Ubuninzi bobuhlungu obubantu abane-Dementia
Iingcali ziqikelela ukuba malunga nama-50% abantu abane- dementia baneentlungu rhoqo, kwaye intlungu leyo inokunyuka xa i-dementia iqhubekela phambili kwizigaba ezilandelayo.
Izizathu Zeentlungu
Nangona i-dementia ngokwayo ayibangela ukuba intlungu ibe yintlungu, kukho iimeko ezininzi kubantu abaneengqondo ezibangelwa intlungu.
Uninzi lwengxaki yesifo sengqondo sengqondo yabantu abadala, kwaye eli qela leminyaka linomngcipheko ophezulu we- osteoarthritis , izifo zokugonywa kwamanzi, ukuwa kunye nezilonda zengcinezelo-zonke ezo zinto zingabangela intlungu ebalulekileyo. Ngokomnye ugqirha, (uDkt. John Mulder) wonke umntu oneminyaka engaphezu kwe-25 unomlinganiselo othile we-arthritis kwizihlanganiso, ezinokubangela ubuhlungu besisu kunye neentlungu.
Olunye uphando lubonakalisa ukuba abantu abaneengxaki zokugula komzimba bangabandezeleka ngokwahlukileyo kunokuba abo baqonda kakuhle, ngelixa abanye bacinga ukuba yinto eyancitshiswayo yokubonisa loo ntlungu. Izifundo ziye zavuma ukuba abantu abanomdla wokuphefumula komzimba banomngcipheko omkhulu wokunyangwa ngaphantsi kweentlungu.
Indlela Efanelekileyo Yokuhlaziya Ubuhlungu Nge-Dementia
Buza uMntu:
Kubantu bonke, imilinganiselo eyamkelekileyo yokunyamezela intlungu kukumane umbuze umntu malunga nentlungu. Oku kuyinkimbinkimbi kumntu onomdemokhrasi ngenxa yokuphazamiseka okuthe ngcembe kokuqonda kunye nokufumana amagama .
Nangona kunjalo, uphando lubonisa ukuba ekuqaleni kwaye kwinqanaba eliphakathi , abantu abaninzi basakwazi ukuchonga nokubonisa intlungu yabo ngokuchanekileyo; ngoko, kufuneka baceliwe. Kwimigangatho elandelayo yesifo sengqondo, kuba nzima ukuba umntu abonise intlungu.
Sebenzisa ama-Scal Scales:
Ukucela umntu ngokudideka ukuba ulinganise intlungu yabo kwizinga eli-1 ukuya kwe-10 akuyona into efanelekileyo, njengomthetho, kuba kukho ezininzi izinto ezikhethiweyo kunye nokuchazwa kwamanani amaninzi kwinto nganye inokuthi ithetha ntoni.
Isixhobo sokuhlola esilungileyo ngakumbi kwintlungu yesikali somntu, apho umntu ebhekisela ebusweni obubonisa kakuhle indlela abavakalelwa ngayo ngentlungu. Ubuso obuvela evuyayo kakhulu kuba buhlungu kwaye bukhala.
Enye indlela elula nje kukubuza ukuba bunjani intlungu: incinane, encinane okanye eninzi.
Esinye isixhobo esisetyenziswa ngokuqhelekileyo kuVavanyo lwePain kwi-Advanced Dementia (PAINAD). Esi sixhobo saqulunqwa ngabaphandi kwiSebe leMfuyo njengendlela yokuvavanya ngokuchanekileyo intlungu kubantu abaneengxaki zokugula ngengqondo. Kudinga ukuba le mimandla ilandelayo ihlolwe:
- Ngaba ukuphefumla kwakhe kwakumsebenzi okanye ukuzola?
- Ngaba ubiza okanye ukhale?
- Ingaba ubonisa ubuso obunobunzima okanye ubonakaliso?
- Ulwimi lomzimba njani? Oku kubandakanya ukuhamba, izibonda eziqinileyo, ukubetha nokukhupha
- Ngaba unakho Ngaba unokuzinqabisa nokuphazamisa?
Buza Othandekayo:
Ngenxa yokuba i-dementia ichaphazela ukukwazi ukuthetha, kunokuba luncedo kakhulu ukubuza umntu owaziyo umntu onomdemokhrasi ngentlungu. Cinga ukubuza le mibuzo:
- Yintoni ukuziphatha kwakhe okuqhelekileyo?
- Ukhangeleka njani xa ebuhlungu?
- Ukuziphatha kwakhe kuguquka njani xa engakhululekile?
- Yintoni oyifumene ukuba uyamnceda xa eve buhlungu?
- Yiyiphi inzakalo emdala eyayikhathaza?
Ezinye iimpawu zobuhlungu kwi-Dementia
Icandelo elibalulekileyo ekuphononongeni intlungu kukuba ukwazi ukuziphatha okuqhelekileyo kunye nokusebenzisana nabanye. Le ngcaciso idla ngokugqithiseleyo yintsapho, ngubani ongayiphendula imibuzo malunga nomoya kunye nokuziphatha okuqhelekileyo, ukuhamba komzimba, imbali yexesha elide leentlungu kunye nokuphendula kwiimithi zentlungu.
