Mibvunzo neMhinduro Pamusoro peSubacute Kuvandudza
Pasi pfupi rehabhi (inonziwo subacute rehabilitation kana SAR) yakakwana yekuchengetedzeka kwepatient kune mumwe munhu anorwara nechirwere kana kukuvara. SAR nguva-isina kukwana nechinangwa chakanaka chekuvandudza kushanda nekubuda mumba.
SAR inowanzogoverwa mubasa rekurapa vane unyanzvi rakabvumirwa (SNF) . Dzimwe nguva, SNFs chikamu chechipatara chirongwa uye kunyange chiripo chiri panzvimbo imwechete, asi dzimwe nguva, ivo mapoka ezvimiririra. Pasinei nokuti, SNF inofanirwa kubvumirwa neCenters for Medicare neMedicaid (CMS) kuitira kupa SAR. Iyi inorayiridziro inosanganisira nguva dzose kuongororwa kwekuongorora kuratidzira kutungamirirwa kwehutano hwehutano uye hutano hwehupenyu hwehupenyu (zvakadai sekudzivirira moto uye nzira dzokubuda).
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Ndiani Anobhadhara SAR?Kana iwe uchida mamwe rehab nekuda kwekuderera kwesimba kubva pakuwa, kuputika kwechiputi , kana chirwere chemurapa, SAR inogona kuva yekubatsira iwe. SAR inowanzobhadharwa neMedare kana chirongwa cheMederal Benevantage. Medicare iyo chirongwa chehurumende yehurumende yehushuga inobhadhara iwe mumakore akawanda sezvaunoshanda. Medicare Makomborero mapurogiramu mapoka ega ega anonyanya kutarisira vanhu vanofanirwa neMedare asi vakasarudza kusarudza kuva chikamu chemapoka aya.
Kugoverwa kwezvemari uye zvinodiwa zvinosiyana, zvichienderana neurongwa hupi rawakasarudza.
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Ndezvipi Zvese SAR Centre Inopa?SAR inopa rubatsiro munzvimbo mbiri dzakasiyana:
- Ipaisheni yemuviri, yebasa uye yekutaura marapa inopa tirapi kuti ikure simba rako nekushanda. Somuenzaniso, zvichienderana nezvinodiwa iwe, vanogona kushanda kuti vawedzere mararamiro ako, kuvandudza kuchengeteka kwako paunenge uchifamba, shingairira kukubatsira kufamba nemakumbo ako zvakare mushure mekurohwa, kuvandudza kusununguka kwako nemabasa ehupenyu hwezuva nezuva (ADLs) , shandura yako cardio (moyo) fitness mushure mekurwa kwemoyo, uye nezvimwe.
- Vanamukoti vane chiremba vanopa rubatsiro rwehutano hwakadai sekukuvara kwekukuvara , kutarisira kurwadziwa , kuchengetedza kuporesa , uye mamwe mabasa ekurapa inofanirwa kupiwa kana kutarisirwa neRN kana LPN yakabvumirwa.
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Ndiani Angabatsirwa Kubva paSAR?Vanhu vakaona kuwira , kukuvadzwa kana mamiriro ezvinhu ehutano vangabatsirwa kubva pfupi pfupi paSAR. Chinangwa cheSAR ndechokupa rubatsiro rusingabatsiri rwakagadzirirwa kuvandudza kushanda nekuchengeteka pamba kana nzvimbo yekare yekurarama (yakadai sehupenyu hunobatsira kana nzvimbo yekugara yakasununguka).
Mamiriro akafanana evanhu vanogamuchira SAR anosanganisira kubatana (chiuno, bondo, mapfudzi) kuputsika kana kuchinja, mamiriro emwoyo, chirwere cheshuga, chirwere cheshuga, kuparara kwechirwere , chronic obstructive pulmonary disease (COPD) , congestive moyo kusagadzikana (CHF), kukuvadzwa kwepamuviri , kutemwa uye nezvimwe.
