Ukufumana Abaphendulayo Abangxamisekileyo Ukuhlonela Ubulumko Bakho
A aqhubekeki (DNR) umyalelo ngumyalelo wabanikezeli benonophelo lwezempilo ukuba bangenzi iCPR kwisigulane esinokubanjwa kwenhliziyo. Imiyalelo ye-DNR iyingqayizivele kuba iCPR kuphela yongenelelo lwonyango olufuna umyalelo wokungawulawuli.
Iimfuno ze-DNR zivela kumayeza, kungekhona kwizigulane. Ukuba isigulane sifuna ukuba iCPR ikhunjulwe, kufuneka ixoxe ngesigqibo ngudokotela ukuze enze umyalelo obhaliweyo.
Ukuba isiguli asikwazi ukuxoxa ngokugqithiseleyo ngogqirha, kukho amaxwebhu ahlukeneyo okuphela kobomi abafakela iimfuno zesigulane ezibizwa ngokuba yizikhokelo zangaphambili. Ngaphambili izikhokelo zinceda izigqibo zogqirha ukuba isigulane asikwazi ukubonisana.
Amagunya azinzileyo zommeli avumela abanye (ngokuqhelekileyo amalungu omndeni) ukwenza izigqibo ngesigulane esingenakukhubazeka, ngokuqhelekileyo kwizikhokelo ezichazwe kumqulu. Kuqhelekileyo ukuba iintsapho zisetyenziswe inxalenye yomelele yamagqwetha kunye nokuqulunqwa komyalelo wokuncedisa ugqirha ukuba enze umnxeba.
Imiyalelo yeDNR
Njengolunye unyango olunzima lwezokwelapha eUnited States, ukusetyenziswa kwee-DNR ii-oda ziyahluka ukusuka kwimeko ukuya kummandla, ngokubhekiselele kwi-out-of-hospital (i-ambulance). Ezinye iifom zinamaxwebhu afanelekileyo kumyalelo we-DNR; ukuba umyalelo awubhalwanga kwifomu ethile, ayikwazi ukuhlonishwa. Ezinye iindawo zincinci, zihlonipha naluphi uhlobo lwe-DNR oda.
Abaninzi bavumela abaphenduli baxakeka ngokukhawuleza ukuba balandele imiyalelo ye-DNR ebhalelwe kwabanye ababoneleli ngononophelo, nangona bengabhalwa kwiifom ezifanelekileyo. Ngokomzekelo, ama- paramedics kunye neengcali zezonyango zongxamisekileyo zivunyelwe ukuba zilandele imiyalelo ye-DNR ebhalelwe abasebenzi basekhaya labahlengikazi. Basenokukwazi ukuhlonipha imiyalelo ebhaliweyo kwizigulana ezinokunakekelwa ngononophelo ekhaya xa umongikazi wekhaya unakho ikopi yomyalelo we-DNR esandleni.
Umbuso ngamnye uhlukile, kwaye oomasipala bangahluka kwilizwe ngalinye.
Kungakhathaliseki ukuba ifomathi okanye indawo, i-DNR iyalela ngokukhawuleza ilandele imigaqo efanayo yonke ukuba isebenze:
- Iimfuno ze-DNR mazibhalwa ngamagqirha kunokuba zichazwe. Kukho ukungafani kulo mgaqo, njengogqirha weenkonzo zonyango oononophelo oyalela i-ambulance crew ukuba ingavumi ukuvuselelwa kwi-rediyo okanye umongikazi obhalisiweyo ethatha umyalelo kumgqirha owamkela phezu kwefowuni. Ngokuqhelekileyo, kukho izikhuselo ezi zinto ngaphandle kokuqinisekisa ukuba umyalelo uqinisekisiwe kamva.
- Iimyalelo zeDNR ezibhaliweyo mazibandakanye igama lomguli. Kubonakala kungenangqondo, kodwa imichiza kunye nezinye iinkqubo zihlala zilawulwa zizigulane ezingalunganga; Ukulandela umyalelo we-DNR kunye nomguli ongalunganga kuya kuba yingozi.
- Iimfuno ze-DNR mazibekwe ngamaxesha. Ngokuxhomekeke kwimeko, imiyalelo ingapheliswa emva kwexesha elithile okanye kubekho ixesha elidlulileyo lokuba udokotela alandele. Nangona umyalelo we-DNR awupheli, umyalelo othile omdala ungabangela ukuba abanonophelo baphindele kwisigqibo kwizigulane.
- Umyalelo we-DNR kufuneka usayinwe ngugqirha. Kwimeko apho iikopi zithathwe ngumongikazi kwi fowuni, ngokuqhelekileyo zibeka ixesha elide lokuba ugqirha aqinisekise kwaye asayine umyalelo-eCalifornia, umzekelo, i-doc kufuneka ibhalise i-DNR ngaphakathi kweeyure ezingama-24.
