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Iyo umurezi wenyine ari mu bitaro cyangwa adafite ubushobozi

Imibare yihutirwa itandukanye nigihugu. Uru rupapuro rukoresha 911, umubare kuri Amerika na Kanada. Ibindi bihugu byinshi bikoresha 112, 999, cyangwa undi mubare. Shakisha umubare wigihugu cyawe.

Abantu babarirwa muri za miriyoni bakuze bafite ikibazo cyo guta umutwe ku buryo bukabije, indwara ya Parkinson, ubumuga bwa stroke, quadriplegia, cyangwa ubumuga bwiterambere bakomeza kubaho mu rugo gusa kubera ko umwe mu bashakanye witanze, umwana ukuze, cyangwa umubyeyi atanga ubuvuzi bw'amasaha 24. Kimwe mu bintu byihutirwa byirengagizwa kandi biteye ubwoba mu buvuzi bibaho igihe uwo ** umurezi w’umuryango wenyine ** yahuye n'indwara y'umutima, inkorora, kugwa bikabije, cyangwa impanuka y'imodoka, cyangwa apfa mu buryo butunguranye mu rugo, agasigara umuntu mukuru utunzwe wenyine wenyine, adashobora gutegura ibiryo bikiza ubuzima, adashobora kuva mu buriri ngo akoreshe umusarani, cyangwa atazi ko abarezi babo batagira ubwenge.

Iyo serivisi zubuvuzi bwihutirwa (EMS) zitwara umurezi utazi ubwenge cyangwa ubishaka kure yububiko cyangwa umuhanda munini, cyangwa mugihe umurezi wenyine yaguye murugo agahita ajyanwa mubuvuzi bukomeye, umuntu ukuze usigaye inyuma ahura nidirishya rikaze ryo kubura umwuma, kubura insuline cyangwa imiti igabanya ubukana, kuzerera, rhabdomyolysis kuva muburiri kugeza kumasaha 24. Ku rundi ruhande, abarezi b'abana bafite ububabare bwo mu gatuza cyangwa ibimenyetso by'ubwonko bakunze kwanga ko inkeragutabara zibajyana mu bitaro kuko bafite ubwoba bwo guhamagara 911 bizatera uwo bashakanye cyangwa umwana wamugaye umwana ukuze gutereranwa cyangwa gushyirwaho burundu. Aka gatabo gatanga protocole ifatika, intambwe-ku-ntambwe yo gutabara umuntu ukuze utitezwe ako kanya, gukora ibitaro byihutirwa byinjira-byinjira cyangwa ibitanda by’uburuhukiro bwa Medicare / Medicaid utabuze uburinzi, kandi ugashyiraho ikarita yita ku barwayi bita Wallet Alert Card na Care Binder mbere y’ikibazo kibaye.

Kora ubu

  1. ** Hamagara serivisi zihutirwa ako kanya niba umurezi cyangwa umuntu mukuru wishingiwe afite ibyago byo kwa muganga cyangwa agasigara atitabiriwe.911 muri Amerika no muri Kanada, 112 hirya no hino mu muryango w’ubumwe bw’ibihugu by’Uburayi, 999 mu Bwongereza) dukoresheje ibyacu nimero yihutirwa ububiko.
  2. ** Menyesha mu buryo bweruye inkeragutabara, abatumwe 911, n’umuforomokazi w’ibitaro: "Ninjye wenyine wita ku 24/7 ku muntu ukuze utunzwe wenyine wenyine kuri [Aderesi y’umuhanda]." ** Ntukibwire ko mudasobwa y'ibitaro izi ko umuntu ategereje mu rugo. Ongera usubiremo aya magambo ku bakozi ba ambulance hamwe n’umuforomo ushinzwe ishami ryihutirwa kugira ngo igenzure ryihuse ry’abapolisi / EMS hamwe n’umuganga w’ibitaro byihutirwa by’ibitaro ** bitangira mu minota mike.
  3. ** Ntuzigere wanga gutwara ambilansi irokora ubuzima kubera gutinya gusiga uwo ukunda; saba EMS kuzana umuntu ukuze wishingikirije hamwe nawe muri ambulance cyangwa utegure icyarimwe icyarimwe. ** Niba nta muturanyi cyangwa umuvandimwe ushobora kwinjira munzu mu minota 15, inkeragutabara n’abakozi bashinzwe kuzimya umuriro bashyizeho protocole yo gutwara uwo mwashakanye / umuntu mukuru uturanye nawe ku ishami ryihutirwa (aho Umukozi ushinzwe imibereho myiza y’ibitaro ashobora kubagenzura no gutegura uburiri bw’agateganyo mu cyumba cyawe cyo guturamo).
  4. ** Sobanurira ibikorwa by’ibikorwa by’imibereho n’ibitaro bikingira abantu bakuru (APS) ko iyi ari "Ubushobozi buke bw’ubuvuzi bwita ku barwayi," ntabwo ari ukwirengagiza nkana cyangwa gutererana. Vuga mu buryo bweruye: * "Umurezi w'ibanze yagize ikibazo cyihutirwa cy’ubuvuzi gitunguranye kandi yemererwa ku [Izina ry’ibitaro]; dukeneye ko byihutirwa by’agateganyo kugeza igihe umwe mu bagize umuryango wongeye kugaruka cyangwa umurezi akize." *
  5. ** Shakisha agapaki "Akadomo k'umuhondo / File of Life" kumuryango wa firigo kugirango umenye imiti nyayo yumuntu ukuze, ubumenyi bwibanze, hamwe n’ingaruka zo kuzerera.
  6. ** Kora amasaha 72 kugeza kuminsi 5 Yihutirwa Yihutirwa Yihutirwa Binyuze mu Kigo gishinzwe Agace (Gusaza) 1-800-677-1116), Ibitaro, cyangwa VA.

