Iqembu lezinhlangano eliholwa yiBritish Geriatrics Society (BGS) lethule umkhankaso kule nyanga wokuqinisekisa ukuthi abantu abasengozini emakhaya nasezibhedlela bangasebenzisa indlu yangasese ngasese.Lo mkhankaso, onesihloko esithi 'Behind Closed Doors', uhlanganisa ithuluzi elihle kakhulu lokuzijwayeza elihlanganisa usizo lwesinqumo, ithuluzi labantu abangafundile ukwenza ucwaningo lwendawo yezindlu zangasese, izindinganiso ezibalulekile, uhlelo lokusebenza kanye namapheshana (BGS et al, 2007) .
Umkhankaso uhlose
Inhloso yalo mkhankaso wukuqwashisa abantu ngelungelo labo kuzo zonke izindawo zokunakekelwa, kungakhathaliseki ukuthi baneminyaka emingaki namandla angokomzimba, lokukhetha ukusebenzisa indlu yangasese ngasese.Igunyazwe izinhlobonhlobo zezinhlangano ezihlanganisa i-Age Concern England, Carers UK, Help the Aged kanye ne-RCN.Abakhankasi bathi ukubuyisela abantu ukulawula lo msebenzi wangasese kuzothuthukisa ukuzimela kanye nokuvuselelwa, kunciphise ubude bokuhlala futhi kukhuthaze izwekazi.Lolu hlelo lugcizelela ukubaluleka kwendawo ezungezile kanye nezinqubo zokunakekela futhi luzosiza esikhathini esizayo ukuthunyelwa kwezinsiza (BGS et al, 2007).I-BGS ithi umkhankaso uzohlinzeka okhomishana, abaphathi abakhulu nabahloli isilinganiso esithile sokwenza okuhle kanye nokuphatha emtholampilo.Umphakathi uthi izinqubo zamanje zasesibhedlela zivame 'ukusilela'.
Ukufinyelela: Bonke abantu, kungakhathaliseki ubudala babo nekhono lomzimba, kufanele bakwazi ukukhetha nokusebenzisa indlu yangasese ngasese, futhi imishini eyanele kufanele ibe khona ukufeza lokhu.
Isikhathi: Abantu abadinga usizo kufanele bakwazi ukucela futhi bathole usizo olufika ngesikhathi futhi ngokushesha, futhi akufanele bashiywe endaweni yezimpahla noma epanini lokulala isikhathi eside kunesidingo..
Izimpahla zokudlulisa nezokuthutha: Izimpahla ezibalulekile zokufinyelela endlini yangasese kufanele zitholakale kalula futhi zisetshenziswe ngendlela ehlonipha isithunzi sesiguli futhi igweme ukuchayeka okungafunwa.
Ukuphepha: Abantu abangakwazi ukusebenzisa indlu yangasese bebodwa ngokuphephile kufanele ngokujwayelekile banikezwe ukusetshenziswa kwendlu yangasese enezinto zokuphepha ezifanele kanye nokugadwa uma kudingeka.
Ukukhetha: Ukukhetha kwesiguli/iklayenti kubaluleke kakhulu;imibono yabo kufanele ifunwe futhi ihlonishwe.Ubumfihlo: Ubumfihlo nesithunzi kufanele kugcinwe;abantu ababoshwe embhedeni badinga ukunakwa okukhethekile.
Inhlanzeko: Zonke izindlu zangasese, ama-commodes kanye nama-bedpads kumele kuhlanzeke.
Inhlanzeko: Bonke abantu kuzo zonke izilungiselelo kufanele bavunyelwe ukuphuma endlini yangasese nephansi elihlanzekile futhi bagezwe izandla.
Ulimi olunenhlonipho: Izingxoxo nabantu kufanele zibe nenhlonipho futhi zibe nesizotha, ikakhulukazi mayelana neziqephu zokungakwazi ukuzithiba.
Ukuhlolwa kwezemvelo: Zonke izinhlangano kufanele zikhuthaze umuntu ongafundile ukuthi enze ucwaningo ukuze ahlole izakhiwo zezindlu zangasese.
