Iqela lemibutho ekhokelwa yiBritish Geriatrics Society (BGS) iqalise iphulo kule nyanga ukuqinisekisa ukuba abantu abasengozini kumakhaya okunyamekela kunye nezibhedlele banokusebenzisa indlu yangasese ngasese.Eli phulo, elinesihloko esithi 'Ngasemva kweeNcango ezivaliweyo', libandakanya eyona zixhobo zisetyenziswayo zibandakanya uncedo lwezigqibo, isixhobo sabantu abangathathi ntweni ukuba benze uphicotho lwemekobume yezindlu zangasese, imigangatho engundoqo, isicwangciso sokusebenza kunye namaphetshana (BGS et al, 2007) .
Iinjongo zephulo
Injongo yeli phulo kukuphakamisa ulwazi malunga nelungelo labantu kuzo zonke iindawo zokunyamekela, kungakhathaliseki ubudala babo kunye namandla omzimba, ukukhetha ukusebenzisa indlu yangasese ngasese.Kuye kwavunyelwa uluhlu lwemibutho ebandakanya i-Age Concern England, i-Carers UK, i-Help abadala kunye ne-RCN.Abakhankasi bathi ukunika abantu umva ulawulo kulo msebenzi wabucala kuya komeleza ukuzimela kunye nokubuyisela kwisimo sangaphambili, ukunciphisa ubude bokuhlala kunye nokukhuthaza ilizwekazi.Eli nyathelo ligxininisa ukubaluleka kokusingqongileyo kunye nezenzo zokunyamekela kwaye ziya kunceda kwixesha elizayo ukugunyaziswa kwezibonelelo (BGS et al, 2007).I-BGS ixoxa ukuba eli phulo liza kubonelela abakomishinala, abalawuli abaziintloko kunye nabahloli umlinganiselo womsebenzi olungileyo kunye nolawulo lwezonyango.Uluntu luthi ukusebenza esibhedlele ngoku rhoqo 'kungaphumeleli'.
Ukufikelela: Bonke abantu, kungakhathaliseki ubudala babo kunye namandla omzimba, kufuneka bakwazi ukukhetha nokusebenzisa indlu yangasese ngasese, kwaye izixhobo ezaneleyo kufuneka zibe khona ukuphumeza oku.
Ngexesha: Abantu abafuna uncedo kufuneka bakwazi ukucela kwaye bafumane uncedo olungexesha nolukhawulezileyo, kwaye akufuneki bashiywe kwi-commode okanye ebhedini ixesha elide kunemfuneko..
Izixhobo zokudluliselwa kunye nokuhamba: Izixhobo eziyimfuneko zokufikelela kwindlu yangasese kufuneka zifumaneke ngokulula kwaye zisetyenziswe ngendlela ehlonipha isidima sesigulane kwaye iphephe ukuvezwa okungafunwayo.
Ukhuseleko: Abantu abangakwaziyo ukusebenzisa indlu yangasese bebodwa ngokukhuselekileyo kufuneka banikwe ithuba lokusebenzisa indlu yangasese enezixhobo ezifanelekileyo zokhuseleko kunye nokubekwa kweliso xa kukho imfuneko yoko.
Ukukhetha: Ukhetho lwesigulane / lomxhasi lubaluleke kakhulu;izimvo zabo kufuneka zifunwe kwaye zihlonitshwe.Ubungasese: Ubumfihlo kunye nesidima kufuneka zigcinwe;abantu ababotshelelwe ebhedini bafuna ingqalelo ekhethekileyo.
Ucoceko: Zonke izindlu zangasese, iikhomowudi neebhedi kufuneka zicoceke.
Ucoceko: Bonke abantu kuzo zonke iimeko kufuneka bavulelwe ukuphuma kwindlu yangasese nomzantsi ococekileyo kunye nezandla ezihlanjiweyo.
Ulwimi olunentlonipho: Iingxoxo nabantu mazibe nentlonipho nembeko, ngakumbi malunga neziqendu zokungakwazi ukuzibamba.
Uphicotho-zincwadi lwemekobume: Yonke imibutho kufuneka ikhuthaze umntu ongenzi msebenzi ukuba enze uphicotho-zincwadi ukuze ahlole iindawo zangasese.
