Sebenzisa Lawa Amathiphu Awusizo Wokuqaphela Nokuhlola Ubuhlungu

Ukuchaza Ukuhlupheka Komuntu Othandekayo Nokugcina Ingosi Yezinhlungu

Ukunakekela umuntu onesifo esisongela impilo kudinga ukuhlola ngokucophelela nangokucophelela, noma "ukuhlolwa," kobuhlungu babo nezinye izimpawu. Wena ngamehlo nezindlebe ukuze udokotela nabahlengikazi banakekele othandekayo wakho. Uzobe udlulisela ulwazi olubalulekile mayelana nobuhlungu bomuntu omthandayo emuva kwethimba lezempilo, ngakho ungakwenza kanjani lokhu ngendlela engcono kakhulu?

Ukuhlola ubuhlungu nokuwadlulisela eqenjini lezempilo kuzoba yinto ebaluleke kakhulu ongayenza ngenkathi unakekela othandekayo.

Ukuqonda ubuhlungu

Kubalulekile uma uhlola ubuhlungu ukuze uqonde ukuthi ubuhlungu buphi. Kunezigaba eziningana zobuhlungu . Ubuhlungu bungaba nzima, lokho kungukuqala kokuqala, noma ubuhlungu bungaba buhlala njalo . Kungaba yendawo, noma ingahle isakaze. Kunezindlela eziningana ezahlukahlukene lapho ubuhlungu obukhiqizwa khona, ngalezi zindlela ezahlukene eziholela ekuhlangenwe nakho okuhlukile kokubuhlungu. Into ebalulekile okumele uyikhumbule ukuthi ubuhlungu ngaso sonke isikhathi lokho umuntu obhekene nakho bukushoyo, kwenzeka lapho futhi bakuphi lapho bekuchaza khona.

Uma umuntu engakwazi ukuxhumana nobuhlungu bazo, kuyobe kulula ukuyiqopha bese uyibuyisela kudokotela wayo. Uma bengakwazi ukukhuluma lokho abazizwayo, kungaba nzima ukuhlola ubuhlungu babo kodwa kusengenzeka. Ukuze wenze kanjalo, kumele wazi izibonakaliso nezimpawu zomzimba eziveza lokho abazizwayo, esixoxa ngazo ngokuningiliziwe ngezansi.

Ukuhlaziya ubuhlungu kukhona umhlinzeki wakho wezempilo ozokwenza kuzo zonke izivakashi noma ukuqokwa, kodwa kuyoba kuwe ukuhlola ubuhlungu bomuntu owakuthandayo phakathi kokuvakashelwa kobuchwepheshe. Ulwazi olulandelayo luzosiza kuwe njengoba uhlola ubuhlungu ngokwakho.

Ubukhulu bezinhlungu

Isinyathelo sokuqala ekuhloleni ubuhlungu ukuthola ukuthi bubi kangakanani kumzuzwana wamanje.

Kukhona amathuluzi angasiza umuntu okwazi ukukhulumisana achaza ubuhlungu bobuhlungu bawo. Kubantu abadala, lokhu ngokuvamile kwenziwa ngezinga lezinombolo ezingu-0-10. I-Zero ingachaza ukungabikho kobuhlungu kanye nezinyanga eziyishumi kungabonakalisa ubuhlungu obukhulu kakhulu obungacatshangelwa. Ngokuvamile, izinga lobuhlungu la:

• 1 kuya ku-3 kubhekisela ebuhlungu obukhulu
• 4 kuya ku-6 ibhekisela ebuhlungu obulinganiselwe
• I-7 kuya ku-10 ibhekisela ebuhlungu obukhulu

Buza othandekayo wakho ukuthi ahlole ubuhlungu babo endaweni ethile kulolo zinga.