Urugero A: Ni wowe wenyine wita ku bana kandi ufite ikibazo cyihutirwa cyo kwa muganga

Abarezi b'abana bahora bapfa bazize indwara ziterwa na myocardial infarction, embolisme pulmonary, cyangwa appendicite kubera ko bicaye murugo batekereza nabi, * "Ntabwo nshobora kujya mu bitaro; ninde uzagaburira umugabo wanjye na Alzheimer cyangwa ngo ahindure umukobwa wanjye mu buriri bwe bwo mu bitaro?"

1. Icyo wabwira abatumwe 911/112/999 n'abashinzwe ubutabazi bahageze

Mugihe uhamagaye ibikorwa byihutirwa kubwawe, tanga uwagutumye amakuru atatu yihuse mumagambo yawe yambere:

  1. ** Ikimenyetso cyawe gikomeye cyubuvuzi: ** * "Mfite ububabare bwo mu gatuza no guhumeka neza." *
  2. ** Kubaho no kumiterere yumukunzi wawe utunzwe: ** * "Ninjye wenyine nita kubo twashakanye mfite imyaka 82 ufite ikibazo cyo guta umutwe, ntashobora kugenda, kandi ntashobora gusigara wenyine kumunota umwe." *
  3. ** Amabwiriza yo kwinjira ku muryango: ** * "Urugi rw'imbere rwarafunzwe kandi sinshobora guhaguruka ngo ndakingure; kode yo gufunga ku rubaraza rw'ibaraza ni [1234] [cyangwa ubwire ishami rishinzwe kuzimya umuriro guhatira umuryango]." *

2. Amahitamo yawe atatu ahita iyo ambulance igeze kumuryango wawe

Inkeragutabara n’abashinzwe kuzimya umuriro ntibazigera ** basohoka mu nzu bagasiga uburiri cyangwa umuntu mukuru wataye umutwe wenyine wenyine mu nzu irimo ubusa. Ukurikije ibyo umukunzi wawe agenda hamwe nibikoresho byubuvuzi, EMS izakora imwe muri eshatu zoherejwe:

  • ** Icya 1: Ambulance icyarimwe / Gutwara umuriro mu ishami ryihutirwa ryibitaro (Byinshi & Byihuta): ** Niba uwo ukunda ashobora kwicara mu kagare k'abamugaye cyangwa mu ntoki kandi nta muntu wo mu muryango ushobora kugera mu rugo mu minota 20, saba inkeragutabara kugira ngo ** uzane uwo ukunda hafi yawe mu bitaro byihutirwa **. Amashami yihutirwa yibitaro yemerera buri gihe cyangwa gufata uwo bashakanye / umuntu ukuze nka ** "Social Hold / Caregiver Incapacitation Boarding Patient" ** (cyangwa kubemerera kubisuzumisha kwa muganga niba badafite umwuma cyangwa bafite ubuvuzi) mugihe mugihe ibitaro by’ibitaro by’ibitaro 24/7 bihuza uburiri bw’agateganyo bw’ubuforomo cyangwa bagategereza kugera mu bavandimwe bo hanze.
  • ** Icya 2: Abakozi bashinzwe kuzimya umuriro / Umukozi wa Polisi ushinzwe umuganda aguma kuri Scene kugeza aho Backup igeze: ** Niba murumuna wawe, umukobwa wawe, cyangwa umuturanyi wawe asanzwe ari mumodoka yabo atwaye imodoka iwanyu akaza kuhagera muminota 20 kugeza 45, ambulance izahita ikwihutira kujya mubitaro mugihe abakozi ba moteri yumuriro cyangwa umupolisi bagumye mumuryango wawe bicaye mumutekano kugeza igihe umurezi winyuma yinyuze mumuryango.
  • ** Icya 3: Guhita ukora ibikorwa byihutirwa byihutirwa byo mu Ntara / Ikipe ishinzwe ibibazo bya mobile: ** Mu ntara nyinshi no mu Bwongereza (** Carers Emergency Card Rapid Response **), kohereza EMS birashobora guhamagara umuhamagaro w’abatabazi byihutirwa mu rugo cyangwa inzobere mu kurinda ubutabazi bwihutirwa.
flowchart TD
    A["Umurezi wenyine arababara mu bitaro Bitunguranye, Gusenyuka, cyangwa Urupfu"] --> B{"Ari Abakuze Biterwa Nubu?"}
    B -->|With Caregiver at Home During EMS Call| C{"Urashobora gusubira inyuma umuryango / umuturanyi ushobora kugera muminota 20?"}
    C -->|Yes| D["Ambulance itwara abarezi; Umuriro / Polisi Guma kuri Scene kugeza Umuryango ugeze"]
    C -->|No| E["EMS Itwara Abakuze Biterwa NUmurera Mubitaro ER Kubikorwa Byimibereho"]
    B -->|Alone at Home (Caregiver Collapses Away from Home)| F["Menyesha ER Umuforomo / Polisi Ako kanya Ukoresheje Ikarita Yita ku Mufuka"]
    F --> G["Igipolisi / EMS Kora Imibereho Yibanze Kugenzura & Kwinjira ku gahato niba bikenewe"]
    G --> H["Suzuma Abakuze Biterwa na Dehydrasiyo, Meds zabuze, Kugwa, cyangwa Hypoglycemia"]
    E --> I{"Ninde ushobora gutanga 24/7 Kwita kuminsi 3 kugeza 14?"}
    H --> I
    I -->|Out-of-Town Family En Route| J["Ibitaro Byimibereho cyangwa Amasaha 72 Yihutirwa Murugo Umufasha wo kuruhuka"]
    I -->|No Family Available / Complex Medical Needs| K["Koresha AAA / Medicaid Waiver / VA / Ibitaro Iminsi 5 Yuburuhukiro"]

