Kudzivirira Kunopera Nokutsvaga Chikonzero Chaicho Chikonzero Zvavanoitika
Kusarudza Roti Cause of Falls
Apo vanhu vane Alzheimer kana kuti rumwe rudzi rwekushaya mungozo kunowira, zvinokosha kuti tishandise nguva yekuziva kuti chii chinokonzera kukanganisa uku. Iyi inonzi inonzi root causes analysis . Root chinokonzera kuongorora zvinoreva kugadzira zvakadzama uye kuedza kuziva chikonzero chinokonzera kuwira. Kana takaziva kuti icho chinokonzera, tinokwanisa kuverenga kupindira kwakakodzera izvo zvinotarisira kuderedza mukana wekuti munhu uyu achawa zvakare.
Vaya vane dhementia vane njodzi yakakura yekuwa, kazhinji nekuda kwekusaona-maitiro ekugadzirisa , kukanganisa kutonga , kusagadzikana kana kuderera mukufamba uye kuenzanisa . Izvozvo zvinokonzera, zvisinei, zvinowanzoenda zvakadzika kudarika izvo zvinokonzera.
Root chinokonzera kuongorora inobvunza mibvunzo ye "Chii?", "Sei?" uye "Sei?" kakawanda kusvikira tadzikisira kune chikonzero chikuru chekuwa. Uyezve, dzimwe nyanzvi dzinokurudzira "5 Whys" kusvika, iyo iri kubvunza mubvunzo "Sei?" kanomwe pamusoro pezvikamu zvakasiyana-siyana zvekuziva, zvakadai senzvimbo yekuwa (Nei pane?), nzvimbo yakakomberedza kuwa (Nei pakange pane pasi pasi?), chikonzero chakaita kuti munhu wacho aifambe-famba (Sei aifamba mhiri kweimba?), nezvimwewo.
A Case Study
John ane makore 82 anogara mumusha wakachengeteka wekutengesa pfungwa mune imwe nzvimbo yekuchengetedza kwenguva refu . Akaendeswa ikoko nokuti akanga achidzungira mune dzimwe dzimba dzevagari uye nekuti vashandi vakanga vafunga kuti aizombobatsirwa nemabasa anotarisa pakati pepakati pemagariro evanhu .
Zvisinei, akawa kaviri muvhiki yekupedzisira.
Paunobvunza kuti nei Johane akadonha, unogona kutarisa mamwe emibvunzo inotevera kune imwe neimwe yekuwa kwake:
- Sei akasimuka?
- Chii chaaiita?
- Ari kupi iye achienda?
- Ko iye ava kuora simba munguva pfupi yapfuura here?
- Akarasika here?
- Akaputira mune chimwe chinhu here?
- Ndezvipi zvatinogona kuunganidza kubva mumutauro wake uye chiso chake?
- Takamubvunza here kuti sei akamuka?
- Akanga achida kushandisa mudziyo wekugezera here?
- Aiva nenzara here?
- Akanga ane nyota here?
- Akange achinetseka here?
- Aida kutambanudza makumbo ake here?
- Ave akagara akareba kwenguva refu here?
- Akange aneta here?
- Akanga ari kurwadziwa here?
- Anova asina zororo panguva imwe chete zuva rimwe nerimwe here?
- Mamiriro acho ezvinhu aishamisa here?
- Akave akachengetedzwa zvakanaka pakunzvimbo, saiye anofamba achigona kusvika?
Kana, somuenzaniso, Johane akakurira mune chimwe chinhu, unoda kubvunza "Sei?". Kana iwe wakasarudza kuti haana simba ikozvino kupfuura zvaaimbova, bvunza "Sei?" Mubvunzo. Kana akazviratidza asina kunyarara, bvunza "Sei?". Mhinduro dzako kumibvunzo iyi dzichakubatsira kuziva kana Johane aingova asina kunyarara uye aida kufamba-famba, kana Johane ainetseka uye aitsvaga chimwe chinhu chaaifanira kuita, kana dai akanga aramba uye akaoma.
Cherechedza kuti zvakatipoteredza zvakare zvinoda kuonekwa kunyange kana zvisizvo hazvisi nguva dzose dzinokonzera. Kana Johane akawira padenga iro rakanga rakangova rakaputika, pasi rakadzika rakapinza pakuwira kwake. Asi, tichiri kuda kufunga kuti sei Johane akanga achimuka kana kuti kwaaienda. Akanga achienda kunoshandisa hove here? Kana, akanga ane nzara uye achitarisa dha?
Kuziva Mazano Anobatanidza Nheyo Chikonzero
Mhinduro dzemibvunzo iri pamusoro apa dzinotibatsira kuziva kuti rudzi rwekupindira ruchabatsira sei mukudzivirira kuparadzwa kwemazuva anotevera.
Kana tikasarudza kuti John akanga ane nzara uye achitsvaga zvokudya, kupindira kwedu kunofanirana neyoyo nyaya. Tinogona kusarudza kupa John snack pa2: 00 masikati kana kuwira kwake kwaiva pa2: 30 masikati. Kana, kana akawira nokuti akashayiwa simba, tinogona kupa chirwere chepanyama mushure mokuona kuti utera hwake hunogona kuwirirana nehutano hwake huchangobva kuitika.
Chinokosha ndechokushandisa nzira dzekugadzirisa dzinonyatsokonzera chinokonzera kukonzera kwaJohn kuitira kuti tive netariro yokubvisa chigadziro, uye nenzira iyo inotevera inogona kuwira.
Shoko kubva
Kunyange zvazvo kune dzimwe nguva zvinhu zvakawanda zvinogona kunge zvakakonzera kugwa pane imwe chinhu chinonzwisisika chinokonzera, kubvunza mibvunzo nemaune uye kushandisa maitiro anobatana kunowanzobudirira uye kunogona kuderera kudonha.
Kuderera kwekuwa kunogona kubatsira kuchengetedza hupenyu hwehupenyu nekushanda kwese.
Sources:
Annals of Long Term Care.Volume 22 - Nyaya 1 - January 2014. Nzira dzeKuderedza Kudonha muKutora kwenguva refu. > https://www.managedhealthcareconnect.com/article/strategies-for-reducing-falls-long-term-care
Windsor, J. Portsmouth Hospitals. Root Cause Analysis: Guidance for Falls Link Champions. September 9, 2014.