Kubantu abaningi, ukucabanga ngokuphela kokuphila kunzima. Abanye babhekene nokubhekana nalezi zinkinga ngokuya phambili nokuhlela yonke imininingwane. Uma wena noma othandekayo wakho enesifo se-Alzheimer noma olunye uhlobo lwe-dementia, izinkinga zokuphela kokuphila zingase zizwe zinkimbinkimbi nakakhulu.
Yini Okukhethwa Kwami Ngokuphathelene Nesimo Sekhodi?
Uma othandekayo wakho evunyelwe esibhedlela noma ekhaya lokuhlengikaza, cishe uzodinga ukuqedela amaphepha onjani ukuthi ufuna ukunakekelwa kwezokwelapha.
Phakathi kweminye imibuzo, ungase ubuzwe ngokuthi "isimo sakhe sekhodi": uma ufuna ukuthola iCardiopulmonary Resuscitation (CPR) uma kwenzeka ezwa ukuboshwa komzimba noma eyeka ukuphefumula, noma uma efuna ukungabi naso (DNR) oda .
I-Cardiopulmonary Resuscitation (CPR)
Ngamafuphi, i-CPR yinkambiso ehilela ukwenza amacilongo emfubeni kanye nokuphefumula ukuphefumula emva kwenhliziyo yomuntu eyekile ukushaya, noma ukuphefumula kuyekile. (Izindlela ezithile zeCPR zisusa isinyathelo sokuphefumula.)
Ungabuyiselwa (DNR) Order
I-DNR oda ngumyalelo obhalwe udokotela ngezifiso zesiguli noma amandla okwelashwa okhethwe ngummeli, etshela abasebenzi bezokwelapha UKUQALA i-CPR kulowo muntu.
Ukusebenza kweCPR
Lokhu kuncike empilweni nasekubukeni komuntu oyitholayo, kanye nesimo sezokwelapha esenza ukuba adinge i-CPR. Ngaphansi kwamaphesenti angamahlanu abantu asebekhulile noma abagulayo abagulayo ngemuva kokuthola i-CPR, futhi kulawo mahlanu amaphesenti, iningi labo alibuyelanga ezingeni labo lokusebenza ngaphambilini.
Eqinisweni, ngokusho kokubuyekezwa kwezincwadi ezenziwa uDkt. Ladislav Volice futhi wabelane nge-website ye-Alzheimer's Association, "Ukuvuselelwa kwe-cardiopulmonary (CPR) kunamathuba amancane kathathu okuphumelela kumuntu onokuphefumula komqondo kunomuntu onokuqonda okungaqondakali. abaqale basinda badluliselwa enyunithi yokunakekelwa okukhulu, lapho abaningi bafa khona kungakapheli amahora angu-24. "
Kungani Amalungu Omndeni Angakhetha I-CPR Ngomuntu Othandekayo nge-Alzheimer's?
Abanye abantu bakhetha i-CPR ngoba bacabanga ukuthi kungaba okuthandwa yisiguli uma ekwazi ukuveza izifiso zakhe. Ngokusho kocwaningo, abanye bangase bathonywe ukubukela i-CPR kanye nokusebenza kwayo okushiwo kwithelevishini, bese kuthatha okufanayo kuyiqiniso empilweni yangempela. Noma kunjalo, abanye bangase babe nomuzwa wecala noma usizi, futhi bangakulungele ukubhekana nokuhleleka kokulahlekelwa othandekayo wabo.
Kungakhathaliseki isizathu, umgomo wezikhungo eziningi zezokwelapha ukwenza konke okusemandleni ukuze uhloniphe futhi uhloniphe izifiso zesiguli mayelana nokunakekelwa kwakhe.
Okwenza Abantu Bangakhetha I-DNR Order
Abanye abantu bakhetha ukuba nomyalelo we-DNR ngoba abafuni ukuthi othandekayo wabo aqede ukuxhumeka emshinini isikhathi esingaphezulu uma bengenalo ithuba lokuthola noma ukubhekana nokuhlukumezeka kwe-CPR ngokungenalutho noma akukho nhlobo lokusinda. Ukuzenzakalela kwabasebenzi bezokwelapha ukuphatha wonke umuntu njengekhodi egcwele, okusho ukuthi bayothola ukunakekelwa kwezokwelapha okuhlukumezayo, kuhlanganise nanoma yikuphi ukungenelela kokuphila okuqhubekayo okutholakala khona, ngaphandle kokuba babe ne-DNR oda.
Uma ukhethe ukuba nomyalelo we-DNR ngokwakho, khumbula ukuthi, nakuba ukwenza lesi sinqumo kuyinkqubo yomuntu siqu, akufanele kube ukukhetha kwangasese.
