Ingqwalasela ye-Hospice
Nangona ukuqhubela phambili kwezokwelapha zanamhlanje kunye nezobuchwepheshe bokulondoloza ubomi zenze iimpawu ezintle, kukho iziganeko eziqhubekayo apho izigulane zingenakukwazi ukuzenza okanye ukuzingela ukuzama ukunyanga ukugula, izifo okanye imeko. Kule meko, abantu abaninzi kunoko bafuna induduzo kunye nokunyamekela ukugcina umgangatho wobomi ngexesha labo elililo. Ngoko kubalulekile ukwazi ukuba yintoni ukunakekelwa ngokunyamekela ngokubhedlele, iinkonzo ezibonelela ngokubanzi kwizigulane kunye neentsapho, nendlela yokuchonga ukuba ukufunayo kuyifanele wena okanye othandekayo.
Unonophelo lwengonyameko?
I-Hospice yindlela ekhethekileyo yokhathalelo lwezonyango olufuna ukukhuphaza nokugcina umgangatho wobomi wobomi (ngokukhulu kunokwenzeka) kulabo bajongene nokugula okuphelisa ubomi, izifo, okanye imeko yokuphela. Emva kokungena kwi-hospice, isigulane sinokunyamekelwa ngabanye ngokubhekiselele kwintlalo yabo yonke okanye ngokubanzi ngokujongana nesimo sakhe somzimba kodwa nangona nayiphi imfuno yengqondo, yentlalontle kunye neyenkolo / inkolo njengoko ukufa kuhamba.
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Iingcebiso ezi-5 zokukhetha umboneleli we-Hospice kuMntu wakho othandekayo
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Iyiphi Ixesha Eligqibeleleyo Lokukhetha I-Hospice Care With Cancer Lung?
Ukongezelela, iqela legulane labagqirha be-hospice liqhubeka lihlola imeko yalo kwaye lihlaziya isicwangciso sokunyameka njengoko kuyimfuneko.
Ukunakekelwa kwe-Hospice kunika inkxaso encedisayo, izixhobo kunye nolwazi kwintsapho yesigulane kunye nabathandekayo ngeli xesha elinzima-ngokukodwa kunaliphi na ilungu lentsapho elinika ukunakekelwa isiguli-kunye nokuncedisa ukucwangcisa umngcwabo, inkonzo yesikhumbuzo, kunye nenkxaso yentlungu kubasindileyo emva kokufa kwesigulane esibhedlele.
Unonophelo lwama-Hospice lunikwa ngokubanzi apho isigulane sifuna "ekhaya." Esi silungiselelo singabandakanya indlu yakhe okanye ilungu lentsapho, ikhaya labahlengikazi okanye indawo yokuhlala ekhuselekileyo, isikhungo sokugula esibhedlele, okanye nesibhedlele.
Kungakhathaliseki ukuba indawo, isigulane sinokunyamekelwa ngamalungu entsapho kunye namavolontiya aqeqeshelwa ngokubeletha kunye neqela eliqhelekileyo labaqeqeshi bokubhedlele, njengamayeza, abahlengikazi, abasebenzi bezentlalo, izibonelelo kunye nabanye.
Iinkonzo eziqhelekileyo
Uninzi lwabase-hospice lubonelela ngeenkonzo ezilandelayo, njengoko kuchazwe yi- Medicare Hospice Benefit eyadluliselwa e-United States ngo-1982:
- Iinkonzo zokweluleka : Xa kunesidingo kunye / okanye ezifanelekileyo, izigulane zokubelelisa kunye / okanye abathandekayo babo bangafumana iinkonzo zondlo, umphathiswa okanye inkxaso yokomoya, kunye nokucebisa ngokunyanzeliswa kwintsapho kunye nabanonophelo ubuncinane bonyaka omnye emva kokufa kwesigulane.
- Umncedisi wezeMpilo ekhaya: Umncedisi wezeMpilo wasekhaya ohlala esibhedlele unokuncedisa zombini izigulane ngononophelo lwabo, njengokuhlamba okanye ukugqoka, okanye nabanakekeli bekhaya kunye noxanduva lwabo kwaye bavakatye ngokuphindwe kabini ukuya kathathu ngeveki, kuxhomekeke kwimfuno.
- Iimvavanyo zeLebhu kunye nezinye izifundo ezifunekayo zokuxilonga
- Izixhobo zonyango : I-Hospice inikeza izixhobo eziyimfuneko kwindawo ekhuselekileyo, ekhuselekileyo neyanyamekelayo kwikhaya lomguli. Ezi zinto zingabandakanya ibhedi yesibhedlele, isitulo sabakhubazekile, i-diapers yabantu abadala, amabhanji, kunye / okanye iiglavu ze-latex ezilahlayo.
