Mutungamiri wako kuti uwane zvakanyanya kutarisirwa kweTT yako mune SNF
Kana iwe kana munhu waunoda achibvumirwa kune unyanzvi hwokurapa (SNF), kune mukanano wakanaka iwe uchakurumidzira kuzivikanwa nedhipatimendi rekudzorera, pakati peiyo chirongwa chekushanda .
Overview
Vanhu vazhinji vanosvika paSNF nokuti havasisirizve hutano hwekupiwa kuchipatara asi havakwanisi kuenda kumba. Iwe unenge uchiri kuda kuwanikwa kwemazuva ose kumabasa ekurapa ane unyanzvi (sekuongorora kuporeswa kwevanga kana rubatsiro nemishonga), maitiro ekuvandudza zuva nezuva, kana kumwe kusanganiswa kwezvose.
Chiremba wako anoramba ari mutariri mukuru wekutarisira kwako, asi vashandi vanoyamwisa uye vanovandudza ndivo iwe wauchaona kakawanda.
Medicare inobvumira zviremba vane unyanzvi; saka, mitemo yeMedare uye kubhadharwa inobatsira zvikuru pakuita kuti zvivako zviitwe.
Swing Beds
Mune zvimwe zviitiko, iwe uchagara muchipatara chako chimwe chete asi shandura kune SNF yekutarisira. Medicare inobvumira zvimwe zvipatara zviduku zvekumaruwa (zvinozivikanwa sezvokubudirira zvipatara zvipatara) kupa SNF kutarisirwa kwepamusoro pasi pechigaro cheDing bed kana nzvimbo yepamusoro yekuenda kune imwe nzvimbo inotsika pasi inopera isingagoni.
Kunyangwe iwe uri kugara munzvimbo imwe chete, iwe unofanira kutarisa kuchinja kwekutarisira kwauri kugamuchira.
Basa reTT Rakasiyana
Occupational therapists vane maonero akazara ehutano. Vanodzidziswa kuongorora nekupindira mune zvehutano zvinhu (semasimba, mararamiro ekufambisa, kufamba, cognition, kugadzira motokari, nezvimwewo) asi pakupedzisira vanofarira kuti izvi zvinokonzera sei kukwanisa kwako kuita mabasa aunoda uye unoda uite (unozivikanwa se "mabasa").
Kune vatengi mune unyanzvi hwekuyamwisa unyanzvi, mabasa aya anowanzoita zvishoma zvese zvinoda kuitwa kuti adzokere kugadziriro yeimba kana kuti muchengeti wekutarisira.
Chinodiwa kuti munhu asunungurwe zvakachengeteka kubva kuSNF yakasiyana. Somuenzaniso, kana iwe uchigara uri oga mumusha wemakumbo maviri, mabasa anokosha aunofanira kuita kuti udzokere kumusha achasiyana nemumwe munhu ari kudzokera kunzvimbo inobatsira yekugara.
Zvekukosha kune varwere vose, kunyange zvakadaro, iboka remabasa anonzi Basic Activities of Daily Living (ADLs). Aya ndiwo mabasa anokosha avo vatano vanofanira kunge vane chirongwa chekuita kuitira kuti vabudirire. ADLs dzinosanganisira kupfeka, kushamba, kudya, kugadzirira, nekufamba.
Zvimwe zviitiko zveMazuva ose Kurarama (IADLs) mabasa anokoshawo kune hupenyu hwehupenyu asi anowanzove akaoma uye ari nyore kugovera kune vamwe vanochengeta. Kana zvakakodzera, mushandi wako wepamberi (OT) achaongorora zvakare uye anopa mushonga unobatana neIADLs.
Kuti uite kuti shanduko yako kubva kune SNF ibudirire sezvaunokwanisa, OTs inogona kukurudzira uye kupa ruzivo mukugadzirisa nzvimbo yako nemidziyo yaungashandisa pakuita mabasa ezuva nezuva.
OT Kuongorora nekugadzirisa kwekutarisira
Iwe ungangodaro wakagamuchira chirongwa chekuita basa muchipatara, asi kutumirwa kwako kune unyanzvi hwokurapa unyanzvi kuchatanga chiitiko chitsva chekutarisira. Mushandi wako wehutano achava nemurairo kubva kuna chiremba kuti aite sarudzo itsva.
Iko kuongorora kuchaita, pane zvishoma, ine zvinyorwa zvinotevera:
- Kurapa kuongororwa
- Kuchengetedzwa kwehutano kana kusakosha
- Kunyatsoteerera kutarisa
- Chinangwa chekucherechedza
- Kuongorora
- Ronga
Kana Testamende yekare ichiona kuti maitiro ake anodiwa mune zvehutano uye anonzwisisa, acharonga hurongwa hwekuchengeta. Iri urongwa hwekutarisira ruchava, pane zvishoma , zvinotevera:
- Inotsvaga
- Zvirwere zvekare kwenguva refu
- Nyora, chiyero, nguva, uye nguva dzehutano hwemabasa
Iri chirongwa chekuchengeta richazotumirwa kunechiremba kuti agamuchirwe.
