Ukunakekelwa kwe-Hospice kuyinkqubo ephakathi kwendlela yendabuko yezokwelapha, kodwa ngexesha elifanayo, kubandakanya ukunyanzeliswa kwezonyango kunye neendlela eziqhelekileyo zokugcina induduzo ekupheleni kobomi.
Ukunyamekela kwe-Hospice yilezo zombini ifilosofi kunye nohlobo lokunyamekela ukuba umntu osondele ekupheleni kobomi angafumana. Ifilosofi yesibhedlele "ayifuni okanye ihlehlise ukufa," ngokutsho kweMerika Cancer Society.
Kuthatyathwa ukunakekelwa kwe-Hospice ukunyanga umntu kunesi sifo, ukusebenzela ukulawula iimpawu ukuze iintsuku zokugqibela zomntu zisetyenziswe ngesidima kunye nomgangatho, zijikelezwe ngabantu abathandekayo. Ukhathalelo lwe-Hospice lusekelwe kwintsapho-kubandakanywa isigulane kunye nosapho ekwenzeni izigqibo. Ngokomzekelo, ngamanye amaxesha isibhedlele esibhedlele siya kunikwa kwaye sibekwe kwikhaya lentsapho, ngoko ke onke amaqela kufuneka abe ebhodini apho apho esiza kuhanjiswa khona.
Ngenkcazo, ukunakekelwa kwababelethi akulona umntu onokuba neminyaka emininzi yobomi ngaphambi kwabo. Kunoko, i-hospice inikezela "ukunyamekela abantu kwimigangatho yokugqibela yesifo esingenakuphulukiswa ukuze baphile ngokuzeleyo nangokukhululekile kunokwenzeka." I-Hospice ijolise ekunciphiseni uxinzelelo kunye nokuphucula iimpawu kunokuphilisa isifo ngokwayo. I-Hospice igxile kwi-intuthuzelo yesigulane kunye nomgangatho wobomi ngexesha lokugqibela lokugula, oku kuthetha ukuba amanye amayeza angasuswa kwaye abanye bongezwa.
Umntu ofumana unonophelo lwe-hospice angakhetha ukushiya esibhedlele kwaye angene ekhatyweni lomhlaza olumandla nanini na.
Ziyintoni i-Logistics ye-Hospice Care?
Iinkqubo ezimbini eziqhelekileyo zokunakekelwa kwezibhedlele zizinyango zokunakekelwa kwababelethi basekhaya , apho abahlengikazi kunye namalungu e-hospice batyelela rhoqo kwikhaya lomguli; kunye nokunakekelwa kolondolozo lwezonyango , apho umntu angavela esibhedlele okanye ikhaya lakhe ukuba ahlale kwisibonelelo esinikela ngononophelo lwamahora ngamaqela ababoneleli bezempilo.
Ngokuxhomekeka apho uhlala khona, kunye neendlela zokubonelela ngababoneleli bendawo yokuhlala esibhedlele, kusenokwenzeka ukuba enye yale ndlela yokubhedlele iyatholakala xa enye ingekho. Uninzi lwabantu lufumana ukunakekelwa kolondolozo ekhaya. Abantu abahlala kwiindawo zokuhlala, ezincedisiweyo zokuhlala, okanye amakhaya angamahlengikazi banokufumana ukunakekelwa kwezibhedlele kule ndawo. Kukho imigaqo efunekayo phambi kokuba umntu afanelekele ukufumana i-hospice. Umntu akakwazi nje ukugqiba ukusetyenziswa ngononophelo ngenxa yokugula ngenxa yesifo, umzekelo-ukulalisa abantu ngokubhekiselele kubantu abalindelekileyo ukuba baphile malunga neenyanga ezi-6 okanye ngaphantsi ukuba isigulo siqhuba izifundo zabo eziqhelekileyo.
Ngubani Olungelayo Izibhedlele?
