ʻAʻole hōʻike, haʻalele, a ʻaihue paha i ke kanaka makua ola kino ma ka home¶

ʻO ka ʻike ʻana ʻaʻole i hōʻike ʻia kahi kōkua olakino home uku, kōkua kahu hānai hōʻoia (CNA), a i ʻole mālama mālama ola no kahi neʻe ʻana, ua haʻalele i ka hana ma waena o ka neʻe ʻana me ka waiho ʻana i kahi poʻe maʻi moe a i ʻole dementia-impaired makua wale nō, a i ʻole nā ​​puka helu ʻaihue, nā mea nani, a i ʻole nā ​​lāʻau ʻeha i kauoha ʻia he ʻelua lāʻau lapaʻau a me ke kānāwai. ʻO kahi kanaka makua ʻaʻole hiki ke mālama ʻole ʻia no ʻehā a ʻeono mau hola e kū ana i ka dehydration weliweli i ke ola, nalo i nā lāʻau lapaʻau koʻikoʻi (e like me ka insulin a i ʻole nā ​​maʻi maʻi Parkinson), necrosis maʻi maʻi maʻi maʻi maʻi mai ka moe ʻana i ka mimi a i ʻole ka feces, a me ka hāʻule pōʻino i ka wā e hoʻāʻo ai e hele i ka lumi ʻauʻau me ke kōkua ʻole.

E hoʻopaʻa mau i ke ola kino o ke kanaka makua a me ke kūpaʻa olakino ma mua o ka hoʻopaʻapaʻa ʻana i ke kōkua a i ʻole ka loiloi ʻana i nā waihona waihona. Inā hoʻolimalima ʻia ka mea mālama ma o kahi ʻoihana mālama home laikini, kahi papahana Medicaid waiver mokuʻāina, a pilikino paha, ma hope o kahi hoʻokolohua lapaʻau i hoʻonohonoho ʻia, protocol backup staffing emergency, a me ka laka hōʻike forensic e pale ai i ke olakino o kāu mea aloha aʻo ka mālama ʻana i kāu mau kuleana kānāwai e hoʻihoʻi i nā kālā ʻaihue a mālama i nā mea hoʻolako mālama ʻole.

E hana i kēia i kēia manawa¶

1. E kiʻi koke i nā maka kino i ke kanaka makua a i ʻole e noi koke i kahi nānā pono. Inā ʻaʻole ʻoe ma ka home a ʻike ʻoe ʻaʻole i hiki mai kahi kōkua a i ʻole hele i waho ma luna o kahi poʻe maʻi moe, hilinaʻi i ka oxygen, a i ʻole ka naʻau kino, e hele koke i ka hale a i ʻole e kelepona i kahi hoalauna hilinaʻi me kahi kī kaʻawale. Inā ʻaʻole hiki i kekahi ke hiki i ka home i loko o 30 mau minuke a ʻaʻole hiki i ke kanaka makua ke pane i ke kelepona a i ʻole e wehe i ka puka, e kelepona i ka laina ulia pōpilikia kūloko a i ʻole kāu helu ulia pōpilikia kūloko (911 ma ʻAmelika Hui Pū ʻIa a me Kanada, 112 ma waena o ka European Union, 999 ma United Kingdom; e nānā. helu pilikia) a noi i kahi lapaʻau wikiwiki Welfre Check no ke kanaka makua hilinaʻi i waiho ʻole ʻia.
2. E hana i ka loiloi olakino no 5 mau minuke ma ka hiki ʻana mai. E nānā i ke ala ea, ka hanu ʻana, ka makaʻala, ka mahana o ka ʻili, nā ʻeke lepo lepo a i ʻole nā ​​moe, ka glucose koko (inā he maʻi maʻi maʻi maʻi), a inā paha ua lawe maoli ʻia nā keʻena hoʻonohonoho pili kakahiaka a ahiahi paha. Inā e moe ana ka ʻelemakule ma ka papahele, e hahai i kā mākou alakaʻi ka hāʻule ʻana o nā ʻelemakule ke hiki ʻole ke kū.
3. E kāhea aku i ka Luna Hoʻokele kahu hānai 24-hola ma ke kelepona ʻana a kāhea aku i kā lākou kuleana kākoʻo kānāwai. Inā hana ke kōkua no kahi ʻoihana, mai waiho wale i kahi leka me kahi papa hoʻokipa hoʻonohonoho. Noi e kamaʻilio i ka Nā kahu i kākau ʻia (RN) Clinical Supervisor a i ʻole Administrator On-Call, e ʻōlelo ʻaʻole i hoʻohana ʻia kahi mea maʻi High-Acuity Priority-1, a koi aku i kahi kōkua pani ulia pōpilikia a i ʻole kahu kahu kiaʻi e kipa i loko o 2 mau hola.
4. Mai hoʻopaʻapaʻa i ke kōkua i hoʻopiʻi ʻia no ka ʻaihue ʻoiai aia i loko o ka hale me kahi kanaka makua nāwaliwali. Inā ʻike ʻoe i ka nalowale ʻana o nā haki, ke kālā, nā mea nani, a i ʻole nā ​​lāʻau lāʻau narkotic i ka wā e hele ana ke kōkua, e kali a hiki i kahi lālā o ka ʻohana a i ʻole ka mea mālama pani e mālama, a laila e hoʻokuʻu i ke kōkua me ka mālie ma ka puka, a hoʻihoʻi koke i kā lākou PIN paʻa paʻa.
5. Inā ʻaihue ʻia ka Hōʻike II a V nā lāʻau lapaʻau narcotic a i ʻole nā ​​mea hoʻomaha hoʻomaha, e waiho i kahi hōʻike makai i kēia lā e wehe i kahi lāʻau lapaʻau pilikia e hoʻopiha hou. ʻO nā lāʻau lapaʻau a me nā hoʻolālā ʻinikua e pāpā kānāwai i ka hoʻopiha mua ʻana i nā mea i hoʻomalu ʻia (e like me ka oxycodone, hydrocodone, morphine, fentanyl patches, a i ʻole lorazepam) ke ʻole ʻoe e hāʻawi i ka Inc.
6. Hoʻokuʻu i nā moʻokāki panakō i hoʻopaʻa ʻia a waiho i nā hōʻike hoʻoponopono koi. E kelepona i ke keʻena hoʻopunipuni o kāu panakō no ka hoʻopaʻa ʻana i nā moʻokāki a me nā hōʻaiʻē. ka hoʻohana kālā kiʻekiʻe a me ka pale scam), a e hōʻike i ka haʻalele ʻana a i ʻole ka ʻaihue ʻana o ka mea mālama iā Adult Protective Services (APS), i kāu Registry Aide Nurse Aide State Department, a me ka mea hoʻopaʻa hoʻopaʻa paʻa o ke keʻena.

