I-POLST ngumqulu omtsha ochaza ukuphela komntu ofuna ukuphelisa. I-POLST imele imiyalelo kaMgqirha wezoLondolozo lweMpilo. Iphadiji idala i-buzz kwindawo yoluntu kwaye ibonisa izithembiso ezininzi ekuqinisekiseni ukuba izifiso zesigulane zilandelwa.
Kuze kube ngoku, umntu unokuphumeza i- Directive Advice ukuchaza oko abafuna ukukwenza ekupheleni kobomi babo.
I-Directive Advice ngokubanzi iqulethe inkcazelo malunga nomnqweno womntu wokuba uphefumle ngokomoya, ukunyusa ngokufanelekileyo, kunye nomnqweno wokunyamekela. Nangona kunjalo, i-Directive Advice ayimncinci ukukhusela umntu ekunakekeleni unyango olungxamisekileyo njengeCPR okanye ukudluliselwa esibhedlele. Umntu uya kufuneka abe nomntu ohlukeneyo Musa ukuvuselela umyalelo (DNR) ukumkhusela ekukhutshweni okungafuneki kwesifuba, ukutshitshiswa kombane kunye nokuphefumla.
Ngokusetyenziswa kwepolisi yePolst, abasebenzi bezonyango kunye nabasebenzi bezonyango banemiyalelo ecacileyo malunga naziphi na izenzo ezithathayo xa imeko yongxamiseko isekelwe kwisifiso somguli. Iquka isigulane somguli wokuba okanye anqande i-CPR, ukuba athathwe esibhedlele, nokuba ingafumani ukutya okunomsoco. Iphadigi inokulandela umntu apho uya khona; livumelekile ekhaya, kwikhaya lokunyamekela, isikhungo sokunakekelwa kwexesha elide, kwaye esibhedlele.
Yintoni i-POLST equka?
Iparadigm yePolst inamacandelo amathathu okanye amane (kuxhomekeke kwimeko) apho umntu angakhetha khona ukungenelela kwakhe kwonyango:
- CPR
Umntu unokukhetha ukwenyuswa kwe-cardiopulmonary (CPR). Ukukhetha olu khetho kuthetha ukukhetha "unyango olupheleleyo" kwicandelo B. Ngaphandle koko, umntu unokukhetha ukuba "Vumela Ukufa Kwemvelo," kwaziwa nangokuthi awuyi kuVuswa kwakhona.
- Ukungenelela ngezoNyango
Umntu unezigqibo ezintathu zezinga lokungenelela kwezonyango abanokuthandayo. Okukhethwa kokuqala kukuba "Iimpawu zoThuthuzelo kuphela" oku kuthetha ukubonelela ngononophelo oluya kunciphisa intlungu nokuhlupheka. Ukukhetha olu khetho kuthetha ukuba umntu uya kugqithiselwa esibhedlele ukuba ubunzima bezingakwazi ukukhululwa ekhaya.
Ikhetho lesibini "Iingenelelo ezingeNcinci ezongeziweyo" ezibandakanya ukunakekelwa kwintuthuzelo ukusuka kokuqala kukhetho kodwa zingabandakanya i-intraveous (IV) kunye namachiza omzimba. Kukho ukhetho lokunyula ukuba ungadluliselwa esibhedlele ngaphandle kokuba ubunzima obungenakukhutshwa ekhaya.
Ukukhethwa kwesithathu kukuba "Ukunyanga okupheleleyo." Ukukhetha olu khetho kuthetha ukuba umntu ufuna ukunakekelwa kwenduduzo, i-IV fluids, i-antibiotics, i-CPR, kunye nenye yononophelo yolondolozo olunzulu olubandakanya ukudluliselwa esibhedlele.
Kukho umda weli candelo kunoma yimuphi umyalelo owongezelelweyo. Izigulane zinokugqiba isigqirha sazo ukuba zinciphise uhlobo lweemithi zonyango ezisetyenzisiweyo okanye zingakhetha ukhethe ngokuphathelele uhlobo lokuxhasa ukuphefumula abazifunayo.
- Antibiotics
Eli candelo livumela izigulane ukuba zichonge nini kwaye ukuba iziza-antibiotics zisetyenziselwa ukunyanga izifo.
- Ukutya okunomsoco
Eli candelo livumela umntu ukuba athethe iinqwenela zakhe malunga nokutyiswa ngokufanelekileyo , ngokubhekiselele kwiphubhu ye-nasogastric (NG) yokutya okufutshane kunye okanye ishubhu esiswini (efakwe ngesikhumba kwisisu) sokutya kwangexesha elide. Iinqunto ziquka "Akukho nondlo yokufakelwa ngethubhu," into ecacileyo, "Ixesha elilinganiselweyo lokuvavanya isondlo ngethubhu" okuqhelekileyo kuthetha ukutya ngokukhawuleza ukuze ubone ukuba kukho ukuphucula imeko yabo, okanye "ixesha elide. ukutya okunomsoco nge-tube "okuza kwenziwa ngokusesikhumeni segastric.
Kwenzeka njani i-POLST eyahlukileyo kunokuba i-Advance Directive?
I-Directive Advice yenzelwe ukunika imiyalelo malunga nokunyangwa kwamanyango okufunayo xa umntu sele esele afumana unyango olungxamisekileyo - ngokubhekiselele ekubhekiselele esibhedlele okanye kubasebenzi basekhaya labahlengikazi. I-POLST yenzelwe ukuyalela abasebenzi bezongxamiseko kwizenzo ezithathayo xa usesekhaya.
Ngubani ofuna ukuSayina i-POLST?
Kuzo zonke iindawo apho iPOLST iyakwamkelwa kwaye isemthethweni, isigulane okanye umenzi wabo wesigqibo sezempilo kufuneka asayine ifomu.
Ugqirha kufuneka aqinisekise ukuba isigqibo esenza isigulane sihambelana nesimo sakhe sengonyango. Umzekelo, ukuba unomfazi oneminyaka engama-30 ubudala onempilo, njengam, ndacelwa ukuba Ndivumele Ukufa Kwemveli, Ukunyaniseka Kwimiqathango Yodwa, kunye NoNyango Olufanelekileyo, ugqirha uya kuthi (angathemba) ukuba angayityinisi le fomu. Kwamanye amazwe, umongikazi (NP) okanye uncedisi wezegulana (PA) unokusayina ngokusemthethweni ifom.
Nabani na onokugula okungapheliyo okanye okuphelisa ubomi okanye nabani na abaneminyaka yobudala kufuneka bacinge ukuba nexwebhu le-POLST. Ukufumanisa ukuba urhulumente wakho uyamkela kwaye usebenzisa ipolisi yePOLST, tyelela iwebhusayithi ye-POLST.