Kunezinhlobo eziningi zezilinganiso zokulinganisa ubuhlungu ezingasetshenziswa ukwenza le nqubo ibe lula. Isibonelo, izinga elilodwa elibhekwa njengezinga le-FLACC lisebenzisa incazelo yezibonakaliso eziningana umuntu angase abonise, ukuze alinganise inombolo phakathi kweyishumi neshumi. Lokhu kufaka phakathi ukubukeka kombuso, imilenze (kungakhathaliseki ukuthi ikhululekile, ihamba, noma ikhahlela), umsebenzi (kungakhathaliseki ukuthi ulele ngokuthula, ukuxubha, noma ukuguqa), ukukhala nokuqiniswa.

Uma ucela izingane ezincane noma abantu abadala abangakhulumi ukuchaza ubuhlungu bazo, ithuluzi elivame ukusetshenziswa ngabahlinzeki bezempilo yi- Wong-Baker FACES Pain Rating Scale . Kunconywa abantu abaneminyaka engama-3 nangaphezulu. Ngalesi sikali, ungabhekisela ebusweni obunye usebenzisa amagama ukuchaza amandla obuhlungu. Buza ingane ukuba ikhethe ubuso obuchaza ubuhlungu babo, noma ubheke ubuso bomuntu ongakhulumi ngomlomo ukuze anqume ukuthi ubuphi ubuso obubonakalayo etafuleni buhambisana kakhulu nomuntu obathandayo.

Izinga Elimamukelekayo Lezinhlungu

Wonke umuntu uyoba nezinga lakhe elamukelekayo lobuhlungu. Kwabanye kungase kungabi buhlungu kanti abanye bazobekezelela izinga lobuhlungu lika-3 ngesilinganiso se-0-10. Kubalulekile ukuthola ukuthi yiliphi lelizinga elikwamukelekayo lomuntu oyithandayo. Uma othandekayo wakho ejabule ezingeni likabuhlungu obuneminyaka engu-3, ​​ngeke ufune ukuwasebenzisa ngemithi kuze kube yilapho ubhekwa khona ukuze uwafinyelele ezingeni lezinhlungu zero. Ngakolunye uhlangothi, abanye abantu bazama ukubekezelela amazinga obuhlungu ngaphezu kwezingu-4, nakuba lezi zinsizi zobuhlungu ngokuvamile ziyanciphisa izinga lokuphila.

Indawo Yezinhlungu

Indawo yobuhlungu ingaba njalo njalo uma ucela.

Umuntu onesifo sesibindi sokuphela kwesibindi angase abe nobuhlungu ngakwesokunene kwesiguli sesisu sakhe. Kubalulekile ukubuza, noma kunjalo, ngoba ubuhlungu obusha bungakhula. Uma indawo ihlukile noma ubuhlungu obusha buvela, qiniseka ukurekhoda lolo lwazi bese uludlulisela kumhlinzeki wezempilo womthandi wakho.

Ukunciphisa nokuvusa

Ukuhlukunyezwa nokucasula kubalulekile ukuhlolwa okwenziwe uma uhlola ubuhlungu. Okokuqala, ungacela othandekayo wakho ukuthi yini eyenza ubuhlungu babo bube ngcono, noma "bubeke". Lokhu kungase kube yimithi yokwelapha kuphela. Kungenzeka ukushintsha izikhundla noma ukulala nje ngakwesokunxele sabo. Ukuthola lokho okunciphisa ubuhlungu ngeke nje kukusize wenze izinto ezisiza induduzo yomthandi wakho kodwa zinganikeza udokotela ezibalulekile ngokubangela ubuhlungu uma engaziwa kakade.

Futhi, buza ukuthi yini eyenza ubuhlungu bubi nakakhulu, noma buvusa. Futhi, kungaba ukunyakaza noma ukulala eceleni. Kungase kube nokudla noma ukuthinta. Lokhu kuzophinde kukusize ugweme izinto ezibangela ukungakhululeki futhi unikeze izici ezibalulekile kudokotela.

