Ilungelo lomguli lokuveza ngokugcwele
I-Medicare ihlanganisa abantu abangaphezu kweminyaka engama-65 ubudala kunamanye amaphuzu omshwalense ahlangene. Eqinisweni, ihlanganisa abantu baseMelika abayizigidi ezingu-55-labo abanempilo, labo abanezimo ezingelapheki zezokwelapha, nalabo ekupheleni kokuphila.
Iqiniso elibi ukuthi abantu abayizigidi ezingu-1.9 abagulayo abagulayo bayadlula njalo ngonyaka. Ngeke kube necala kuM Medicare ukungaqedi ukuphela kwezinkinga zokuphila.
Imiphi imithi ehlinzekwayo kanye nokuthi ungazuza kanjani kulawo masevisi?
Iyini Isiqondiso Esihambile?
Uma wazi ukuthi ukubuyiswa okungahleliwe (DNR) kungukuthi, wazi okuthile ngeziqondiso eziphambili . Iziqondiso ezithuthukisiwe yizincwadi ezichaza ukuthi ufuna ukunakekelwa kanjani uma ungasakwazi ukwenza izinqumo zezokwelapha.
Izintshisekelo zokuphila kanye / noma amandla ahlala njalo ommeli yiziqondiso eziphambili kakhulu. Le mibhalo ichaza izifiso zakho kanye / noma unike ummeleli wezempilo ukuthi azenzele wena uma ungazi lutho noma unesifo esingapheli. Ungakhetha ukuphishekela noma ukugwema ukunakekelwa kokunakekelwa kwempilo njengalawa:
- Ukumpontshelwa igazi
- Ukuguqulwa kwe-cardiac
- Ukuvuselelwa kwe-Cardiopulmonary (CPR)
- I-Dialysis
- Ukondla amashubhu
- Ukusekela kwe-Ventilator
Kule mibhalo, ungase ucacise nezifiso zakho zokunakekelwa ngokucophelela nokunikezwa komzimba .
Akukhona njalo ukukhululeka ukubhekana nokufa kwakho, kepha ukubhekana nokuphela kokuphila ngesithunzi, kubalulekile ukuthatha isikhathi sokucabanga ngalezi zinkinga.
Ngaphandle kwamandla okuphila noma amandla okugcina ommeli, amalungu omndeni angase angaqiniseki ngesifiso sakho futhi angakuthola ukuba unakekele ukuthi kungenzeka noma ungafuni.
Ingxoxo yeziqondiso ezithuthukisiwe ifakwe njengengxenye ye-"Welcome to Medicare" ukuvakashelwa kanye nokuvakashelwa konyaka "Wellness" .
Ukululekwa kokuPhila kokuPhila
Ukuphikisana "emaphaketheni okufa" kuqala kwaqala izimpande phakathi nohlanga lukaMengameli ka-2008 lapho u-Sarah Palin, okhethweni likaMengameli wePhini likaMengameli, ehlanganisa leli qembu.
Ube esegxeke uhlelo luka - Obamacare lokuphela kokululekwa kokuphila, ethi kuyindlela yokuqondisa iziguli ezigugile nezikhutshazekile ukuba zifinyelele esibhedlela. Akukho okungaqhubeka phambili eqinisweni.
Abantu abaningi baphishekela ukwelapha okuluthayo ekupheleni kokuphila ngoba abazi ngezinye izinketho zabo. Lokhu kungaholela ezibhedlela ezingadingekile noma zokwelashwa ezinemiphumela emibi engalungile. Ngenkathi abantu abaningi bengakhetha ukuphishekela lezi zokwelashwa kungakhathaliseki ukuthi, abanye bangase bakhethe ukuwashiya ngenxa yezinyathelo ezingaphezu kokuzimela. Kudingeka bazi ukuthi banenkululeko.
