Izinto ezithinta Ukulindela Ukuphila Emisebenzini Yokunakekela
Amakhaya asezihlengikazi avame ukucatshangwa njengendlela yokugcina, kepha ngezinye izikhathi kuyadingeka, ukunakekelwa kwabantu abane- dementia . Iningi labantu lifuna ukuhlala ekhaya isikhathi eside ngangokunokwenzeka, futhi abanye kungenzeka baze babuze umndeni wabo ukuba ungabathumeli ekhaya labahlengikazi. Esinye ukwesaba ukuthi othandekayo angase anqabe, futhi ekugcineni afe, ngokushesha ngokushesha kunesikhungo kunokuba ayesekhaya.
Ingabe lokhu kunembile?
Impendulo emfushane: Kuncike. Impendulo ende? Kunokucwaninga okulinganiselwe kulo mbuzo, kodwa kunezici ezithile ezenza ukwehla nokufa komqondo wokuba nomqondo ongase kwenzeke.
Ucwaningo Olufanele
Ngokwezibalo ezihlanganiswe ngo-2017, isifo se-Alzheimer kanye ne-dementias ehlobene yiyona eyesi-6 eyimbangela yokufa e-United States. Ngakho-ke, abantu abane-dementia bafe kuphi?
Ucwaningo olwanyatheliswa kuyi- Journal of the American Geriatrics Society lwabandakanya abantu abadala abangaphezu kuka-4 000 abafundela cishe iminyaka emihlanu. Abacwaningi kulolu cwaningo balandela ukushona kwabahlanganyeli futhi bathola ukuthi cishe ingxenye (46%) yabantu abanesifo sengqondo sokushona komzimba bafa ekhaya, kanti abangu-19% basekhaya labahlengikazi kanti abangu-35% baboshwa esibhedlela lapho befa.
Kodwa-ke, isifundo esandulele esashicilelwe ngo-2005 sathola ukuthi ukufa kwe-2/3 okuphathelene nokushona komqondo kwenzeka emakhaya asebekhulile.
Ucwaningo lwesithathu kusukela ngo-2013 luhlolisise abahlali basekhaya abangu-378 abahlengikazi futhi bathola ukuthi labo abanesifo se-Alzheimer's-uma kuqhathaniswa nalabo abanezinye izinhlobo zokudemeka kwengqondo nalabo abanesifo senhliziyo - empeleni basinda isikhathi eside.
Lokhu kutholakala kubonakala kunembile-enembile ekuqaleni kodwa kungase kuchazwe ngokuqonda ukuthi amakhaya asebekhulile anakekela abantu abagulayo kakhulu manje kunakudala, ngakho-ke mhlawumbe labo abanezimo ngaphandle kwe-Alzheimer bangase babe nokuphila okunciphise isikhathi.
Izinto ezihambisana nomngcipheko wokufa ekudleni
Nakuba kunzima ukuthola ucwaningo olubhekisa lapho abantu abane-dementia bazofa ngokushesha, kunezici ezimbalwa eziye zahlotshaniswa nokuphila kwesikhathi eside ku-dementia.
Zihlanganisa okulandelayo:
- Ukuqhathanisa ngokweqile: Kuyaphawuleka ukuthi ngenkathi ama-pounds angaphezu kweminyaka yobudala obudala iyandisa amathuba ethu okuba nesifo sengqondo se-dementia, amakhilogremu engeziwe kubantu asebekhulile abane-dementia ahlobene nengozi encane yokufa emakhaya asebekhulile. Ukulahlekelwa isisindo ekudemeni kwengqondo, ngisho nabantu abakhuluphele kakhulu, kufanele kubhekwe ngokukhathazeka ngenxa yalokhu kuhlanganiswa neengozi yokufa.
- Ukunciphisa Imithi Yokulwa Ne- Antipsychotic Ehlanganiswe Nezinhlelo Zokuxhumana Komphakathi : Kunamandla okunciphisa ukusetshenziswa kwezidakamizwa ze-antipsychotic kubantu abanesifo sengqondo somzimba emakhaya asebekhulile, futhi njengesizwe, sithuthukile kakhulu kule ndawo. Nokho, ucwaningo oluthile luthi akwanele. Ithole ukuthi ukunciphisa ukusetshenziswa okuhambisana nokuhlinzekwa kokukhulumisana komphakathi kwandisa izinga lokusinda ezindaweni. Ukunciphisa imishanguzo ye-antipsychotic nje ngaphandle kokungeza ezinye ukungenelela kubangele ukwanda kwezimo eziyinselele nemizwelo ehlobene nokuhlukumezeka kwengqondo futhi ayizange ithuthukise izinga lokusinda.