I-Medicare, iMedicaid kumazwe amaninzi, iSebe leeMantshi, ii-HMO, kunye neminye imibutho yokunyamekela ephathekayo ihlawulela ukunakekelwa kwezibhedlele. Ezinye iinkqubo zihlawulisa izigulane ngokobuchule bazo bokuhlawula.
Iingqwalasela ezikhethekileyo: I-Hospice yeCarcer Blood
Izigulane ezinomdlavuza wegazi ziye zaphawulwa ukuba zisebenzise ukunakekelwa kwezibhedlele kumazinga aphantsi kakhulu kunezigulane ezinezinto ezibizwa ngokuba yizilonda ezinzulu, njengomdlavuza wekolon okanye umdlavuza webele.
Ngoku kutshanje iqela labaphandi lize lifunde ukuba kutheni le nto inokwenzeka.
Uninzi lweziganeko zesifo somhlaza wegazi asinakho unyango, kwaye unyaka wonke, baninzi abantu abane-leukemia, i-lymphoma kunye ne-myeloma abangakwazi ukufumana i-hospice esekelwe kwingcaciso yokulindela kweenyanga ezili-6 zobomi okanye ngaphantsi. Ngoko ke, kutheni izigulane ezinegazi lomhlaza kunye noogqirha bazo abazitholi ngokwabo kwi-hospice kwiirhafu ezifanayo njengabantu abanezinye i-Cancer?
Isifundo se-Hos
Ngo-2015, eli qela labaphandi lathumela uphando kwi-oatologic oncologists ekhethiweyo e-United States ukubonisa iimpawu zabo ngokubaluleka nokwanela kokubhedlele izigulane zomhlaza wegazi.
Baye babuza imibuzo ejoliswe ekunciphiseni ezinye izinto ezinokuchaphazela ukuhanjiswa kwazo kwezigulane ukuya esibhedlele. Oogqirha abaye babakhathalela izigulane zombini kunye nezigulane ezinomdlavuza wegazi zazibandakanywa phakathi kwamagqirha esampulu.
Nangona kunamanqanaba aphezulu okuxhasa abantu abahlala esibhedlele, iipesenti ezingama-46 zoogqirha abaye baphendulwa babecinga ukuba i-home hospice ayifanelekanga kwiimfuno zabo izigulane. Abangaphezu kwesiqingatha sabaphenduli babike ukuba baya kuba baninzi ukuthumela izigulane ukuya esibhedlele ukuba i-cell cell ebomvu kunye / okanye i-platelet transfusion yayifumaneka, kwaye abo babecinga ukunyamekelwa kwezindlu ekhaya banakho ukuxela ukuba baya kuphinda baqwalasele ukuba ukuxilongwa kwakuyingxenye kwiphakethi yokubhedlele.
Kutheni kungekho tshintsho?
Iipilisi ezenza izibhedlele zibonelela ngokubangela ukuba ubomi bomguli bube bhetele kodwa ungasondisi ubomi okanye uphathe unyango, kwimeko yomhlaza. Ezi zonyango zingabandakanya imithi yokunceda izigulane zilawula iimpawu ezibuhlungu, okanye ukunciphisa uxhalaba, okanye ukuncedisa ukulala, umzekelo. Njengomntu osondela ekupheleni kobomi bakhe, unako ukuhamba ngesantya, kunye neendlela zokukhusela ukukhutshwa kunye nokulimala kwesikhumba kuzo zonke iinkcukacha ezinokusetyenziswa kunye namaphepha ebhedi. Amachiza angasetyenziselwa ukulungisa iingxaki ngokuphefumula ekupheleni kokuphila.