flowchart TD
    A["Ka pilikia kōkua olakino home: ʻAʻole hōʻike, hele wāwae waena, a i ʻole i manaʻo ʻia he ʻaihue"] --> B{"ʻO ke kanaka makua wale nō i kēia manawa a hiki ʻole ke mālama iā lākou iho?"}
    B -->|"ʻAe: Bedbound, dementia, a hāʻule paha"| C["E hoʻi koke i ka home A i ʻole e kelepona iā Police/EMS no ka nānā koke ʻana i ka Welfare"]
    B -->|"ʻAʻole: Aia ka lālā o ka ʻohana ma ka pūnaewele"| D["Hana i ke poʻo a i ka manamana wāwae, ka loiloi ʻili, a me ka helu pila"]
    C --> D
    D --> E{"He aha ka pilikia mua?"}
    E -->|"ʻAʻohe hōʻike a i ʻole ka haʻalele waena"| F["Kāhea i ka Luna Hoʻokele 24-Hr RN: koi i nā limahana kākoʻo Priority-1 a i ʻole e kāhea i ka hoʻomaha hoʻomaha."]
    E -->|"ʻaihue i ke kālā, nā haki, nā kāleka, a i ʻole nā mea nani"| G["E hōʻoia i ka hele ʻana o ke kōkua ma waho o ka home; hoʻololi i ka pahu lockbox/smart code; hoʻokuʻu i nā waihona kālā; waiho i ka hoike Makai & APS"]
    E -->|"ʻAhuehue / hoʻololi i nā lāʻau narkotic a i ʻole nā ​​lāʻau koʻikoʻi"| H["E helu i nā huaʻai i koe; loaʻa koke ka hōʻike makai #; e noi i ke Kauka no ka hoʻololi mua ʻana"]
    F --> I["Inā loaʻa ka waihona 0 no 24+ mau hola: hoʻonohonoho i ka Hospice Medicare/SNF Respite a i ʻole ke komo ʻana i ka hana kaiaulu"]

Māhele 1: ʻO ka hoʻāʻo ʻana i ka lāʻau lapaʻau a me ke kino ke loaʻa ka ʻelemakule hilinaʻi hoʻokahi¶

Ke hōʻike ʻole a haʻalele paha kahi kahu i uku ʻia i kā lākou hana ma waena o ka neʻe ʻana, hiki i kahi ʻelemakule moe moe a i ʻole ka naʻau naʻaupō hiki ke hōʻemi koke. Ma mua o ka hoʻopaʻa ʻana i hoʻokahi hola me kahi hui limahana, e hoʻopau i kēia Six-Point Bedside Clinical Audit i ka manawa āu e hele ai ma ka puka.

Māhele 2: Hoʻokaʻawale ʻana i kahi "Hōʻike ʻole" mai ke kānāwai "Haʻalele i ka maʻi"¶

ʻO ka hoʻomaopopo ʻana i ka ʻokoʻa kānāwai ma waena o kahi hōʻike hōʻike ʻole a me ke kānāwai Hoʻopau maʻi hāʻawi iā ʻoe i ke kūlana kū kānāwai i ka wā e koi ana i nā limahana pilikia mai kahi ʻoihana a i ʻole ka waiho ʻana i nā hoʻopiʻi hoʻoponopono.

• Ka Hoʻopaʻa ʻAʻole Hōʻike (Nā ʻAi ʻAi ʻAi ʻAi / ʻAʻole Haʻalele ʻia): Hana ʻia ke hiki ʻole ke kōkua olakino home a i ʻole ke kahu mālama pilikino i ka hoʻomaka ʻana o kahi hoʻololi me ka ʻole o ka hoʻolaha ʻana. ʻOiai ua manaʻo ʻia kahi kōkua kanaka ʻaʻole i hōʻike i ka hana ma mua o ka haʻalele ʻana i ka laikini pākahi, ʻo ka Home Health a i ʻole Home Care Agency ponoʻī ke kuleana ma ke kānāwai ma lalo o nā kānāwai laikini olakino o ka mokuʻāina e mālama i kahi Papahana Hoʻomaʻamaʻa Hoʻomaʻamaʻa a me ka Backup Staffing Plan no Priority-1 (high-acuity, bedbound) nā mea kūʻai.
• Ka Haʻalele ʻana i nā maʻi ma ke kānāwai (Criminal Neglect & License Revocation Offense): Hana ʻia ke kahu hānai, Certified Nursing Assistant (CNA), a i ʻole Home Health Aide ** e ʻae i ka hana maʻi (e hoʻopaʻa ʻia a mālama ʻia paha ma ka home) a laila hele i waho a hoʻokaʻawale i ka pilina mālama mālama-maʻi me ka ʻole o ka hāʻawi ʻana aku i kahi leka hoʻomaopopo pono o ka luna hoʻomalu a i ʻole ka lālā o ka ʻohana. kanaka makua hilinaʻi i ka pōʻino. Hoʻopili pū ʻia ka noho ʻana i loko o ka home i ka wā e hiamoe ana ma kahi hoʻololi mālama mau, lilo i ka ʻona i ka hana, a i ʻole ka laka ʻana i ke kanaka makua i loko o kahi lumi moe no nā hola me ka mālama ʻole.

