Izinto ezichaphazela ukuLindelwa koBomi kwiZiko loKhathalelo
Amakhaya anesihlengikazi adlalwa njengento yokugqibela, kodwa ngamanye amaxesha kuyimfuneko, ukunyamekela abantu abaneengqondo. Uninzi lwabantu lufuna ukuhlala ekhaya ixesha elide ngangokunokwenzeka, kwaye abanye banokuba bacela nokuba intsapho yabo ingabathumeli kwikhaya labahlengikazi. Olunye uloyiko kukuba umthandayo ungancipha, kwaye ekugqibeleni afe, ngokukhawuleza kwisiko kunokuba wayeya ekhaya.
Ngaba oku kuchanekileyo?
Impendulo emfutshane: Kuxhomekeka. Impendulo ende? Kukho uphando oluthile kulo mbuzo, kodwa kukho izinto ezithile ezenza ukuncipha nokufa komdemokeni okungenzeka ukuba kwenzeke.
Uphando oluPhezulu
Ngokutsho kwamanani ahlanganiswe ngo-2017, isifo se-Alzheimer kunye ne-dementias echaphazelekayo yi-6 eyona nto ibangela ukufa e-United States. Ngoko, abantu abaphethwe yimiqondo yokufa komzimba bafa kuphi?
Olunye uphando olushicilelwe kwiNcwadi ye-American Geriatrics Society ibandakanya abantu abadala abangama-4 000 abaye bafundiswa malunga neminyaka emihlanu. Abaphandi kulolu phofu balandela ukufa kwabathathi-nxaxheba kwaye bafumanisa ukuba malunga nesiqingatha (46%) sabantu abane-dementia bafa ekhaya, ngelixa i-19% yayisekhaya labahlengikazi kwaye i-35% yabhedlele xa befa.
Nangona kunjalo, uphando oludlulileyo olupapashwe ngo-2005 lufumene ukuba i-2/3 yokufa ephathelene nokuphelelwa yingqondo yenzeke kwikhaya labahlengikazi.
Uvavanyo lwesithathu ukususela ngo-2013 luhlalutye abahlali basekhaya labangamahlengikazi abangama-378 kwaye bafumanisa ukuba abo banokuxilongwa kwesifo se-Alzheimer-xa kuthelekiswa nalabo abanezinye iintlobo zomqondo wokugula ngengqondo kunye nalabo abane-diagnostic cardiovascular-actually survived for a long time.
Oku kufunyanwe kubonakala kunemeko-intuitive ekuqaleni kodwa kunokwenzeka ukuba kuchazwe ngokuqonda ukuba amakhaya anesihlengikazi akhathalele abantu abagula kakhulu ngoku kuninzi ngaphambili, kwaye mhlawumbi abo abaneemeko ngaphandle kwe-Alzheimer banokunciphisa ixesha lokuphila.
Izinto ezihambelanayo nomngcipheko ophezulu wokufa kwi-Dementia
Nangona kunzima ukufumana uphando olubhekiselele apho abantu abane-dementia baya kufa ngokukhawuleza, kukho izinto ezimbalwa eziye zadityaniswa nempilo emide ekudeni komqondo.
Ziquka ezi zilandelayo:
- Ukugqithisa ngokweqile: Ngokumangalisayo, ngelixa iiplani ezongezelelweyo kwiminyaka yobudala obudala zisandisa umngcipheko wokuhlaziya umthamo we-dementia, iipounds ezongezelelweyo kubantu abadala abakhubazekile ngengqondo zidibene nomngcipheko omncinci wokufa emakhaya asebekhulile. Ukunciphisa ukulahlekelwa komzimba ekudemeni kwengqondo, nakubantu abagqithiseleyo, kufuneka bajongwe ngokuxhalaba ngenxa yalo mlinganiso kunye nobungozi bokufa.
- Ukunciphisa iiMicrosoft Antipsychotic IiNkqubo ezidibeneyo kunye neNkqubo yokuHlanganelana kweNtlalo : Kukho ukunyanzeliswa okunamandla ukunciphisa ukusetyenziswa kwemithi yokulwa ne-antipsychotic kumakhaya asebekhulile, kwaye njengoluhlanga, senze inkqubela phambili kule ndawo. Nangona kunjalo, uphando oluthile luthi akwanele. Kufumene ukuba ukunciphisa ukusetyenziswa kunye nokubonelelwa kokunyuswa kwentlalo kwandisa izinga lokusinda kwiindawo. Ukunciphisa nje imishanguzo ye-antipsychotic ngaphandle kokungenelela kwamanyathelo okungenelela kubangele ukwanda kwimiqobo enzima kunye neemvakalelo ezinxulumene nomdemokhrasi kwaye azizange ziphucule izinga lokusinda.
