Amanothi Esazi Mhlawumbe Achaziwe: Ifomethi, Izinhlobo, kanye Nezindlela Ezingcono Kakhulu

Isikhathi sesikhathi siyaphela. Ikhasimende lakho lihamba, lithemba ukuthi lizizwa likhanyile futhi liqondwa kangcono. Kodwa umsebenzi wakho awuphelanga. Manje, nguwe wedwa nekhibhodi yakho, ubhekene nomsebenzi wokubhalisa imizuzu engu-50 edlule. Kubeluleki abaningi, ukubhala amanothi esazi mhlawumbe kungase kuzwakale njengomsebenzi onzima - isithiyo sokuphatha emkhakheni wobudlelwano obujulile bomuntu.

Kodwa kuthiwani uma siwaguqula? Kuthiwani uma sasingabheki ukuthatha amanothi njengomthwalo, kodwa njengesikhali esibalulekile esithuthukisa umsebenzi wethu wokwelapha, sivikela umkhuba wethu, futhi sihlonipha uhambo lwamakhasimende ethu?

Ukuqopha okuhle kuyisiqalo sokwelapha okuhle. Kubala indaba yokuqhubeka kwekhompuyutha yakho, kuqinisekisa ukuthi unikeza ukunakekelwa okusezingeni eliphezulu kakhulu, futhi kusebenza njengenkumbulo yakho yobuchwepheshe. Ake sihlole konke okudingayo ukuze ubhale amanothi acacile, asebenzayo, futhi asebenzayo esazi mhlawumbe.

Yini Amanothi Esazi Mhlawumbe, Ngempela?

Ngamazwi alula, amanothi esazi mhlawumbe yirekhodi elisemthethweni leseshini yokwelapha. Ayingxenye yefayela leklayenti lezokwelapha futhi isebenza njengombhalo womthetho ochaza ukunakekelwa okunikeziwe.

Kubalulekile ukuqonda umehluko phakathi kwezinhlobo ezimbili zamanothi:

• Amanothi Ophumelelayo: Lena yinto abantu abaningi abayisho uma bethi “amanothi esazi mhlawumbe.” Ayingxenye yefayela lezokwelapha leklayenti futhi ichaza isimo seklayenti, ukuxilongwa, uhlelo lokwelapha, kanye nempumelelo. Ziyadingeka ukukhokhwa komshwalense kanye nokuhambisana nomthetho. Zigxila ku-“yini” yeseshini.
• Amanothi Esazi Mhlawumbe (noma Amanothi Wenqubo): Lawa ngamanothi ayimfihlo esazi mhlawumbe, agcinwa ahlukene nefayela elisemthethweni leklayenti. Angaba nama-hypotheses esazi mhlawumbe, izindaba zayo siqu, kanye nemininingwane ethile yengxoxo. Lawa manothi anikezwa ukuvikelwa okhethekile ngaphansi kwe-HIPAA futhi avame ukungabiwa. umthombo.

Kulesi sihloko, lapho sibhekisela ku-amanothi esazi mhlawumbe, sizogxila kuma-amanothi ophumelelayo asemthethweni angempela afinyelela efayeleni leklayenti.

Kungani Amanothi Esazi Mhlawumbe Ebambekile Kangaka?

Ukuthatha isikhathi sokubhala amanothi asezingeni eliphezulu kuyiluhambo olukhokha izinzuzo ngezindlela eziningi.

