Kuyini ukunakekelwa kwe-palliative?

Ukunakekelwa kwe-palliative kusiza abantu abanezifo ezimbi ukuthi bazizwe bengcono ngokuvimbela noma ukwelapha izimpawu nemiphumela emibi yezifo nokwelashwa.

Umgomo wokunakekelwa okunciphisayo ukusiza abantu abanezifo ezibucayi bazizwe bengcono. Ivimbela noma ilaphe izimpawu kanye nemiphumela emibi yezifo nokwelashwa. Ukunakekelwa okunciphisayo futhi kulapha izinkinga ezingokomzwelo, zenhlalo, ezingokoqobo nezingokomoya ezingalethwa yizifo. Lapho umuntu ezizwa engcono kulezi zindawo, unempilo engcono.

Ukunakekelwa kokuhlinzekwa kunganikezwa ngasikhathi sinye nokwelashwa okuhloselwe ukwelapha noma ukwelapha lesi sifo. Ukunakekelwa kwe-palliative kunganikezwa lapho kutholakala ukugula, kulo lonke ukwelashwa, ngesikhathi sokulandelwa, nasekupheleni kwempilo.

Ukunakekelwa okuncane kunganikezwa kubantu abanezifo, njenge:

• Umdlavuza
• Isifo senhliziyo
• Izifo zamaphaphu
• Ukuhluleka kwezinso
• Ukuwohloka komqondo
• I-HIV / AIDS
• I-ALS (amyotrophic lateral sclerosis)

Ngenkathi bethola ukunakekelwa okunciphisayo, abantu bangahlala ngaphansi kokunakekelwa ngumhlinzeki wabo wokunakekelwa kwezempilo ojwayelekile futhi bathole ukwelashwa kwezifo zabo.

Noma yimuphi umhlinzeki wezokunakekelwa kwezempilo anganikeza ukunakekelwa okunciphisayo. Kepha abanye abahlinzeki bagxile kuyo. Ukunakekelwa okuncane kunganikezwa ngu:

• Ithimba lodokotela
• Abahlengikazi nabahlengikazi
• Abasizi bodokotela
• Izazi zokudla ezibhalisiwe
• Abasebenzi bezenhlalakahle
• Izazi zokusebenza kwengqondo
• Abelaphi be-Massage
• Abafundisi

Ukunakekelwa kokuhlinzeka kunganikezwa yizibhedlela, ama-ejensi okunakekela ikhaya, izikhungo zomdlavuza, nezindawo zokunakekelwa zesikhathi eside. Umhlinzeki wakho noma isibhedlela angakunika amagama ochwepheshe bokunakekelwa okudambisa okuseduze nawe.

Kokubili ukunakekelwa kwe-palliative nokunakekelwa kwe-hospice kunikeza induduzo. Kodwa ukunakekelwa okunciphisayo kungaqala ekuxilongweni, futhi ngesikhathi esifanayo nokwelashwa. Ukunakekelwa kwe-Hospice kuqala ngemuva kokumiswa kokwelashwa kwalesi sifo nalapho sekucaca ukuthi umuntu ngeke asinde ekuguleni.

Ukunakekelwa kwe-Hospice kuvame ukunikezwa kuphela lapho kulindeleke ukuthi umuntu aphile izinyanga eziyi-6 noma ngaphansi.

Ukugula okungathi sína kuthinta okungaphezu komzimba nje. Ithinta zonke izindawo zempilo yomuntu, kanye nezimpilo zamalungu omndeni alowo muntu. Ukunakekelwa kwe-palliative kungabhekana nale miphumela yokugula komuntu.

Izinkinga zomzimba. Izimpawu noma imiphumela emibi ibandakanya:

• Ubuhlungu
• Inkinga yokulala
• Ukuphelelwa umoya
• Ukuphelelwa isifiso sokudla, nokuzizwa ugula esiswini

Ukwelashwa kungafaka:

• Umuthi
• Ukuqondiswa kokudla okunempilo
• Ukwelashwa ngokomzimba
• Ukwelashwa emsebenzini
• Izindlela zokwelapha ezihlanganayo

Izinkinga ezingokomzwelo, zenhlalo nezokubhekana nezinkinga. Iziguli nemindeni yazo zibhekana nengcindezi ngesikhathi sokugula okungadala ukwesaba, ukukhathazeka, ukuphelelwa yithemba noma ukudangala. Amalungu omndeni anganakekela, noma ngabe nawo anemisebenzi neminye imisebenzi.

Ukwelashwa kungafaka:

• Ukwelulekwa
• Amaqembu okusekela
• Imihlangano yomndeni
• Ukudluliselwa kubahlinzeki bezempilo yengqondo

Izinkinga ezingokoqobo. Ezinye zezinkinga ezilethwa ukugula ziyasebenza, njengezinkinga zemali-noma zomsebenzi, imibuzo yomshuwalense nezinkinga zomthetho. Ithimba lokunakekelwa kwe-palliative linga:

• Chaza amafomu ezokwelapha ayinkimbinkimbi noma usize imindeni ukuthi iqonde ukukhetha ukwelashwa
• Nikeza noma udlulisele imindeni ekwelulekeni kwezezimali
• Siza ukukuxhumanisa nezinsiza zezinto zokuhamba noma ezezindlu

Izindaba ezingokomoya. Lapho abantu bephonswa inselelo ukugula, bangafuna incazelo noma bangabaze ukholo lwabo. Ithimba lokunakekelwa kwe-palliative lingasiza iziguli nemindeni ukuthi bahlole izinkolelo zabo kanye namagugu abo ukuze bakwazi ukuya ekwamukelweni nasekuthuleni.

Tshela umhlinzeki wakho ukuthi yini ekukhathazayo nokukhathazeka kakhulu, nokuthi yiziphi izingqinamba ezibaluleke kakhulu kuwe. Nikeza umhlinzeki wakho ikhophi yefa lakho lokuphila noma ummeleli wokunakekelwa kwezempilo.

Buza umhlinzeki wakho ukuthi yiziphi izinsizakalo zokunakekelwa okunciphisayo ongazithola. Ukunakekelwa kwe-palliative cishe njalo kuhlanganiswa nomshuwalense wezempilo, kufaka phakathi i-Medicare noma i-Medicaid. Uma ungenawo umshuwalense wezempilo, khuluma nosonhlalakahle noma umeluleki wezezimali esibhedlela.

Funda ngezinketho zakho. Funda ngeziqondiso zangaphambi kwesikhathi, uthathe isinqumo mayelana nokwelashwa okwandisa impilo, nokukhetha ukungabi nayo i-CPR (musa ukuvuselela ama-oda).

Ukunakekelwa kwenduduzo; Ukuphela kokuphila - ukunakekelwa okunciphisayo; I-Hospice - ukunakekelwa okunciphisayo

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.

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.

I-Schaefer KG, i-Abrahm JL, ukunakekelwa kwe-Wolfe J. Ku: Hoffman R, Benz EJ, Silberstein LE, et al, ama-eds. I-Hematology: Izimiso Eziyisisekelo Nokuzijwayeza. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2018: isahluko 92.

• Ukunakekelwa kwe-Palliative