Māhele 3: Pehea e hoʻopaʻa ai i ka mālama mālama pilikia i loko o 2 a 24 mau hola¶

Ke nalowale kāu kōkua maʻamau a loaʻa iā ʻoe nā kuleana hana, noho i kekahi kūlanakauhale ʻē aʻe, a nele paha i ka ikaika kino e hana i nā hoʻololi ʻelua kanaka wale nō, e hoʻohana i kēia mau pae piʻi ʻelima o ka uhi mālama pilikia.

flowchart TD
    A["ʻO ka hakahaka o ka mea mālama koʻikoʻi no ka poʻe moe moe a i ʻole ka poʻe makua makemake nui"] --> B["Papa 1: E hoʻonui i ka Luna Hoʻokele RN a me ka Luna Hoʻokele ma ke kelepona"]
    B -->|"Ke koi nei ke keʻena ʻaʻohe mea kōkua pani"| C["Papa 2: E ho'ā i ka Medicare Hospice 5-lā hoʻomaha maʻi maʻi hoʻomaha a i ʻole ka mālama pilikia pilikia (inā i kākau inoa ʻia)"]
    B -->|"Ua hāʻule loa ke kōkua hoʻolimalima pilikino"| D["Ka Papa 3: Kāhea i ka 'Oihana Kalana no ka 'Aging (AAA) / Medicaid Waiver Emergency Respiring Pool"]
    C --> E["Papa 4: Ke komo ʻana i ka hoʻomaha hoʻomaha kūʻokoʻa no ka wā pōkole ma ka noho kōkua ʻana a i ʻole ke keʻena kahu hānai mākaukau."]
    D --> E
    E --> F["Tier 5: Ka Hoʻokomo ʻia ʻana o ke Keʻena ʻOihana Kūʻē Kūʻē Kūʻē palekana / Hoʻoponopono Hoʻoponopono Kālā inā paʻa ka lāʻau lapaʻau"]

Papa 1: E koi aku i ka 'Oihana mālama Home e hoʻolālā i kāna Supervisory RN a i ʻole Priority-1 Backup Pool¶

Ke ʻōlelo ka luna hoʻonohonoho hoʻonohonoho, *"E kala mai, ua kāhea mai kou mea kōkua i ka maʻi a ʻaʻohe mea ʻē aʻe i loaʻa iā mākou i kēia lā," * mai ʻae i kēlā pane inā ua moe ke kanaka makua a ʻaʻole hiki ke waiho wale ʻia. E hoʻohana i kēia palapala kikoʻī:

"Hoʻokaʻawale ʻia koʻu makua ma ka Plan Emergency Triage Plan o kāu ʻoihana ma ke ʻano he Priority-1 High-Acuity maʻi e moe ana a hiki ʻole ke hoʻololi, halepaku, a lawe ʻole i nā lāʻau ola ola me ke kōkua ʻole. ʻAʻole loaʻa kahi kōkua pani, ke noi aku nei au e hele mai kahi kahu kahu hānai a luna paha i ka home e hana i nā lāʻau lapaʻau koʻikoʻi, ka halepaku, a me ka mālama hou ʻana, a i ʻole e hoʻokaʻawale kāu ʻoihana me kahi hui hoa ma kāu kālā i kēia lā."

Papa 2: E kāhea aku i ka Halemai Medicare "5-Day Inpatient Respice" a i ʻole "Hospice Hospice mau" (Inā ma ka Halemai)¶

Inā ua kākau inoa ʻia kāu mea aloha i ka Medicare Hospice Benefit (a i ʻole kahi papahana hospice palliative like), loaʻa iā ʻoe kahi ʻupena palekana i kauoha ʻia e ka federally i poina pinepine ʻia e nā ʻohana e hoʻohana: 1. 5 lā ka mālama hoʻomaha o ka maʻi maʻi: ma lalo o nā lula Medicare federal (42 CFR § 418.204), koi ʻia kēlā me kēia keʻena hospice e hoʻolako a hiki i 5 mau lā o ka mālama hoʻomaha o ka maʻi maʻi i loko o kahi keʻena kahu hānai i hōʻoia ʻia e Medicare, hale maʻi maʻi maʻi ʻole, a halemaʻi paha i ka wā i pau ai ka mea mālama maʻi. E kelepona i ka laina kahu hānai 24-hola i kēia manawa a e ʻōlelo: *"Ua haʻalele kā mākou mea mālama home i kā lākou hoʻololi a loaʻa iā mākou kahi pilikia mālama. 2. Hoʻomau Home Care (Crisis Care): Inā loaʻa ke kanaka makua i kahi pilikia hōʻailona koʻikoʻi i ka manawa like (e like me ka ʻeha nui, pōkole o ka hanu, agitated delirium, a i ʻole ka luaʻi mau ʻana), hiki i ka hale maʻi ke hoʻāla i ka Continuous Home Care, e kau ana i kahi kahu hānai laikini laikini a i ʻole ke kōkua olakino home ma ka ʻaoʻao o ka moe no **8 a hiki i ka 2 mau hola.