Urugero B: Umurezi wenyine arwariye mubitaro kure yurugo (cyangwa yavumbuwe nta ubwenge / wapfuye)

Iyo umurezi yakomerekeye mu mpanuka y'imodoka, agwa mu iduka ricururizwamo ibiribwa, cyangwa ugasanga nta ubwenge cyangwa yapfuye mu rugo akoresheje igenzura ry’imibereho, icyihutirwa ni ugutabara no kuvura abaganga batunzwe n’isaha ya mbere.

1. Gukora imibereho yihutirwa Kugenzura iyo umurezi ari muri ER

Niba wakiriye terefone ko umuvandimwe cyangwa inshuti ugeze mu za bukuru ari umurezi w'igihe cyose yinjiye mu bitaro, cyangwa akaba atitabye telefoni mu masaha 12:

  1. ** Ntutegereze nimugoroba ngo utware hejuru: ** Umuntu ufite ikibazo cyo guta umutwe asigaye wenyine mugihe cyamasaha 4 arashobora gufungura amashyiga ya gaze, akazerera mubihe bikonje cyangwa mumodoka, cyangwa kugwa kumadarajya. Indwara iterwa na insuline cyangwa umuriri urashobora kuryama muri hypoglycemic coma cyangwa aryamye mumyenda yanduye ikura ibisebe byicyiciro cya 3.
  2. ** Hamagara abapolisi baho / boherejwe n’umuriro muri komini y’abashinzwe kwita ku mibereho y’ubuvuzi bwibanze: ** Tanga kohereza aderesi nyayo y’umuhanda hanyuma uvuge: * "Umurezi wonyine ku muntu mukuru udafite ubushobozi kuri iyi aderesi yemerewe gusa [Izina ry’ibitaro] nta ubwenge afite (cyangwa atigeze yitaba amasaha 12]. nta gisubizo ku muryango. "*
  3. ** Reba neza urufunguzo rwibikoresho rwihishwa, gufunga ubwenge, cyangwa agasanduku ka mbere: ** Niba uzi kode ya garage yumuryango, kode yo gufunga ubwenge, cyangwa code ya realter lockbox, tanga kubohereza 911 kugirango abashinzwe kuzimya umuriro binjire batamennye urugi, bituma inzu ikomeza umutekano nyuma.

2. Isaha yambere yubuvuzi & ibidukikije triage yabatabazi bakuze

Iyo wowe cyangwa abitabiriye bwa mbere winjiye munzu gutabara umuntu ukuze utunzwe nuwamurera amaze amasaha cyangwa iminsi adafite ubushobozi, ** ntuzigere ubimurira mubyumba byabashyitsi cyangwa ngo ubagaburire sandwich utabanje kwisuzumisha kwa muganga **.

  • ** Intambwe ya 1: Reba ibyihutirwa byubuvuzi byatewe no kubura ubuvuzi: **
  • ** Kubura umwuma no gukomeretsa kw'impyiko / Rhabdomyolysis: ** Niba umuntu ukuze atashoboye kubona amazi mu masaha 12+ cyangwa kuryama hasi / uburiri ahantu hamwe mu masaha, basaba ko ibitaro ER byihutirwa kugira ngo bisuzume amazi ava mu mitsi, paneli ya electrolyte, hamwe na testine ya kinase (CK).
  • ** Babuze imiti ikomeye: ** Reba ibitegura gutegura ibinini hamwe nubuyobozi bwimiti. Kubura amasaha 24 ya ** levodopa / carbidopa (Sinemet) ** mumurwayi wa Parkinson birashobora gutera syndrome de neuroleptic malignant imeze nka syndrome (parkinsonism-hyperpyrexia); kubura ** insuline **, ** imiti igabanya ubukana **, ** baclofen **, cyangwa ** corticosteroide ** isaba ubuvuzi bwihuse.
  • ** Kumeneka k'uruhu no kudacika intege: ** Reba neza sakrum (umurizo), ikibuno, hamwe n'inkweto kugirango umutuku, amarira y'uruhu, cyangwa inkari z'inkari niba umurwayi adashoboye guhindura ubushake buke.
  • ** Intambwe ya 2: Reba kubuza kumira (Dysphagia / Aspiration Risk) MBERE YO gutanga amazi cyangwa ibiryo: **
  • ** ITEGEKO RY'UMUTEKANO W'INGENZI: ** Indwara nyinshi zo mu bwonko, za Parkinson, ALS, ndetse n’abarwayi ba démée batinze barwaye indwara ya ** oropharyngeal dysphagia (aspirasique icecekesha) ** kandi ntishobora kumira amazi yoroheje adasutse mu bihaha kandi bitera umusonga wica umusonga.
  • Reba mu gikoni amabati ya ** ifu yuzuye (* Umuhengeri-It * cyangwa * SimplyThick *) ** cyangwa ibinyobwa bya nectar / ubuki-buhoraho, cyangwa urebe niba umurwayi afite umuyoboro wa ** PEG ugaburira ** ku nda. Ntuzigere uha amazi yoroheje cyangwa ibiryo bikomeye kubantu bakuze batamenyereye kugeza igihe ugenzuye gahunda yimirire yabo.
  • ** Intambwe ya 3: Kurinda ibidukikije murugo mbere yo kugenda: ** Zimya icyuma cya gaze ya feri / feri, fungura ibyuma byogeza ibyuma hamwe nicyuma, funga amacupa yibinini yandikiwe (bityo umurwayi wo guta umutwe urujijo ntashobora kumira kubwamacupa yuzuye ibinini), hanyuma ujyane amatungo yumuryango nawe cyangwa utegure kubitaho.

