Ukuqonda ukuhluka phakathi koMgangatho kunye nokuXhobisa
Njengazo zonke izinto ezihlala kumbambano wemisebenzi yezomthetho kunye nezokwelapha, imvume ingaba yinto ekhohlakeleyo ngakumbi kunokuba ibonakala iincwadi. Ngengqiqo, izigulane zinika imvume (inkqubo esebenzayo) ukwenzela ukufumana uncedo kumgqirha okanye kwi-paramedic. Enyanisweni, ababoneleli bezempilo bexakeka ngokukhawuleza bacela imvume ngokuthe ngqo.
Ummiselo kwimeko yongxamiseko yinkqubo engakumbi, esichazela ukuba abantu abanonophelo bokukhathalela baqala ukwenza oko kufuneka ukuba kwenziwe kwaye isigulane sikuvumela.
Ngaphandle kokuba bengenalo. Kungenxa yokuba umntu ufumana i-ambulensi okanye ahambe kwiSebe elixakekileyo akuthethi ukuba kufuneka aphathwe ngumsebenzi wezempilo. Nokuba ngaba abanonophelo baqala ukunyanga isigulane, unokurhoxisa imvume yakhe kwonyango nangaliphi na ixesha kwinkqubo ... ngokuqhelekileyo .
Ummiselo awusebenzi
Incwadi nganye yezinga lokungena kwinqanaba lezonyango linesahluko semvume. Bonke bacetyisa ukuba ngaphandle kwemvume, unonophelo akakwazi ukuchaphazela isigulane. Ngemizekelo ngamanye amaxesha unokuphazamisa umphululi. Unamathele inaliti kumntu ongatshoyo kulungile? Leyo ibhetri. Beka umntu kwi-ambulensi kwaye uhambe naye ngaphambi kokufumana intsikelelo yakhe? Ukuthunjwa.
Ukufunda incwadi yezokwelapha yenza ukuba kuvele ukuba kuya kuba yinto eyoyikisayo ukuba umboneleli wezempilo akanalo igunya lokuqala ukunyanga isigulane.
Kwiingcamango, oko kuchanekileyo, kodwa ngokusebenza, asiyikucela kakhulu.
Mfa nekiso lo: i- ambulensi ibizwa ngokuba ibhinqa elisemagumbini ekhononda ngentlungu yesifuba . I-ambulensi ifika kwaye i- paramedics iphuma. I-paramedic enye ifaka intliziyo ijonge phantsi kwiinyawo zesigulane kwaye iqala ukubuza imibuzo yakhe ngathi "Yintoni ebuhlungu namhlanje?" kunye "Ngaba unenkinga yokuphefumula?" Elinye i-paramedic linceda isigulane sisuse ibhatyi yakhe ukubeka ingcinezelo yegazi.
Ekugqibeleni, isandla somntu sihamba phantsi kwefowuni yakhe ukuze unamathele intliziyo yokubeka intambo kwi-esifubeni sayo. Ngokuqhelekileyo, into esondeleyo kwimvume evakalayo ngathi, "Ndiya kubeka ezi ntambo kuwe, zilungile?"
Ukuba isigulane asikrokreli, unyango luyaqhubeka.
I-Passive (Implied) Imvume
Akukho sizathu sokuba ama-paramedics kunye nabahlengikazi abangxamisekileyo abakwazi ukucela imvume nganye into esiyenzayo kwisigulane ngaphandle kokuba isiguli singenazi okanye singathethi ulwimi olufanayo, kodwa oko kubizwa ngokuba yimvume kwaye kuchazwe imigaqo eyahlukileyo. Hayi, abanonophelo banokufumana imvume kwimanyathelo nganye enkqubo. Asikho, nangona kunjalo, ngenxa yokuba loo nto ayisebenzisiyo kuluntu.
Unxibelelwano alukhulumi kuphela. Sinxibelelana ngakumbi nangaphandle kwesigama. Ukuba i- EMT idonsa ingcinezelo yegazi ephuma esikhwameni sayo kunye nesigulane siphakamisa ingalo yakhe ukuvumela isicelo sayo, eso sikhombisa imvume yakhe kungekhona ngomlomo. Sonke siyayiqonda into eyenzekayo kwaye siqhubeka ngokuvumelana.
Ukuba isiguli asifuni unyango kunye nemvume eyenziwe ngokukhawuleza, njani loo nto ikwaziswa kumniki-nkonzo? Kubizwa ngokuba ukungafuni ukunakekelwa.
Yiba nengqiqo
Kukho esinye isizathu sokuba imvume ingenzi lutho ngelixa ithatha inyathelo lokunqaba.
Kwimeko engxamisekileyo , ukucinga ukuba ukhathalelo lufunwa. Yonke into esekelwe emva kwemvume: ukuba isiguli sakwazi ukuthetha, ngokuqinisekileyo wayeyacela uncedo. Kuphela kufuneka ukukhaba xa ukuxhumana kungenakwenzeka, kodwa yindawo esiyiyo sonke esithathayo. Ngokucacileyo ufuna unyango olupheleleyo ukuba ucele i-ambulensi, akunjalo?
Kubizwa ngokuba ngumgangatho ofanelekileyo womntu. Umntu onengqiqo uya kufuna unyango ukuba luphuculwe ngokubanzi okanye ulondoloze ubomi bomntu. Imilinganiselo esemthethweni kwaye isekelwe kwinqanaba lomntu ocinga ukuba umntu ofanelekileyo uya kwenza. Enyanisweni, akukho mntu ufanelekileyo onokuyisebenzisa njengendlela yendlela yokuhamba ngayo izinto.