Papa 3: E hoʻokaʻaʻike aku i ka ʻĀpana ʻĀpana ma luna o Aging (AAA), Medicaid Waiver Case Manager, a i ʻole ka hui Duty Authority Local.¶

• Ma ʻAmelika Hui Pū ʻIa: Kāhea i kou kalana Area Agency on Aging (AAA) (e ʻimi ma o ka Eldercare Locator ma 1-800-677-1116) a i ʻole ka Medicaid Home and Community-Based Services (HCBS) Waiver Case Manager. He nui nā kalana e mālama i kahi Puna Hoʻomaha Hoʻomaha Hoʻomaha Hoʻomaha a i ʻole kahi papa inoa kelepona o nā mea hoʻolako mālama home ulia pōpilikia. Inā he kanaka koa ʻAmelika kou makua (a i ʻole he hoa ola ola), e kelepona i ka VA Caregiver Support Line ma 1-855-260-3274 no ke noi ʻana i ka uhi hoʻomaha hoʻomaha o VA.
• Ma ʻAmelika Hui Pū ʻIa: Kāhea aku i kāu Puʻupuʻu Hana Hoʻomākaʻikaʻi Hoʻomākaʻikaʻi Kūloko o ka Mana Kūloko (Puʻupuʻu Hana Kaiāulu ma waho o nā hola). Ma lalo o ka Care Act 2014, inā hāʻule koke ka pūʻolo mālama kanaka makua, he kuleana ko ka Local Authority e komo i loko a hoʻonohonoho i ka mālama home pani pani pilikia a i ʻole kahi moena hoʻomaha noho no ka wā pōkole.
• Ma Kanada a me Australia: Ma Kanada, e kelepona i kāu panalāʻau Home and Community Care Support Services (e like me Ontario Health atHome) ka mea hoʻoponopono mālama e hoʻomaka i ka piʻi wikiwiki ʻana o PSW (Personal Support Worker) a i ʻole kahi hoʻomaha pōkole. Ma Australia, e kelepona i ka Carer Gateway ma 1800 422 737 (24 hola o ka lā, 7 lā o ka pule) e hoʻonohonoho i ka Emergency Respite Care i kākoʻo kālā ʻia e ke Aupuni Australia, nāna e hoʻouna aku i kahi limahana kākoʻo ma ka home a i ʻole e puke i kahi moe hoʻomaha no ka poʻe ʻelemakule i loko o nā hola.

Papa 4: E puke i kahi moena hoomaha no ka manawa pōkole ma kahi kahu hānai akamai a i ʻole ke keʻena noho kōkua.¶

ʻO ka hapa nui o nā Keʻena Nursing Skilled Nursing Facilities (SNFs) a me Assisted Living Facilities i hoʻolaʻa ʻia i Nā lumi hoʻomaha pōkole hiki ke ʻae i kahi kanaka makua no kahi noho 3-a-14 mau lā ke pau ka mālama home. E mālama i kope o ka History Physician History and Physical (H&P), Medication List, a me ka hoʻomaʻemaʻe TB i loko o kahi "Go-Folder" i hiki i kahi keʻena kūloko ke hoʻopaʻa i kahi hoʻomaha hoʻomaha pilikia i ka lā hoʻokahi.

Papa 5: Pehea e hana ai i ka mālama pono ʻana i kahi moe no nā hola he 12 e hiki mai ana¶

Inā pono ʻoe e mālama iā ʻoe iho i kahi ʻelemakule moe moe i ka pō a hiki mai ke kōkua pani, mai hoʻāʻo e hāpai i ke kanaka makua kaumaha ma lalo o ko lākou mau ʻāʻī, e hoʻoulu ai i ka herniation disc spinal disc a me ka hoʻokaʻawale ʻana i nā hui poʻohiwi palupalu o ke kanaka makua. - E hoʻohana i kahi ʻōwili pepa no nā hoʻololi pōkole a me ka hoʻonohonoho hou ʻana i loko o kahi moe: E mālama i ke kanaka makua ma kahi moe ma mua o ka hoʻāʻo ʻana e hoʻololi i ka noho huila kaʻawale. E pelu i ka pepa moe pulupulu ma ka hapalua ma lalo o ko lakou lama (e hooloihi ana mai ka poohiwi a i ka uha). E kū kokoke i ka moena me kou mau kuli e kukuli, e ho'opa'a i ka lihi o ka pepa huki ma kahi kokoke i ka po'ohiwi a me ka 'ūhā o ke kanaka makua, a e ho'one'e i ke kaumaha o kou kino i hope e 'oloka mālie i ka 'elemakule ma kona 'ao'ao ma ke kihi 30-degere. E hoʻoheheʻe i kahi pahu puʻupuʻu maʻemaʻe a me ka wai ʻole ma lalo o ko lākou kua, e ʻōwili iā lākou i hope ma luna o ka puʻu ma kekahi ʻaoʻao, a huki i ka papa maʻemaʻe. No nā ʻanuʻu hoʻohuli kikoʻī, e ʻike ʻo ka maʻi ʻeha, ka maʻi pae 3-4, a me ka huli ʻana o ka mea maʻi.

Māhele 4: He aha ka mea e hana ai ke ʻaihue ke kōkua olakino home i ke kālā, nā mea nani, a i ʻole nā lāʻau lapaʻau¶

ʻO ka hoʻohana kālā a me ka hoʻololi ʻana i nā lāʻau lapaʻau e nā limahana o ka home kekahi o nā hewa e ulu wikiwiki ana i ka poʻe ʻelemakule no ka mea ʻaʻole i nānā pono ʻia nā mea kōkua i nā lumi moe, nā leka uila, nā kelepona, a me nā keʻena lāʻau lapaʻau no 8 a 24 mau hola i ka lā. Ke hilinaʻi nei ka poʻe hana hewa i ka hemahema o ka naʻau o ke kanaka makua, ka makaʻu i ka hoʻopaʻi ʻana, a i ʻole ka hilinaʻi kino e hūnā i ka ʻaihue no nā mahina.

