Iingcali eziqhelekileyo malunga ne-Hospice

Fumana iimbali ezikule fomu yokunakekelwa kokuphela komsebenzi

Nangona ukukhula okuqhubekayo ekuqaliseni nasekufikeleleni, uluntu luhlala luhlala luba neengcamango ezininzi malunga nokufelwa kunye nokunyamekela. Ezi ngcamango eziphosakeleyo zenza inxaxheba ekusebenziseni ngaphantsi kweenkonzo zokubhedlele. Oku kuyilusizi kuba izigulane ezininzi ezinezifo zokunciphisa ubomi zingenelwa kwiintlungu zengcali kunye nokulawulwa kwezibonakaliso, kunye nokuxhaswa kwemvakalelo, yentlalontle kunye nokomoya ukuba unakekelwa ngonyango.

Funda inyaniso emva kweendlovu ezine eziqhelekileyo ezibangela ukunyaniseka okukulo hlobo lokunyamekela kwexesha lokuphila.

Inkolelo # 1: Ukunyamekela kwabakhenkethi kuthetha ukunika ithemba

Abantu abaninzi bakholelwa ngokugqithiseleyo ukuba izigulane ezikhetha ukungena esibhedlele ziye zanikezela ithemba , kodwa inyaniso kukuba abo babhekene nesifo sokunciphisa ubomi okanye isifo sokuphela baye bakhetha ukuhlengahlengisa ithemba labo. Xa isigulane esasithembele ukunyanga, unokuthi unethemba lokuphila ngaphandle kwentlungu . Kwezinye izigulane zezibhedlele, ithemba lingathetha ukubona umhlobo osekude okanye isihlobo esinye sokugqibela okanye uthathe uhambo olwandle. Kwabanye abanye, ithemba lingaba lula njengoko ufuna ukuchitha ixesha elininzi kunye nabathandekayo ngokusemandleni okanye ukuhlala ekhaya kunokuya esibhedlele okanye kwikhaya lononophala.

Ithemba libukeka lihlukile kwiinkathalo zonyango kodwa ngokuqinisekileyo alulahlekanga. Ikomiti yokunakekelwa kwezibhedlele liyakunceda izigulane zifeze imisebenzi, zizalise umnqweno, kwaye zigcine ithemba ngexesha lokuhlala kwazo.

Inkolelo yesi-2: Iindwendwe kufuneka ndiTyikitye iDNR

Umyalelo wokuba-awuyi-resuscitate (DNR) ngowomnye wamaphepha asemthethweni abasebenzisi abasebenzisayo xa beka umyalelo wabo wokunakekelwa kwempilo . I-DNR ithetha ukuba awufuni ukuphinda uvuselelwe nge-cardiopulmonary resuscitation (CPR) okanye ezinye iindlela kufuneka ukuphefumula kwakho kuphele okanye intliziyo yakho ingabeki ukubetha.

Ukutyikitya i-DNR akuyona imfuneko yokufumana unakekelo lokubhedlele, nangona kunjalo. Nangona izigulane ezininzi zokugulisa izibhedlele zikhethwa ukuba zibe ne-DNR endaweni, i-DNR ayilona khetho olufanelekileyo kubo bonke abantu .

Injongo yokugulisa i-hospice iyinduduzo yesigulane nesigulane esichazela ukunakekelwa kwayo. Akukho zigqibo ezinokunyanzeliswa kuzo kwizigulane, kubandakanywa nalabo abakwi-hospice.

Inkolelo # 3: Izibhedlele ziphela kuphela kwizigulane zeCarcer

Ngomhla ka-2015, malunga neekota ezintathu (iipesenti ezingama-72.3) zezigulane zazingeniswa kwi-hospice kunye neengcali ezingekho komhlaza. Oku kuthetha ukuba kuphela kwekota enye (iipesenti ezingama-27.7) zezigulana zokubhedlele ziye zafumanisa ukuxilongwa komhlaza.

Ezinye zeziganeko eziqhelekileyo ezingekho komhlaza kwi-hospice ngo-2015 zaziyizifo zentliziyo (iipesenti ezingama-19.33), i- dementia (iipesenti ezingama-16,5), izifo zemiphunga (i-10,9 ekhulwini), kunye ne-stroke okanye i-coma (i-8.8 pesenti). Nangona abahlengikazi bamatyala e-hospice kunye nabanye abaqeqeshi abanomdla abanamakhono kakhulu ekulawuleni iimpawu zomhlaza, banamakhono afanayo ekulawuleni iimpawu ezininzi zezinye izifo ezingapheliyo.

Inkolelo # 4: Izibhedlele ziphela kuphela kwizigulane ezenza ngokugqibeleleyo ukulahlwa okanye ukufihla ekufeni

Ngo-2015, ubude bobude benkonzo yezigulane zezibhedlele bezinsuku ezingama-23. Oku kuthetha ukuba kwezigulane eziyi-1.6 ukuya kwezi-1.7 zezigulane ezithe zafumana iinkonzo zokubhedlele i-hospice ngaloo nyaka, isiqingatha safumana ukunakekelwa kwe-hospice zingaphantsi kweentsuku ezingama-23, kwaye esinye isiqingatha samkela ixesha elide kunelo.

Enyanisweni, umyinge wenani leentsuku isigulane esamkele ukunakekelwa kwe-hospice ngo-2015 sasingu-69.5 iintsuku.

Inkqubo yokufa ithatha ixesha. Ngenxa yokunyamekela kwabasebenzi abanokhathalela abanokubanika izigulane zabo, izibhedlele zibonisa ukuba luncedo xa iqela lokukhathalela linethuba lokuyihambisa. Izigulane kunye nabathandekayo babo badinga ukuxhaswa, ulwazi kunye nokunakekelwa kwezonyango. Abasebenzi bezentlalo kunye nabafundi bafuna ixesha lokuba basebenze nezigulane kunye neentsapho zabo ukuba bazise kwindawo yokwamkelwa. Abahlengikazi kunye noogqirha badinga ithuba lokulawula kakuhle iimpawu zesigulane.

Ukuchithwa kweNtsholongwane yolondolozo lweMpilo

Ukususa i-stigma ejikeleze ukugula kunye nokuhlaziya ulondolozo lwempilo yokugqibela kubalulekile kwikamva lezempilo.

Ngama-2060, inani labantu abaneminyaka engama-65 okanye ngaphezulu e-United States lixelwe ukuba lifike kuma-98.2 yezigidi, eliya kuthi libe linye kumaMerika amane. Oko kuthetha ukuba abantu abaninzi baya kuphila nezifo ezingapheliyo, ezithintela ubomi kunye nokufuna unonophelo lwengcali yokuphela komsebenzi. Ukuchithwa kwezi zintathu zengqondo zonyango kunokusinceda sisondelane nokubonelela ngeenkonzo eziphezulu, ukunyamekela abanomdla kuzo zonke izigulane ezizifuna ekupheleni kobomi.

> Imithombo:

> I-NHPCO Iinkcukacha kunye neenkcukacha: Uncedo lwe-Hospice eMelika. Uhlobo lwe-2016. I-Hospice kaZwelonke kunye neNkcazo yokuNakekelwa koLuntu. http://www.nhpco.org/sites/default/files/public/Statistics_Research/2016_Facts_Figures.pdf.

Inyanga yeNdala yaseMelika: Meyi 2015 . ICensus Bureau yase-US. https://www.census.gov/content/dam/Census/newsroom/facts-for-freatures/2015/cb15-ff09_older_american_month.pdf