• Ukulandelela Ukuqhubeka kweKlayenti: Amanothi akha umlando oqhubekayo, akuvumela ukuthi ubone amaphethini, ulandele ukuthuthukiswa, futhi ubonise lapho iklayenti lingase libambeke.
• Ukuqinisekisa Ukuqhubeka Kokuqhubeka: Uma ugulile, usholide, noma iklayenti lidinga ukudluliselwa, amanothi acacile avumela umelaphi omunye ukuthi aqhubeke nokunakekelwa kalula.
• Ukuvikelwa Komthetho Nokuziphatha: Esimweni sokusolwa noma isikhalazo sebhodi, amanothi akho yiwona avikela kakhulu, ekhombisa ukucabanga kwakho kokwelapha kanye nekhwalithi yokunakekelwa onikezile.
• Izidingo Zomshwalense Nokukhokha: Abakhokhi badinga imibhalo ukuze bavumele ukubaluleka kwezokwelapha kokwelapha. Amanothi akho yiwona ubufakazi obudingekayo ukuze ubuyiselwe imali.
• Ukusekela Ukuhlanganiswa Kwemvelo Yokwelapha: Ukubuyekeza amanothi adlule kungakusiza ukuthi ulungiselele izikhathi, ukhumbule imininingwane ebalulekile, futhi wenze izinqumo ezinolwazi mayelana nohlelo lokwelapha.

Yini Okufanele Ifakwe Emangomeni Esazi Mhlawumbe?

Inothi elihle lesazi mhlawumbe lilinganisela imininingwane edingekayo kanye nokufingqa kobuchwepheshe. Nansi uhlu lwezingxenye ezibalulekile:

• Ulwazi Lokuhlonza Iklayenti: Igama eligcwele, usuku lokuzalwa.
• Ulwazi Lwesikhathi Seseshini: Usuku, isikhathi, nobude beseshini.
• Izinkinga Eziphakanyisiwe: Yiziphi izinkinga ezixoxiwe? Faka izingcaphuno leklayenti noma izimpawu ezibikiwe.
• Izindlela Ezisetshenzisiwe: Wenzani? (Isib., “Kwaboniswa umsebenzi wokuphefumula ojule,” “Kwasekelwa i-CBT ukuze kuphikiswa ukucabanga okungalungile,” “Kwaphenywa izimo zendlu yomndeni”).
• Izimpendulo Zeklayenti kanye Nokuqhubeka: Iklayenti laziphatha kanjani ezindleleni? Qaphela noma yimaphi ama-insights, ukuguquguquka komoya, noma ukuqhubeka ngokuya ezinhlosweni.
• Ukuhlola Ingozi: Uma kukhona izinkinga zokuphepha (izinkathazo zokuzibulala, izinkathazo zokubulala, ukuzilimaza), lokhu kufanele kurekhodwe, kanye nezinzwa ozithathile.
• Uhlelo: Yini uhlelo lwesikhathi esilandelayo? Kukhona umsebenzi wasendlini owabelwe? Kukhona ukuguquguquka kuhlelo lokwelapha?

Yini Engafanele Ifakwe Emangomeni Esazi Mhlawumbe?

Kubaluleke kakhulu futhi ukwazi ukuthi yini okufanele uyishiye. Amanothi akho ayimibhalo yobuchwepheshe, yezokwelapha. Gwema ukufaka:

• Izinto Ezibonakalayo Zomuntu Siye Zesazi Mhlawumbe: Imizwa yakho yomuntu siye ngeklayenti ingeyokwelulekwa kwakho noma iqembu lokubonisana, hhayi irekhodi elisemthethweni.
• Imininingwane Engadingekile: Ungafaki amahemuhemu noma ulwazi ngamaqembu amathathu angeyona eyokwelapha.
• Ukuhlanganisa Okungokwemvelo: Gxila ekuziphatheni okubonakalayo kanye nemibiko leklayenti. Esikhundleni sokuthi “Iklayenti belinzima,” bhala “Iklayenti laveza ukucasuka kuhlelo lokwelapha laze lathi alifuni ukuqedela umsebenzi wasendlini.”
• Ulwazi Olungalimaza Iklayenti: Zicabangele ulwazi olubucayi oluthi, uma lwakwazi ukuthi ludalulwe eziqondweni zomthetho, lungalimaza noma luhlaza iklayenti lakho.