KaʻAnuʻu Hana 1: E ʻike i nā ʻano ʻokoʻa ʻelua o ka ʻaihue kahu mālama¶

KaʻAnuʻu Hana 2: E hoʻokō i ka 60-minuke Kino, Kikohoʻe, a me Waiwai Lockdown¶

Ke puka palekana mai ka hale ka mea i manaʻo ʻia, e hoʻopiha i kēia papa inoa ma ke ʻano:

• 1. Hoʻololi koke i nā hōʻoiaʻiʻo a pau o ke kino:
• E hoʻololi i ka hui ʻana o ka mīkini 4-helu ma kekahi o waho ** pahu pahu kī kī mālama mālama ** (a hoʻoneʻe i ka pahu laka ma waho o ka ʻike).
• Holoi i ka PIN mea hoʻohana o ke kōkua a i ʻole kī Bluetooth mai nā smart deadbolts a pau, nā kī kī puka hale kaʻa, a me nā panela hoʻāla palekana home.
• Inā paʻa ka mea kōkua i ke kī hale metala kino (ʻoiai no 10 mau minuke e hele ai i ka ʻīlio), e manaʻo ʻoe ua ʻoki ʻia kahi kope hale kūʻai lako $3; e hoʻihoʻi a hoʻololi paha i ka cylinder deadbolt i kēia lā (ʻike nalowale nā kī no ka home, kaʻa, a keʻena paha).
• 2. E nānā i ka waena a me ke kua o kēlā me kēia puke kikoʻī a hoʻopaʻa i nā waihona waihona:
• ʻAʻole loa e haehae ka poʻe ʻaihue i nā kikoʻī mai ke alo o ka papa inoa o ka puke nānā; huki lākou i 3 a i 5 mau kiko kikoʻī mai ka hope o ka puke a i ʻole mai kahi pahu i wehe ʻole ʻia o nā māka pani i loko o kahi pahu pahu.
• Kāhea i ka Elder Fraud Department e hoʻokuʻu i ka waihona hōkeo, wehe i kahi helu moʻokāki hou, e hoʻopaʻapaʻa i nā loiloi hoʻopunipuni a i ʻole nā hana ACH/debit ʻae ʻole ma lalo o Regulation E (12 CFR § 1005.6) a me Uniform Commercial Code (UCC) § 4-406, a kau i kahi hōʻaiʻē me ka hoʻohana ʻana i kā mākou Transx, Experian. ka hoʻohana kālā kiʻekiʻe a me ke alakaʻi pale scam.
• 3. E hoʻopaʻa i ka Smartphone, Papa, a me nā mea kōkua leo o ka Senior:
• E wehe i ke kelepona o ke kanaka makua a nānā i Settings > Face ID / Touch ID & Passcode no ka hōʻoia inā ua kākau inoa ʻia kahi "Alternate Appearance" a i ʻole ka manamana lima ʻike ʻole ʻia e ke kōkua.
• E nānā iā Zelle, Venmo, Cash App, PayPal, Apple Cash, a me Amazon nā moʻolelo kauoha, a e nānā i ka ** Trash / Recently Deleted** folder i loko o nā Messages and Mail apps (hoʻopau pinepine ka poʻe ʻaihue i nā code SMS hōʻoia 2-factor a me nā loaʻa kālā hoʻoili kālā i hoʻoiho ʻia mai ke kelepona o ke kanaka makua).
• 4. Hana i ka helu ʻana i ka pila Forensic a me ka ʻike ʻike Pill:
• E ninini i kēlā me kēia ʻōmole waiwai ma luna o kahi pā pepa keʻokeʻo maʻemaʻe. E helu i ka helu pololei o nā papa i koe a e hoʻohālikelike me ka La Dispense Date, Daily Dispensed, a me Daily Directions o ka lepili kuhikuhi.
• E nānā i ka ** code imprint** i hoʻopaʻa ʻia ma kēlā me kēia pila me ka hoʻohana ʻana i ka ʻike pili pili (a i ʻole e lawe i ka ʻōmole i kāu kauka lāʻau lapaʻau) e hōʻoia i ka pili maoli ʻana o nā pila i loko o ka ʻōmole me ka lāʻau i kuhikuhi ʻia a ʻaʻole i hoʻololi ʻia me nā mea like.

KaʻAnuʻu 3: Pehea e loaʻa ai kahi hoʻopihapiha hoʻopihapiha hoʻopihapiha no nā lāʻau lapaʻau i ʻaihue ʻia¶

