Ukuhlolwa Kobungozi Bokuwa

-Delile

• Kuyini ukuhlolwa kwengozi yokuwa?
• Kusetshenziselwa ini?
• Kungani ngidinga ukuhlolwa kwengozi yokuwa?
• Kwenzekani ngesikhathi sokuhlolwa kwengozi yokuwa?
• Ngabe kukhona engizodinga ukukwenza ukulungiselela ukuhlolwa kwengozi yokuwa?
• Ingabe zikhona izingozi ekuhloleni ubungozi bokuwa?
• Isho ukuthini imiphumela?
• Izinkomba

Kuyini ukuhlolwa kwengozi yokuwa?

Ukuwa kuvamile kubantu abadala abaneminyaka engama-65 nangaphezulu. E-United States, cishe ingxenye yesithathu yabantu abadala asebekhulile abahlala emakhaya kanti cishe isigamu sabantu abahlala emakhaya asebekhulile bawa okungenani kanye ngonyaka. Kunezici eziningi ezandisa ingozi yokuwela kubantu abadala. Lokhu kufaka phakathi izinkinga zokuhamba, ukuphazamiseka kwebhalansi, ukugula okungalapheki, nokungaboni kahle. Ukuwa okuningi kubangela okungenani ukulimala okuthile. Lokhu kusuka ekulimaleni okuncane kuya emathanjeni aphukile, ukulimala ekhanda, nasekufeni. Eqinisweni, ukuwa kuyimbangela ehamba phambili yokufa kubantu abadala asebekhulile.

Ukuhlolwa kobungozi bokuwa kubheka ukuthi kungenzeka kangakanani ukuthi uwe. Kwenzelwe kakhulu abantu abadala asebekhulile. Ukuhlolwa kuvame ukufaka:

• Ukuhlolwa kokuqala. Lokhu kufaka uchungechunge lwemibuzo mayelana nempilo yakho yonke futhi uma uke waba nokuwa kwangaphambilini noma izinkinga ngokulinganisela, ukuma, kanye / noma ukuhamba.
• Iqoqo lemisebenzi, elaziwa njengamathuluzi wokuhlola ukuwa. Lawa mathuluzi avivinya amandla akho, ibhalansi, nokuhamba kwakho (indlela ohamba ngayo).

Amanye amagama: ukuhlolwa kwengozi yokuwa, ukuhlolwa kobungozi, ukuhlolwa nokungenelela

Kusetshenziselwa ini?

Ukuhlolwa kwengozi yokuwa kusetshenziselwa ukuthola ukuthi ngabe unengozi ephansi, elinganiselayo, noma ephezulu yokuwa. Uma ukuhlolwa kukhombisa ukuthi usengozini eyengeziwe, umhlinzeki wakho wezokunakekelwa kwempilo kanye / noma umnakekeli angancoma amasu okuvimbela ukuwa futhi anciphise namathuba okulimala.

Kungani ngidinga ukuhlolwa kwengozi yokuwa?

I-Centers for Disease Control and Prevention (CDC) kanye ne-American Geriatric Society batusa ukuhlolwa kokuwa kwaminyaka yonke kwabo bonke abantu abadala abaneminyaka engama-65 nangaphezulu. Uma ukuhlolwa kukhombisa ukuthi usengozini, ungadinga ukuhlolwa. Ukuhlola kufaka phakathi ukwenza uchungechunge lwemisebenzi ebizwa ngamathuluzi wokuhlola ukuwa.

Ungadinga ukuhlolwa uma unezimpawu ezithile. Ukuwa kuvame ukuza ngaphandle kwesixwayiso, kepha uma unezinye zalezi zimpawu ezilandelayo, ungaba sengozini enkulu:

• Isiyezi
• Ikhanda elikhanyayo
• Ukushaya kwenhliziyo okungajwayelekile noma okusheshayo

Kwenzekani ngesikhathi sokuhlolwa kwengozi yokuwa?

Abahlinzeki abaningi basebenzisa indlela eyenziwe yi-CDC ebizwa nge-STEADI (Ukumisa Izingozi Zasebekhulile, Ukufa Nokulimala). I-STEADI ifaka phakathi ukuhlola, ukuhlola nokungenelela. Ukungenelela yizincomo ezinganciphisa ubungozi bokuwa kwakho.

Ngesikhathi sokuhlolwa, ungabuzwa imibuzo eminingana kufaka phakathi:

• Ngabe uwile ngonyaka odlule?
• Ingabe uzizwa ungagxilile lapho umile noma uhamba ngezinyawo?
• Ingabe ukhathazekile ngokuwa?

