Yilungiselele Ukwenza Izinqumo Zezokwelapha
Abantu abaningi abafuni ukucabanga ngezinkinga zokuphela kokuphila. Ngokuqinisekile, kunezinto eziningi ezimnandi ongacabanga ngazo. Zonke iziguli ezine- COPD zisengozini enkulu yokwenza izinqumo ezinzima uma kwenzeka ukuqhuma okukhulu kwe-COPD okungabanikezela ukuthi bancike emshinini wokuphefumula (obizwa nangokuthi i-ventilator) isikhathi esifushane noma isikhathi eside.
Ucwaningo lwezokwelapha lubonise ukuthi iziguli ezingakulungeli ukwenza izinqumo zokuphela kokuphila zingase zithole ukunakekelwa okunonya futhi okungafuneki, njengokungena kwendiza. Okungaphezu kwalokho ukuthi imindeni yeziguli ezingakhulumi ngezifiso zabo kusengaphambili ihlangabezana nemithwalo ebalulekile, ukucindezeleka, nokucindezeleka ngemva kokuthatha indima yokwenza izinqumo egameni lomuntu othandekayo.
Ngaphambi kokuhlela ukunakekela kuyinkqubo ehlanganisa ukuxoxa ngezinkinga zokuphela kokuphila, ukucacisa izindinganiso zakho, izinkolelo, nezintandokazi bese ubhala lokho okuthandayo emadokhumweni ebhaliwe okuthiwa iziqondiso ezithuthukisiwe (isib. Intando ephilayo noma ummeli wezempilo). Izinzuzo zokuzilungiselela ukuhlela ukunakekelwa kusengaphambili zenziwe kahle ukuthi iziguli ezenza i-ACP nemindeni yazo zazingekho ngaphansi kokucindezeleka, ukukhathazeka noma ukucindezeleka, futhi zabika amazinga aphezulu okwaneliseka nokunakekelwa esibhedlela.
Ngaphambi kokunakekelwa kwezinsizakalo zokuhlela ukunakekelwa kwamalungu omndeni futhi, ucwaningo lubonisa ukuthi amalungu omndeni alabo abenza isandulela sokunakekelwa kokunakekela nabathandekayo babo babhekana nokucindezeleka nokukhathazeka okungenani ngemuva kokwenza izinqumo zokwelapha ilunga lomndeni.
Izinsiza eziningi zitholakalayo ukusiza iziguli nemindeni yabo ukuthi bahlanganyele ekuhleleni okunakekelwa kokunakekelwa kwangaphambi kwesikhathi.
Ngezansi sibhala izinsiza ezintathu eziye zaxhaswa ngokucwaninga futhi zingasiza ukuqondisa izigaba ezihlukahlukene zezinhlelo zokuhlela ukunakekelwa kwangaphambi kwesikhathi.
1) Ama-Aids Decision Online
Ukwenza Ukuhlakanipha Kwakho Kukwaziwa yi-interactive, inthanethi yesinqumo esinqunyiwe esisekelwa ucwaningo olunzulu, kuhlanganise neziguli ezine-COPD. Loluhlelo olutholakala mahhala, lusetha indlela yokufundisa, besebenzisa ifomu lokuphendula imibuzo emphenduleni imibuzo, efaka i-audio, umbhalo, ihluzo, i-vignette yeziguli kanye namavidiyo omculo "ochwepheshe bezobuchwepheshe." Ngaphezu kwalokho, ukusiza izinqumo kusiza abantu ukuthi baqaphele bani bafuna ukwenza izinqumo zezokwelapha uma behluleka ukwenza kanjalo ngokwabo, futhi yiziphi izinqumo abangathanda ukuzenza. Ukwenza Ukuhlakanipha Kwakho Kukwaziwa kuchaza izimo zezempilo eziningana kanye nokungenelela kwezokwelapha (njengokungenisa umoya, i-dialysis kanye namathole wokudla) futhi kuthatha abasebenzisi ngokusebenzisa izivivinyo eziningana ezisiza ukuba zichaze futhi zicacise izindinganiso nemigomo yabo ehlobene nokunakekelwa kwezokwelapha. Ekupheleni kwalolu hlelo, abasebenzisi bangaphrinta futhi bahlanganyele ngomyalelo womuntu siqu, wezomthetho osengaphambili. Uhlelo luyinto elula yokusebenzisa nokucwaninga luye lwabonisa ukuthi lolu hlelo alugcini nje ngokwanelisayo kubahlanganyeli kodwa luveza umyalelo onembile kusengaphambili.
