Ukunakekelwa kwabahlengikazi

Ukunakekelwa kwabagulela ukufa kusiza abantu abanezifo ezingalapheki futhi asebesondele ekufeni. Umgomo ukunikeza induduzo nokuthula esikhundleni sokwelapha. Ukunakekelwa kwabahlengikazi kuhlinzeka:

• Ukusekelwa kwesiguli nomndeni
• Ukukhululeka kwesiguli ebuhlungwini nasezimpawu
• Usizo lwamalungu omndeni nabathandekayo abafuna ukuhlala eduze kwesiguli esifa

Iziguli eziningi ze-hospice zisezinyangeni eziyisithupha zokugcina zokuphila.

Uma ukhetha ukunakekelwa kwe-hospice, usuthathe isinqumo sokuthi awusafuni ukunakekelwa ukuzama ukwelapha ukugula okungaguli. Lokhu kusho ukuthi akusatholi ukwelashwa okuhloselwe ukwelapha noma yiziphi izinkinga zakho zempilo ezingamahlalakhona. Izifo ezijwayelekile lapho kwenziwa lesi sinqumo zifaka phakathi umdlavuza, nenhliziyo enamandla, amaphaphu, izinso, isibindi noma izifo ze-neurologic. Esikhundleni salokho, noma yikuphi ukwelashwa okunikezwayo kuhloselwe ukukugcina ukhululekile.

• Abahlinzeki bakho bezokunakekelwa kwempilo abakwazi ukukwenzela isinqumo, kodwa bangaphendula imibuzo futhi bakusize wenze isinqumo sakho.
• Yiliphi ithuba lokwelapha ukugula kwakho?
• Uma ungeke welapheke, ingabe ukwelashwa okusebenzayo kungakunika isikhathi esingakanani?
• Impilo yakho ngabe injani ngalesi sikhathi?
• Ungawushintsha umqondo wakho uma usuqale i-hospice?
• Inqubo yokufa izoba njani kuwe? Ungagcinwa ukhululekile?

Ukuqala ukunakekelwa kwe-hospice kushintsha indlela ozothola ngayo ukunakekelwa, futhi kungashintsha ukuthi ngubani ozohlinzeka.

Ukunakekelwa kwe-Hospice kunikezwa yithimba. Leli thimba lingafaka odokotela, abahlengikazi, abasebenzi bezenhlalakahle, abeluleki, abasizi, abefundisi nabelaphi. Ithimba lisebenza ngokubambisana ukunikeza isiguli nomndeni induduzo nokusekelwa.

Umuntu ovela eqenjini lakho lokunakekela abagulela ukufa utholakala amahora angama-24 ngosuku, izinsuku eziyi-7 ngeviki ukuhlinzeka nganoma yikuphi ukusekelwa noma ukukusiza, othandiweyo wakho, noma izidingo zomndeni wakho.

Ukunakekelwa kwe-Hospice kuphatha ingqondo, umzimba, nomoya. Izinsizakalo zingafaka:

• Ukulawulwa kobuhlungu.
• Ukwelashwa kwezimpawu (njengokuphefumula okuncane, ukuqunjelwa, noma ukukhathazeka). Lokhu kufaka phakathi imithi, i-oxygen, noma ezinye izinto ezikusiza ukuphatha izimpawu zakho.
• Ukunakekelwa ngokomoya okuhlangabezana nezidingo zakho.
• Ukunikeza umndeni ikhefu (elibizwa ngokuthi ukunakekelwa kwephefumula).
• Izinsizakalo zodokotela.
• Ukunakekelwa kwabahlengikazi.
• Izinsiza zezempilo zasekhaya kanye nezinsizakalo zekhaya.
• Ukwelulekwa.
• Imishini yezokwelapha nempahla.
• Ukwelashwa ngokomzimba, ukwelashwa emsebenzini noma ukwelashwa kokukhuluma, uma kudingeka.
• Ukwelulekwa nosizi nokwesekwa komndeni.
• Ukunakekelwa kweziguli ezingelapheki ngezinkinga zokwelashwa, njenge-pneumonia.

Ithimba labahlengikazi liqeqeshelwe ukusiza isiguli nomndeni ngalokhu okulandelayo:

• Yazi ukuthi yini ongayilindela
• Ungabhekana kanjani nesizungu nokwesaba
• Yabelana ngemizwa
• Ungabhekana kanjani nakho ngemva kokufa (ukunakekelwa koshonelwe)

Ukunakekelwa kwe-Hospice kuvame ukwenzeka emzini wesiguli noma ekhaya lelungu lomndeni noma lomngani.

Inganikezwa nakwezinye izindawo, kufaka phakathi:

• Ikhaya labahlengikazi
• Isibhedlela
• Esikhungweni sabagulela ukufa

Umuntu ophethe ukunakekelwa ubizwa ngokuthi ngumhlinzeki wokunakekelwa oyinhloko. Lokhu kungaba ngumlingani, umlingani wokuphila, ilungu lomndeni, noma umngani. Kwezinye izimo iqembu labahlengikazi lizofundisa umnakekeli oyinhloko indlela yokunakekela isiguli. Ukunakekela kungabandakanya ukuguqula isiguli embhedeni, nokusondla, ukugeza, nokunikeza isiguli umuthi. Umhlinzeki oyinhloko uzofundiswa nangezimpawu okufanele azibheke, ngakho-ke bayazi ukuthi bangalibiza nini iqembu le-hospice ukuze lithole usizo noma iseluleko.

Ukunakekelwa kwe-Palliative - i-hospice; Ukunakekelwa kokuphela kokuphila - i-hospice; Ukufa - i-hospice; Umdlavuza - i-hospice

U-Arnold RM. Ukunakekelwa kwe-Palliative. Ku: IGoldman L, iSchafer AI, ama-eds. Imithi yeGoldman-Cecil. Umhla ka-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 3.

I-Medicare.gov iwebhusayithi. Izinzuzo ze-Medicare hospice. www.medicare.gov/Pubs/pdf/02154-Medicare-Hospice-Benefits.PDF. Kubuyekezwe uMashi 2020. Kufinyelelwe ngoJuni 5, 2020.

UNabati L, Abrahm JL. Ukunakekela Iziguli Ekupheleni Kokuphila. Ku: Niederhuber JE, Armitage JO, Kastan MB, Doroshow JH, Tepper JE, abahleli. I-Abeloff’s Clinical Oncology. Umhlaka 6. IPhiladelphia, PA: Elsevier; 2020: isahluko 51.

URakel RE, uTrinh TH. Ukunakekelwa kwesiguli esifa. Ku: Rakel RE, Rakel DP, ama-eds. Incwadi Yezokwelapha Yomndeni. Umhlaka 9. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 5.

• Ukunakekelwa kwabahlengikazi