- Ukwelashwa okuphumelelayo kweziganeko zokuziphatha kunye neengqondo ze-Dementia : Olunye uhlolisiso lwabantu abaneentsholongwane yentsholongwane emakhaya asele abahlengikazi bafanisa amazinga okufa kwabantu abafumana unyango oluxhatshazwayo kubantu abafumana unyango lwe-antipsychotic. Bafumanise ukuba amazinga okufa awazange athathwe nokuba ngaba akukho mntu ufumana unyango okanye yiyiphi iyeza abayifumeneyo, kodwa nokuba ingaba le nkunkuma ayiphumelelanga ekuphuculeni i-BPSD. Ngamanye amazwi, abantu kumaqela omabini (abo baxinzelelekileyo kunye nalabo be-antipsychotics) bahlala ixesha elide xa iimpawu zabo zokuziphatha kunye neempawu zengqondo zomzimba ziphuculwe kunye neyeza.
Izinto ezinxulumene nomngcipheko wokuKhulelwa koKufa kwi-Dementia
Ngapha koko, uphando luye lwadibanisa le miba ngomngcipheko ophezulu wokufa komntu onomdemokhrasi.
- I-Delirium : Ubungqina be-delirium kubantu abaneengqondo yokuxhomekeka komzimba kuye kwadibana nomngcipheko wokufa. Esinye sezizathu eziqhelekileyo zezidlori sisifo.
- I-Falls kunye ne- Hip Fractures : Abantu abane-dementia banomngcipheko wokuwa kwamathambo kunye ne-hip fractures, kwaye loo mngcipheko, ngokubhekiselele, uhambelana nobungozi bokufa.
- Izilonda zoxinzelelo: Izilonda ze-Decubitus (ezibizwa nangokuthi "izilonda zesibhedlele" zandisa ingozi yokufa kulabo abaphila ngengqondo yokugula.
- Ukungakwazi ukwenza i- ADLs : Njengoko ukunyuka kwe-dementia kuqhubela phambili, ukwazi ukwenza imisebenzi yemihla ngemihla njengokugqoka, ukuhlamba, ukutya okanye ukuhamba kuhla. Oku kuncipha kunxulumene nobungozi obandayo bokufa.
- I-pneumonia : Ukuphuhlisa i-pneumonia kubangela ingozi yokufa kubantu abaneengqondo zokugula.
- Ubudala : Ukuba uneminyaka engama-85 ubudala okanye ngaphezulu kunxulumene nomngcipheko omkhulu wokufa kwesifo se-Alzheimer's disease.
Imithombo:
> Ballard, C., Orrell, M., YongZhong, et al. (2016). Impembelelo yoVavanyo lwe-Antipsychotic kunye ne-Nonpharmacological Intervention kwi-Antipsychotic Usetyenziso, iimpawu ze-Neuropsychiatric kunye nokufa kwabantu abantu abane-Dementia abahlala kwizindlu zoLondolozo: I-Cultural-Colder-Randomized Trial Trial of the Well-Being and Health for People With Dementia (INJONGO). I-American Journal ye-Psychiatry , 173 (3), iphepha 2.52-262.
> Cereda, E., Pedrolli, C., Zagami, A., Vanotti, A., Piffer, S., Faliva, M., Rondanelli, M. kunye noCaccialanza, R. (2013). Isifo se-Alzheimer kunye nokufa kwiindawo zokunakekelwa kwexesha elide. Ii-Archives zeGerontology kunye neGeriatrics , 56 (3), iphe.437-441.
> de Souto Barreto, P., Cadroy, Y., iKelaiditi, E., Vellas, B. kunye noRolland, Y. (2017). Ixabiso lentetho yokubumba komzimba ekufeni kwabantu abadala abadala abaneengqondo zokuhlala emakhaya asebekhulile. Isondlo seKlinikhi , 36 (2), iphe.423-428.
> Hicks, K., Rabins, P. noMnyama, B. (2010). Abaqaphelisi bokufa eMakhaya aBantu abanobuhlengikazi Abahlali abanomdla ophezulu. I-American Journal ye-Alzheimer's Disease & Other Dementiasr , 25 (5), iphe.439-445.
> Huang, T., Wei, Y., Moyo, P., Harris, I., Lucas, J. no Simon-Wastila, L. (2015). Iziganeko zokuziphatha kunye nokufa kwabantu kwi-Medicare Abaxhamli kwizindlu zoLondolozo ezinezifo ze-Alzheimer kunye ne-Dementias ehlobene. Umbhalo we-American Geriatrics Society , 63 (9), iphe.1757-1765.
> Mitchell, S., Miller, S., et al. (2010). I-Advanced Dementia Tool Toolprognostic: Umlinganiselo Wengozi Ukulinganisa Ukusinda Kwabahlali Basekhaya Abahlengikazi abane-Dementia ephezulu. I-Journal ye-Pain and Symptom Management , 40 (5), iphe.639-651.
> Seitz, D., Gill, S., Gruneir, A., et al .. (2014). Iimpembelelo zeDementia kwiziPhumo ezingaphangeliyo zabadala abadala kunye ne-Hip Fractures: Isifundo esisekelwe kubantu. Umbhalo we-American Medical Directors Association , 15 (5), iphe.334-341.