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Kurapa Kwakawanda Sei SAR Inopa Rimwe Zuva?Chiremba wako anowanzogadzirira kurapwa kwako zvichienderana nekurudziro kwechiremba wepanyama, mushandi wezvemishonga, uye / kana mutauriri wemashoko. Vamwe vanhu vanogona kungobvumira maminitsi makumi matatu pazuva pakutanga, zvichienderana nemamiriro avo ezvinhu. Vamwe vanogona kukwanisa kutsungirira maawa akawanda pazuva rerapi. SAR kazhinji ichapa kusvika maawa matatu ekurapa kwezuva.
Kana iwe uri mune imwe nzvimbo yeSAR uye unonzwa sokunge iwe uri kuve uchiwana kurapwa kwakawanda zuva, unofanirwa kubvunza chiremba wako kana maminitsi ako ekurapa anogona kuwedzerwa.
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Inguva Yakare Vanhu Vanogara Pasi reSAR?SAR inogara yakasiyana zvikuru. Vamwe vanhu varipo chete kwemazuva mashomanana, asi vamwe vanogona kunge varipo kwemavhiki kana kunyange kusvika mazuva zana.
Zvinhu zvakasiyana-siyana zvinoratidza kuti ungagara nguva yakareba sei pane imwe nzvimbo yeSAR, kusanganisira kuwanda kwekukuvara kwako kana chirwere chehutano, hutano hwako hwose, nguva yakareba sei inshuwarisi yako inobvumirana iwe kuti ugare uye iwe unokwanisa kurarama wakachengeteka mushure mekunge ubuda muSAR.
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Ndechipi Kusiyana pakati peSAR, Yakanaka Rehab uye Chirwere Chekugara?Izwi rinoshandiswa kutaura pamusoro pekurapa uye kugadziriswa kunogona kuvhiringidza dzimwe nguva. SAR yakasiyana nechipatara kana chirwere chinonzi inpatient rehabilitation centre.
Chipatara, iyo dzimwe nguva inonzi "kutarisirwa kwakanyanya," yakakodzera chete nyaya dzinokosha dzezvehutano nechinangwa chekugara kwenguva pfupi.
Nzvimbo yepamusoro ye rehabhi yakagadzirirwa zvidimbu zvepamusoro rehab rehab, zvinowanzodikanwa maawa anopfuura matatu pazuva remuviri wepanyama, basa, kana kutaura.
Pasi pfupi rehabhi (SAR) nzvimbo dzinonyanya kukodzera kune vanhu vanodarika maawa masere ekurapa kwezuva nezuva, saka iyo inonzi "sub acute," iyo inonyanya kureva pasi kana kuti pasi, kudarika rehabhi.
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Ndingawana Sei Unhu Hwakanaka SAR?Rimwe rematambudziko ekudzokorora mushure mekurohwa, somuenzaniso, kusarudza purogiramu yakanakisisa yekugadzirisa. Kuita tsvakurudzo mberi kwenguva isati yasvika iwe kana mudiwa wako unombofanira kugadziriswa kunogona kubatsira zvikuru.
Nzvimbo dzeMedare uye Medicaid (CMS) dzinopa hurongwa hwe 5 nyota pamisha yevanamukoti, uye dzakawanda zvezvivako zvinopa SAR. Kuenzanisa kuongororwa kwezvivako zvakasiyana kunogona kubatsira zvikuru.
Kazhinji, yako inonyanya kukosha ichave yakakurudzirwa kubva kune vadiwa kana shamwari dzave iko kuburikidza nekuita izvi. Zvakaitika kwavari pachavo zvinokosha.
Kana uine nguva, zvinogonawo kubatsira kumisa nezvivako zvakasiyana-siyana uye kukumbira kuratidzwa. Kucherechedza kubatana kwevashandi nevarwere kunogona kuva chiratidzo chinonyanya kukosha kwehutano hwakapiwa. Yeuka kuti kunyange zvazvo zvivako zvimwe zvingaita sechitsva, ndiyo purogiramu uye vanhu vanokuchengetedza izvo zvichange zvichinyatsoita chiitiko chako ipapo.
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Ndinokwanisa Here Kusarudza Yese SAR Izvo Ndinoda?Kana uchida SAR, ziva kuti kazhinji, iwe unosarudzwa pane iyi SAR inopa. Zvipatara zvinowanzoita kuti iwe uende kune mapurogiramu eSAR avo pachavo kana vakabatana neye. Uye, nezvo izvi zvichigona kuva sarudzo yakanaka, iwe une kodzero yekusarudza kupi kwaunoda kudzorera.