Ukuhlonipha isidima kunye nemfihlo yezigulane esele zikhulile, ezinye zazo ngabona basemngciphekweni kuluntu.Ithi ngamanye amaxesha abasebenzi bangazihoyi izicelo zokusebenzisa indlu yangasese, baxelele abantu ukuba balinde okanye basebenzise iipads zokungaziphathi kakuhle, okanye bashiye abantu abangakwaziyo ukuzibamba bemanzi okanye bemdaka.Kwisifundo esingumzekelo kukho le ngxelo ilandelayo yomntu omdala: 'Andazi.Benza konke okusemandleni abo kodwa banqongophele kwezona zixhobo zisisiseko ezifana neebhedi kunye neecommodes.Kukho ubumfihlo obuncinane kakhulu.Ungaphathwa njani ngesidima ulele epasejini yesibhedlele?'(IProjekthi yesidima kunye nabaDala baseYurophu, ngo-2007).I-Behind Closed Doors yinxalenye yephulo elibanzi le-BGS 'Nesidima' elijolise ekwaziseni abantu abadala ngamalungelo abo oluntu kulo mmandla, ngelixa lifundisa kwaye liphembelela ababoneleli kunye nabaqulunqi bemigaqo-nkqubo.Abakhankasi baceba ukusebenzisa ukufikelela kwizindlu zangasese kunye nokukwazi ukuzisebenzisa emva kweengcango ezivaliweyo njengophawu olubalulekileyo lwesidima kunye namalungelo oluntu phakathi kwabona basengozini.
Umxholo womgaqo-nkqubo
ISicwangciso se-NHS (iSebe lezeMpilo, i-2000) yomeleza ukubaluleka 'kokufumana iziseko ezichanekileyo' kunye nokuphucula amava esigulane.I-Essence of Care, eyaqaliswa kwi-2001 kwaye kamva yahlaziywa, yanikezela ngesixhobo sokunceda abasebenzi ukuba bathathe indlela ejoliswe kwisigulane kunye nesakhiwo sokwabelana kunye nokuthelekisa izenzo (i-NHS Modernization Agency, i-2003).Izigulane, abanonopheli kunye neengcali baye basebenza kunye ukuze bavumelane kwaye bachaze ukhathalelo olusemgangathweni kunye nokusebenza kakuhle.Oku kubangele iibenchmarks ezibandakanya iindawo ezisibhozo zokhathalelo, kubandakanywa i-continence kunye ne-bladder kunye nokunakekelwa kwamathumbu, kunye nobumfihlo kunye nesidima (i-NHS Modernization Agency, i-2003).Nangona kunjalo, i-BGS ikhankanya uxwebhu lwe-DH malunga nokuphumeza iSakhelo seNkonzo yeSizwe yabantu abadala (uPhilp kunye no-DH, 2006), abathi ngelixa ukucalucalulwa kwexesha eligqithileyo kunqabile kwinkqubo yokunyamekela, kusekho izimo zengqondo ezimbi kunye nokuziphatha kwabantu abadala. abantu.Olu xwebhu lucebise ukuba kuphuhliswe iinkokeli ezichongiweyo okanye ezibizwa ngokuba ziinkokeli zokonga eziya kuphendula ngokuqinisekisa ukuba isidima sabantu abadala siyahlonitshwa.Ingxelo yeRoyal College of Physicians 'National Audit of Continence Care for Old People yafumanisa ukuba abo basebenza kwiindawo zonyango baziva bekhuselekile kwaye isidima sagcinwa kakuhle (ukhathalelo oluphambili 94%; izibhedlele 88%; ukhathalelo lwengqondo 97%; kunye namakhaya ononophelo 99 %) (Wagg et al, 2006).Nangona kunjalo, ababhali bongeze ukuba kuya kuba nomdla ukwazi ukuba izigulane / abasebenzisi bavumelana nolu vavanyo, bebonisa ukuba 'kuphawuleka' ukuba kuphela iinkonzo ezincinci zinenxaxheba yeqela labasebenzisi (ukhathalelo oluphambili 27%; izibhedlele 22%; ukhathalelo lwempilo yengqondo I-16% kunye namakhaya agcina inkathalo ngama-24%).Uphicotho-zincwadi lwaqinisekisa ukuba nangona iitrasti ezininzi zinike ingxelo yokuba zinako ukulawula ilizwekazi, inyaniso yayikukuba 'ukhathalelo lunqongophele kakhulu kwimigangatho enqwenelekayo kwaye uxwebhu olulambathayo luthetha ukuba uninzi alunandlela yokwazi ngezintsilelo'.Igxininise ukuba kukho imizekelo emininzi ezimeleyo yokusebenza kakuhle kunye nesizathu esivakalayo sokwaneliseka sisiphumo sophicotho-zincwadi ekunyuseni ulwazi kunye nomgangatho wokhathalelo.