OT Treatments
Mishonga yako inogona kuva shoma semaminitsi masere uye kazhinji zvisingasviki awa. (Yeuka kuti kurapwa kunofanira kunge kwakanaka.)
Mishonga yako inofanirwa kuva yakabatana nezvinangwa zvako uye inowira mukati meurongwa hwekuchengeta. Somuenzaniso, kana iwe uchitanga kuoma nehosi yako, uri mukati mechigaro cheOTs chekuita kuti utarise izvi, asi kana hutachigaro hwehupenyu hwehupenyu hwakanga huri muhutano hwepakutanga hwekuchengeta, aifanira kuvandudza hurongwa hwekutarisira uye owana kubvumirwa kubva kuna chiremba vasati vaenderera mberi.
Mumwe mushandi wepamhizha kana chiremba wehutano hwevashandi anokwanisa kuita zvirwere. Occupational therapy aides inogona kunge iripo kuti ibatsire nehutachiona asi haikwanisi kutora kurapa unyanzvi.
Mishonga yako yeTestamende yekare ingangodaro iine humwe hutano hwekuita unyanzvi hwaunoda kuti uende kumusha uye kutarisana nehuviri hwepanyama, pfungwa, hutano hunoita kuti basa iri rinokosha rive rakaoma.
Semuenzaniso, imwe sangano inogona kutarisa kumusoro kwekusimbiswa kwemuviri mukugadzirira kushandisa bhenji yekutsvaga kuti uwane mvura yako yekugeza kumba. Mune imwe sangano, Testamende yenyu inogona kugadzirisa mamiriro ekunyara uye inokudzidzisai nzira yakachengeteka yekushandisa bhenji yekutsvaga.
Specialized OT Services
Occupational therapists vakadzidza kubva kuchikoro chetestamende yekare sevanopinda mazinga. Asi, kunyange mutsva unofanirwa kuve wakadzidza uye wakagadzirirwa mukukubatsira iwe mukusangana neDLL neIADL zvinangwa.
Pamusoro pebasa ravo, vazhinji veOTs vacharamba vachinyanya kugadzirisa mune dzimwe nzira dzokurapa uye nzvimbo dzekuita. SNFs inogona kutsvaga kuvashandi veOTs nedzidzo dzakakosha uye chiyeuchidzo .
Nzvimbo dzakajairika dzekunyanya kuiswa mukati meSNF zvinosanganisira:
- Lymphedema Management
- Falls Prevention
- Kugara uye Kufamba
- Pressure Relief
- Dementia Care
- Kudyidzana Kutungamirirwa
- Kudzivisa Kuderedza
- Kutyaira Kuongorora
Medicare, OT, uye SNF
Zvikwereti zvakasiyana-siyana zvekugoverwa kuburikidza neMedarera zvinogona kuoma uye zvakakodzera kubvunzurudza zvakadzama nehutachiona rekubuda kwechikwata neSNF yekutambira boka.
Kuti ndikupe kunzwisisa kwakajeka kwekuti Medicare inobata sei chirongwa chebasa remishonga, iwe uchawana pasi apa zvimwe zvezvikamu zvikuru zvezvikamu zviviri zveMedareji.
Izvo zvinogona kunge zvinotyisa asi zvichengetedze imomo, nokuti izvi zvinyorwa zvakabatana zvakananga kukurudzira kutarisira kwakanakisisa.
Occupational Therapy uye Medicare Chikamu A
Kana iwe uine chipatara chemazuva matatu uye chiremba wako asarudza kuti iwe ucharamba uchitsvaka kutarisira unyanzvi, unogona kukodzera Medicare Part A.
Medicare Chikamu A chinoenderera mberi kwemazuva ekutanga zana muSNF uye ine sarudzo inokosha yezvinodiwa.
Chikamu chezvinodikanwa ndechokuti vashandi vepaimba vanozadzisa Minimum Data Set (MDS).
Sezvimwe chikamu cheMDC, nhamba yemaminitsi ekurapwa kwemazuva ano achabatanidzwa nehutano hwepanyama nekutaura kwekugadzira dhigirii reRisource Utilization Group (RUG). Ichi chikwata RUG chichaita kuti mari iyo Medicare ichadzorera iyo nzvimbo. Iyi nheyo inotarirwa mukati memazuva matatu echishanu, 14 th , 30 th , 60 th , uye mazuva makumi mapfumbamwe nemakumi matatu ekugara kwechirwere pane imwe nzvimbo. Nhamba iyo ichagadzirisa mari iyo nzvimbo inobhadharwa kusvikira kuongorora kwezuva rinotevera.
Mavhiri RUG Levels mashanu akaita seizvi:
- Ultra High: inenge 720 maminitsi. Minimum 2 therapy disciplines (muviri, zvebasa kana zvekutaura mashoko); imwe kana mazuva mashanu.
- Yakakwirira kwazvo: inenge maminitsi 500. Minimum 1 chirango mazuva mashanu.
- Pamusoro: anenge 325 maminitsi. Minimum 1 chirango mazuva mashanu.
- Pakati peiyo: zvishoma nemaminitsi 150. Mazuva mashoma mashanu.