Zvisarudzo zvako zvingave zvakadaro, zvisinei, kana inishuwarenzi yako inotarisa zvivako zvaunosarudza zviri mukati kana kunze kwehutano , uye kuti zvivako izvozvo zvinosarudza kukugamuchira iwe muzvirongwa zvavo.
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Chii Kana Ndichida Kubva SAR Vasati Vati Ndagadzirira?Kana uri kungoedza kuenda kumusha vasati vambofunga kuti iwe unofanirwa, iwe une kodzero yekubva panzvimbo yacho chero nguva. Kana chiremba achinzwa zvakasimba kuti hauna kuchengetedzeka kuti uende uye iwe unosarudza kubva pane izvozvi, vangangokukumbira kuti usayine fomu inoti iwe uri kusiya zvinorapa mazano (AMA).
Izvi zvinoreva kuti kunyange zvazvo vasingagoni kukuita iwe kugara. havatendi kuti iwe wakachengeteka kuenda kumba asi, iyo chidziviriro chekuchengetedza nokuti pasina magwaro ekuti imba yako yakasununguka yakange isina kurwisa mazano ekurapa, vangangodaro vaine mhosva yekukuvadza kwakaitika nekuda kwekusununguka kwako kwekutanga.
Zvimwe kunze kwemurairo uyu ndeyokuti kana iwe uine dementia kusvika pakuti simba rako regweta rezvehutano rakagadziriswa , munhu uyu anofanira kunge ari iye anokuzivisa iwe kubva panzvimbo.
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Nei Inishuwarenzi Yangu Iri Kuvhara Mukana Wangu paSAR?Mazhinji makambani einishuwarenzi anocherechedza kushandiswa kweSAR pedyo, uye zvivako zvinofanira kuita zvidzidzo zvakajeka kakawanda uye zvinogamuchira zvose zviri mberi uye zvinopfuurira kugonesa kupa SAR kune nhengo dzayo.
Kana imwe nguva yakagadziriswa kuti kuparidzira kweSAR kwako kwapera, unofanira kutora chiziviso chekuramba kwekugovera. Izvi dzimwe nguva zvinonzi "tsamba yakagadzirwa" kana "chiyeuchidzo chekuramba," uye kopi inofanira kupiwa kwauri uye yakaramba ichiiswa panzvimbo ino kuratidza kuti iwe wakapiwa chiziviso chekushanduka uku zvisati zvaitika.
Kuvhara kunogona kuguma nokuda kwezvikonzero zvakasiyana-siyana, kusanganisira kuti hausisina chiremba unyanzvi kana kuti unyanzvi hwekurapa unyanzvi, kuti haugoni kubatanidzwa muchipatara maitiro (somuenzaniso, kana iwe une dementia uye pfungwa yako isina kunaka , iwe unogona asingakwanisi kuyeuka nekudzidza mirayiridzo mitsva kwazvo), kuti iwe unoramba uchisarudza kusabatanidzwa murapi yehutano kana kuti iwe wakashandisa up yako nhamba yemazuva eSAR.
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Ndingaitei Kana Ndisina Kufunga Kuti Ndagadzirira Kuenda Kunyangwe?Mushure mekunge uudzwa kuti inshuwarisi inopera iri kuguma kweSAR yako kugara, vanhu vazhinji vanogadzirira kudzokera kumusha kana kunzvimbo yavo yekare mumazuva mashoma apfuura.
Kunyange iwe unogona kunge uchida kudzokera kumusha, zvinogona zvakare kuti iwe unogona kunyanya kufunga kuti iwe hauna simba zvakakwana asi uchienda kumusha. Kana iwe uchinzwa kuti inshuwarisi yako inofanirwa kupedzisira isingafaniri kuguma zvakadaro, iwe unobvumidzwa kukwidza nyaya iyi yokuramba. Iwe unogona kukumbira chikumbiro chekutsvaga kuitira kuti iwe uwane mhinduro nokukurumidza. Mirayiridzo yekunakidza ichabatanidzwa mukuramba kwechiziviso chekugovera chaunogamuchira.