Uhlelo luyatholakala ku www.MakingYourWishesKnown.com.
2) Incwadi yokusebenzela
Ukuphila Kwakho, Izinketho Zakho kuyincwadi enemininingwane eningiliziwe (etholakalayo ku-intanethi) ukuthi iziguli nemindeni yabo bangasebenzisa ukuze bafunde mayelana nokuhlelwa kokunakekelwa kwangaphambi kwesikhathi, ukwenza izinqumo, kanye nezizwe ezivamile zezempilo. Ngaphezu kwalokho, inezivivinyo ezisiza abafundi ukuba benze izimiso nezinkolelo zabo mayelana nezindaba zokuphela kokuphila kanye nokwenza izinqumo. Ibhuku lezincwadi linikeza imibhalo yokubhala phansi izinhlelo zokunakekelwa kusengaphambili kanye nezeluleko mayelana nokuthi zingcono kanjani ukuxhumana okuthandayo kwabanye.
3) Imidlalo
Isipho sami soMusa , umdlalo wokuxoxa wokuphela kokuphila, unikeza indlela yokudala ezinselele zokuthola abantu bashukumiseleka ukuba bakhulume ngesinqumo sokuphela kokuphila.
Ngokusungula ingxoxo njengomdlalo, Isipho sami soMusa sinikeza iforamu ephephile abadlali abajabulelayo, izingxoxo ezanelisayo nezingokoqobo mayelana nokunakekelwa kokuphela kokuphila. Umdlalo unamakhadi angu-47 okwenza abadlali bacabangele futhi baxoxe ngezinkinga eziningi eziphathelene nokwenza izinqumo zezokwelapha, ukufa nokufa. Imibuzo yasungulwa ngemuva kokubonisana ngokubanzi nabahlengikazi abangaphezu kuka-100, iziguli, abaqondisi bemngcwabo, abaklami nabanye. Ucwaningo lubonise ukuthi lo mdlalo ungabakhuthaza labo abaye bangacabangi ukwenza ukuhlela kokunakekelwa kusengaphambili ukwenza kanjalo, futhi kuyindawo enhle yokuqala kulabo abafisa ukuqala izingxoxo ngalezi zinkinga kodwa bangakwazi ukuthi bangayithola kanjani. Abaningi abadlala isipho sami soMusa banokuhlangenwe nakho okuhle futhi bathole ithuluzi lokuhlanganyela, lokuzijabulisa kanye nesithangami esihle sokuvula ingxoxo.
Okubalulekile
Zonke iziguli ezine-COPD kufanele zikhulume nabathandekayo babo mayelana nezindinganiso, izifiso nezinkolelo zabo ngokuphathelene nokunakekelwa okukhethiwe uma kunesifo esingathí sina sezempilo, kuhlanganise nokukhushulwa kwe-COPD. Ukwenza kanjalo kungasiza ukuqinisekisa ukuthi ukunakekelwa okutholiwe ekupheleni kokuphila kuhambisana nezifiso zomuntu. Kuningi lwezinsiza ezikhona ezingasiza iziguli nemindeni ukuba zikwazi kahle futhi zilungele kangcono ukwenza izinqumo zokwelashwa.
Ukuze uthole ulwazi oluthe xaxa nezinsiza mayelana nokuhlelwa kokunakekela kwangaphambili, vakashela iwebhusayithi ye-National Healthcare Decisions Day ku www.nhdd.org.
Izinkomba
USilveira MJ, Kim SYH, uLanga KM. Ngaphambi kweziqondiso kanye nemiphumela yokwenza izinqumo ngaphambi kokufa. N Engl J Med 2010: 1211-8.
I-Kirchhoff KT, i-Hammes BJ, i-Kehl KA, i-Briggs LA, i- Brown RL. Umthelela wokungenwa kokunakekelwa kokunakekelwa kokunakekelwa kwezifo ekunakekelweni kokuphela kokuphila. J Am Geriatr Soc 2012; 60: 946-50.
I-Green MJ, i-Levi BH. Inkathi ye "e": ukusetshenziswa kobuchwepheshe obusha kusengaphambili ukuhlela ukunakekelwa. I-Nurs Outlook 2012; 60: 376-83 e2.
Ukuqaphela uKM, Hancock AD, Reade MC, Silvester W. Umthelela wokuhlela ukunakekelwa kusengaphambili ekupheleni kokuphila ukunakekelwa kweziguli asebekhulile: isilingo esilawulwa ngokungahleliwe. BMJ 2010; 340: c1345.