- Amachiza : Izibhedlele zihlanganisa zonke iyeza ezinxulumene nokuxilongwa kwezibhedlele kunye nezo zenzelwe ukulawula okanye ukunciphisa intlungu nezinye iimpawu.
- Iinkonzo zobuhlengikazi: Isigulane esibhedlele sinikezelwa ngumongikazi wecala othe tyelela iintsuku ezintathu kwiveki, kuxhomekeke kwimfuno. Umongikazi obizwa nge-call-call ufumaneke nakwizigulane zezibhedlele kunye nabaxhasi babo iiyure ezingama-24 ngosuku.
- Ukuthatha inxaxheba kwabagqirha : Ugqirha ogqirha isigqirha kaninzi unika ukunakekelwa kwakhe ngokubambisana nomlawuli wezokwelapha esibhedlele.
- Ukunyamekela : Ulo hlobo lwexeshana, uncedo lwexeshana lunokunceda unonophelo lwentsapho unciphise okanye ukhuphe uxinzelelo lokukhathazeka nokutshiswa .
- Iinkonzo zentlalo : Izigulane zezibhedlele zinikezelwa ngabasebenzi bezentlalo zonyango abaqinisekisiweyo ukuba bancede kunye neentsapho zabo ngeemfuno zabo zengqondo kunye / okanye ezentlalo.
- Therapists : Ukuba kufanelekile, i-hospice inokubonelela ngesifo somzimba, somsebenzi, kunye / okanye intetho yokuthetha ulwimi.
- Uncedo olongezelelweyo : Ii-arhente ezithile zonyango zibonelela ngeenkonzo ezongezelelweyo ngamavavolontiya aqeqeshiwe kunye / okanye iinkqubo zothando.
Ukongezelela, i-Medicare ichaza amanqanaba amane ahlukeneyo okunyamekela izibhedlele-isibonelelo sokubhedlele kunye nodokotela ogulayo esibhedlele uya kugqiba inqanaba elifanelekileyo lokunyamekela ngexesha lokungeniswa. Njengengxenye yesondlo kunye nolondolozo oluthile lomguli, eli nqanaba linokulungiswa njengoko kuyimfuneko.
Ukufihla iindleko
Ngokwe-National Hospice kunye ne-Palliative Care Organisation (i-NHPCO), i-Medicare ikhokhelwa unyango olwalufunyenwe ngama-85.5 ekhulwini lwezigulane zokubelelisa ngo-2014. Kodwa ukuba umntu afanelekile kwi-Medicare Hospice Benefit, umntu kufuneka afanelekele iSahlulo se-Medicare kwaye abe ngugqirha -kuqinisekisiweyo njengokuba ugula ngokugqitywa kwezigulana ezintandathu okanye ezimbalwa-ukuba eso sifo siqhuba izifundo eziqhelekileyo, phakathi kwezinye izinto. (Ugqirha unokuhlaziya isigulane ukuba imeko yakhe iyaqhubeka nokuhla kodwa iphila ngaphezu kweenyanga ezintandathu.)
Ukongezelela, ezininzi izicwangciso zezempilo zonyango okanye zorhwebo-mali zinika iindleko zokubhedlele njengokuba zininzi iinkqubo ze-Medicaid. Ukuba umntu akakwazi ukufumana i-inshorensi eyimfuneko okanye ezinye izibonelelo zemali, abaninzi abahlala esibhedlele baya kuhlala bemkela isigulane baze bahlawule iindleko ngokusebenzisa iminikelo yemali okanye imali efunyanwe ngexesha lemihla yokuxhaswa kwemali kunye neminye imithombo yendalo.
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Ezi ziVolontiya eziKhethekileyo eziKhuselekileyo ziqinisekisa ukuba akukho mntu uyafa
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Ziziphi iiNtsholongwane zeMshuwalense weMpilo kwi-Hospice Care?
Kukho izinto ezibalulekileyo zokuqwalasela xa ukhetha umboneleli we-hospice , kwaye, ngokucacileyo, i-inshurensi yakho yonyango kunye nemeko yezemali iya kubangela isigqibo sakho. Unganqikazi ukubuza ugqirha wakho kunye nemibuzo ye-arhente yesifo sokubhedlele kungakhathaliseki iimeko zakho-bambalwa abantu abahlala esibhedlele abaya kuguqula umntu onokuzuza kwiinkonzo zabo.
Iingcamango eziqhelekileyo
Ngenxa yokuba kukho iintlobo ezahlukeneyo ze-hospice , abaninzi abantu bacinga ukuba lolu hlobo lolondolozo lwempilo olukhethekileyo luphela kulabo abajongene nomhlaza. Ngokwe-NHPCO, ke, uninzi lwezigulana (ezingama-63,4 ekhulwini) zavunyelwa ukuba zifakwe kwi-hospice ngo-2014 kunye neengxaki ezingekho komhlaza, ezifana nesifo sengqondo somzimba, isifo senhliziyo, isifo seemiphunga, isifo, okanye i-coma. Inyani kukuba abaqeqeshi be-hospice banokunyamekela kunye nokuthuthuzela abo bajongene neentlobo ezahlukeneyo zokuphila-kunciphisa iimeko ezingaphezu komhlaza.
