Unokugqiba njani xa unonophelo lwentuthuzelo olufanelekileyo kumntu othandekayo
I-Dementia yimeko ekhohlakeleyo yezokwelapha eyenza amaxhoba abo, iinjongo kunye nokuzimela. Eli nqaku linika umxholo wokubangela i-causes of dementia kunye neempawu, kunye nendlela yokugqiba ukuba unyameko kunye / okanye ukulaliswa kwezifo zifanelekile kwisifo sengqondo somguli.
I-Dementia kunye neZimpawu
I-Dementia ibinzana eliqhelekileyo elibhekiselele ekudakaleni jikelele kwindlela ubuchopho bomntu obusebenza ngayo ngenxa yokulimala okanye izifo.
Ngokombutho we-Alzheimer's Association, uqikelelo olungama-60 ukuya kuma-80 ekhulwini lweengxaki ze-dementia zivela kwi- Alzheimer's disease- eyona ndlela iqhelekileyo kwaye iyaziwa kakhulu yowesifo sengqondo se-dementia. I-Alzheimer iyenzeka xa iprotheni engaqhelekanga idibanisa ingqondo isitshabalalisa iiseli kwiindawo ezilawula imemori yethu nemisebenzi yengqondo.
Ifomu yesibini exhaphakileyo ye-dementia yintsholongwane yegazi , ngokwe-Alzheimer's Association. Oku kungabangela ukubetha okanye enye inzakalo okanye imeko eyenza ukunciphisa okanye ukuvimba ukuhamba kwegazi kwingqondo.
Ezinye izifo ezinokubangela ukugula komzimba ziquka isifo sika-Parkinson, isifo sikaHuntington kunye nesifo seCreutzfeldt-Jakob .
Kungakhathaliseki ukuba yintoni isizathu, abantu abane-dementia bangabonisa iimpawu ezahlukahlukeneyo ezifana noku:
- • ukulahleka kwememori, ngokukodwa okubandakanya imemori yexesha elifutshane ekuqaleni
- • ubunzima beelwimi / zonxibelelwano, njengokubiza igama okanye ukufumana igama elichanekileyo kwinto ethile
- • utshintsho ekuphatheni okanye ngobuntu, njengokulawula iimvakalelo zabo, ukukhuphazeka okanye ukungakwazi ukuxazulula iingxaki
Ngokuxhomekeke ekubandezelekeni kwengqondo, abanye abantu abanako ukucinga ngokufanelekileyo ukwenza imisebenzi yoBukuba- bemihla ngemihla efunekayo ukuba iyenze rhoqo ukuze isebenze-njengokugqoka, ukuhlamba okanye ukutya.
Uluphi Unakekelo lwePalliative ofanelekileyo kwizifo zengqondo?
Ukunyamekela okuluncedo kulungele izigulane ezinomdla wokugula komzimba xa isigulane kunye / okanye umenzi wesigqibo sezempilo kwisigulane banquma ukuba bafuna ukugxila kwintuthuzelo yesigulane kunye nomgangatho wobomi.
Ukususela ekunyamekelweni kolondolozo lwe-hospice kuyona nto isisiseko sokunyamekela, kodwa isigulane kufuneka idibanise imigaqo-nkqubo eyahlukeneyo ukwenzela ukuba ifumaneke kwi- Medicare izibonelelo zokubhedlele ngokugula ngengxaki yokuxilongwa kwengqondo. Ngokukodwa, oogqirha ababini mabaqinisekise ukuba isigulane sinesifo sokunciphisa ubomi kunye nokulinda kwexesha leenyanga ezintandathu okanye ezimbalwa.
