Thola amaqiniso ngemuva kwalolu hlobo lokunakekelwa kokuphela kokuphila
Naphezu kokukhula okuqhubekayo ekuqapheliseni nasekufinyeleleni, umphakathi ulokhu unamathemba amaningi mayelana ne-hospice nokunakekelwa okukunikezayo. Lezi zindlela ezingalungile zithinta ekusetshenzisweni kwemisebenzi yokwelapha. Lokhu kuyadabukisa ngoba iziguli eziningi ezinezifo ezivimbela ukuphila zingathola inzuzo ebuhlungu bobuchwepheshe kanye nokulawulwa kwezibonakaliso, kanye nokusekelwa ngokomzwelo, kwezenhlalakahle, nokomoya okungakuthola ukunakekelwa kwabahlengikazi.
Funda iqiniso ngemuva kwezingane ezine ezivame ukwelashwa ezibangelwa ukuhlambalaza okuhambisana nalolu hlobo lokunakekelwa kokuphela kokuphila.
Inganekwane # 1: Ukunakekelwa Kwemitholampilo Kusho Ukunikeza Ithemba
Abantu abaningi bakholelwa ngephutha ukuthi iziguli ezikhetha ukungena esibhedlela zilahlile ithemba , kodwa iqiniso liwukuthi labo ababhekene nokugula okukhawulelwe noma izifo ezibulalayo baye bakhetha ukuhlanza kabusha amathemba abo. Lapho isiguli esake sithembele khona, singase sibe nethemba lokuphila okungenabuhlungu . Kwezinye iziguli zokugula, ithemba lingase lisho ukubona umngane ode noma isihlobo esisodwa sokugcina noma ukuthatha uhambo olwandle. Kwabanye, ithemba lingaba lula njengoba lifuna ukuchitha isikhathi esiningi nabathandekayo ngangokunokwenzeka noma ukuhlala ekhaya kunokuya esibhedlela noma ekhaya labahlengikazi.
Ithemba libukeka elihlukile ekunakekelweni kwe-hospice kodwa ngokuqinisekile akulahlekile. Ithimba lokunakekelwa kwezingane ezihlala esibhedlela lingasiza iziguli ukuba zenze imisebenzi, zifeze izifiso, futhi zigcine ithemba ngesikhathi sazo esisele.
Inkolelo # 2: Izindlela zokubhedlela kufanele ngisayine i-DNR
I-do-not-resuscitate (DNR) oda yinye yamaphepha amadokhumenti ambalwa abantu abasebenzisa lapho besungula umyalo wabo wokunakekelwa kwezempilo . I-DNR isho ukuthi awufuni ukuvuselelwa ngokuvuselelwa kwe-cardiopulmonary (CPR) noma ezinye izindlela kufanele ukuphefumula kwakho kuphele noma inhliziyo yakho ingabe ishaya.
Ukusayina i-DNR akuyona imfuneko yokwamukela ukunakekelwa kwe-hospice, noma kunjalo. Ngenkathi iziguli eziningi ze-hospice zikhethwa ukuba zibe ne-DNR endaweni, i-DNR ayiyona into enhle kuwo wonke umuntu .
Umgomo wokubeletha uyinduduzo ngesineke isiguli esibheka ukunakekelwa kwakhe. Azikho izinqumo okufanele ziphoqelelwe iziguli, kuhlanganise nalabo abasemtholampilo.
Inganekwane # 3: Izibhedlela ziphela kuphela ezigulini zeCans
Kusukela ngo-2015, cishe amaphesenti amathathu (amaphesenti angu-72,3) iziguli zafakwa esibhedlela lapho kunesifo sokuthola izifo ezingekho komdlavuza. Lokhu kusho ukuthi kuphela ingxenye engaphezulu kwengxenye eyodwa (i-27.7%) yeziguli zokugula izifo zinezifo eziyinhloko zokuxilongwa komdlavuza.
Ezinye zezifo ezingenayo umdlavuza ezingenayo umdlavuza ngo-2015 zaziyisifo senhliziyo (amaphesenti angu-19.3), ukucindezeleka komzimba (amaphesenti angu-16.5), izifo zamaphaphu (amaphesenti angu-10,9), kanye nesifo sohlangothi noma i-coma (amaphesenti angu-8.8). Ngesikhathi abahlengikazi bezinkinga ze-hospice nabahlengikazi bezokwelapha abanomakhono kakhulu ekulawuleni izimpawu zomdlavuza, banamakhono afanayo ekulawuleni izimpawu zezinye izinhlobo eziningi zezifo ezingapheliyo.
Inganekwane # 4: Izibhedlela Zizophela Iziguli Ezisebenza Ngokweqile Ukufela noma Ukusondela Ekufeni
Ngonyaka ka-2015, ubude besikhathi esiphezulu senkonzo yeziguli zokubeletha bezinsuku ezingu-23. Lokhu kusho ukuthi iziguli eziyizigidi ezingu-1.6 kuya kwezigidi ezingu-1,7 ezithola izikhungo zokunakekela iziguli ngonyaka, isigamu sathola ukunakekelwa esibhedlela izinsuku ezingaphansi kwezinsuku ezingu-23, kanti esinye isigamu sathola isikhathi eside kunalokho.
Empeleni, isilinganiso samalanga isiguli esitholwe ukunakekelwa esibhedlela ngonyaka wezi-2015 sasingu-69.5 izinsuku.
Inqubo yokufa ithatha isikhathi. Ngenxa yokunakekelwa okunamakhono abanokuthi abasebenzi base-hospice banganikeza iziguli zabo, i-hospice igcina iphumelela kakhulu uma ithimba lokunakekelwa linesikhathi sokuliletha. Iziguli nabathandekayo babo badinga ukusekelwa, ulwazi nokunakekelwa kwezokwelapha. Abasebenzi bezenhlalakahle kanye nabafundi bezingane badinga isikhathi sokusebenza neziguli nemindeni yabo ukuze bawalethe endaweni yokwamukelwa. Abahlengikazi nodokotela badinga isikhathi sokuphatha kahle izimpawu zesiguli.
Ukulahla Izinkolelo Zokwelapha Izibhedlela
Ukususa ukucwasa okuzungezile ukubeletha nokuhlanza ukugcina ukunakekelwa kokuphela kokuphila kubalulekile esikhathini esizayo sokunakekelwa kwezempilo.
Ngo-2060, inani labantu abaneminyaka engama-65 noma ngaphezulu e-United States kulindeleke ukuthi lifinyelele ku-98.2 million, okuzoba cishe kwabayedwa baseMelika. Lokhu kusho ukuthi abantu abaningi bazohlala nezifo ezingapheli, ezikhungula impilo futhi badinga ukunakekelwa kokuqedwa kokuphila komsebenzi. Ukususa lezi zindlovu ezine zokubeletha kungasisondeza ekuhlinzekeni izinga eliphakeme, ukunakekelwa abanamakhono kuzo zonke iziguli ezidinga ekupheleni kokuphila.
> Imithombo:
> Izimpawu Nezibalo ze-NHPCO: Ukunakekelwa kwe-Hospice eMelika. I-2016 Edition. I-National Hospice ne-Palliative Care Organization. http://www.nhpco.org/sites/default/files/public/Statistics_Research/2016_Facts_Figures.pdf.
> Inyanga yakudala yaseMelika: May 2015 . I-US Census Bureau. https://www.census.gov/content/dam/Census/newsroom/facts-for-features/2015/cb15-ff09_older_american_month.pdf