Ukuphela kokululekwa kokuphila kuyithuba lokufunda mayelana nezinketho zakho, hhayi ukuzinikela esinqumweni. Udokotela kumele afike futhi akunike lonke ulwazi oludingayo ukwazi ngempilo yakho kanye nezinketho zokwelapha ezitholakalayo ukukusiza ukuthi uhlele, kungakhathaliseki ukuthi lezo zokwelapha zihlukumezayo noma zitholakale. Kumele akunikeze okulindelekile okulungile. Udokotela awunaso isikhuthazo sezezimali sokukusayina isinqumo esithuthukile noma okunye. Udokotela umane nje udinga isikhathi sokuchaza ukugcwele okukhethwa kukho.
I-Medicare Coverage for Ending Life Counseling
Ngaphambi kuka-2016, i-Medicare ayizange igubhe ekupheleni kokululekwa kokuphila.
Ungakhuluma nodokotela wakho mayelana neziqondiso zokunakekela ezithuthukisiwe njengengxenye ye-Welcome to Medicare Exam noma i-Annual Wellness Visit, kodwa lokhu kuhambela kuhloswe ukuhlanganisa ezinye izinsiza nezinkinga zezokwelapha. Ishiya isikhathi esincane sokuxazulula inkinga ngendlela enenjongo.
Kulula nje, ukuhambela imizuzu engu-15 noma engu-20 ngeke kuwanele ukuxoxa ngezinkinga eziyinkimbinkimbi zokufa nokufa. Ngokuvamile, ukuvakashelwa okuningi kuyadingeka ukuze ufundise futhi uxoxe ngezinketho ezahlukene ezitholakala kumuntu owenza amaphuzu okuphila. Isiguli, umndeni wakhe nabathandekayo bakhe bafanelwe isikhathi sokufunda kabanzi ngesimo esivela kuzo zonke izingcingo ngaphambi kokwenza isinqumo esinolwazi.
I-Institute of Medicine ichaze izincomo zabo zokuphela kokululekwa kokuphila ngo-2014. UMthetho Wokunakekelwa Kwezinhlelo ka-2015 wabe usungeniswa yiSenenja yeDemocratic Alliance uMark Warner waseVirginia neRepublican Senator uJohnny Isakson waseGeorgia. Izinhlangano ezingaphezu kwezingu-40, kuhlanganise ne-AARP, i-American Medical Association, uMkhandlu kaZwelonke we-Aging kanye ne-National Hospice kanye nePalliative Care Organization, yavuma umthetho.
Ngenxa yale mizamo, i-Medicare yamisa ekupheleni kokululekwa kokuphila njengenzuzo ehlanganisiwe ngo-2016. Manje unaso sonke isikhathi udinga ukukhuluma ngalokho okubaluleke kakhulu.
Izwi kusuka
I-Medicare ikuvumela ukuba ukhulume nodokotela wakho mayelana neziqondiso eziphambili minyaka yonke, kodwa lokho kungase kungabi isikhathi esanele sokufinyelela enhliziyweni yendaba. Uma unesifo esibulalayo, unesimo esingelapheki sezokwelashwa, noma uqhubeka nje eminyakeni, ungadinga isikhathi esengeziwe ukuze uxoxe ngezinhlelo zakho zesikhathi esizayo. Ukuphela kokululekwa kokuphila, inzuzo manje ehlanganiswe ne-Medicare, ingakunika lokho.
> Imithombo:
> Ukuqondiswa Okuthuthukisiwe Nokunakekelwa Kwesikhathi Eside.Medicare.gov. https://www.medicare.gov/manage-your-health/advance-directives/advance-directives-and-long-term-care.html.
> Ama-FAQs: Umsebenzi We-Medicare Ekupheleni Kokunakekelwa Kwokuphila. I-Henry J. Kaiser Family Foundation. http://kff.org/medicare/fact-sheet/10-faqs-medicares-role-in-end-of-life-care/. Kubuyekezwe ngo-September 26, 2016.
> FastStats: Impilo yabantu abadala. Amasevisi Okulawulwa Nokuvimbela Izifo, Isikhungo Sikazwelonke Sezibalo Zempilo. https://www.cdc.gov/nchs/fastats/older- american-health.htm. Kubuyekezwe uMeyi 3, 2017.
> Ukunakekelwa Kwezihambi Nezivakashi. Medicare.gov. https://www.medicare.gov/coverage/hospice-and-respite-care.html.