Indlela Yokubhala Amanothi Esazi Mhlawumbe Asebenzayo: Umhlahlandlela Wenyathelo Ngamunye

1. Bhala Ngokushesha: Uma ulinda isikhathi eside, izinto eziningi uzokhohlwa. Zama ukuqedela amanothi akho zingakapheli amahora angu-24 ngemuva kweseshini.
2. Sebenzisa Ulimi Oluyibhayibheli, Olubuchwepheshe: Gwema ulimi olungajwayelekile, ubuchwepheshe, namazwi agcwele imizwa. Chaza ukuziphatha, ungabeki abantu izindandatho.
3. Yiba Mfishane Kodwa Ube Namandla: Faka lonke ulwazi oludingekayo ngaphandle kokubhala inoveli. Amaphuzu angaba abangane bakho abakhulu.
4. Landela Ifomethi Ejwayelekile: Ukusebenzisa ifomethi ehambisanayo njengomumo we-SOAP noma umumo we-DAP kuqinisekisa ukuthi uhlanganisa zonke izisekelo zakho njalo.
5. Gxila Ekubeni Nomsebenzi Wokwelapha: Zibuze, “Kungani le mininingwane ibalulekile ekwelapheni leklayenti?” Uma ungakwazi ukuphendula, cishe ayifanele.
6. Hlola: Ama-typo namaphutha ezimpawu zokubhala abonakala engabachwepheshe futhi angashintsha incazelo yomshumayelo.

Yiziphi Izinhlobo Ezahlukene Zezimiso Zomumo Wesazi Mhlawumbe?

Abelaphi abaningi basebenzisa ifomethi ejwayelekile ukuze bahlele amanothi abo. Lokhu kudala ukuhambisana futhi kwenza kube lula ukuwabuyekeza. Nalu uhlu oludumile kakhulu:

Ifomethi ye-SOAP

Ifomethi ye-SOAP iyimfashini yakudala, esetshenziswa kabanzi ezindaweni zezempilo.

• S (Subjective): Okubikwa yiklayenti. Lokhu kufaka imizwa yalo, izinkathazo, kanye nezingcaphuno eziqondile. (Isib., “Iklayenti libika, ‘Ngizizwa ngidlulile sonke lesi sikhathi.’”)
• O (Objective): Okubona wena. Lokhu kufaka umoya weklayenti, ukubukeka, kanye nolimi lomzimba. (Isib., “Iklayenti libukeka likhathele, linomoya ongathandiyo.”)
• A (Assessment): Ukuhumusha kwakho kobuchwepheshe kanye nokuhlaziywa kolwazi olubucayi nolobucayi. (Isib., “Izimpawu leklayenti zihambisana nesigaba sokudabuka. Ukuqhubeka kancane ngokuya enhlosweni yokwelapha #2.”)
• P (Plan): Uhlelo lwezenzo. (Isib., “Qhubeka nezindlela ze-CBT zokucabanga okungalungile. Iklayenti lizozijayeza umsebenzi wokucabanga nsuku zonke. Iseshini elilandelayo izoba ngo-9/28.”)

Ifomethi ye-DAP

Ifomethi ye-DAP iyindlela eyenziwe lula abanye abathola ilula kakhulu.

• D (Data): Lesi sigaba sihlangisa “S” kanye no-“O” kusuka ku-SOAP. Ifaka konke iklayenti elikushilo kanye konke okubonile.
• A (Assessment): Ukuhlaziywa kwakho kobuchwepheshe, okufana nokwefomethi ye-SOAP.
• P (Plan): Uhlelo lokwelapha oluzayo, okufana nokwe-SOAP.

Ifomethi ye-BIRP

Amanothi e-BIRP avame ezindaweni ezigcizelela izindlela zokuziphatha.

• B (Behavior): Lokhu kugxila enkingeni ekhona, kufaka kokubili imibiko engokwemvelo kanye nokubuka okubucayi.
• I (Intervention): Izindlela ezithile ozisebenzisile ngesikhathi seseshini.
• R (Response): Indlela iklayenti elizibonakalise ngayo ezindleleni zakho.
• P (Plan): Uhlelo lwezinzwa ezilandelayo.