Ukuhlonipha isithunzi nemfihlo yeziguli esezikhulile, ezinye zazo ezisengozini enkulu emphakathini.Ithi kwesinye isikhathi abasebenzi baziba izicelo zokusebenzisa indlu yangasese, batshele abantu ukuthi balinde noma basebenzise ama-incontinence pads, noma bashiye abantu abamanzi noma abangcolile.I-case study inale akhawunti elandelayo evela kumuntu omdala: 'Angazi.Benza konke okusemandleni abo kodwa bashoda ngemishini eyisisekelo njengemibhede nama-commodes.Kuncane kakhulu ubumfihlo.Ungaphathwa kanjani ngesithunzi ulele ephaseji lasesibhedlela?'(I-Dignity and Older Europeans Project, 2007).I-Behind Closed Doors iyingxenye yomkhankaso obanzi we-BGS 'Yesithunzi' ohlose ukwazisa abantu abadala ngamalungelo abo obuntu kule ndawo, kuyilapho ufundisa futhi uthonya abahlinzeki bokunakekelwa kanye nabakhi bezinqubomgomo.Abakhankasi bahlela ukusebenzisa ukufinyelela ezindlini zangasese kanye nekhono lokuzisebenzisa ngaphandle kweminyango evaliwe njengophawu olubalulekile lwesithunzi namalungelo abantu phakathi kwabasengozini kakhulu.
Umongo wenqubomgomo
Uhlelo lwe-NHS (uMnyango Wezempilo, 2000) lwagcizelela ukubaluleka 'kokuthola izinto eziyisisekelo' kanye nokwenza ngcono ulwazi lwesiguli.I-Essence of Care, eyasungulwa ngo-2001 futhi kamuva yabuyekezwa, inikeze ithuluzi lokusiza odokotela ukuba bathathe indlela egxile esigulini futhi ehlelekile yokwabelana nokuqhathanisa umkhuba (NHS Modernization Agency, 2003).Iziguli, abanakekeli kanye nochwepheshe basebenze ndawonye ukuze bavumelane futhi bachaze ukunakekelwa kwekhwalithi enhle nokusebenza okuhle kakhulu.Lokhu kubangele izilinganiso ezihlanganisa izindawo eziyisishiyagalombili zokunakekelwa, okuhlanganisa ukunakekelwa kwesinye kanye nesinye kanye namathumbu, kanye nobumfihlo kanye nesithunzi (NHS Modernization Agency, 2003).Kodwa-ke, i-BGS icaphuna umqulu we-DH wokusebenzisa Uhlaka Lwenkonzo Kazwelonke lwabantu abadala (uPhilp kanye no-DH, 2006), owaphikisana ngokuthi nakuba ukucwaswa ngokweminyaka yobudala kuyivelakancane ohlelweni lokunakekela, kusenezimo zengqondo ezigxilile nokuziphatha okungekuhle kubantu abadala. abantu.Lo mbhalo uncome ukuthi kuthuthukiswe abaholi abaziwayo noma abaqanjwe ngamagama kwezobuhlengikazi abazophendula ngokuqinisekisa ukuthi isithunzi sabantu abadala siyahlonishwa.Umbiko weRoyal College of Physicians' National Audit of Continence Care for Alder People ithole ukuthi labo abasebenza ezindaweni zokunakekelwa kwezempilo bazizwa beqiniseka ukuthi ubumfihlo kanye nesithunzi kugcinwa kahle (ukunakekelwa okuyinhloko 94%; izibhedlela 88%; ukunakekelwa kwezempilo yengqondo 97%; kanye nezindlu zokunakekela 99 %) (Wagg et al, 2006).Kodwa-ke, ababhali bengeze ngokuthi kungajabulisa ukwazi ukuthi iziguli/abasebenzisi bayavumelana yini nalokhu kuhlolwa, beveza ukuthi 'kwakuphawuleka' ukuthi yidlanzana lezinsizakalo ezihileleke eqenjini labasebenzisi (ukunakekelwa okuyinhloko 27%; izibhedlela 22%; ukunakekelwa kwezempilo yengqondo 16%; kanye namakhaya anakekela 24%).Ukucwaninga kwagomela ukuthi nakuba ama-trust amaningi abika ukuthi anamandla okuphatha izwekazi, iqiniso laliwukuthi 'ukunakekela kuntula kakhulu kumazinga afiselekayo nokuthi ukubhalwa phansi kwamaphepha kusho ukuthi iningi alinandlela yokwazi ngalokho okushodayo'.Igcizelele ukuthi kunezibonelo eziningi ezingazodwa zokwenza kahle kanye nezizathu ezizwakalayo zokujabula ngomthelela wocwaningomabhuku ekuqwashiseni ngezinga lokunakekela.