Ngesikhathi sokuhlola, umhlinzeki wakho uzohlola amandla akho, ibhalansi, nokuhamba, esebenzisa amathuluzi wokuhlola okuwa alandelayo:

• Isikhathi sokuya phezulu nokuhamba (Tug). Lokhu kuhlolwa kubheka ukuhamba kwakho. Uzoqala esihlalweni, usukume, bese uhamba cishe amamitha ayi-10 ngejubane lakho elijwayelekile. Bese uzohlala phansi futhi. Umhlinzeki wakho wokunakekelwa kwezempilo uzohlola ukuthi kukuthatha isikhathi esingakanani ukwenza lokhu. Uma kukuthatha imizuzwana eyi-12 noma ngaphezulu, kungasho ukuthi usengozini enkulu yokuwa.
• Ukuhlolwa Kokuma KukaSihlalo Wesibili Lokhu kuhlolwa kuhlola amandla nokulinganisela. Uzohlala esihlalweni izingalo zakho ziwele esifubeni sakho. Lapho umhlinzeki wakho ethi "hamba," uzosukuma uphinde uhlale phansi. Uzokuphinda lokhu amasekhondi angu-30. Umhlinzeki wakho uzobala ukuthi ungakwenza kangaki lokhu. Inombolo ephansi ingasho ukuthi usengozini enkulu yokuwa. Inombolo ethile ekhombisa ubungozi incike kubudala bakho.
• Ukuhlolwa kwe-4-Stage Balance. Lokhu kuhlolwa kubheka ukuthi ungagcina kahle kanjani ibhalansi yakho. Uzoma ezindaweni ezine ezihlukene, ubambe ngasinye imizuzwana eyi-10. Izikhundla zizoba nzima njengoba uhamba.
  • Isikhundla 1: Yima ngezinyawo zakho eceleni.
  • Isikhundla 2: Hambisa unyawo lwakho maphakathi nohafu phambili, ngakho-ke i-instep ithinta uzwane olukhulu lwenye inyawo lakho.
  • Indawo 3 Hambisa unyawo ngokugcwele phambi kolunye, ngakho-ke izinzwane zithinta isithende senye inyawo.
  • Isikhundla 4: Yima ngonyawo olulodwa.

Uma ungakwazi ukubamba isikhundla 2 noma isikhundla 3 amasekhondi ayi-10 noma ungeke ume ngomlenze owodwa imizuzwana emi-5, kungasho ukuthi usengozini enkulu yokuwa.

Kunamanye amathuluzi amaningi wokuhlola ukuwa. Uma umhlinzeki wakho encoma okunye ukuhlolwa, uzokwazisa ukuthi yini ongayilindela.

Ngabe kukhona engizodinga ukukwenza ukulungiselela ukuhlolwa kwengozi yokuwa?

Awudingi amalungiselelo akhethekile wokuhlolwa kobungozi bokuwa.

Ingabe zikhona izingozi ekuhloleni ubungozi bokuwa?

Kukhona ingozi encane yokuthi ungawa njengoba wenza ukuhlolwa.

Isho ukuthini imiphumela?

Imiphumela ingakhombisa ukuthi unengozi ephansi, elinganiselayo, noma ephezulu yokuwa. Futhi zingakhombisa ukuthi yiziphi izindawo ezidinga ukubhekelwa (i-gait, amandla, kanye / noma ibhalansi). Ngokuya ngemiphumela yakho, umhlinzeki wakho wezokunakekelwa kwempilo angenza izincomo ukunciphisa ingozi yokuwa. Lokhu kungafaka:

• Ukuzivocavoca umzimba ukuthuthukisa amandla nokulinganisela kwakho. Unganikezwa imiyalo ngokuzivocavoca okuthile noma udluliselwe kudokotela wezempilo.
• Ukushintsha noma ukunciphisa umthamo wemithi lokho kungahle kuthinte ukuhamba kwakho noma ibhalansi. Eminye imithi inemiphumela engemihle edala isiyezi, ukozela, noma ukudideka.
• Ukuthatha uvithamini D ukuqinisa amathambo akho.
• Ukuhlola umbono wakho ngudokotela wamehlo.
• Ukubheka izicathulo zakho ukubona ukuthi esinye sezicathulo zakho singakhuphula ingozi yakho yokuwa. Ungathunyelwa kudokotela wezinyawo (udokotela onyawo).
• Ukubukeza ikhaya lakho ngezingozi ezingaba khona. Lokhu kungafaka ukukhanya okungekuhle, omata abangaxegi, kanye / noma izintambo phansi. Lokhu kubuyekezwa kungenziwa nguwe, umlingani, udokotela osebenza emsebenzini, noma omunye umhlinzeki wokunakekelwa kwezempilo.