Ukwenza umsebenzi we-DNR Umsebenzi Wakho
Ukuba wena okanye umntu onomthandayo unomyalelo we-DNR kwaye ufuna ukuba umyalelo uhlonishwe ngaphandle kwesibhedlele, gcina umyalelo wesandla ngesandla uze uyibonise ngokucacileyo apho abantu abanokufumana khona (okanye isigulane). Yenza iphuzu lokuxelela abahlangulayo xa befika. Ingcamango enhle yokuba nekopi engaphezulu kweyodwa ikhoyo kwaye iboniswe, kwakunye nekopi ukuhamba nesigulane esibhedlele.
Ukuba uhamba, cela abalingani bakho abahambahambayo ukuba bafumane ikopi ye-DNR oda kubo onke amaxesha. Ukugcina ikopi kwisigulane akusoloko kunceda abahlangulayo, abasenokususa ngokukhawuleza iimpahla zesigulane kwaye akunakwenzeka ukuba bajonge kwisikhwama okanye esikhwameni.
Olunye uhlobo lwezonxibi zezokwelapha lunokuba luncedo. I-MedicAlert Foundation inikezela ngeebhanki ezenziwe ngokukodwa kwizigulane ezine-DNR. Isiseko sigcina ikhophi yomyalelo kwifayili, kwaye iyakwazi ukuthumela ngefeksi naphi apha emhlabeni. Ubunxibi be-MedicAlert buqulethe abahlanguli beenombolo zefowuni ezingenakho ukubiza ukuba bacele ikhophi.
Iiprogram ze-Hospice zifuna i-DNR i-oda njengemeko yokuthatha inxaxheba. Kuloo matyala, ukubiza i-ambulensi kungeyomfuneko. Xhumana nomniki-nkonzo wakho wokubhedlele kwaye ucele malunga nenkqubo yokulandela xa umntu efa xa ebhalisile kwinkqubo yabo.
Iingxaki zoLungiso lwee-DNR Orders
Ukusetyenziswa okungahambelaniyo kwemiyalelo ye-DNR kuthetha ukuba ezinye izigulane zifumana ngaphantsi kokunyamekela ngokufanelekileyo xa banikezeli banikezela ukuba khona kwe-DNR. Kukho kusadingeka ukuba ufunde ngakumbi kule ngxaki, kodwa abanye ababoneleli bezempilo baya kuhoxisa ukunakekelwa okusisiseko kwizigulane ezine-DNR.
Kubalulekile ukukhumbula ukuba umyalelo we-DNR awukho umyalelo wokubamba zonke izigulane kwisigulane, kodwa nje umyalelo wokungagcini isigulane. Inkcazo yokuvuselelwa ingaba nzima. Abanye oogqirha banqanda ukuxhomekeka kwesifuba ngelixa belungiselela ngononophelo oluphambili njengomoya wokungenisa umoya - ubuncinci de kube kungekho nto i- pulse . Amanye amagqirha aya kubamba naluphi na unyango oluphambili kwisigulane nge-DNR order.
Ngenxa yale miba, nayiphi na enye ngaphandle kwesifo sokuxilongwa - njengomhlaza okanye ezinye izimo ezingapheliyo-ukufumana umyalelo we-DNR kusenokuba sisisigqibo esifanelekileyo. Xoxa ngeendlela ozenzayo ngogqirha wakho ngoku kunokuba ube ngumva kamva, kodwa ungaziva unyanzelekile ukuba wenze ingcinga yakho malunga nezigqibo zokuphela kokuphila. Hlalani nikhumbule ukuba ukuba sithetha nje ngokuthintela iCPR, kungcono ukuvumela abahlanguli bazama ukuvuselela ngexesha loxakeka. Kukho ithuba elincinane lokuba iCPR ngaphandle kwesibhedlele iya kuphumelela nantoni na, kwaye i-dilemma yokuziphatha iya kugwenywa.
Iingxelo:
Adams, JG. "I-oda ye-Prehospital ayiyi-reuscitate orders: uphando lwemigaqo-nkqubo yase-United States." Dishosp Disaster Med . Oktobha-Disemba 1993
Bedell, SE, et al. "Musa ukubuyisela imiyalelo yezigulane ezigulayo esibhedlele. Ziyasetyenziswa njani kwaye yintoni impembelelo yazo?" JAMA . 11 Julayi 1986
Hosaka, T, et al. "Iingcamango zabahlengikazi ngokuphathelele ukungahambisani naso (DNR)." Tokai J Exp Clin Med . Matshi 1999
Koenig, KL, kunye neGW Tamkin. "Awuyi-i-resuscitate orders." Bahlala kuphi kwisimo sokuqala? " Dishosp Disaster Med . Jan-Mar 1993
Ott, BB, kunye ne-RM yeNeswiadomy. "Inkxaso yokuzimela kwesigulane kwi-intanethi ayiyi kubuyiselwa isigqibo." I-Heart Lung . Jan 1991
Sulmasy, DP, et al. "Umgangatho wenceba. Ukunyamekela izigulane 'musa ukuvuselela' imiyalelo. JAMA . 5 Feb 1992