- Ukwelashwa Okuphumelelayo Kwezindlela Zokuziphatha Nezimo Zengqondo Ye-Dementia : Okunye ukutadisha abantu abane-dementia emakhaya asebahlengikazi kuqhathanisa inani labantu abafayo abathola imithi elwa nokucindezeleka kulabo abathola imishanguzo ye-antipsychotic. Bathola ukuthi izinga lokufa alizange lithinteke ukuthi ngabe umuntu othile wayengafuni yini ukuthola imithi noma ukuthi yimuphi umuthi abawutholile, kodwa uma ngabe imithi yayiphumelele ekuthuthukiseni i-BPSD yabo. Ngamanye amazwi, abantu bobabili amaqembu (labo abaphethwe yi-anti-depressants nalabo abaphethwe i-antipsychotics) bahlala isikhathi eside uma ukuziphatha kwabo kanye nezimpawu zomqondo zokudangala komqondo zithuthukiswa ngomuthi.
Izingosi Ezihlobene Neengozini Yokunyuka Yokufa Ku-Dementia
Ngakolunye uhlangothi, ucwaningo luye lwahambisana nalezi zici ngenengozi enkulu yokufa komuntu onomqondo owohloka komqondo.
- Delirium : Ukuba khona kwe-delirium kubantu abane-dementia kuye kwahlotshaniswa nengozi eyengeziwe yokufa. Esinye isizathu esivamile se-delirium yisifo.
- Ama-Falls ne- Hip Fractures : Abantu abane-dementia banengozi enkulu yokuwa nokuwaphuka kwama-hip fractures, futhi leyo ngozi ingabhekana nengozi eyengeziwe yokufa.
- I-Pressure Sores : Izilonda ze- Decubitus (ezibizwa nangokuthi "izilonda zokulala" zandisa ingozi yokufa kulabo abaphila nokuphefumula komqondo.
- Ukungakwazi ukwenza i- ADLs : Njengoba i-dementia iqhubeka, ikhono lokwenza imisebenzi yansuku zonke njengokugqoka, ukugeza, ukudla noma ukuhamba kuyancipha. Lokhu kwehla kuhlobene nengozi eyengeziwe yokufa.
- I-pneumonia : Ukuthuthukisa i-pneumonia kubangela ingozi eyengeziwe yokufa kubantu abane-dementia.
- Ubudala : Ukuba uneminyaka engama-85 noma ngaphezulu kuhlotshaniswa nobungozi obukhulu kakhulu bokufa kwesifo se-Alzheimer's.
Imithombo:
> Ballard, C., Orrell, M., YongZhong, et al. (2016). Impact of Review Antipsychotic and Nonpharmacological Intervention on Antipsychotic Use, Symptoms Neuropsychiatric, kanye Nokufa Kwabantu abane-Dementia Ukuhlala Emakhaya Okunakekela Abahlengikazi: I-Factorial Cluster-Randomised Trial Trial by the Well-Being and Health for People With Dementia (WHELD) Program. I-American Journal of Psychiatry , 173 (3), iphe. 262-262.
> Cereda, E., Pedrolli, C., Zagami, A., Vanotti, A., Piffer, S., Faliva, M., Rondanelli, M. noCaccialanza, R. (2013). Isifo se-Alzheimer kanye nokufa ezindaweni zokunakekelwa zesikhathi eside zendabuko. I-Archives of Gerontology ne-Geriatrics , 56 (3), iphe.437-441.
> de Souto Barreto, P., Cadroy, Y., iKelaiditi, E., Vellas, B. noRolland, Y. (2017). Inani lokubikezelwa kwenani lomzimba lokufa kwabantu abadala asebekhulile abane-dementia abahlala emakhaya asebekhulile. Ukudla okunomtholampilo , 36 (2), iphe. 423-428.
> Hicks, K., Rabins, P. no Black, B. (2010). Izibikezelo Zokufa Ekhaya Lamahlengikazi Izakhamuzi Ezinezibalo Eziphakeme. I-American Journal ye-Alzheimer's's Health & Other Dementiasr , 25 (5), iphe.439-445.
> Huang, T., Wei, Y., Moyo, P., Harris, I., Lucas, J. no Simon-Wastila, L. (2015). Izimpawu Zokuziphatha Nezokwelapha Emitholampilo Abahlomulayo Emakhaya Okunakekela Abahlengikazi abanezifo ze-Alzheimer kanye ne-Dementias ehlobene. I-Journal ye-American Geriatrics Society , 63 (9), iphe.
> Mitchell, S., Miller, S., et al. (2010). Ithuluzi le-Advanced Dementia Prognostic: A Score Risk Ukulinganisa Ukusinda Ekhaya Nursing Izakhamuzi nge Advanced Dementia. Journal of Pain and Symptom Management , 40 (5), pp.639-651.
> Seitz, D., Gill, S., Gruneir, A., et al .. (2014). Imiphumela Ye-Dementia Emiphumeleni Engenayo I-Postoperative Yabantu abadala asebekhulile Ngama-Hip Fractures: Isifundo Esisekelwe Abantu. I-Journal ye-American Medical Directors Association , 15 (5), i-pp.334-341.