini. Iialam zebhedi kunye neengcango zinokunika inkululeko kumntu onesifo sengqondo esiyingozi ngelixa ekwazisa ngesidingo sakhe soncedo. Ukusebenzisa imisebenzi eyahlukahlukeneyo ukubandakanya umntu ngamanye amaxesha kunokuthintela ukuziphatha okuthile okunjengokukhathazeka, ukujijisana, kunye nokuzulazula.
Imbopheleleko yokunyamekela abanye njengabakhathaleli kunye namalungu entsapho yethu kuba sibakhathalele. Oku akuthethi nje iinjongo ezintle, kodwa ukuqonda okuqhubekayo kweengozi kunye neenzuzo zendlela esibonelela ngayo ngononophelo, kubandakanywa nefilosofi yethu kunye nokusetyenziswa kwezonyango kwizigulane zethu kunye nabathandekayo.
Umvuzo uya kuba lukhathalelo lwempilo olungcono nolufaneleke ngakumbi kubahlali ngabanye bekhaya labalupheleyo, abaya kusinda ekugqithiseni kunye nemiphumo eyingozi yezithintelo zomzimba ezingeyomfuneko. Ukugcina abahlali bamakhaya abalupheleyo bekhuselekile yeyona nto iphambili kwiintsapho kunye nabasebenzi bezempilo.
Amakhaya eqela, izibhedlele, amakhaya abongikazi, kunye nezinye izibonelelo ezikhethekileyo zibonelela ngeenkonzo zesiqhelo ngobusuku kunye neenkonzo zikaxakeka, ezivumela abakhathaleli bakho ukuba bafumane ukhathalelo ubusuku nemini. Uncedo lunokubonelelwa kwikhaya lakho, ukhathalelo lwemini okanye indawo yokuhlala, okanye kunye nabongikazi bokulala. Okokugqibela, ukhathalelo lwexeshana lunokuthetha ukusebenzisa iinkqubo ezingaphandle kwekhaya, njengamaziko osuku lwabantu abadala, iinkampu zosuku, okanye amakhaya abantu abadala, ukubonelela wena kunye nabo ubathandayo ngokhathalelo oluqhubekayo abaludingayo.
Okanye, ukhathalelo lwexeshana lusenokuthetha ukufumana amavolontiya okanye abakhathaleli abahlawulwayo ukuze babonelele ngeenkonzo ezisekelwe ekhaya kumntu omthandayo, ngamaxesha ngamaxesha okanye rhoqo. Olu khetho ludumileyo lokhathalelo luvumela umntu omthandayo ukuba ahlale kwikhaya labo ngelixa eqhubeka nokufumana uncedo kwaye unokubaluleka kuwe njengomkhathaleli ophambili. Ababoneleli bobuqu banokunceda ngezakhono zobomi bemihla ngemihla ezifana nokuhlamba, ukunxiba, okanye ukutyisa. Ngelixa ababoneleli abazimeleyo bethande ukuba nexabiso eliphantsi, ukusebenzisa ii-arhente zokhathalelo lwasekhaya kunye neenkonzo zokuthunyelwa kunokuba lula.
I-ADA idinga ukufikelela kwiinkonzo zokhathalelo lwempilo kunye nezibonelelo apho zibonelelwa khona. Le mithetho ifuna ukuba ababoneleli bezempilo benze iinkonzo zabo zifumaneke. Olu papasho loncedo lobugcisa lunika isikhokelo kubaboneleli bezempilo kwiimfuno zonyango ze-ADA kubantu abakhubazekileyo abahambahambayo, ezibandakanya, umzekelo, abo basebenzisa izitulo ezinamavili, ii-scooters, abahambahambayo, iintonga, okanye bengenazo izixhobo zokuhamba. Ngelixa uphononongo lubhale imiceli-mngeni abajongene nayo abahlali bala maziko, bambalwa abaye bayithathela ingqalelo indima yezitulo ezinamavili njengezinto ezinokuthi zibe yimiqobo ekushukumiseni nasekuthabatheni inxaxheba abayidlalayo ebomini babo.
Ngenxa yokuguquguquka kwamandla phakathi kwabahlali nabasebenzi, ukuxhaphaka kokusetyenziswa kwesitulo esinamavili kumaziko abongikazi kunye nokuba nokwenzeka kokusetyenziswa gwenxa, siye salugqiba uphononongo lwe-ethnographic ukuphuhlisa ukuqonda kwale mihla ubomi babahlali abasebenzisa izitulo ezinamavili kwezi ndawo. Ngokukodwa, sijonge ukuhlalutya ngokunzulu indlela abahlali, iintsapho kunye nabasebenzi abakumaziko okuhlala abasebenzisa izitulo ezinamavili. Sibe nodliwano-ndlebe nabasebenzi abahlanu kwiziko ngalinye (ii-paramedics ezimbini, iiphysiotherapist ezimbini, iitheraphisti ezimbini zasemsebenzini, abongikazi ababini, oogqirha ababini abasenkonzweni / abancedisi bokubuyisela kwisimo sangaphambili). Ngokomyinge, babeneminyaka eyi-17 yamava (ukusuka kwi-2 ukuya kwi-30 iminyaka) kwimisebenzi eyahlukeneyo kunye neminyaka eyi-8 yamava kumaziko okuhlala asele ekhona (ukusuka kwiinyanga ezi-6 ukuya kwi-20 iminyaka).