Qaphela ukuba ezi zinto zilandelayo ziyimpawu zentlungu:
- Ukuqalekisa
- Ukudibanisa
- Ukunganakwa nokuKhutshwa kwiMisebenzi kunye nokuHlangana
- UkuPhakamisa okuPhezulu (kubonakala kunzima ukukholisa)
- Ukuhlaselwa
- Ukungabi naso
- Ukuphindaphinda amanqaku okanye amazwi
Imingeni yoLawulo lwezobuhlungu
Xa ukhathalela umntu onomdemokhrasi, inselele enye kukubona ukuba intlungu-okanye enye into efunekayo njengesizungu , ukuxhalaba , ukulamba, okanye isidingo sokusebenzisa indlu yokuhlambela- kubangela ukuba umntu abe nengxaki.
Inkxalabo yesibini kukuba ukuba abaxhasi abanonophelo abaqapheli ukuvavanya nokunyanga iintlungu, umntu unokuthi ubizwa ngokuthi unxinekile okanye uxinzezelekileyo kwaye umiselwe isigxina se- psychotropic endaweni yokujongana nentlungu ebangela loo mvakalelo.
Iindlela eziNye zoBuhlungu
- Ukuhlawula
- Ukuphazamiseka
- Ukushisa
- Cold
- Ukumisa
- LwePil Therapy
- Umculo
- Ukwenza i-Acupuncture
- Aromatherapy
- Izidalwa ezingaphezulu kwe-Counter ezifana ne-Biofreeze
Utyando lwe-Pain Control
Ngoxa kubalulekile ukuba abantu bangabikho kweziyobisi, abantu abaninzi baya kuzuza kwiimvavanyo eziphambili zentlungu. Ukuba uye wakhupha ezinye izimbangela zokuziphatha (ezifana nendlala, ukunyamezela kunye nesidingo sokusebenzisa), kwaye uzimisele ukuba umntu unokuba nosizi, ukufumana imithi yesilonda semfuyo yinto efanelekileyo.
Ziqaphele ngeemvavanyo zonyango eziyalelwe kwi-PRN (njengoko kufuneka). Ngenxa yokuba umntu onomdemokhrasi akanako ukuveza intlungu yakhe kakuhle, okanye angenakukwazi ukunyuka ngokuthe kancinci kwintlungu aze ahlupheke kakhulu, imishanguzo ye-PRN imilenze inokubangela ukuba intlungu elawulwa kakubi. Ingaba umntu akawuceli ukuba angayifumana, okanye uyifumana kamva kunokuba yinto efanelekileyo kwaye intlungu yakhe ingaphezu kwezinto eziqhelekileyo ezilawulwa yileyeza kunye neli dose elimiselweyo. Ukuba kunokwenzeka, umyalelo wesiganeko weentlobo zonyango lukhethwayo kumntu onomdemokwenza.
Nangona amalungu entsapho angabonisa ukuxhalaba kwimiba enokubakho ukuxilwa kwimizi yezobuhlungu, le nto ayikho into ebaluleke kakhulu kuba ukuziphatha kwezidakamizwa akuqhelekanga kubantu abaneentsholongwane. Ukongezelela, abaninzi banokubaluleka komgangatho wobomi obunokuphucula ukulawulwa kwentlungu.
Imithombo:
Inkqubo yokuFundiswa kweMfundo noQeqesho. Ulawulo lwePain kuMntu oDementia. Kufumaneka ngoFebruwari 5, 2016. http://www.alzbrain.org/pdf/handouts/2049.%20MANAGEMENT%20OF%20PAIN%20IN%20PERSONS%20WITH%20DEMENTIA.pdf
Mulder, J., et al. Ubuhlungu kwi-Elderly Affirming Elder. 2015. http://www.michigan.gov/documents/lara/1aPain_Assessment__Management_with_Elders_Expreiencing_Cognitive_Loss_484079_7.pdf
I-Texas Tech University yeZiko lezeMpilo kwiSizwe. Ubunzima bobuhlungu. NgoJanuwari 2011. http://www.ttuhsc.edu/provost/clinic/forms/ACForm3.02.A.pdf
Um Pharmist waseMelika. 2014; 39 (3): 39-43. Ulawulo lwezinhlungu kwi-Dementia. http://www.uspharmacist.com/content/c/47338/
UWarden V, u-Hurley AC, i-Volicer L. Uphuhliso nophando lwe-psychometric yovavanyo lwentlungu kwi-dementia ephezulu (PAINAD). J Am Med Dir Assoc . 2003; 4: 9-15. http://www.amda.com/publications/caring/may2004/painad.cfm
Zeitschrift Fur Gerontologie Und Geriatrie. 2015 Feb; 48 (2): 176-83. Uhlobo kunye nekhosi yeempawu ezibonakaliswe kwisigaba sokuphela kunye nokufa kwabantu abanomdla wokugula komzimba kumakhaya asebekhulile. http://www.ncbi.nlm.nih.gov/pubmed/25119700