Umbuzo wokumpontshelwa igazi unzima kakhulu. Ngakolunye uhlangothi, unyango lwe- anemia yesigulane lungenza umntu azive engcono. Nangona kunjalo, yonyango olungenayo ininzi kunokuba abanye ababoneleli be-hospice banokukhululeka. Abanye abanikezeli be-hospice bachaza ukuba ukunyelwa igazi kuninzi "I-Band-Aid" kubantu ekupheleni kobomi kwaye, ngoko kunjalo, akuhambelani nefilosofi yokubeletha. Akunjalo zonke iinkqubo zokubhedlela izibeleko zisebenza ngale ndlela, nangona kunjalo, kwaye ezinye zixhotyiswe ukubonelela ngegazi rhoqo.
Izigulane ezinegazi, iipilisi zihlala ziindlela zokuphila. Enyanisweni, uninzi lwezidlovane ezingapheliyo ezingapheliyo zinokulawulwa ngokuyimpumelelo iminyaka, kwaye ukuxilongwa ngokuqhelekileyo kuyincinci yesicwangciso sokutshintshwa kwesigwebo kwisigwebo sokufa ukuya kwesinye esingasigxina.
Sekunjalo, loo nto yokuba izigulane ezinegazi lomzimba ziyafa ngaphandle kokuzithobela izibhedlele zimela ingxaki enkulu kubaphandi kunye nabachaphazelekayo kumgaqo-nkqubo wezempilo. Ubungakanani bendleko ekungeneni ngayo ukulingana akucaci, nangona iindleko zenyuka kwizinto ezivela kwiphepha le-American Cancer Society malunga nokunyamekela kwabantwana:
Ukunyamekelwa kwabantwana base-home care ngokuvamile kuhlawula ngaphantsi kokunyamekela kwizibhedlele, amakhaya angamahlengikazi, okanye ezinye izicwangciso zeziko. Oku kungenxa yokuba iteknoloji engaphantsi kweendleko zetyenziselwa, kwaye intsapho kunye nabahlobo bahlala benika uninzi lwenkathalo.
I-Odejide kunye noogxa, abalobi beli phofu lenkqubo yokubhedlele izigulane ezinegazi lomhlaza, baphetha ngolu hlobo lulandelayo:
Ezi nkcukacha zibonisa ukuba nangona i-hematologic oncologists ixabisa i-hospice, ukuxhalabisa malunga nokwanela kweenkonzo zegulane zegazi ezigulisa izilwanyana ezikhuselekileyo. Ukwandisa ukubhaliswa kwabagulayo kwizigulane zegciwane lesifo segazi, ukungenelela ekuncediseni iinkonzo zokubhedlele kwiimfuno zabo ezifanelekileyo zifanelekile.
ILizwi
Enye into ehambelana nezicwangciso ezahlukeneyo zezifo zesifo esibhedlele yindlela efanelekileyo yokungahambelani. Ezinye izicwangciso zokunyamekela izibhedlele ziza kuvumela ukunyelwa igazi. Abanye, kubonakala ngathi, ngokusekelwe kwiziphumo zolu vavanyo logqirha, ngokuqinisekileyo kungekhona ukunikezela ngegazi-wena okanye wakho othandekayo uya kufuneka ahambe e-hospice ukuze afakwe igazi kuloo matyala. Njengoko abalobi beli phofu libonisa ukuba, le nto ingaba yindawo ekwazi ukufumana utshintsho kwiminyaka ezayo, ukulungelelanisa indlela yokugulisa abantu abanomdlavuza wegazi. Kuze kube ngoko, nangona kunjalo, kuyacetyiswa kakhulu ukuba ufunde kumniki-nkonzo wakho wokubhedlele esibhedlele ekuthatyathwa inkxaso kunye nento engabandakanywa ekunyamekelweni okusemgangathweni kwisimo sokubhedlele.
> Imithombo:
> Odejide O, uCronin A, Earle C, et al. Kutheni izigulane ezinegazi zegazi zingase zife ngaphandle kwesifo? Cancer. Ngo-2017 Meyi 22. i-doi: 10.1002 / cncr.30735. [Epub ngaphambi kokuprinta]
> I-American Cancer Society. Ngubani na onika kwaye ohlawulela ukunakekelwa kwezibhedlele? 2017.