I-POLST idokhumenti entsha echaza izifiso zokuphela komuntu. I-POLST imelela ama-oda kaMdokotela wokuPhepha kokuPhila. I-paradigm idala i-buzz emphakathini wezokwelapha futhi ikhombisa izithembiso eziningi ekuqinisekiseni ukuthi izifiso zesiguli ziyalandelwa.
Kuze kube manje, umuntu angasebenzisa i- Advance Directive ukuchaza ukuthi izifiso zabo ziyoba yini ekupheleni kokuphila kwabo.
I-Directive Advice Advice ngokuvamile iqukethe ulwazi mayelana nesifiso somuntu sokusebenza kahle umoya, ukudla okunomsoco, nesifiso sakhe sokunakekela induduzo. Nokho, i-Advance Directive ayitholi kancane ukuvikela umuntu ekunakekelweni okuphuthumayo kwezokwelapha njengoCPR noma ukudluliselwa esibhedlela. Umuntu kuzodingeka abe ne- oda elingafani lokungazivuli (DNR) ukuze amvikele ekucindezelweni kwesifuba esingadingeki, ukuthuthumela kwamandla kagesi, nokuphefumula okufakelwayo.
Ngokusebenzisa i-paradigm ye-POLST, abasebenzi abaphuthumayo nabasebenzi bezokwelapha baneziqondiso ezicacile ukuthi yiziphi izenzo okufanele zithathe uma kwenzeka isimo esiphuthumayo sisekelwe ezifisweni zesiguli. Kuhlanganisa nesifiso sesiguli sokuthi noma senqabe i-CPR, sidluliselwe esibhedlela, nokuthi ngabe sithola ukudla okunomsoco. Ipharadini ingamlandela umuntu nomaphi lapho eya khona; kusebenza ekhaya, ekhaya elikhulelwe, isikhungo sokunakekelwa isikhathi eside, nasesibhedlela.
Yini i-POLST equka?
I-paradigm ye-POLST inezigaba ezintathu noma ezine (kuye ngokuthi isimo) lapho umuntu angakhetha khona ukungenelela kwezokwelapha okufisayo:
- CPR
Umuntu angakhetha ukuvuselelwa kwe-cardiopulmonary (CPR). Ukukhetha lokhu kukhetha kusho ukukhetha "Ukwelashwa Okugcwele" kusigaba B. Ngaphandle kwalokho, umuntu angakhetha "Ukuvumela Ukufa Kwemvelo," owaziwa nangokuthi Ungavumeli Ukuvuselela Ukuzama.
- Ukungenelela kwezokwelapha
Umuntu unezinqumo ezintathu zezinga lokungenelela kwezokwelapha abangathanda. Okukhethwa kuqala yi "Izinyathelo Zokududuza Kuphela" okusho ukuhlinzeka kuphela ukunakekelwa okuyokwenza ukuba kunciphise ubuhlungu nokuhlupheka. Ukukhetha lokhu kusho ukuthi umuntu uzodluliselwa esibhedlela kuphela uma ukuhlupheka kungeke kukhululwe ekhaya.
Okukhethwa kwesibili "Ukunciphisa Ukwethenjelwa Okungeziwe" okubandakanya ukunakekelwa kokududuzeka kusukela kokukhetha kuqala kepha kungase kufaka phakathi uketshezi (IV) kanye namagciwane. Kukhona ukhetho lokukhetha ukuthi ungadluliselwa esibhedlela ngaphandle uma ukuhlupheka kungenakukhululwa ekhaya.
Okukhethwa okwesithathu ukuthi "Ukwelapha Okugcwele." Ukukhetha lokhu kukhetha ukuthi lo muntu ufuna ukunakekelwa kokududuzeka, uketshezi lwe-IV, ama-antibiotics, i-CPR, kanye nakho konke ukunakekelwa kwezempilo okunzulu okubandakanya ukudluliselwa esibhedlela.
Kunomugqa walesigaba kwanoma yimaphi ama-oda angeziwe. Iziguli zinganquma ngodokotela wazo ukunciphisa uhlobo lwemithi e-IV esetshenzisiwe noma engakhetha ukucacisa ngokuphathelene nokusekelwa kokuphefumula abayifunayo.
- Ama-antibiotics
Lesi sigaba sivumela iziguli ukuba zithole ukuthi uma ngabe uma ngabe imithi elwa namagciwane kufanele isetshenziselwe ukuphatha izifo.
- Ukudla okunomsoco okwenziwe kahle
Lesi sigaba sivumela umuntu ukuthi asho izifiso zakhe mayelana nokudla ngokweqile , ngokuvamile ngokusebenzisa ithubhu ye-nasogastric (NG) yokudla okwesikhashana noma ngokusebenzisa ishubhu esiswini (efakwe esikhumbeni esiswini) sokudla isikhathi eside. Okukhethwa kukho kufaka phakathi "Akukho ukudla okunomsoco nge-tube," okucacile kahle, "Isikhathi sokuhlolwa esilungisiwe sokudla okufakelwa yi-tube" okuvame ukusho ukudla ngokwanele okwesikhashana ukuze ubone ukuthi kukhona ukuthuthuka esimweni sabo, noma "Isikhathi eside ukudla okunomsoco yi-tube "okuyinto ngokuvamile eyenziwa nge-tube esiswini.
I-POLST ihluke kanjani kune-Directive Advance?
I-Advance Directive iklanyelwe ukunikeza iziqondiso ekungeneni kwezokwelapha okufisayo uma umuntu esevele ephethe ukwelashwa okuphuthumayo - ngokuvamile eqondiswa esibhedlela noma kwabasebenzi basekhaya labahlengikazi. I-POLST yakhelwe ukufundisa abasebenzi abaphuthumayo ukuthi yiziphi izenzo okufanele zithathe ngesikhathi usesekhaya.
Ubani Okudingeka Ayisayine i-POLST?
Kuzo zonke izifunda lapho i-POLST yamukelwa khona futhi isemthethweni, isiguli noma umenzi wezinqumo zomthetho wezempilo kumele asayine ifomu.
Udokotela kufanele futhi aqinisekise ukuthi isinqumo isiguli esenzayo sihambisana nesimo sakhe sezempilo samanje. Isibonelo, uma owesifazane oneminyaka engu-30 enempilo eneminyaka engu-30 ubudala, njengami, eceliwe ukuba avumele Ukufa Kwezemvelo, Izinyathelo Zokududuza Kuphela, futhi Akukho Ukudla Okufakwayo, udokotela wami (ngethemba) ngeke asayine ifomu. Kwamanye amazwe, umhlengikazi (NP) noma umsizi wodokotela (PA) angase asayine ngokomthetho leli fomu.
Noma ubani onesifo esingapheli noma sokuphila-noma noma ubani oneminyaka yobudala kufanele acabange ukuba nomqulu we-POLST. Ukuthola ukuthi ngabe isimo sakho samukela futhi sisebenzisa ipharadigm ye-POLST, vakashela iwebhusayithi ye-POLST.