Akukho namnye umlawuli wekhaya labalupheleyo okanye umntu ogunyaziswe ngurhulumente ukuba abonelele ngokhathalelo lwezonyango okanye unyango kuye nawuphi na umntu onokuzimasa okanye athathe inxaxheba kulo naluphi na uphando lovavanyo okanye unyango lomhlali, kubandakanywa nophando olwenziwa emva kwexesha elidlulileyo, ngaphandle kwemvume ebhaliweyo yangaphambili yolawulo. edge. Umhlali kufuneka aqinisekise intlonipho kunye nemfihlo kwinkqubo yakhe yonyango kunye neyomntu. Umhlali kufuneka abe nelungelo lokuqhuba esweni nge-elektroniki egunyazisiweyo kwigumbi lomhlali esebenzisa izixhobo zokubeka iliso ze-elektroniki ezibekwe kwigumbi ngokuhambelana noMthetho oGunyaziweyo wokuHlolwa kweKhompyutha kwiiNdawo zoKhathalelo lweXesha elide.
Isaziso siquka ifom yesibhengezo enokuthi isetyenziswe ngumhlali ukuchonga abo banokuba ngabangeneleli bokhathalelo lwempilo okanye iziko ukubhala nakuphi na ukusilela okanye ukwala ukwenza eso sibhengezo. Ukwala komhlali kukhulula isakhiwo kwisibophelelo sokubonelela ngonyango. Noko ke, ukuba umhlali ufuna ukunyanyekelwa ngokungxamisekileyo, imiqathango yexesha elifutshane yokufumana unyango ingasebenza, ngaphandle kokuba iziko liye laphawula ukuba umhlali uye walugatya ngokusemthethweni unyango ekuthethwa ngalo.
Kwakhona amaziko afanele abe nomyalelo omiselweyo ovela kugqirha wokusebenzisa nayiphi na indlela yokuthintela, yaye umntu, umgcini wakhe okanye igqwetha lakhe lezonyango bafanele bazazi iingozi ezichasene neengenelo zokusebenzisa izithintelo, yaye baye bayinika imvume yokwenjenjalo. ... Ukuze ikhaya labalupheleyo lisebenzise izithintelo, abasebenzi kufuneka baqale bazame ngokungaphumeleli ukusebenzisa ezinye iindlela ezingenamiqathango enganeno, kwaye ezi nzame mazibhalwe ngokucacileyo. Iinzame ziyaqhubeka kwinqanaba likazwelonke lokunciphisa ukusetyenziswa kwezithintelo ngokwasemzimbeni kumakhaya abongikazi, kwaye iingcali zempilo zikhangela ngenkuthalo ezinye iindlela zokugcina abahlali bekhuselekile.
Iingcali zempilo ziye zacela iSebe lezeMpilo laseMinnesota ukuba lincede ukufundisa abahlali kunye neentsapho zabo malunga neengozi zokuzibamba ngokomzimba kunye nezinye iindlela zokukhusela. Ezi zinto zifunyanisiweyo, zikhatshwa kugxininiso olwandisiweyo kumgangatho wobomi kumakhaya abongikazi, zenze ukuba kuphinde kuqwalaselwe indlela yangaphambili yokusetyenziswa kwezithintelo. Abanyamekeli kunye neentsapho babesebenzisa ezi zixhobo ngenkolelo yokuba benza okona kulungileyo kwabo babathandayo.
Ngenxa yemiqobo, abantu abakhubazekileyo abafane bafumane ukhathalelo lwesiqhelo lothintelo kunabantu abangakhubazekanga. Ukongezelela, zonke izakhiwo, kubandakanywa nezo zakhiwe ngaphambi komhla wokuqalisa kwe-ADA, kufuneka zihambelane neemfuno ezingenazithintelo zezakhiwo ezikhoyo. Icandelo le-III lifuna ukususwa kwemiqobo ekulula ukuyiphumeza kwizakhiwo ezikhoyo.
Ukuba ukususa umqobo akufikeleleki ngokukhawuleza, umbutho kufuneka unikeze iinkonzo zawo ngeendlela ezizezinye, ukuba iindlela ezinjalo zifikeleleka ngokulula. I-ADA ibeka iimfuno zolwakhiwo olutsha kunye nohlengahlengiso lwezakhiwo kunye nezakhiwo, kubandakanywa nezonyango. I-Medicare ayifaki i-CPWC kubahlali be-SNF. Izitulo Ezinamavili eziMntu (CPWC) ziluncedo kumalungu e-STAR PLUS / Medicare-Medicaid Plan (MMP) ahlala kwi-Medicaid Registered Medical Facility (NF) xa i-CPWC iyimfuneko ngokwezonyango kunye nemvume yangaphambili evela kwiKhomishini yezeMpilo neNtlalo. Iinkonzo zaseTexas (HHSC) okanye ummeli wayo.