Inā ʻaihue kekahi mea kōkua i ka lāʻau ʻeha a kou makua a i ʻole ka lāʻau anti-anxiety, e hōʻole ʻokoʻa ka kamepiula lāʻau lapaʻau a me nā PBM inikua i kahi hoʻopiha hou e like me "Refill Too Soon." No ke kāpae ʻana i kēia poloka ma ke kānāwai me ka uku ʻole ʻana i nā haneli kālā mai loko mai o ka ʻeke a i ʻole ka ʻae ʻana i kou makua e hoʻihoʻi: 1. E kelepona koke aku i kāu keʻena makai kūloko a waiho i kahi hōʻike ʻaihue maʻamau e helu pono ana i ka inoa lāʻau pololei, ikaika, helu Rx, inoa lāʻau lapaʻau, a me ka helu pololei o nā papa i ʻaihue ʻia. E kiʻi i ka Ka inoa o ka luna, ka helu hōʻailona, ​​a me ka helu hōʻike hōʻike makai. 2. E kelepona i ke kauka kuhikuhi (a i ʻole kahu hānai) a hāʻawi iā lākou i ka Helu Hōʻike Makai. Ma lalo o nā lula o ka US Drug Enforcement Administration (DEA) a me nā kānāwai hoʻomalu o ka mokuʻāina, hiki i ke kauka ke hoʻopuka i ka palapala leka uila hou no kahi mea i hoʻomalu ʻia i ka Schedule II-V i ka wā i loaʻa ai ka ʻaihue palapala. 3. E noi i ke kauka lāʻau lapaʻau e kelepona i ka ʻinikua Pharmacy Help Desk no kahi "Stolen Medication Police-Report Override": E hāʻawi i ka helu hōʻike mākaʻi i ka lāʻau lapaʻau i hiki iā lākou ke hoʻokomo i kahi Code Clarification Submission ma luna o ka hōʻole "Refill Too Soon".

KaʻAnuʻu Hana 4: Pehea e hoʻihoʻi ai i ke kālā i ʻaihue ʻia a i ʻole nā ​​mea nani ma o ka Dishonesty Bond and Insurance¶

Inā ʻoe i hoʻolimalima i ke kōkua ma o ka Home Care Agency i laikini ʻia ma mua o ke kaʻawale ʻana ma lalo o ka papaʻaina, mai ʻae i ka mea nona ke keʻena e haʻi iā ʻoe he mea pilikino maoli ka ʻaihue ma waena o ʻoe a me ka limahana haʻahaʻa.

Ma ka hapa nui o nā mokuʻāina ʻo ʻAmelika a me nā ʻāina ʻāina, hoʻolaha nā keʻena mālama home laikini a koi ʻia e lawe i ʻekolu papa o ka pale kālā: 1. Fidelity / Employee Dishonesty Bond (Crime Insurance): Hoʻopili kikoʻī ʻia ka ʻaihue i ke kālā o ka mea kūʻai aku, nā kikoʻī, a i ʻole ka waiwai pilikino (e like me nā apo mare a me nā wati) i hana ʻia e kekahi limahana keʻena ma ka hale o ka mea kūʻai. E hoʻomanaʻo i ka nui o nā palapala hoʻopaʻa paʻa pāʻoihana i loaʻa he "Conviction Clause" a i ʻole "Police Report Clause" e koi ana iā ʻoe e waiho i kahi hōʻike mākaʻi kūhelu (a i kekahi manawa e hoʻopiʻi ʻia) ma mua o ka uku ʻana o ka mea hoʻopiʻi bona; ʻO ka waiho ʻana i kahi hōʻike mākaʻi ma ka lā 1 e pale i kāu koi palapala. 2. ** Inisiua Kuleana Nui a ʻOihana:** Uhi i ka ʻeha kino, pōʻino waiwai, a me ka mālama mālama ʻole ʻia (no ka laʻana, inā ʻaʻole i hoʻokō ka ʻoihana i ka mākaʻikaʻi hewa o ka mokuʻāina a i ʻole ka nānā ʻole ʻana i nā hoʻopiʻi ʻaihue ma mua o ke kōkua like). 3. ** ʻO ke kuleana kūʻokoʻa a me nā hana kālepa hoʻopunipuni: ** Inā kūʻai aku kekahi ʻoihana i kāna mau mea mālama ma ke ʻano he "hoʻopaʻa ʻia, hoʻopaʻa ʻia, a nānā pono ʻia," e koi ma ke kākau ʻana i ka Certificate of Insurance (COI) a me ka inoa a me ka helu kulekele o kā lākou Fidelity Bond carrier i loko o 48 mau hola.

Palapala huaʻōlelo no ka huaʻōlelo: E noi i ka leka i ka Home Care Agency ma hope o ka ʻaihue a haʻalele ʻia paha¶

*"I: [Name], Luna Ho'okele / Luna Ho'oponopono, a me ka 'Oihana Ho'okele Risk ma [Home Care Agency Name].

E ʻoluʻolu e ʻoluʻolu ma ka [La], ua haʻalele kāu limahana ʻoihana [Aide's Name] [haʻalele i kā lākou neʻe ʻana me ka waiho ʻana i kahi kanaka makua hilinaʻi moe moe ʻole / ʻaihue i nā waiwai a me nā kālā o ka inoa Klii, i kākau ʻia ma lalo o ka Hōʻike ʻOihana Makai #[Helu]]. Mai ʻae iā [Aide's Name] e hoʻi i [Property Address] ma lalo o nā kūlana.

Ke koi aku nei mākou e mālama koke ʻoe i nā moʻolelo hana a pau no [Aide's Name], me kā lākou nānā ʻana i ka hewa ma mua o ka hana, ka hōʻoia ʻana o ka Nurse Aide Registry, nā māka kuhikuhi, GPS Electronic Visit Verification (EVV) log-in/clock-out logs, a me nā hoʻopiʻi a nā mea kūʻai aku ma mua o nā palapala hoʻopaʻi.

E ʻoluʻolu e hāʻawi mai i loko o 48 mau hola i ka inoa, ka helu kulekele, a me nā ʻike pili pili no ka Employee Dishonesty / Fidelity Bond carrier a me General/Professional Liability insurer i hiki iā mākou ke waiho i kā mākou koi kūhelu no ka hoʻihoʻi ʻana i [$Amount / itemized mea i ʻaihue ʻia]. Ke waiho ʻia nei nā kope o kēia hoʻolaha me nā lawelawe mālama ʻo Adult Protective Services, ka Mokuʻāina ʻo State Department of Health Home Licensing Division, a me ka State Nurse Aide Registry."