Izibonelo Zesikhathi Samanothi Esazi Mhlawumbe

Ake senze lezi zimiso ziphile ngeklayenti eliqanjiwe, uJane D., ofuna ukwelashwa nge-anxiety.

Isibonelo 1: Ifomethi ye-SOAP

S: UJane ubika, “Ngibe nenye i-panic attack esitolo sokudla. Ngazizwa ngingakwazi ukuphefumula futhi kwadingeka ngishiye inqola yami.” Uthi izinga lakhe le-anxiety beliyi “7 kwangu-10” cishe lonke iviki.

O: Iklayenti libonakele ngesikhathi. Umoya walo ukhathazekile futhi ukhulume ngokushesha. Libonakala likhathele.

A: UJane ubonisa izimpawu ezihambisana ne-Panic Disorder. Uyaswelwa ukusebenzisa izindlela zokubhekana nazo ezimweni eziphakeme kakhulu kodwa ubonisa ukuqonda okuhle ngezimbangela zakhe.

P: Kwethulwa indlela yokuphefumula ye-4-7-8 ukuze kube lula ngesikhathi se-panic. Kwabelwa umsebenzi wasendlini ukuze kuqeqeshwe le ndlela kabili ngosuku. Kuzobuyekezwa ukusebenza kwayo esikhathini esilandelayo. Iseshini ihlelwe ngo-10/5.

Isibonelo 2: Ifomethi ye-DAP

D: UJane ubike i-panic attack esitolo sokudla, echaza izimpawu zokungaphefumuli kanye nesifiso sokubaleka. Ulinganise i-anxiety yakhe yeviki ku-7/10. Iklayenti libonakale likhathazekile, likhuluma ngokushesha futhi libonakala likhathele.

A: Izimpawu ezibikiwe leklayenti kanye ne-anxiety ebonakalayo zihambisana nokuxilongwa kwalo kwe-Panic Disorder. Luyaqhubeka ludinga ukusekelwa ekusebenziseni izindlela zokubhekana nazo ezindaweni zangempela zomhlaba.

P: Kwafundiswa kwenziwa nesivinini sokuphefumula esingu-4-7-8 eseshini. Kwalulekwa iklayenti ukuba liqeqeshe kabili ngosuku futhi lisebenzise lapho kuqala ukuvela kwe-panic. Ukulandelelwa ngesonto elilandelayo.

Isibonelo 3: Ifomethi ye-BIRP

B: Iklayenti libonakale likhathazekile futhi libike i-panic attack yakamuva. Laveza imizwa yokudlula ezindaweni zomphakathi.

I: Kwaba nesibuyekezo sokwelapha esikholisi ngomjikelezo we-panic wezinto eziphilayo. Kwasekelwa indlela yokwelapha yokuziphatha ngokufundisa indlela yokuphefumula ye-4-7-8 njengesikhali sokuqonda.

R: Iklayenti yakwazi ukubonisa ngempumelelo indlela yokuphefumula eseshini. Libike ukuzizwa “likhanyile kancane” ngemuva kokuqeqeshwa futhi lavuma ngamazwi ukuthi lizozama njengomsebenzi wasendlini.

P: Iklayenti lizozijayeza indlela yokuphefumula kabili ngosuku. Kuzophenywa izindlela ezengeziwe zokwelapha zokubonakala ezindaweni zomphakathi esikhathini esilandelayo.