Kufanele uxoxisane ngalokhu nomndeni wakho nodokotela wakho ukuze kucace esinqumweni sakho. Kufanele futhi ugcine amakhophi we-DNR oda nawe uma unenkinga yezokwelapha.
Ingabe i-DNR Order Eanele Euthanasia?
Kubalulekile ukuqonda ukuthi ukukhetha ukuba ne-DNR oda akufani nokufuna ukufa. Kunalokho, kuvumela ukuqhubeka kwemvelo njengomuntu odlula. Ngokusho kwe-American Medical Association, "Kunokuvumelana okuqinile ukuthi ukuhoxiswa noma ukugwema ukwelashwa yisinqumo esivumela lesi sifo ukuba sithuthuke ngenkambo yaso yemvelo-akusona isinqumo sokufuna ukufa nokuphela kokuphila.
I-Euthanasia ifuna ngamandla ukuqeda impilo yesiguli. "
Indima i-Alzheimer's and Dementia Play kulezi Zincumo
Abanye abantu abane-dementia yokuqala kwengqondo bayakwazi ukuveza ngokucacile izifiso zabo mayelana nesimo sabo sokuvuselela. Lokhu kungcono ngoba amalunga omndeni awafakiwe esimweni esinzima sokuzama ukubona ukuthi isiguli sifuna yini; Kunalokho, isiguli singenza lesi sinqumo futhi sigcwalise iphepha ukuze izifiso zakhe zifezeke.
Uma ilunga lomndeni line-dementia eye yathuthuka phakathi nezigaba eziphakathi noma kamuva, angase akwazi ukuxhumana ngokwanele noma ukuqonda lolu hlobo lwesinqumo manje. Uma ngabe ngaphambili wabonisa ukukhetha kwakhe ngenhloso yokuphila noma amanye ama-medical paper, lokho kungaba usizo kakhulu ngalesi sikhathi.
Uma kungekho dokhumenti lapho eveze khona izifiso zakhe, amalungu omndeni ashiywa ukwenza lezo zincumo.
Ubani Owenza Izinqumo Uma Amalungu Omndeni Aphikisana Ngomunye Nomunye?
Lokhu kuxhomeke ezinkambisweni zombuso wakho nasesibhedlela noma indawo lapho uthola khona ukunakekelwa. Okufanelekile, amalungu omndeni angakwazi ukubeka eceleni ukungafani futhi afinyelele esivumelwaneni ngalokho abathandekayo babo ababeyobe befuna khona ukunakekelwa kwezempilo. Uma lokho kungenakwenzeka, izikhungo eziningi zokunakekelwa kwezempilo zibeka umyalelo wabenzi bezigqibo, ezifana nomlingani wokuqala, ingane engumdala, umzali, umntakwethu, njll. Abanye bangasebenzisa ibhodi lokuhlola lokuziphatha ukuze baxoxe ngezinqumo zokunakekelwa kwezokwelapha uma kukhona akusikho umqashi ocacile oqokiwe.
Imithombo:
I-Alzheimer's Association. Ukuphela kokuphila Ukunakekela Abantu abane-Dementia kuzilungiselelo zokunakekelwa zokuhlala. Ladislav Volicer, MD, Ph.D. School of Studies Aging, University of South Florida, Tampa, FL.
I-Alzheimer's Association. Izinqumo zokuphela kokuphila; Ukuhlonipha Ukuhlakanipha Komuntu Ophethe Izifo Ze-Alzheimer.
I-Alzheimer Society yaseSaskatchewan. Ukwenza izinqumo mayelana nokuphela kokunakekela impilo. http://www.alzheimer.ca/en/sk/About-dementia/Alzheimer-s-disease/Stages-of-Alzheimer-s-disease/End-of-Life/Making-decisions-about-end-of- ukunakekelwa kwempilo
I-Journal ye-American Osteopathy Association. NgoJulayi 1, 2006, vol. 106 cha. 7 402-404. Yeka ukuthi iziphi izinkolelo phakathi kwabagulayo asebekhulile ngokuphathelene nemiphumela yokuphulukiswa kwesifo sofuba I-Cardiopulmonary Resuscitation ithinta ama-Do-Not-Resuscitate Orders. http://www.jaoa.org/content/106/7/402.full
Ikholeji yezokwelapha yaseWisconsin. Ukuxoxa nge-DNR Orders-Ingxenye 2, yesi-2 ed.
Izikhungo zezempilo zikazwelonke. I-National Institute yokuguga. Izinsimbi zomthetho zokuphela kwesikhathi. http://www.nia.nih.gov/alzheimers/features/end-life-legal-instruments