Mubvunzo: Chii Chinopesana Pakati Peimba Yevachengeti uye Nzvimbo Yakabatsirwa Yokugara?
Vanhu vazhinji vangashamisika kuti izvi zvipi zviviri zvezvivako zvakave zvakafanana zvakasiyana nezvakaitika makore gumi apfuura, nezvivako zvekubatsira zvinogamuchira vagari vane zvinetso zvepanyama, zvepfungwa, uye zvekunzwisisa kupfuura zvavakamboita.
Vanenge 1.4 mamiriyoni eUnited States vanogara munharaunda dzinosvika 15 700 vakwegura vane unyanzvi, asi kune 36 000 zvivako zvinoshandiswa zvikwereti zviri muU.S., zvine mabhiriyoni anopfuura mamiriyoni.
Misha yevanamukoti inowanzofanirwa zvakakosha kune vanhu vanoda zvakakosha pachedu uye vachiyamwisa: kuve pamubhedha-vakasungwa, vane fracture kana maronda asina kuporesa, uye vane matambudziko akawanda ehutano sweshuga , chirwere chemoyo uye congestive moyo kusakundikana . Misha yekuchengetedza inogonawo kukodzera kuvanhu vanoda 24 maawa ekutarisira nekutarisa zvine chokuita nekuora mwoyo . Chechina chikamu cheimba yevanamukoti vanogara vanogona kufamba vasina rubatsiro, uye inenge zvikamu zviviri kubva muzvitatu zvinowanikwa mishonga yepfungwa.
Nzvimbo dzokugara dzinotsigirwa dzakakosha zvakakosha kune vanhu vane hukuru hwekushanda nekuzvimirira vanogona kubatsirwa nemabasa evanhu, maitiro uye zvirongwa zvakanaka. Nzira huru yehupenyu hwehupenyu huri kubatsira kupa vagari vane maitiro akasiyana-siyana ekusarudza uye kuzvimiririra mumamiriro ezvinhu akafanana neimba.
Mariro uye Nzvimbo yekubhadhara
Sekugara kwekuchengetedzwa kwemaawa makumi maviri nemaviri, misha yekuyamwisa ndiyo inonyanya kukosha kusarudzwa kwekuchengetedza kwekugara kwenguva refu, uye mari inosvika zvino uye imwe inosvika kudarika $ 100,000 / gore. Yakawanda yezvikwereti izvi yakafukidzwa nehurongwa hweMedicaid, iyo inobatsira kumatambudziko emari mune dzimwe nyika.
Kusiyana neizvi, ruzhinji rwekubatsira vagari vanobhadhara kubva kune yavo pfuma yemari, kunyange zvazvo nyika 41 dzichipa zvirongwa zvekuregererwa izvo zvinobvumira vagari vepfuma shoma kuti vararame muhupenyu hwekubatsira.
Mutemo uye Matongerwo Enyaya
Misha yevanamukoti inowanzotungamirirwa nehurumende yehurumende, asi nzvimbo dzinobatsira dzokugara dzinotungamirirwa nehurumende. Muchiratidzo chinobatsira zvivako zvekugara kuri kutarisira vagari vakawanda vakaoma, chikamu chemazana makumi mashanu ehurumende dzakashandura mitemo yavo yekubatsira kubva muna 2008. Gore rose vashandi vanogara vari mumamiriro ezvinhu ose, uye apo mukoti anofanira kunge ari panzvimbo yemaawa 24 zuva rimwe nerimwe mumazuva ekuyamwisa, mumararamiro anobatsira izvo zvingave zvisina kudaro. Tennessee, somuenzaniso, inoda chete kuti mukoti avepo sezvaanoda.
Kurapa Mishonga
Ari muimba yekuchengetedza vana vanotora zvishoma kuti vanamukoti vanotungamirira mishonga, mune zvivako zvekusimbisa zvinhu zvinhu murkier. Mune dzimwe nheyo mitemo iyi haina tsananguro pamusoro pekuti vashandi vangabatsira sei nemishonga, uye inenge hafu yezvematongerwo enyika inobvumira vanamukoti vakanyoreswa kuti vatumire kutungamirirwa kwemishonga yemuromo kunobatsira. Vagari vane chirwere cheshuga chinoda insulin kana kuti zvinorwadza zvinoda kuti narcotics dzisakwanisa kuwana mishonga kubva kune vanobatsira varimi.
Dementia
Mhuri mbiri dzekuyamwisa uye kubatsira mahofisi ehupenyu ane huwandu hwehutano hweAlzheimer uye mamwe marudzi ehutano hwemweya : zvose zvigadziriro zvinopfuura makumi maviri kubva kune zvitatu zvevagari vane demoentia kana zvikwereti zvakanyanya zvekushaya njere. Makumi makumi matanhatu kubva muzana yeimba yevanamukoti vane dementia vari mumatanho akaenzana uye akaoma , achienzaniswa nevana makumi mana muhupenyu hwekubatsira. Nemhaka yehuwandu hwehutano hwemweya muhupenyu huripo, mazhinji mahurumende zvino ave akawedzera mitemo yekuchengetwa kwevanhu vanogara vagari vane demoentia.
Zvimwe zvivako zvine izvo zvinonzi "kukanganisa kurasikirwa unit" kana "chirongwa chinonzi chetementia chakachengeteka." Izvi zvinowanzogadzirirwa kune avo vari pakati pezvikamu zvepfungwa zvekuita kwema dementia apo vanozobatsirwa nemabasa anongoronga kuti mafungiro aya.
Kakawanda, mapurogiramu aya ane masuo uye anobuda achichengetedzwa kubva kune vamwe vanhu vane chirwere chemagumisiro vachidzungaira uye vari pangozi yekunyora.
Sources:
Nzvimbo dzeDaase Control uye Kudzivirira. April 29, 2015. http://www.cdc.gov/nchs/fastats/nursing-home-care.htm
Nzvimbo dzeDaase Control uye Kudzivirira. 2012. Vagari Vagari Vanogara Munzvimbo Yokugara Nzvimbo dzekuchengetedza Zvinyorwa: United States, 2010. http://www.cdc.gov/nchs/data/databriefs/db91.htm
-Edited naEsther Heerema, MSW