Nigute ushobora kurindira Uburiri bwihutirwa cyangwa Umufasha murugo murugo mumasaha 24

Iyo umurezi wibanze arwariye mubitaro icyumweru, cyangwa yitabye Imana, kandi bene wabo bo hanze yumujyi ntibabaho cyangwa ntibashobora guterura neza, ubwiherero, cyangwa gucunga umuntu ukuze wubuvuzi wenyine, koresha iyi miyoboro itanu yemewe kugirango ubone ubuvuzi bwihuse 24/7:

Gahunda / Umuyoboro Ninde wujuje ibisabwa Ibyo Itanga Mubitaho byihutirwa Uburyo bwo Kubikora Uyu munsi
** Ishami ryihutirwa ryibitaro "Gufata Imibereho" / Kwitegereza Amavuriro ** Umuntu wese ukuze ushingiye azanwa numurezi utabishoboye CYANGWA ugasanga atitaye kuri dehdrasi / imiti yabuze Kugenzura neza abaforomo bo mu bitaro 24/7, amafunguro, ubuyobozi bw’imiti, hamwe n’umushinga wihariye wo gusohora ibitaro ** kugira ngo ubone ikigo cy’abaforomo kabuhariwe (SNF) Zana abantu bakuze batunzwe na ER hamwe nuwabitaho (cyangwa ukoresheje igenzura ryimibereho ya EMS) hanyuma usabe ako kanya ** Ibikorwa byihutirwa byimibereho & Imicungire yimanza **
** Ikigo cy'akarere gishinzwe gusaza (AAA), Gahunda yo Gufasha Abashinzwe kwita ku Muryango (NFCSP) ** Abarezi b'imiryango badahembwa bakuze bafite imyaka ** 60 + ** (cyangwa imyaka iyo ari yo yose hamwe na Alzheimer / bijyanye no guta umutwe) hakurikijwe itegeko ryabanyamerika bakuze Inkunga ya leta / leta yatewe inkunga ** Byihutirwa Murugo Kuruhuka Abafasha Ubuzima Murugo ** cyangwa ** Gushyira Ikigo Cyigihe gito cyo Kuruhuka ** ku giciro gito kugeza $ 0 Hamagara ikigo cyaho cyaho gishinzwe gusaza ** cyangwa federasiyo ya ** Umusaza kuri 1-800-677-1116** (eldercare.acl.gov) hanyuma utangaze * Ikibazo cyo Kwita ku Bitaro bitateganijwe *
** Inyungu zo mu bitaro bya Medicare, Iminsi 5 Yita ku barwayi baruhutse ** Umurwayi wese yamaze kwiyandikisha muri ** Medicare Igice A Kwita kubitaro ** murugo ** 100% bipfundikirwa na Medicare (cyangwa max 5% copay) guhita winjira kwa muganga ** kugeza kumunsi ** iminsi 5 ikurikiranye ** mubitaro byemewe na Medicare, ibitaro, cyangwa inzu yubuforomo Hamagara ** 24/7 Hamagara Hospice Umuforomo nomero ** ku bubiko mu gikoni cy'umurwayi; ikigo gishinzwe kwakira abashyitsi kirasabwa n'amategeko gutegura ubwikorezi no gushyira uburiri ako kanya
** Amerika. Ishami rishinzwe ibibazo byabasezerewe (VA) Kwitaho kuruhuka ** Umuntu wese Ukuze Ukuze wiyandikishije muri VA Healthcare ** (utitaye kumurongo wa serivisi) Kugera kuri ** iminsi 30 kuri kalendari yumwaka ** wa VA yishyuwe nabaforomo barwariye mu kigo cyita ku bageze mu za bukuru (kuri VA Community Living Centre cyangwa ikigo cyita ku bageze mu za bukuru cyanduye) cyangwa mu kiruhuko mu rugo Hamagara ikigo cyubuvuzi cya Veteraneri ** Serivisi ishinzwe Imibereho Myiza y'Abaturage / Umuhuzabikorwa wo gufasha abarezi ** cyangwa umurongo wa ** VA wo kwita ku barezi kuri 1-855-260-3274**
** Leta Medicaid HCBS Kureka / Ubumuga bwiterambere (IDD) Ubutabazi bwihutirwa ** Abahawe inzu ya Medicaid hamwe na Serivisi zishingiye ku baturage (HCBS / IHSS) cyangwa Centre y'akarere / Abakiriya ba leta IDD Ako kanya ** Crisis Resite Uburiri ** cyangwa amasaha 24 yihutirwa yo kugarura ibintu byihutirwa (PCA) Hamagara umuyobozi wa Medicaid Waiver Case Manager cyangwa leta ** Ikigo cyakarere / Ubumuga bwiterambere 24/7 Ushinzwe ibibazo byo guhamagara **