Ngelishwa, umgangatho ofanelekileyo womntu usibeka sonke kwisitopu, kuba ithatha ukuba kukho isiseko, kwaye sisisiseko asikwazi ukulinganisa.
Ukwenqaba
Ukuba umntu akafuni ukuphathwa, kufuneka athi cha. Ingxaki kukuba indawo esiyiyo esiyifumaneyo, apho sithatha wonke umntu ufuna ukugcinwa. Xa isigulane sigqibo sokuba singayi kunyangwa, sidinga ukuqwalaselwa ngenyameko yezizathu. Umbuzo othi: kutheni? Kwaye kuvula uluhlu lwemibuzo ehlobene. Kutheni umguli engafuni ukuphathwa? Ingaba isigulane siyayiqonda ingozi yokunganyanga? Ingaba isigulane sinakho ukukwenza izigqibo zonyango? Ngaba isigulane sinamandla okwenza izigqibo zonyango?
Ukwazi okanye ukuPhumelela
Ukuphumelela kukuhlukana komthetho. Nabani na umntu omdala ongavunyelwe ngokomthetho ukuba enze izigqibo zobomi ezizimeleyo kuthathwa njengelungelo. Ukuba uneminyaka eyi-18 ubudala okanye ngaphezulu ku-United States kwaye ungathathwa njengengenakulungele yinkantolo okanye njengenxalenye yomthetho othile, uthathwa njengelungelo. Oko kuthetha ukuba ufumana ukwenza izigqibo zonyango.
Ubunono bubhekiselele kwikhono lokwenza izigqibo zonyango ngexesha. Ubungakanani banobunzima bezomthetho, kodwa lujoliswe ekuncedeni abanonophelo ukuvavanya ukukwazi okwenene isiguli ukuqonda nokuzenza izigqibo ezifanelekileyo.
Ngokutsho kwinqaku malunga nokuqonda kwabasebenzi bezempilo, kukho izigaba ezintathu zokwenza isigqibo sokuba izigulane zifuna amandla okugqiba:
- Ukungenisa nokugcina ulwazi
- Ukukholelwa
- Ukulinganisela olo lwazi, ukulinganisa ingozi kunye neemfuno
Inkcenkcesho yenkcazelo eyenziwe yenza umehluko omkhulu kumanqanaba 1 no-3. Ezinye izigulane azikwazi ukukwazi ukufumana iinkcukacha ezinonophelo zonyango kwixesha elifutshane elichanekileyo. Ukuthatha ixesha elifanelekileyo ukuqonda ngokufanelekileyo nokucwangcisa ulwazi lungaba ixesha elide kuneli gulane.
Ukungenzi
Uhlobo lwezinto ezenza isigulane singenzi kakuhle luya kuthathwa isigqibo senkundla, ngokuqhelekileyo ngenxa yokuba amandla omntu okwenza izigqibo athathwe ngokusemthethweni, okanye i-psychiatric hold-ngokuqhelekileyo iiyure ezingama-72-apho izigulane ezinobungozi kubo okanye kwabanye bayakhubazeka kakhulu, bangafakwa kwindawo yokukhusela ukuze bazuze ngokwabo. Ukubanjwa kwengqondo kunokuthi kube ngumsebenzi wezonyango okanye wezempilo yengqondo, kodwa isiseko saso sinosemthethweni.
Uninzi lwezigulane ezinqatshelwe unyango alukho. Ziyizigulane ezenza iiproedics kunye needks eziphuthumayo zibona imihla ngemihla kwibala elibanzi lemfuno. Ezinye ziimeko ezincinci. Ukukhawuleza kweenqwelo zokuhamba kweemoto ngumzekelo omhle wohlobo lwesigulane esingafuni uncedo. Xa isigulane kuloo meko, nokuba nomntu onobungozi obubonakalayo obunzima, ufuna ukugatya ukunonyamekela, isibonakaliso sokusola asiphezulu kakhulu. Umlinganiselo wesakhono esi sigulane sifuna ukuqonda ngokupheleleyo imeko iphantsi ngoba umngcipheko uphantsi. Isigulane esinobungozi obuncinane obengafuni unyango cishe asiyi kuba nemiphumo emibi.
Isigulane esinokugula okanye ukulimala okunokwenzeka ngokwenene. Kule meko, amandla omguli ukuba aqonde ngokupheleleyo imeko kwaye enze isigqibo esinolwazi lubaluleke kakhulu. Isixa somthamo ngokwenene sifana nomngcipheko wesigqibo esingafanelekanga. Kwimeko yesigulane ngentlungu yesifuba, umzekelo, ukufa kokubanjelwa ngokukhawuleza kwemizimba kungekhona ukungafanisani nokukhathazeka kwesigulane. Unokuba uthakathele ukulahla kuba nje akanakuvakalelwa kukuba nguye ogulayo.
> Imithombo:
> Evans, K., Warner, J., & Jackson, E. (2007). Bangakanani abasebenzi bokunakekelwa kwempilo ngxakeko malunga nolwazi kunye nemvume? . I-Journal Emergency Medicine Journal , 24 (6), 391-393. I-doi: 10.1136 / emj.2006.041293
> Simpson O. Imvume kunye nokuvavanywa kwamandla okugqiba okanye ukulahla unyango. Br J Nurs. 2011 uMatshi 28-Meyi 12; 20 (8): 510-3. i-doi: 10.12968 / bjon.2011.20.8.510