Izixhobo zephulo
Okungundoqo kwiphulo le-BGS luluhlu lwemigangatho ye-10 yokuqinisekisa ukuba ubumfihlo kunye nesidima sabantu siyagcinwa (jonga ibhokisi, i-p23).Imigangatho ibandakanya le mimandla ilandelayo: ukufikelela;ixesha;izixhobo zokudluliselwa kunye nokuhamba;ukhuseleko;ukhetho;ubumfihlo;ukucoceka;ucoceko;ulwimi olunentlonipho;kunye nophicotho lokusingqongileyo.Izixhobo zokusebenza ziquka uncedo lwesigqibo sokusebenzisa indlu yangasese ngasese.Oku kuchaza amanqanaba amathandathu okuhamba kunye namanqanaba okhuseleko lokusebenzisa indlu yangasese yedwa, kunye neengcebiso kwinqanaba ngalinye lokuhamba kunye nokhuseleko.Umzekelo, kwisigulana okanye umxhasi obopheleleke emandlalweni kwaye ufuna ulawulo lwesinyi kunye namathumbu acwangcisiweyo, umgangatho wokhuseleko uchazwa 'njengokungakhuselekanga ukuhlala kunye nenkxaso'.Kwezi zigulana uncedo lwesigqibo lucebisa ukuba kusetyenziswe ibhedi okanye ukukhutshwa okucwangcisiweyo kwe-rectal njengenxalenye yenkqubo yokulawula isinyi okanye amathumbu, ukuqinisekisa uhlolo olufanelekileyo ngeempawu ezithi 'Musa ukuphazamisa'.Uncedo lwesigqibo luchaza ukuba ukusetyenziswa kwee-commodes kunokufaneleka kwigumbi elihlala umntu omnye ekhaya okanye kwindawo yokunyamekela ukuba zisetyenziselwa bucala, kwaye ukuba kufuneka kusetyenziswe i-hoists ngoko ke onke amanyathelo okugcina ukuthozama kufuneka athathwe.Isixhobo sabantu abangathathi ntweni ukuba benze uphicotho lwemekobume yezindlu zangasese nakweyiphi indawo sibandakanya uluhlu lwemiba equka indawo yendlu yangasese, ububanzi bomnyango, nokuba umnyango unokuvulwa kwaye uvale lula kwaye utshixiwe, izixhobo ezincedisayo kunye nokuba iphepha lendlu yangasese lingaphakathi na. ukufikelela lula xa uhleli kwindlu yangasese.Eli phulo liqulunqe isicwangciso sokusebenza kwiqela ngalinye kumaqela amane angundoqo ekujoliswe kuwo: abasebenzi basesibhedlele/abasebenzi bamakhaya anyamekelayo;izibhedlele/abaphathi bamakhaya abanakekelo;abenzi bomgaqo-nkqubo kunye nabalawuli;kunye noluntu kunye nezigulane.Imiyalezo engundoqo yabasebenzi basesibhedlele namakhaya anenkathalo yile ilandelayo: l Yamkela imigangatho yeengcango ezivaliweyo;2 Ukuphonononga inkqubo ngokuchasene nale migangatho;l Ukuphumeza iinguqu ekusebenzeni ukuqinisekisa ukuba ziyafezekiswa;3 Yenza afumaneke amaphecana.
Ukuqukumbela
Ukukhuthaza isidima kunye nentlonipho yezigulana yinxalenye esisiseko yokhathalelo olufanelekileyo lokonga.Eli phulo libonelela ngezixhobo eziluncedo kunye nesikhokelo sokunceda abasebenzi abahlengikazi baphucule imigangatho kwiindawo zokunyamekela.
Ixesha lokuposa: Jun-11-2022