- Low: maminitsi makumi mana nemashanu. Mazuva mashoma matatu.
Occupational Therapy uye Medicare Chikamu B
Medicare Chikamu B inoshandisa chirongwa chebasa muSNF kana iwe usingakodzeri chikamu A kana kana zvikomborero izvozvo zvapera. Therapy inobva yabhadharwa uchishandiswa nenzira yakasiyana zvakasiyana uye yakagadzirirwa ma code.
Gamuchira Zvakanyanya Kubva muTestamende yeTestamende yeTestamende yekare
Ziva Zvinangwa Murapi Wenyu Arikushanda Kuru
Occupational therapists vanoedza kuva vateereri-vanovakirwa mumagariro avo. Asi, sezvo izvi zvitsvakurudzo zvekutsvakurudza muna 2006 zvichijekesa, zvinogona nyore nyore kubvisa pakati pezvinangwa zvechiremba uye zvinangwa zvevatengi. Nyaya yacho inoratidzira varwere vanoshingairira kuita nharo pamusoro pezvinangwa zvavanowana kuti zvine chinangwa uye zvinangwa.
Kana iwe uri mumamiriro ezvinhu apo iwe usingazivi zvinangwa zvakaitwa neTestamente yekare, usazeza kubvunza mushandi wako wepamberi! Iwe unogonawo kukumbira kuti uone basa rako rehutano zvinyorwa .
Kunzwisisa Yako RUG Nhamba uye Murevereri paNhare Yakanaka yeKutarisira
Kuongorora kurapwa kwakadini iwe kana mudiwa wako kunobatsira vhiki nevhiki ndeimwe yezvikamu zvakakosha zvekuwana zvakanakisisa zveSNF ruzivo rwako. Chidzidzo che2005 chinoratidza kuti kukwirira kwakakura kwepiritsi kwakabatanidzwa nehupfupi kwenguva refu yekugara uye mikana yakawanda yekuvandudza mukuita kwe ADL.
Izvo zvichiti, inyanzvi dzinochengetedza vakwegura dzakanyatsoongororwa (uye mhosva) yekupa kurapa kwakanyanya kuvarwere nokuda kwezvikonzero zvekubhadhara zvinopesana nevaridzi vanoda.
Sangano rekubhadharisa mari ye RUG rinotsanangurwa pamusoro apa rinopa dambudziko rinotevera: kana ukagamuchira maminitsi 499 emishonga, RUG yako iyo yakakwirira, asi kana ukawana maminitsi 500 emishonga yako RUG level yakanyanya kwazvo uye Medicare reimbursement inowedzera. Zvivako, saka, zvinokurudzira kushandisa vanachiremba kuti vape iyo miniti yakawedzerwa yerapi ... kunyange kana murwere angave asina kubatsirwa nayo.
Kana iwe uchida iwe kana munhu waunoda ari kugamuchira mashekeri ekunyengera, taura neunzvimbo yako, kana iwe unogona kutaura naMedare zvakananga.
Bvunza Mibvunzo yeTestamente Yenyu
OTs inogadziriswa nehutano hwekudzidzira muchikoro chetestamende yekare asi kuenda kune imwe nzvimbo kuti uwane dzidzo inopfuurira nekuwedzera kudzidzira mumabasa avo ose. Chete yeTestamende yekare inosangana nayo ichava nesimba rakasiyana uye kusarudza nzvimbo dzakasiyana dzekuenderera mberi dzidzo. Nzira yakanakisisa yekudzidza pamusoro pehutano hwako hwakasiyana uye zvikonzero zvekurapa kwavanoita ndekubvunza mibvunzo. Heano nhungamiro yekuita kuti hurukuro ifambe.
Kumbira Musangano weMhuri
Imwe dambudziko rakawanda rekugamuchira zvakanakisisa SNF kutarisira kuri kungotora mapoka ose, nhengo dzemhuri, uye vashandi vebazi, pane imwecheteji peji. Kana iwe ukawana kusakwanisa kukurukurirana kana kuoma kukugadzirisa pane nzira yakanakisisa yekuita kwave kwakaoma, funga kutaura neboka rako rekutarisira pamusoro pemusangano wemhuri.
Nzvimbo dzakawanda dzichapa sarudzo yekugadzirisa nguva yekuwana mapato akawanda akawanda muimba imwechete panguva imwechete kutaura pamusoro pemaitiro akanaka ekuita. Izvi zvinogona kuunza kujekesa kuvarwere, vadiwa, uye vashandi.
References / Resources
Jette, DU, Warren, RL, & Wirtalla, C. (2005). Ukama huripo pakati pehutano hwehutano uye zvibereko zvekugadziriswa mune vakwegura vane unyanzvi. Archives of Physical Medicine uye Kuvandudza, 86, 373-379.
Maitra, KK & Erway, F. (2006). Pfungwa yevanoshandiswa nevatengi-maitiro mumishonga yevashandi nevatengi vavo. American Journal of Occupational Therapy, 60 (3): 298-310. doi: 10.5014 / ajot.60.3.298.
Nguva Yenguva Yakarera Kuchengetedza Resident Assessment Instrument 3.0 User's Manual (2015)