Sivame ukuva amagama amabini kwisivakalisi esifanayo okanye kwisihloko, "ukunyamekela kunye nokunyamekela." Nangona kunjalo, nangona zidibanisa, zizinto ezimbini ezihlukeneyo.
Unjani Ukunyamekela?
Ukunyamekela , okubizwa ngokuba yinyameko yokunyamezela, ngokuphathelele ukubonelela. Kulawulwa kubantu abanesifo esipheleleyo, nokuba ngaba basendleleni yabo yokunyanga , nokuba kungakhathaliseki ukuba ubomi babo bubomi bude kangakanani.
Ngokubonelela ngokunyamekela, umboneleli ucinga ngomgangatho wesigulane wobomi , ukuqinisekisa ukuba isigulane asikhathazi iimpawu ezinjengeentlungu, isisonguluko, ukukhathala, ukuzithemba, ukuphefumula okufutshane, ukulala, ukulala, okanye ingxaki yempilo yengqondo njengengcinezelo ixesha elide ehlala kuyo, kungakhathaliseki ukuba lide kangakanani.
Ngokungafani nokunyamekelwa kwe-hospice (jonga apha ngezantsi), ukunakekelwa kwe-palliative akanayo ixesha. Kungenzeka kube yimfuneko yesikhashana, njengalezi zigulane ezifumana unyango lomhlaza, zidinga uncedo lokuthuthuzela kwaye ekugqibeleni liza kunyangwa, okanye ubuncinane isifo okanye imeko iya kulawulwa. Okanye kusenokuba yidinga elide lesigulana esiza kuhlangabezana nezifo zabo bonke ubomi babo, mhlawumbi iminyaka. Ukunyamekela okuluncedo kungasetyenziselwa ngokubambisana nokunakekelwa kwezibhedlele (jonga ngezantsi).
Izinzuzo zokunakekelwa ngokunyamekela kungekhona nje izigulane, kodwa nabathandekayo babo nabo banokufumana induduzo ngokwazi ukuba ukunyamezeleka kwabo bathandekayo kulawulwa.
Ugqirha wesigulane nguye oya kuzibona isigulane sidinga ukunakekelwa ngokunyanisekileyo kwaye naye nguye owenza oko. Abanye oogqirha baya kuba ibhodi eqinisekisiwe ekunyamekeleni. Kukho nesatifikethi sokunesi. Ukuba ufuna ugqirha ukunceda ekuhluphekeni okungapheliyo, nokuba ingaba kukuphela kweemeko zobomi, unokujonga kule mabhodi ukucebisa amalungu awo.
(Yenza uphando lwewebhu "isitifiketi sokunyamekela ukunyamekela.")
Unonophelo olusisigxina luhlawulwa yi-insurer okanye umhlawuli wezigulane (i-Medicare, Medicaid, kunye nabanye) ukuya kwinqanaba le- inshurensi yesigulane ihlanganisa ezinye iinkonzo zonyango .
Ukuba uvakalelwa kukuba unokwenziwa okungakumbi ukuze unciphise umzimba wakho okanye ukukhathazeka, buza ugqirha wakho ukuba axoxe ngeendlela zokunyamekela.
Unonophelo lwengonyameko?
Ukunakekelwa kwe-Hospice kunikezelwa ekupheleni komntu wobomi, eqonda ukuba izigulane zihlupheke ngokungafaniyo xa ziyazi ukuba isiphelo sobomi sisondele.
Ngokungafani nokunyamekela, ukunakekelwa kwababelethi kubangelwa ixesha. Isigulane asikwazi ukunconywa ukunyamekela esibhedlele ngaphandle kokuba kugqirha ugqirha (kwaye kwezinye iindawo, oogqirha ababini) uqinisekisa ukuba isigulane singaphantsi kweenyanga ezintandathu ekupheleni kobomi bakhe.
Unonophelo lwe-Hospice lungabandakanya ezinye iindlela zokunyamekela. Ukwahlukana kukuba ukunakekelwa kwe-hospice kunikezeli ulindelo okanye kwiphakamiso yonyango. I-Hospice ijoliswe kuphela ekulawuleni iimpawu, ukugcina isigulane sinococekile ade afe.
Enye into engaqondakaliyo malunga nokuhlala esibhedlela kukuba yindawo - indawo apho abantu baya khona. Nangona kukho amawaka eendawo zokunakekelwa kwezibhedlele kulo lonke elaseMelika naseKhanada, i-hospice inokuthi ibe yindawo ekhuselweyo kwikhaya lokunakekelwa okanye esibhedlele.
Iinkonzo ze-Hospice nazo zinganikezelwa ekhaya.
Kanye nje ngokuba oogqirha banokuba yi-board certified in careless palliative, banokuthi babe nebhodi eqinisekisiwe kwinkathalo yokubhedlele; ngokuqhelekileyo yiyo yebhodi efanayo .
Imibutho yezibhedlele iqhutyelwa ngokufanayo kunye noogqirha. Basenokuba nezindawo eziliqela, banalo ubudlelwane nabanye ababoneleli, kufuneka bahambisane nemithetho ye-HIPAA, ngamanye amaxesha bayenza iifowuni zendlu, kwaye bayamkela ezinye iintlawulo kunye nabahlawuli abanjengoMedare okanye iMedicaid.
Imibutho yezibhedlele inezo zonyango / abasebenzi bekliniki. Omnye umbuzo wezigulane kunye neentsapho zinokuba nokuba isigulane kufuneka sitshintshe oogqirha xa bengena kwiinkonzo zokubhedlele.
Impendulo ayifani nayo yonke imibutho yokubhedlele, ngoko kukulungele ukuba ubuze ukuba ucinga ngolu hlobo lwe-hospice wena okanye othandekayo.
Ukuba isigulane sisisebenzisa i-Medicare okanye iMedicaid, iindleko zokunyamekela izibhedlele zixutywe i-100% kwisigulane esibhedlele. Ukuba isigulane sithembele kwiinshurensi yabucala, isixa-mali siya kuhluka. Qinisekisa ukuba uqinisekisile kunye nentlangano yakho yesifo sokuhlala esibhedlele.