Amasebe e-Medicare kunye neeNkonzo zeMedicaid zisekelwe kwindawo yokulinda ubomi, ezinxulumene nomhlaza, kodwa ngokungafani nomhlaza, oqhelekileyo ulandela ukuhla kwehla, ukunyuka kwengqondo kunzima kunzima ukuqikelela. Isigulane se-dementia singabonisa ixesha lokunciphisa ngokukhawuleza kulandelwa ukunyuka, ngexesha apho uya kuphucula kwaye enze kakuhle ixesha.
Ngoko ke, ukunceda amayeza aqikelele ukulindela ubomi begulane zokugula ngengqondo, i-National Hospice kunye nePalliative Care Organisation yasungula izikhokelo ezibhekiselele kwii-arhente ze-hospice njengeendlela zokumkelwa. Ezi zikhokelo zisebenzisa "Isixhobo sokuHlola esiSebenzayo" ukulinganisa ubunzima besifo sengqondo somguli.
Ukuze unelungelo lokongamela ukunakekelwa esibhedlele, isigulane kufuneka senze amanqaku okanye ngaphezulu "kwesigaba sesisixhenxe," oko kuthetha ukuba isiguli:
- • akakwazi ukumbathisa
- • akakwazi ukuhamba ngaphandle koncedo
- • ayikwazi ukuhlamba ngokufanelekileyo ngaphandle koncediso
- • ayinakho umchamo kunye nesigxina
- • akakwazi ukuthetha okanye abambe inxibelelwano enentsingiselo
Iingxaki zonyango-ezifana nokufelwa kwezibhedlele ezininzi, izifo ezithintekayo (umz., Izifo zogcino lwe-urinary, ukusuleleka kwegazi), i-aspiration pneumonia (okubangelwa ukukhahlela ukutya okanye amafutha), izilonda zengcinezelo esikhumbeni kunye / okanye ukwenqaba ukutya- inkxaso yexesha lokuphila kwiinyanga ezintandathu okanye ezimbalwa.
Kuthekani ukuba uMntu oPhelelwa ngumonde akafanelekanga ukunakekelwa kwe-Hospice?
Ukuba wena nentsapho yakho ninqwenela ukunonophala komntu othandekayo ophethwe yingqondo, kodwa yena akahlangabezananga nokufaneleka kwamagulane, kufuneka wenze izibongo zakho ziyaziwa ugqirha kunye nabanye ababoneleli bezempilo.
Iingxoxo malunga nobukhulu beliphi na unyango lunokukunceda ukuphepha iimvavanyo nezenzo ezingadingekile.
Ukongezelela, ukudala umyalelo wokunakekelwa kwezempilo kunye ne- Do Not Resuscitate (DNR) umyalelo unokunceda ukukhusela naluphi na ukungenelela okungafunekiyo.
Amanye amagcisa e-hospice kunye nempilo yekhaya anikezela "iibhulogi" iinkqubo kubantu abangahlangabezananga neemfuno zokufumana izifo ezifanelekileyo, okanye abo bafuna ukunakekelwa unyango kwaye abanakulungele ukhetha ukunonophelo kwedwa. Ezi nkqubo zinokukunceda izigulane zitshintshe ngokulula kwiimodeli zonyango zemveli ukuya kwiinkathalo zonyango emva kokuba zifanelekile. Ngokomzekelo, i-Hospice yeSigodi eSanta Clara County, eCalifornia, inikezela inkqubo yayo yoTshintsho ukubonelela ngenkxaso kunye nokusebenza ngokufanelekileyo kwizigulane kunye neentsapho kunye nokuncedisa ukuba ukwamkelwa kwe-hospice kunokufanelekile.
> Imithombo:
> Diane Meier, MD, uElizabeth McCormick, MD noRuth Lagman, MD "I-Hospice: Ifilosofi yokunyamekela nokusetyenziswa okufanelekileyo eMelika." http://www.uptodate.com/contents/hospice-philosophy-of-care-and-appropriate-utilization-in---atates-states
> Marie-Florence Shadlen, MD kunye no-Eric B. Larson, MD "I-Dementia syndromes." www.uptodate.com