Gukorana na Serivisi zo Kurinda Abakuze (APS) udatakaje ibyemezo byemewe n'amategeko

Niba abapolisi cyangwa inkeragutabara basanze umuntu mukuru udafite ubushobozi wenyine mu rugo kandi nta muntu wo mu muryango ufite ububasha bwo kwivuza uri ku kibuga, ababajijwe bwa mbere basabwa n'amategeko kuvugana na serivisi ishinzwe kurinda abantu bakuru (APS) ** bityo umuntu mukuru utishoboye ntasigare apfa.

  • ** Ntugahagarike umutima niba APS irimo: ** Bitandukanye niperereza ryinshinjabyaha ryakorewe ihohoterwa, mugihe APS isubije mubitaro bya ** Sole Caregiver Hospitalization **, inshingano zabo zemewe nugutanga ** Serivise ishinzwe kurinda ubutabazi bwihuse (EPS) **, bisobanura uburaro bwumutekano bwigihe gito, ibiryo, nubuforomo kugeza igihe umurezi wibanze akize cyangwa umuryango wumuryango wongeye gusubira inyuma.
  • ** Ukuntu abagize umuryango winyuma bafata neza muri APS: ** Niba uri umwana ukuze, murumuna wawe, cyangwa witwa undi mukozi wita kubuzima ku murwayi wa ** Durable Power of Attorney for Healthcare / Advance Diregiteri **, hamagara APS ishinzwe Umukozi ushinzwe imibereho myiza hamwe n’umukozi ushinzwe imibereho myiza y’ibitaro ako kanya, ohereza imeri cyangwa fax ifoto / PDF y’inyandiko zashyizweho umukono n’inzu yawe (cyangwa uhitemo urugo rwawe).

Kurinda umurwayi wo guta umutwe ibitaro Delirium no Kubuza mugihe cyikibazo cyabarezi

Iyo umuntu mukuru ukuze urwaye Alzheimer cyangwa indwara yo guta umutwe yatandukanijwe gitunguranye numurezi wabo wenyine, umuntu wenyine ushimangira ukuri kwabo, agashyirwa mubyumba byihutirwa by’ibitaro by’ibitaro byihutirwa cyangwa mu kigo cy’abaforomo batamenyereye, hafi buri gihe bahura n’iterabwoba rikabije, imidugararo, na ** Ibitaro bya Delirium **. Abakozi batabizi barashobora kwibeshya guhamagarwa kwabo bashakanye nk "imyitwarire yo kurwanya" no gutanga imiti igabanya ubukana (nka Haloperidol / Haldol) cyangwa bagakoresha uburiri bwumubiri, butera ubwenge bwihuse no kugabanuka kumubiri. Ako kanya ubwire umuforomo wa ER cyangwa abakozi baruhutse:

    • "Umukunzi wanjye afite ikibazo cyo guta umutwe kandi yari atandukanye gusa n'umurezi wabo wenyine wari mu bitaro; bafite ubwoba, ntabwo ari indwara zo mu mutwe." *
  1. Tanga umuforomo urupapuro rwanditseho urutonde ** rubahumuriza ** (izina ryabo, umuziki ukunda, ibirahure, ibyuma byumva, ntuzigere ukuraho ibirahuri byabo cyangwa ibyuma bifasha kumva, bikabije delirium, hamwe na majwi yafashwe amajwi cyangwa umuhamagaro wa FaceTime uvuye kumurera mubitaro niba umurezi ari maso).
  2. Saba ** 1-kuri-1 Ushinzwe Umutekano wumurwayi (Sitter) ** aho kubuza imiti cyangwa umubiri.

Mpuzamahanga Yita ku Bihutirwa Byihutirwa Porotokole (UK, Kanada, Ositaraliya)

Mu Bwongereza, Kanada, na Ositaraliya, gahunda zihariye z’amakomine n’igihugu zihari byihuse zihari cyane cyane kubushobozi buke bwabashinzwe kurera:

  • ** Ubwongereza (Ikarita Yihutirwa Ikarita / Abakuze Bita ku Buzima Byihuse Igisubizo): **
  • Hafi ya buri nama njyanama hamwe na Carers Trust centre mubwongereza ikora gahunda yubusa ** Carers Emergency Card Scheme ** (nka * Ikarita ya Alert ya Devon Carers *, * Hertfordshire Careline *, cyangwa * Gahunda Yihutirwa Yihutirwa *). Umurezi atwara ikarita yo mu gikapo yerekana nimero yihariye yo kwiyandikisha hamwe na nimero ya terefone ya 24/7 ishinzwe kugenzura ibyihutirwa, hamwe na aderesi ya zeru ya ** zeru ** yanditse ku ikarita y'umutekano.
  • Iyo inkeragutabara cyangwa abakozi b'ibitaro bahamagaye nimero iri ku ikarita bakavuga nimero y'irangamuntu, ihuriro ry’ibisubizo 24/7 rihita rikuramo gahunda yihutirwa yo kwiyandikisha ** Yihutirwa yo gutabaza **, igahamagara ababishinzwe mbere yo kubitangira uruhushya, kandi, niba nta muryango ushobora kwitabira, wohereza umukozi wa ** wasuzumye umukozi wo mu rugo wihutirwa mu masaha 1 kugeza kuri 2 mu masaha ya ** 48 kugeza 72.
  • Niba nta karita yanditswe, hamagara akanama k’ibanze ka ** 24/7 Abakuze bashinzwe imibereho myiza yihutirwa (EDT) ** ako kanya.
  • ** Kanada (Inzu yo mu Ntara no Kwita ku Bibazo by'abaturage): **
  • Menyesha intara ** Serivisi zita kubuzima no kwita kubaturage ** (nka * Ubuzima bwa Ontario murugo *, * Ikigo cyubuzima cya BC Ubuzima bwo murugo *, cyangwa * Serivise yubuzima ya Alberta Gukomeza Kwitaho *). Intara yose ikomeza kugenwa ** Crisis / Emergency Short-Guma-Kuruhuka Ibitanda ** mumazu maremare yita kubintu byihariye aho umurezi wibanze ari mubitaro.
  • ** Australiya (Carer Gateway Yihutirwa Yihutirwa, 1800 422 737): **
  • Ikoreshwa nishami rya reta ya Australiya ishinzwe imibereho myiza, uhamagara ** Carer Gateway kuri 1800 422 737 .

Kubaka Ibice 3 "Umurezi Wonyine Kunanirwa-Sisitemu Yumutekano" uyumunsi

Niba muri iki gihe wita ku bashakanye, umubyeyi ugeze mu za bukuru, cyangwa umwana wamugaye / mukuru, cyangwa niba ufite ababyeyi bageze mu za bukuru aho umubyeyi umwe yita ku wundi, fata iminota 30 uyumunsi kugirango ushyireho uburyo butatu bwo kurinda umubiri kuburyo bwihutirwa butunguranye butigera busiga umuntu ukuze utamenyekanye.

1. Igikapo Cyiza & Terefone Ifunga-Mugaragaza "Ikarita Yumurezi Yonyine"

Inkeragutabara zivura umurwayi utazi ubwenge buri gihe zigenzura ahantu habiri: ** imbere mu gikapo inyuma y’uruhushya rwo gutwara ibinyabiziga ** hamwe na ** Indangamuntu y’ubuvuzi bwihutirwa kuri ecran ya terefone **.

  • Shira ikarita ya ** neon-orange cyangwa ikarita itukura-itukura ** imbere yimpushya zo gutwara ibinyabiziga na Medicare / Ikarita yubwishingizi gusoma:

    ** Hagarara, BYIHUTIRWA CYANE CAREGIVER ALERT ** ** Umuntu mukuru utunzwe ni wenyine murugo rwanjye kandi azapfa atabanje kwitabwaho. ** ** Izina ryumuntu Izina & Imyaka: ** [Izina, Imyaka] ** Imiterere: ** ** Aderesi Yurugo & Kwinjira Lockbox Kode: ** [Aderesi / Bwira EMS uko winjira] ** Ibikenewe byihutirwa byandikirwa 1 (Ifite Urufunguzo): ** [Izina & Terefone ngendanwa] ** Ibikenewe byihutirwa Twandikire 2 (Power of Attorney): ** [Izina & Terefone ngendanwa] ** Ahantu ho kwita: Ahantu: **

  • Shira inyandiko imwe imbere muri ** Indangamuntu Yubuvuzi ** inoti yawe kuri iPhone yawe (* Porogaramu yubuzima -> Indangamuntu yubuvuzi -> Erekana iyo ufunze ) cyangwa Android ( Igenamiterere -> Umutekano & byihutirwa -> Amakuru yihutirwa *).

2. "Kugenzura Buri munsi-Muri Buddy" cyangwa Automatic Yapfuye-Umuntu

Byagenda bite se niba umurezi wenyine arwaye indwara yo mu bwonko cyangwa kugwa * mu nzu saa munani za mugitondo, kandi ntamuntu numwe ubona ko hari ikitagenda neza muminsi itanu?

  • ** Shiraho itegeko buri munsi 10:00 AM Umwandiko / Guhamagara Kugenzura: ** Huza hamwe numuryango wizewe, inshuti, cyangwa umuturanyi. Buri gitondo saa kumi nimwe za mugitondo, umurezi yohereza igikumwe kimwe-emoji cyangwa inyandiko. Itegeko ntirisanzwe: niba 10h30 AM itambutse nta nyandiko kandi nta gisubizo cyo guhamagara kuri terefone, mugenzi ahita atwara nurufunguzo rwibikoresho cyangwa ahamagara abapolisi baho kugirango bagenzure imibereho yimbere.
  • ** Koresha porogaramu yo kugenzura mu buryo bwikora cyangwa Smart-Isaha Yaguye: Byongeye kandi, kwambara isaha ya Apple ya Apple (Urukurikirane rwa 4 cyangwa nyuma yaho) ** cyangwa ** ubuvuzi bwitondewe bwo kuvura hamwe no gutahura kugwa mu buryo bwikora ** imbere mu nzu byemeza ko niba umurezi aguye akabura ubwenge hasi mu bwiherero, isaha ihita ihamagara 911 nyuma yamasegonda 60 yubudahangarwa kandi ikohereza imirongo ya GPS.