Kana ukasarudza kuteterera, chivako chichapa kambani yeinishuwarenzi nekodzero yako yekliniki yakakodzera uye ichabvuma kana kuramba urongwa hwako hwekuwedzera kweSAR.
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Ko kana SAR Isingandibatsiri Ive Yakachengeteka Zvakakwana Kuenda Kwako?Dzimwe nguva, pasinei nekuedza kwako kwakanakisisa pakudzokera pane imwe nzvimbo yeSAR, iwe ungasawana simba rakakwana kana kushanda kuti uchengetedze pamba pakarepo. Kusakwanisa kuzadzisa chinangwa chako chekuenda kumba kunogona kunge kuchiodza mwoyo.
Mufambidzani weSAR anobatsira kuti utarise zvimwe zvingasarudzwa zvinogona kusanganisira kupfuurira kune unyanzvi hwekuyamwisa unyanzvi, semararamiro anobatsira, kana kuti musha wekuchengetedza vakwegura. Vanogonawo kukwanisa kushanda pamwe nhengo dzemhuri yenyu uye masangano emunharaunda kuti vape rubatsiro rwakawanda pamusha kuwedzera kuchengetedzwa kwechisarudzo ichi.
Yeuka kuti vamwe vanhu vanotora nguva yakareba kuti vapore uye vadzokezve kushanda kune vamwe, saka zvakakosha kuti urambe uchishanda kuchengetedza nekuvandudza simba rako, chero kwaunogara. Semuenzaniso, iwe unogona kunge uchikwanisa kuwana huwandu huri hwehutano huri kuburikidza neMedarereti B muimba yevanamwari vane unyanzvi iyo inogona kuita kuti zvikwanise kudzokera kumba mune ramangwana apo iwe unowedzera kuwana basa.
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Ko Kana Ndichingoramba Ndichida Kubatsirwa Pamba?Zvakajairika kuramba uchida rubatsiro kumba kumba kwenguva yakati mushure meSAR. Chinangwa cheSAR chakanaka kukubatsira kudzokera kune yako yekare yehutano hwekushanda. Zvisinei, sezvo makambani akawanda einishuwarenzi ari kuedza kugadzirisa mari yavanobhadhara kune vatengi vavo, chinangwa chinonyanya kukosha paSAR chinogona kunge chiri kukubatsira kuti uve wakachengeteka uye wakasimba zvakakwana kuti udzokere kumba kwako uye uenderere mberi nekugara kwako.
Iwe usati wasunungurwa kubva kuSAR, nzvimbo yacho inofanira kugovera kutumira uye kugadzirisa iwe kuti uwane rubatsiro rwakapfurikidza sehutano hwehutano hwemusha, kana iwe uchibvumirana nemabasa ekutsigira. Mishonga yehutano yehutano inoita kumba inogona kukubatsira pamusha nekurapa kwepanyama, chirongwa chebasa, chirongwa chekutaura, unyanzvi hwekuchengetedza, uye zvehutano hwehutano hwebasa.
Kushandisa izvi mumasangano emunharaunda zvinogona kukubatsira kuti ubudirire kudzokera kumusha, ndicho chinangwa chakakonzerwa iwe uye vashandi veSAR vave vachishanda newe.
Shoko kubva
Kuziva zvaunogona kutarisira kubva kuSAR kunogona kukubatsira kuti uwane zvakanakisisa zvebasa rakapiwa ipapo uye udzoke wakachengeteka kumba. Tinonzwisisa kuti unogona kuva nemibvunzo yakawanda sezvaunoenda, uye tariro yedu ndeyokuti mutungamiri uyu anogona kukubatsira iwe munzira nenzira dzakasiyana-siyana dzakasiyana.
> Sources:
> Medicare.gov. Unyanzvi hwokurapa unyanzvi (SNF). https://www.medicare.gov/coverage/skilled-nursing-facility-care.html
> Sheltering Arms Physical Rehabilitation Center. Akakwikwidza vs. Siri-Akanaka. http://www.shelteringarms.com/sa/acutecareinfo.aspx