Amanga Ajwayelekile Okufanele Agwenywe Lapho Kubhalwa Amanothi Esazi Mhlawumbe

• Ukuba Ngenzayo Kakhulu Noma Kancane Kakhulu: “Kwaba neseshini enhle” ayisizi. Ukulandelana kwamagama akudingekile. Thola ibhalansi.
• Ukusebenzisa Ubuchwepheshe Ngaphandle Kokuchaza: Bhala njengokungathi ummeli noma omunye umelaphi angase afunde amanothi akho.
• Ukunganaki Ukubhalisa Ingozi: Uma iklayenti likhuluma nganoma iyiphi ingozi yokuzilimaza noma yokulimaza abanye, kufanele ubhalise ukuhlanganisa kwakho nezenzo ozithathile. Ukwehluleka ukwenza lokhu kuyisibopho esikhulu.
• Ukuqopha Okungahambisani: Sebenzisa ifomethi efanayo kanye nezinga lemineke yonke amanothi akho.
• Ukubhala Amanothi Izinsuku Ngemuva: Lena yindlela esheshayo yokubhala amanothi angalungile noma angaphelele.

Ngokude Kangakanani Kufanele Ugcine Amanothi Esazi Mhlawumbe?

Imithetho yokugcinwa kwemibhalo iyahlukahlukana kakhulu ngesifunda kanye nobungcweti. Umthetho ojwayelekile wokubamba izindawo zabantu abadala iminyaka eyi-7 kusukela osukwini lokugcina lwesevisi. Ezinganeni, ungase udinge ukuzigcina iminyaka embalwa ngemuva kokuba zifinyelele ubudala.

I-HIPAA idinga ukuthi imibhalo igcinwe iminyaka eyisithupha. Kodwa-ke, umthetho wesifunda sakho noma imithetho yebhodi lezilayisensi ingase kube ende, futhi kufanele ulandele noma yikuphi okukhuni kakhulu. Hlola njalo imithetho yendawo yakho ukuze uqinisekise ukuhambisana. umthombo.

Yiziphi Izindlela Ezingcono Kakhulu Zokuphatha Amanothi Esazi Mhlawumbe?

Unenketho eziningana, ngayinye inezinzuzo nezinkinga.

• Izinhlelo Zokubhaliswa Kwabantu Bokuthola Izimpahla Ezisiza Abagulayo (EHR) Systems: Lezi yizinhlelo zesoftware ezakhelwe izindawo zezempilo.
  • Ezinhle: Iyahambisana ne-HIPAA, ukubhaliswa kwezimali okuhlanganisiwe kanye nohlelo, okulula ukufinyelela kulo noma yikuphi, izifanekiso ezakhelwe ngaphakathi.
  • Okubi: Kungase kube kudume, kungase kube nokufunda okunzima.
• Isoftware Yokuphatha Umkhuba: Izinhlelo eziningi ze-EHR zesimanje ziyingxenye yesethi enkulu yokuphatha umkhuba ephatha yonke into kusuka emangomeni kuya kumaklayenti.
• Izindlela Zephepha Zendabuko: Indlu yamabhokisi yendala.
  • Ezinhle: Ubuchwepheshe obuncane, akukho mali yanyanga zonke.
  • Okubi: Iyathinteka ngomlilo/ukwebiwa, kunzima ukuyibuyisela, kunzima ukuyifunda nokuyifuna, kuthatha isikhala sangempela.

Indlela Yokugcina Ubunye Beklayenti Emangomeni Esazi Mhlawumbe

Ubunye Beklayenti buyisiqalo sobudlelwano bokwelapha. Ukugcina amanothi akho umsebenzi obalulekile wokuziphatha nomthetho.

• Imithetho Ye-HIPAA: Zazise ngemibhalo ye-HIPAA ye-Privacy kanye ne-Security Rules. Sebenzisa amaphasiwedi aqinile, izinto zikagesi eziyimfihlo, kanye nesofthiwe evikelekile.
• Isitoreji Esivikelekile: Amabhokisi ephepha kufanele abe semabhokisini avaliwe egumbini elivaliwe. Amabhokisi kagugu kufanele abe nemfihlo futhi agcinwe esihlelweni esivikelekile, esihambisana ne-HIPAA.
• Ukwazi Ukufinyelela: Abantu abavunyelwe kuphela okufanele babe nokufinyelela kumarekhodi leklayenti.
• Ukuphatha Izicelo Zomthetho: Uma uthola isibonelo samabhokisi akho, ungawathululi ngokushesha. Kungcono ukubonisana nommeli noma umshwalense wakho wokubophezela wobuchwepheshe ukuze uqinisekise ukuthi uphendula ngokomthetho nangokuziphatha.