Izinsiza zomkhankaso
Okubalulekile emkhankasweni we-BGS isethi yamazinga ayi-10 okuqinisekisa ukuthi ubumfihlo kanye nesithunzi sabantu kuyagcinwa (bona ibhokisi, p23).Amazinga ahlanganisa lezi zindawo ezilandelayo: ukufinyelela;ukuhambisana nesikhathi;izinto zokuthutha nezokuthutha;ukuphepha;ukukhetha;ubumfihlo;ukuhlanzeka;inhlanzeko;ulimi oluhloniphekile;kanye nocwaningo lwezemvelo.Ikhithi yamathuluzi ihlanganisa usizo lwesinqumo lokusebenzisa indlu yangasese ngasese.Lokhu kuveza amazinga ayisithupha okuhamba kanye namazinga okuphepha okusebenzisa indlu yangasese iyodwa, nezincomo zezinga ngalinye lokuhamba nokuphepha.Isibonelo, esigulini noma esigulini esiboshelwe embhedeni futhi esidinga ukulawulwa kwesinye kanye namathumbu okuhleliwe, izinga lokuphepha licaciswa 'njengokungaphephile ukuhlala ngisho nokusekelwe'.Kulezi ziguli usizo lwezinqumo lutusa ukusebenzisa i-bedpan noma ukukhishwa kwe-rectal okuhleliwe njengengxenye yohlelo lokulawula esinyeni noma amathumbu, ukuqinisekisa ukuhlolwa okwanele ngezimpawu 'zokungaphazamisi'.Usizo lwesinqumo luthi ukusetshenziswa kwama-commodes kungase kufaneleke ekamelweni elihlala umuntu oyedwa ekhaya noma endaweni yokunakekela inqobo nje uma esetshenziswa ngasese, nokuthi uma kufanele kusetshenziswe ama-hoists kuzomele kuthathwe zonke izinyathelo zokugcina isizotha.Ithuluzi labantu abavamile ukwenza ucwaningo lwezemvelo ezindlini zangasese kunoma yisiphi isimo libandakanya uhla lwezindaba ezihlanganisa indawo yendlu yangasese, ububanzi bomnyango, ukuthi umnyango ungavulwa futhi uvaleke kalula futhi ukhiywe, imishini yokusiza nokuthi iphepha lasendlini yangasese lingaphakathi yini. ukufinyelela kalula lapho uhlezi endlini yangasese.Lo mkhankaso uklame uhlelo lokusebenza lweqembu ngalinye kwamane abalulekile okuhlosiwe: abasebenzi basesibhedlela/abanakekela ikhaya;abaphathi besibhedlela/abanakekeli bamakhaya;abenzi benqubomgomo nabalawuli;kanye nomphakathi neziguli.Imiyalezo eyisihluthulelo yabasebenzi basesibhedlela nabasemakhaya anakekelayo imi kanje: l Yamukela amazinga angemva kweminyango evaliwe;2 Buyekeza inkambiso ngokumelene nalawa mazinga;l Ukuqalisa izinguquko ekusebenzeni ukuze kuqinisekiswe ukuthi ziyafezeka;3 Yenza atholakale amapheshana.
Isiphetho
Ukukhuthaza isithunzi nenhlonipho ezigulini kuyingxenye ebalulekile yokunakekelwa okuhlengikazi.Lo mkhankaso uhlinzeka ngamathuluzi awusizo nesiqondiso sokusiza abasebenzi abahlengikazi ukuthi bathuthukise izindinganiso kuhlu lwezilungiselelo zokunakekelwa.
Isikhathi sokuthumela: Jun-11-2022