3. Igikoni cyo mu gikoni "Umurezi utukura ukomeza guhuza"

Andika uwo ukunda gahunda ya buri munsi yo kubaho mu mvugo yoroshye kugirango umuntu utazi neza, yaba umuvandimwe ukuze uguruka avuye hanze cyangwa umuforomo wihutirwa, ashobora kwinjira mukigikoni cyawe kandi akarinda uwo ukunda muminota 5:

  • ** Urupapuro 1 (Ibendera ritukura rikomeye): ** Allergie, ** Kumira / Kubuza Dysphagia ** (urugero: * kugenda "*).
  • ** Urupapuro 2 (Gahunda Yumuti Yamasaha 24): ** Izina ryibiyobyabwenge byose, urugero rwa miligarama, igihe nyacyo cyumunsi watanzwe, ** uko babifata ** (urugero, *
  • ** Urupapuro 3 (Ibikoresho byubuvuzi & Routines): ** Nigute ushobora kuzimya / kuzimya CPAP cyangwa ogisijeni, aho ububiko bwa incontinence / imifuka ya catheter / imifuka ya ostomy bubikwa, ingeso zo mu bwiherero, nibiryo ukunda guhumuriza bibatuza mugihe uhangayitse.
  • ** Urupapuro 4 (Amakopi yemewe namategeko)

Ibibazo bikunze kubazwa

Bigenda bite uwo twashakanye arwaye umutwe niba ngomba guhamagara 911 ubwanjye kandi ntamuntu ushobora kuza murugo mugihe?

Ntuzigere utinda guhamagara 911 kugirango umutima, indwara yubwonko, cyangwa ibikomere bikabije kubera gutinya ko uwo mwashakanye azasigara wenyine. Bwira abatumwe 911 hamwe naba nkeragutabara bahageze ako kanya ko ari wowe wenyine wita kubantu bakuze batunzwe no guta umutwe. Niba nta muntu wo mu muryango cyangwa umuturanyi ushobora kugera iwanyu mu minota 15 kugeza kuri 20, inkeragutabara zirashobora gutwara uwo mwashakanye hamwe nawe muri ambulance ku ishami ryihutirwa ry’ibitaro, aho umukozi ushinzwe imibereho myiza y’amavuriro 24/7 azabagenzura neza kuri "Social Hold" kandi agateganya uburiri bw’ikiruhuko cy’agateganyo, cyangwa agakomeza abakozi ba moteri y’umuriro cyangwa umupolisi mu rugo rwawe hamwe n’uwo mwashakanye.

Serivise zo Kurinda Abakuze (APS) zizarera burundu umubyeyi wanjye cyangwa uwo twashakanye nibazanywe mubitaro mugihe cyihutirwa cyo kurera?

Oya. Serivise zo Kurinda Abakuze hamwe n’abakozi bashinzwe imibereho myiza y’ibitaro batandukanya neza ihohoterwa nkana / gutererana nkana na "Nta kibazo-cyihutirwa cy’ubuvuzi bwihutirwa." Iyo umurezi witanze ari mu bitaro mu buryo butunguranye, APS cyangwa Ibikorwa by’Imibereho Myiza y'Abaturage bitanga ubuvuzi bwihutirwa bwo kurinda byihutirwa igihe cyose bikenewe kugeza igihe umurezi akize cyangwa umwe mu bagize umuryango wabigenewe (nk'ubundi buryo bwo kwita ku buzima bwa Porokireri) ageze gufata cyangwa guhuza ibikorwa bikomeza.

Medicare yishura ubuvuzi bwihutirwa mu kigo cyita ku bageze mu za bukuru niba umurezi w’umuryango ari mu bitaro?

Ubuvuzi Bwambere Bwumwimerere (Igice A na B) mubusanzwe ntabwo bwishyura inzu yubuforomo "kuruhuka" igumaho keretse niba hari ibintu bibiri byihariye bikurikizwa: icya mbere, niba umuntu mukuru utunzwe yamaze kwandikwa muri Medicare Hospice Benefit, Medicare yishyura iminsi igera kuri 5 yikurikiranya yo kuruhuka kwa muganga mugihe cyemewe igihe cyose umurezi afite ikibazo cyihutirwa. Icya kabiri, niba abantu bakuze batunzwe ubwabo bafite ikibazo gikomeye cyubuvuzi cyatewe nihutirwa (nko kubura umwuma, kugwa, delirium, cyangwa imiti yabuze) cyangwa bisaba ubuvuzi bwabaforomo kabuhariwe nyuma yibitaro byujuje ibisabwa, barashobora kwakirwa kubwinyungu zabo bwite. Bitabaye ibyo, Umukozi ushinzwe imibereho myiza y’ibitaro arashobora gutangiza inkunga yihutirwa yatewe inkunga n’ikigo cyita ku bageze mu za bukuru (Amafaranga y’abanyamerika bakuze), Medicaid HCBS Waivers, cyangwa VA Respite (kugeza ku minsi 30 / umwaka ku basezerewe mu ngabo).