Pehea e pale ai i ka ʻaihue a me ka haʻalele ʻana o ka mea mālama home¶

Ma mua o ka lawe ʻana i kahi mea kōkua pani i loko o ka home, e hoʻokomo i kēia mau pale pale ʻehā e pale ai i ka poʻe ʻelemakule a me nā mea mālama pono:

• 1. E hoʻouka i kahi Biometric Lockbox (a i ʻole Keyed Med-Safe) no nā lāʻau i hoʻomalu ʻia a me nā waiwai waiwai: Mai waiho ʻoe i nā ʻōmole oxycodone, morphine, benzodiazepines, nā puke nānā, a i ʻole nā ​​mea nani i loko o kahi keʻena lumi ʻauʻau hāmama a i ʻole ka pahu pahu pō. E mālama i 7 lā i hoʻopaʻa ʻia i ka lāʻau lapaʻau maʻemaʻe ma ke keʻena no nā lāʻau lapaʻau maʻamau, a laka i nā ʻōmole kuhikuhi nui, nā ʻāpana fentanyl hou, nā puke nānā, a me nā kāleka hōʻaiʻē ʻokoʻa i loko o kahi biometric fingerprint safe hiki i nā lālā o ka ʻohana ke wehe.
• 2. E hoʻohana i kahi "Kāleka Hoʻolilo Hoʻomākaʻikaʻi Kūʻai" Manaʻo Ma kahi o nā Kāleka kālā a i ʻole nā ​​kāleka hōʻaiʻē: Mai hāʻawi i kahi mea kōkua i ke kāleka hōʻaiʻē pilikino a ke kanaka makua, PIN, a i ʻole nā ​​​​koke i hoʻopaʻa ʻia e kūʻai i nā mea kūʻai a i ʻole nā ​​​​mea lāʻau. E hoʻohana i ke kāleka i uku mua ʻia e ka mea mālama mālama (e like me True Link a i ʻole kāleka haʻahaʻa haʻahaʻa hiki ke hoʻouka hou ʻia) e poloka ana i ka hoʻihoʻi ʻana i ke kālā ATM, poloka i nā mea kūʻai wai ʻona/kasino, a hoʻouna i kāu kelepona i ka manawa maoli i ka wā e swiped ʻia ai kahi kūʻai.
• 3. E hoʻouka i nā kiʻi paʻi kiʻi maʻamau i ʻike ʻia a me nā moʻo loiloi Smart-Lock (Ma muli o nā kānāwai ʻae o ka mokuʻāina): E kau i nā pahu kiʻi Wi-Fi ʻike ʻia i kuhikuhi ʻia ma nā puka komo mua/hope, palekana lāʻau lapaʻau, a me ** mau wahi noho/hoʻololi nui ** (ʻaʻole loa i loko o ka lumi lumi a i ʻole ke keʻena moe mālama pilikino). Ma nā mokuʻāina hoʻopaʻa leo a pau, e hoʻohuli i ka leo hoʻopaʻa leo a i ʻole e hoʻokomo i kahi Video & Audio Monitoring Consent Addendum i pūlima ʻia i loko o ka ʻaelike keʻena mālama home a kau i kahi leka ʻike ʻia ma ka puka mua. Hāʻawi nā deadbolts akamai i hui pū ʻia me kahi pahupaʻikiʻi hoʻokomo iā ʻoe i kahi lāʻau manawa i hoʻopaʻa ʻia e hōʻike ana i ka minuke pololei i hiki mai ai kahi mea kōkua a haʻalele, e pale ana i ka hoʻopunipuni ʻana i ka pepa manawa.
• 4. E hōʻoia kūʻokoʻa i ka Registry Nurse Aide State a me Criminal Background iā ʻoe iho: Mai lawe i ka ʻōlelo a kahi ʻoihana limahana ua hoʻopaʻa ʻia kahi kahu mālama. E nānā i ka inoa piha kānāwai o ka mea mālama ma ka lehulehu Nurse Aide Registry (CNA / HHA Registry) a me Department of Health Abuse & Neglect Exclusion List (a i ʻole Office of Inspector General LEIE Exclusion Database ma US, a me Disclosure and Barring Service (DBS) ma UK) ma mua o ko lākou hoʻololi mua ʻana.

Nīnau pinepine¶

He hewa anei inā hele ka mea kōkua ola home uku i waena o ka hoʻololi a haʻalele i koʻu makua moe moe wale?¶

ʻAe, ke ʻae ka mea mālama uku, Certified Nursing Assistant (CNA), a i ʻole Home Health Aide i kahi hana hoʻololi a mālama i kahi kanaka makua hilinaʻi, moe moe, a i ʻole naʻau naʻau a hele i waho me ka ʻole o ka hāʻawi ʻana i ka mālama i kahi pani palekana a i ʻole ka hāʻawi ʻana i ka leka hoʻomaopopo kūpono, ʻo ia ka haʻalele ʻana i ka maʻi a me ka mālama hewa ʻana i ke kanaka makua palupalu. E hōʻike koke i ka huakaʻi hele i nā luna kānāwai kūloko, nā lawelawe mālama makua (APS), kāu mokuʻāina ʻo ka Mokuʻāina ʻo Health Home Care Licensing division, a me ka State Nurse Aide Registry no laila e hōʻailona ʻia a nānā ʻia kā lākou palapala hōʻoia.