Enye into engafanelekanga ukuba abantu abangena kwi-hospice program baye banike ithemba okanye bafuna ukufa. Kubalulekile ukuqonda ukuba nangona ulondolozo lwama-hospice alufuni ukunyanga isigulo sokugula, isigulo, okanye imeko, ukunakekelwa kweso sifo akunakukhawuleza ukufa okanye "kunceda umntu afe." Injongo jikelele yokunyamekela ngokubhedlele i-hospice igxininisa ubomi ngenxa yokuba ibona ukufa njengenxalenye yenkqubo yendalo kwaye inceda izigulane zichithe intsali yobomi babo ngokuzeleyo kwaye zikhululeke ngokusemandleni.
Ngaba Unonophelo loLuntu olufanayo?
Amanyathelo okunyamekela kunye nokunyamekela ngonyameko asetyenziswa ngokungafaniyo, kodwa ayenjalo into efanayo. Nangona ezo zimbini zeenkonzo zonyango ezikhethekileyo zijolise ekunciphiseni iimpawu zesigulane nokuphucula umgangatho wakhe wokunakekelwa , ukunyamekela ngononophelo kunokulawulwa naliphi na ixesha kunye nexesha elide libonakala liyimfuneko kumntu ojongene nesimo esingapheliyo okanye esongela ubomi . A
Ngokomzekelo, ngelixa kungagqithwanga kwesi sifo, umntu ofumene umhlaza unokuqala ukunyamekela ukunyamekela zombini iimpawu kunye nemiphumo yonyango lwakhe ngenkqubela unyango lomhlaza, njengokhemotherapy okanye i-radiation.
I-Hospice yindlela yokunyamekela abantu abasondela ekupheleni kobomi, kodwa ukunyamekelwa ngenyameko kunokulawulwa naliphi na ixesha kungakhathaliseki ukuba isifo okanye isigulo singaphiliswa.
Ngaba I-Hospice Inene Okwenene Okanye Ndiyamthandayo?
Kukho inzuzo kunye neengxaki zokungena kwiprogram yesibhedlele kunye nabani na obhekene nesifo sokunciphisa ubomi, izifo, okanye imeko yesigxina kufuneka baxoxe ngazo zonke iindlela zabo, kuquka u-hospice, kunye nogqirha wabo, umncedisi kunye nosapho. Isigulane ngokuqhelekileyo silungele ukugula, nangona kunjalo, xa esenza isigqibo sokwenza unyango olujoliswe kuphela ekukhuthazeni / kunika induduzo kunokuba afune unyango ngesifo sakhe, isifo okanye imeko.
Unonophelo olunjalo lwezokwelapha lungabandakanya imishanguzo yokunciphisa intlungu, isicupunu, ukuphefumula okufutshane (dyspnea) , ukulahlekelwa yintlanzi, ukuxhamla imisipha, ukubetha, okanye ezinye iimpawu kunye neemeko. Ngethuba elingaphantsi kolondolozo lwe-hospice, isigulane sinokufumana unyango olongezelelekileyo, olunjengegazi, i-chemotherapy, okanye i-radiation, xa umgomo kukunciphisa intlungu kunye nokungahambi kakuhle kodwa kungekhona ukuphilisa eso sifo.
Nangona ulondolozo lwe-hospice lubonakala ngokufanelekileyo kwisigulane esinomdla wokuphila kweenyanga ezintandathu okanye ezimbalwa, ukuxilongwa okunjalo kuqikelelwa nje (ezinye izigulana zifa ngokukhawuleza kwaye ezinye zihlala ixesha elide). Ngaphambili isigulane sinokufikelela kwiinkonzo zokubhedlele, nangona kunjalo, inzuzo enkulu yena kunye nabamalungu entsapho kunye nabathandekayo-baya kufumana kule fomu ekhethekileyo yokunonyango.
> Imithombo:
> "Izidingo zokufaneleka kwezibhedlele." I-Hospice kaZwelonke kunye neNkcazo yokuNakekelwa koLuntu. Ukubuyiselwa ngo-Agasti 14, 2016. http://www.nhpco.org/hospice-eligibility-requirements
> "I-NHPCO Iinkcukacha Nezibalo: Ukunakekelwa kwe-Hospice eMelika," ngoSeptemba 2015. I-Hospice yeSizwe kunye neNkathalo yokuNakekela i-Palliative Care. Ibuyiswe ngo-Agasti 16, 2016. http://www.nhpco.org/sites/default/files/public/Statistics_Research/2015_Facts_Figures.pdf