Nigute nshobora kwemeza ko inkeragutabara zizi umwana wanjye wamugaye cyangwa uwo twashakanye ari murugo wenyine iyo ngize impanuka y'imodoka kure y'urugo?

Shira ikarita ya orange yijimye cyangwa umutuku "SOLE CAREGIVER EMERGENCY ALERT" ikarita imbere yimpushya zo gutwara mu gikapu cyawe hanyuma ushireho ikirango gihuza urufunguzo rwimodoka yawe, ukavuga uti: "ALERT: Umuntu ukuze / umwana utunzwe ni wenyine murugo rwanjye kandi bisaba ko ubitaho byihuse," hamwe nizina ryabo, imiterere, nimero za terefone zumuryango, hamwe n’aho wita kuri B. Byongeye kandi, andika umuburo umwe imbere muri ecran yihutirwa yubuvuzi kuri ecran ya terefone yawe kugirango abaforomo ba ER babibone mugihe bakanze terefone yawe ifunze.

Ni izihe ngaruka zikomeye z'ubuvuzi iyo inshuti cyangwa umuvandimwe bihutiye kwita ku mukuru utunzwe bwa mbere?

Ibintu bibiri byica abantu bahita bahura n’umuvandimwe utarinze gutozwa ni amakosa y’imiti (gutanga inshuro ebyiri za insuline cyangwa imiti yangiza amaraso, cyangwa kubura imiti igabanya ubukana bwa Parkinson cyangwa imiti igabanya ubukana) hamwe no kuniga ibyifuzo (guha amazi yoroheje cyangwa ibiryo bikomeye kumurwayi wubwonko cyangwa indwara yo guta umutwe ufite dysphagia ituje kandi ikenera amazi yuzuye cyangwa ibiryo bisukuye). Buri gihe ugenzure umuryango wa firigo hamwe nigikoni cyigikoni kugirango ubone Binder cyangwa imbonerahamwe yimiti, hanyuma uhamagare ivuriro ryibanze ryumurwayi cyangwa ikigo nderabuzima cyo murugo mbere yo gutanga ibinini bitamenyerewe cyangwa amazi yoroheje.

Nigute nashiraho igenzura ry'umutekano rya buri munsi niba mama ugeze mu za bukuru ari we wenyine wita kuri data kandi akanga ubufasha bwahawe akazi?

Shyiramo zeru-friction zeru zibiri zumutekano: icya mbere, saba umubyeyi urera abana kwambara isaha idafite ubwenge idafite amazi hamwe nogushakisha kugwa (nka Apple Watch) cyangwa kwimenyekanisha kwa muganga wa selile hamwe no gutahura kugwa mu buryo bwikora 24/7, kuko niba umurezi aguye agakubita umutwe, uwo mwashakanye utunzwe no guta umutwe ntashobora guhamagara 911. kodegisi yinyuma yurufunguzo rufunguye kurubaraza rwimbere kugirango mugihe umurezi abuze igenzura rimwe mugitondo, wowe cyangwa serivisi zubutabazi ushobora kwinjira munzu muminota 30 utarinze kumena umuryango.


Kuyobora


Inkomoko yagenzuwe

  • ** Amerika. Ubuyobozi bushinzwe imibereho yabaturage (ACL, Reta zunzubumwe zamerika): ** * Abanyamerika bakuze Itegeko Umutwe wa III-E Gahunda yo Gufasha Abashinzwe Imiryango Yita ku Bana (NFCSP) Amabwiriza Yihutirwa Yihutirwa na Protokole ya Eldercare *.
  • ** Ibigo bishinzwe ubuvuzi & Medicaid (CMS, Reta zunzubumwe za Amerika): ** * Ibitaro bya Medicare byungukira mu bitaro by’indwara zita ku barwayi (42 CFR § 418.204) * na * Inzu ya Medicaid hamwe na Serivisi zishingiye ku baturage (HCBS) 1915 © Ikibazo cyo Kwirinda Ibibazo *.
  • ** Amerika. Ishami rishinzwe ibibazo byabasezerewe (VA, Reta zunzubumwe zamerika): ** * Gahunda yubufasha bwuzuye kubarezi b'imiryango (PCAFC) na VA Geriatrics hamwe no Kwitaho Byagutse Iminsi 30 yo Kuruhuka *.
  • ** Ikigo cy'igihugu gishinzwe gusaza (NIA, Amerika) n'ishyirahamwe rya Alzheimer: ** * Imyiteguro yihutirwa kubarezi b'abantu barwaye Alzheimer na Dementiya ifitanye isano *.
  • ** Ishami ry’Ubuzima n’Ubuzima bw’Ubwongereza hamwe n’abarezi Ubwongereza (Ubwongereza): ** * Isuzuma ry’itegeko rya 2014 Isuzuma ry’abakozi, Ubuyobozi bw’ibanze bwihutirwa bwihutirwa (EDT) Inshingano zo kwita ku basimbuye, hamwe n’abakozi bashinzwe ikarita yihutirwa *.