Amathiphu Okubhala Amanothi Esazi Mhlawumbe Ngokwengeziwe

• Sebenzisa Izifanekiso: Ungadala isondo njalo. Dala izifanekiso ku-EHR yakho noma kumshicileli wakho wegama.
• Yakha Umkhuba: Vimba imizuzu engu-10 - 15 ngemuva kweseshini ngayinye ukuze ubhale inothi lakho. Kusheshe kakhulu kunokuzama ukuzenza zonke ekugcineni kosuku.
• Sebenzisa Izwi Kuze Kube Yilo: Isofthiwe yokuzimisa isiye yaba nezinga eliphezulu kakhulu futhi ingase ibe ngokushesha kakhulu kunokuthayipha.
• Dala Isinqe: Yakha isinqe somuntu siye, esihambisanayo semishumayelo evamile (isib., “S/I” sezinkathazo zokuzibulala, “Tx” sokwelashwa).
• Qoqa Imisebenzi Efana Nezakho: Uma ungakwazi ukubhala amanothi ngemuva kweseshini ngayinye, vimba izikhathi ezimbili ezithile phakathi nosuku ukuze uzibeke ezwini ziqede.

Imibuzo Evame Ukubuzwa Mayelana Namathathu Esazi Mhlawumbe

Ingabe amaklayenti angakwazi ukufinyelela amanothi esazi mhlawumbe ayo?

Yebo. Ngaphansi kwe-HIPAA, amaklayenti anelungelo lokufinyelela nokuhlola amarekhodi abo ezempilo, afaka phakathi amanothi ophumelelayo. Awanayo ilungelo lokufinyelela amanothi esazi mhlawumbe ayimfihlo/wenqubo.

Amanothi Esazi Mhlawumbe Kufanele Abe Mininingwane Kangakanani?

Amaningi ngokwanele ukudala indaba ecacile yokwelapha leklayenti, ukuvumela izinqumo zakho zokwelapha, nokuhlangabezana nezidingo zomthetho nezomshwalense. Gwemani imininingwane eningi, engabalulekile ngokwelapha.

Kuthiwani Uma Ngikhohlwa Ukubhala Amanothi Ngemuva Kweseshini?

Yikwenze ngokushesha nje lapho ukhumbula. Bhala lokho ongakukhumbula bese ufaka isengezo esithi “late entry,” usho usuku olubhalayo inothi kanye nosuku langempela lweseshini. Ukuqonda nokwethembeka kubalulekile.

Amanothi Esazi Mhlawumbe Angasetshenziswa Ezingadini Zomthetho?

Yebo, amanothi ophumelelayo angathunyelwa izibonelo futhi asetshenziswe njengobufakazi eziqondweni zomthetho. Lesi yisizathu esiyinhloko sokugcina njalo amarekhodi obuchwepheshe, angokwesibonelo, futhi aqinisekile. umthombo.

Isiphetho

Ukubhala amanothi esazi mhlawumbe asezingeni eliphezulu akuyona nje imfuneko - kuyikhono lokwelapha. Kuyisenzo sokunakekelwa kobuchwepheshe esizuzisa amaklayenti akho, sivikela umkhuba wakho, futhi ekugcineni sikwenze umelaphi ongcono, ohlelekile. Ngokuthuthukisa umkhuba ohambisanayo nokusebenzisa izindlela ezifanele kanye nezimiso, ungaguqula ukubhalisa kusukela emsebenzini ongesatshwa ube yingxenye eyenziwa kalula nenobulwazi yokuhamba kwakho kokwelapha.