Pehea e loaʻa ai iaʻu kahi lāʻau lapaʻau e hoʻopiha hou i ka lāʻau ʻeha a koʻu makua inā ʻaihue ke kōkua olakino home i nā lāʻau?¶

Hoʻopaʻa kānāwai nā lāʻau lapaʻau a me nā hoʻolālā ʻinikua i ka hoʻopiha hou ʻana o ka Hōʻike II ma o ka V (e like me ka oxycodone, morphine, fentanyl patches, a i ʻole lorazepam) ke ʻole ʻoe e loaʻa i kahi helu hōʻike o ka Police Incident Report Number e palapala ana i ka ʻaihue. E kelepona koke aku i ka oihana makai o kou wahi e waiho i ka hoike aihue e kakau ana i ka inoa pololei o ka laau lapaau, ka helu kaukaukau, a me ka helu o na pila, e haawi aku i ka helu helu makai i ke kauka kuhikuhi i hiki ai ia lakou ke hooili i ka palapala kauoha hou, a e noi aku i ke kauka lapaau e kelepona i ke keena kokua laau lapaau o ka mea insurer no ka hoopau ana i ka laau aihue.

He kuleana kālā anei ka ʻoihana mālama home inā ʻaihue kā lākou limahana i ke kālā a i ʻole nā ​​mea nani mai ka hale o koʻu makua?¶

Ma ka hapanui o nā ʻāina, pono nā keʻena mālama home laikini e lawe i kahi Employee Dishonesty Bond (Fidelity Bond) a me ka ʻinikua kuleana, a hiki ke hoʻopaʻa ʻia lākou no ka hoʻolimalima haʻahaʻa ʻole a nānā ʻole inā ʻaʻole lākou i hana i ka nānā ʻana i ka hewa a i ʻole ka nānā ʻole ʻana i nā hoʻopiʻi mua. E hoʻouna i kahi koi palapala i ka luna hoʻomalu i loko o 48 mau hola e noi ana i ka inoa a me ka helu kulekele o kā lākou Fidelity Bond a me ka mea lawe ʻinikua kuleana, a hāʻawi i kope o kāu hōʻike mākaʻi a me ka papa inoa pohō i helu ʻia e waiho i kahi koi hoʻihoʻi pololei.

Hiki iaʻu ke hoʻokomo i nā "nanny cams" huna i loko o ka home o koʻu makua e hopu i kahi kōkua olakino home e ʻaihue a mālama ʻole paha iā lākou?¶

ʻO ke kānāwai o nā pahupaʻikiʻi i loko o kahi home pilikino e pili ana i ka hoʻopaʻa ʻana o ka pahupaʻikiʻi wikiō a i ʻole nā ​​​​leo wale nō, kahi i waiho ʻia ai, a me nā kānāwai wiretapping o kou mokuʻāina a ʻāina paha. ʻO nā kiʻi wikiō wale nō ma nā wahi maʻamau, nā alaloa, nā lumi kuke, a me nā lumi hoʻokipa he kānāwai ma nā ʻāina āpau ke ʻae ʻia e ka mea nona ka hale a i ʻole ko lākou Mana o ka Loio, ʻoiai ʻo nā kāmela i loko o nā lumi lumi a i ʻole nā ​​​​lumi moe mālama pilikino he mea hewa loa ia, a ʻo ka hoʻopaʻa ʻana i nā leo me ka ʻae ʻole he felony ia ma nā mokuʻāina āpau a ke ʻole ʻoe e kau inoa i kahi leka hoʻomaopopo.

Nānā ʻia nā kumu¶

• Nā Center for Medicare and Medicaid Services (CMS, United States): Nā Kūlana o ke Komo ʻana no nā Keʻena Ola Ola (42 CFR Part 484: Hoʻomākaukau Hoʻomaʻamaʻa Emergency a me Backup Care Planning) a me Medicare Hospice Respite Care Rules (42 CFR § 418.204).
• 'Aha Kūkākūkā Lahui o nā Moku'āina o nā Papa kahu hānai (NCSBN, United States) a me ka Moku'āina Nurse Aide Registry: Patient Abandonment vs. Employment No-Show Regulatory Enforcement Standards.
• Consumer Financial Protection Bureau (CFPB, United States) and Department of Justice Elder Justice Initiative: Ka hōʻike ʻana a me ka hoʻihoʻi ʻana mai ka mālama kālā i loko o ka hale a me ka hoʻoponopono E / UCC § 4-406 Protections.
• ʻO ka hoʻokō ʻana i ka lāʻau lapaʻau (DEA, ʻAmelika Hui Pū ʻIa): *Alakaʻi a ka Luna Hoʻonaʻauao o ke kānāwai i hoʻopaʻa ʻia no ka hoʻololi mua ʻana i nā palapala kuhikuhi II-V i ʻaihue ʻia.
• Ke Keʻena ʻOihana Ola a me ka mālama ola kino a me ka mālama maikaʻi ʻana (CQC, United Kingdom): Care Act 2014 Pauku 42 Safeguarding Inquiries and Domiciliary Care Agency Provider Duties.
• Ke Keʻena ʻOihana Ola a me ka mālama ʻana o ke Aupuni Australia: Carer Gateway 24/7 Nā lawelawe mālama hoʻomaha hoʻomaha pilikia a me ka hoʻolālā ʻana i nā hanana pilikia nui (SIRS).

Nā alakaʻi pili¶

• ʻAʻole hiki ke mālama ʻia a me ka hoʻopakele kanaka makua
• ʻO ka hoʻohana kālā nui a me ka pale scam
• ʻO ka maʻi ʻeha, ka maʻi o ka pae 3-4, a me ka huli ʻana o ka mea maʻi ʻole
• ʻO ka lāʻau lapaʻau nalo, hoʻopiha hou i ka pilikia, a me ka pale ʻana i ka wehe ʻana
• Nā helu ulia pōpilikia honua