Uma unemibuzo mayelana nemiphumela yakho kanye / noma izincomo, khuluma nomhlinzeki wakho wezokunakekelwa kwempilo.

Izinkomba

1. Umhlengikazi waseMelika Namuhla [Inthanethi]. Ezempilo zeComCom; c2019. Ukuhlola ubungozi beziguli zakho ngokuwa; I-2015 Jul 13 [icashunwe ngo-2019 Oct 26]; [cishe izikrini ezi-3]. Kutholakala kusuka: https://www.americannursetoday.com/assessing-patients-risk-falling
2. UCasey CM, uParker EM, uWinkler G, uLiu X, uLambert GH, u-Eckstrom E. Izifundo Ozifunde Ekusebenziseni i-CDC's STEADI Falls Prevention Algorithm ekunakekelweni okuyisisekelo. Isazi se-Gerontologist [i-Intanethi]. I-2016 Apr 29 [icashunwe ngo-2019 Oct 26]; 57 (4): 787-796. Kutholakala kusuka: https://academic.oup.com/gerontologist/article/57/4/787/2632096
3. Izikhungo Zokulawula Nokuvimbela Izifo [i-Intanethi]. I-Atlanta: UMnyango Wezempilo Nezinsizakalo Zabantu e-U.S. I-Algorithm Yokuhlolwa Kwokuwa, Ukuhlolwa Nokungenelela; [kucashunwe ngo-2019 Okthoba 26]; [cishe izikrini ezi-4]. Kutholakala kusuka: https://www.cdc.gov/steadi/pdf/STEADI-Algorithm-508.pdf
4. Izikhungo Zokulawula Nokuvimbela Izifo [i-Intanethi]. I-Atlanta: UMnyango Wezempilo Nezinsizakalo Zabantu e-U.S. Ukuhlola: Isivivinyo se-4-Stage Balance Test; [kucashunwe ngo-2019 Okthoba 26]; [cishe izikrini ezi-4]. Kutholakala kusuka: https://www.cdc.gov/steadi/pdf/STEADI-Assessment-4Stage-508.pdf
5. Izikhungo Zokulawula Nokuvimbela Izifo [i-Intanethi]. I-Atlanta: UMnyango Wezempilo Nezinsizakalo Zabantu e-U.S. Ukuhlola: Isihlalo Sesitulo Esingama-30-Second; [kucashunwe ngo-2019 Okthoba 26]; [cishe izikrini ezi-4]. Kutholakala kusuka: https://www.cdc.gov/steadi/pdf/STEADI-Assessment-30Sec-508.pdf
6. IMayo Clinic [Inthanethi]. IMayo Foundation for Medical Education and Research; c1998–2019. Ukuhlola iziguli ngengozi yokuwa; I-2018 Aug 21 [icashunwe ngo-2019 Oct 26]; [cishe izikrini ezi-4].Kutholakala kusuka: https://www.mayoclinic.org/medical-professionals/physical-medicine-rehabilitation/news/evaluating-patients-for-fall-risk/mac-20436558
7. Uhlobo Lokuthengwa Kwamakhasimende we-Merck [Internet]. IKenilworth (NJ): IMerck & Co, Inc .; c2019. Ukuwa Kwabantu Abadala; [kubuyekezwe ngo-2019 Ephreli; kucashunwe ngo-2019 Okthoba 26]; [cishe izikrini ezi-2]. Kutholakala kusuka: https://www.merckmanuals.com/home/older-people%E2%80%99s-health-issues/falls/falls-in-older-people
8. UPhelan EA, Mahoney JE, Voit JC, uStevens JA. Ukuhlolwa nokuphathwa kwengozi yokuwa kuzilungiselelo zokunakekelwa okuyisisekelo. IMed Clin North Am [Inthanethi]. I-2015 Mar [icashunwe ngo-2019 Oct 26]; 99 (2): 281–93. Kutholakala kusuka: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4707663/

Imininingwane ekulesi siza akufanele isetshenziswe esikhundleni sezokunakekelwa kwezokwelapha noma iseluleko. Xhumana nomhlinzeki wezempilo uma unemibuzo ngempilo yakho.