Ukuhlola Izimpawu Ezingezona Ngamazwi

Njengoba kushiwo ngaphambili, kungaba nzima ukuhlola ubuhlungu bomuntu uma bengakwazi ukuyibeka phansi futhi / noma abakwazi ukukhomba esikalini se-FACES. Kukhona ezinye izibonakaliso nezimpawu umuntu angase azibonise uma zibuhlungu ezingakunikeza:

• I-grimacing ebusweni noma i-frown
• Ukubhalisa noma ukuguquka njalo embhedeni
• Ukukhala, ukububula, noma ukugubha
• Ukuphumula nokukhathazeka
• Kubonakala kungenangqondo futhi kunzima, mhlawumbe ukudweba imilenze noma ukukhahlela
• Ukuqapha indawo yobuhlungu noma ukuhoxisa ekuthinteni kuleyo ndawo

Izimpawu eziningi umuntu ayenayo, futhi uma zibonakala zikhudlwana, zizokwenza ukuthi uqonde ngokwengeziwe izinga lobuhlungu ababhekene nalo. Ungabe ubhala phansi ubuhlungu babo njengokuthi "mnene", "ulinganise", noma "unzima".

Gcina irekhodi

Enye yezinto ezibaluleke kakhulu ongayenza kumuntu omnakekelayo ukugcina irekhodi eliqondile lobuhlungu bayo kanye nezinhlungu zabo zokwelashwa. Uma uhlola ubuhlungu babo, bhala ubunzima nendawo kanye nanoma yimiphi imithi noma izifo oziphakelayo. Qaphela ukuthi imithi noma imithi yayiphumelele yini. Futhi, bhala noma yini entsha engase ikutshele yona ngalokho okwenza uzizwe kangcono noma kubi kakhulu. Lena yindlela enhle yokubambisana nabaqeqeshi bakho bezempilo ukuze unikeze ukunakekelwa okungcono kakhulu kokunakekelwa kwempilo kunokwenzeka.

Isibonelo se-Log Inhlungu

I-log yakho yobuhlungu ayidingi ukuchaza kabanzi, kodwa izingxenye ezimbalwa ngokusiza abahlinzeki bakho bezempilo behlola kangcono indawo kanye nobuhlungu bezinhlungu, kanye nokwelashwa okuyiyo noma okungasebenzi.

Ithebula elingezansi liyisibonelo segijimi lobuhlungu lomuntu onezinhlungu zesisu:

Ngaphansi

Ngokuhlola ubuhlungu bomuntu omthandayo, ungadlala indima ebaluleke kakhulu ekuqinisekiseni ukuthi othandekayo wakho uthole ukwelashwa okungcono kunokwenzeka ngenkathi ehlushwa ubuhlungu obuncane. Ukusebenzisa izikali zobuhlungu nokugcina iregi lobuhlungu kuyizindlela ezinhle zokulwela ubuhlungu kancane ukuze udokotela wakho azi ukuthi ukwelashwa okwengeziwe kuyadingeka. Ukugcina irekhodi kungabuye kukuqaphele ukuthi ushintshe ukuze uxhumane nabaqeqeshi bakho bezempilo ngokushesha ngangokunokwenzeka uma kudingeka.

Njengombhalo wokugcina, ukunakekela othandekayo ngesifo esongela ukuphila mhlawumbe into enkulu kunazo zonke ongayenzela omunye umuntu, kodwa futhi udla kakhulu. Konke ongakwenza, khumbula ukuzinakekela izidingo zakho. Cela usizo futhi uzimisele ukuwuthola. Zizenzele, uma nje imizuzu embalwa lapha naphakathi. Ungase uzizwe unecala lokuzama ukuhlangabezana nezidingo zakho. Kodwa khumbula ukuthi udinga ukuzinakekela uma kufanele unikele othandekayo wakho ukunakekelwa okungcono kunokwenzeka. Khumbula iseluleko abasindile bezindiza abasinika sona ngaphambi kokususa. Faka i-mask yakho ye-oxygen kuqala.

> Imithombo:

> Broglio, K. no R. Portenay. Ukuhlolwa kobuhlungu nokuphathwa kumaviki okugcina okuphila. UpToDate . Kubuyekezwe 09/12/17.

> McGuire, D., Kaiser, K., Haisfield-Wolfe, M., noF. Iyamu. Ukuhlolwa kobuhlungu ku-Non-Communicative Adult Palliative Care Patients. Imitholampilo Yezokwelapha eNyakatho Melika . 2016. 51 (3): 397-431.