Okubalulekile kwe-Hospice
Nakuba ukuthuthukiswa kwezidakamizwa zanamuhla zokwelashwa kanye nobuchwepheshe bokuvuselela ukuphila kuye kwenza imikhakha emangalisayo, izimo zikhona okwamanje lapho iziguli ezingenakukwazi ukuzenza noma ukuphishekela imizamo yokuphulukisa ukugula okunciphisa ukuphila, izifo noma isimo. Kulezi zimo, kunabantu abaningi kunalokho bafuna induduzo nokunakekela ukugcina ikhwalithi yabo yokuphila ngesikhathi sabo esisele. Ngakho kubalulekile ukwazi ukuthi yini ukunakekelwa ngokucophelela kokunakekelwa kwezibhedlela, izinsizakalo ezihlinzekela ngokujwayelekile iziguli nemindeni, nokuthi unquma kanjani ukuthi ukufuna kuyifanele wena noma othandekayo.
Kuyini ukunakekelwa kwezibhedlela?
I-hospice iyindlela ekhethekile yokunakekelwa kwezokwelapha okuhlose ukuhlinzeka induduzo nokulondoloza izinga lempilo yesiguli (cishe ngangokunokwenzeka) kulabo abhekene nokugula okukhawulela ukuphila, izifo, noma isimo sokugcina. Ngemva kokungena esibhedlela, isiguli sithola ukunakekelwa okuzimele okuvame ukugxila enhlalakahleni yabo yonke noma ephelele ngokubhekana nesimo sakhe somzimba kuphela kodwa nanoma yiziphi izidingo ezingokomzwelo, ezenhlalakahle, ngisho nezingokomoya / zezenkolo njengoba ukufa kusondela.
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Amacebiso 5 Wokukhetha Umhlinzeki Wezibhedlela Ngomuntu Othandekayo
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Yisiphi Isikhathi Esihle Sokukhetha Ukwelashwa Kwemitholampilo Ngomdlavuza We-Lung?
Ngaphezu kwalokho, ithimba lesiguli labahlengikazi labahlengikazi liqhubeka lihlola isimo sakhe futhi libuyekeze uhlelo lokunakekela njengoba kudingeka.
Ukunakekelwa kwe-Hospice inikeza ukusekela okusebenzayo, izinsiza, nolwazi emndenini weziguli kanye nabathandekayo phakathi nale nkathi enzima-ikakhulukazi kunoma yiluphi ilunga lomndeni elihlinzeka ukunakekelwa isiguli-kanye nokusiza ukuhlela umngcwabo, inkonzo yesikhumbuzo, noma ukuxoxisana kanye nokusekelwa usizi kwabasindile ngemuva kokufa kwesiguli esibhedlela.
Ukunakekelwa kwezibhedlela kuhlinzekwa ngokujwayelekile lapho isiguli sisho khona "ekhaya." Lesi silungiselelo singase sihlanganise nendlu yakhe noma ilungu lomndeni, ikhaya labahlengikazi noma isikhungo sokusiza, isikhungo sokugula esibhedlela, noma ngisho nesibhedlela.
Kungakhathaliseki indawo, isiguli sithola ukunakekelwa kwamalungu omndeni kanye namavolontiya ase-hospice aqeqeshiwe kanye nethimba labaqeqeshi bezokwelapha, abahlengikazi, abahlengikazi, abasebenzi bezenhlalakahle, nabanye abantu.
Izinsizakalo ezijwayelekile
Abaningi abahlinzeka ngezifo ezihlinzeka ngempilo bahlinzeka ngezinsizakalo ezilandelayo, njengoba kuchazwe yi- Medicare Hospice Benefit eyadluliselwa e-United States ngo-1982:
- Izinsizakalo zokweluleka : Uma kunesidingo futhi / noma kufanelekile, iziguli zokubeletha kanye / noma abathandekayo babo bangathola izinsizakalo zokudla, umsekeli noma ukusekela okungokomoya, nokululekwa kokulahlekelwa komndeni nabanakekeli okungenani unyaka owodwa emva kokufa kwesiguli.
- Umsizi wezempilo wasekhaya : Umsizi wezempilo wasekhaya ohlala esibhedlela angasiza iziguli zombili ukuba zinakekelwa ngabanye, njengokugeza noma ukugqoka, noma abanakekeli bekhaya ngemithwalo yabo yemfanelo futhi ngokuvamile bahambele izikhathi ezimbili kuya kathathu ngesonto, kuye ngezidingo.
- Ukuhlolwa kwelabhuthi kanye nezinye izifundo ezidingekayo zokuxilonga
- Imishini yezokwelapha : I-Hospice inikeza imishini edingekayo ukuze indawo ephephile, ekhululekile futhi enakekelayo ekhaya lomguli. Lezi zinto zingase zibandakanye umbhede esibhedlele, isitulo sabakhubazekile, abadwebi abadala, ama-bandages, kanye / noma amagilavu we-latex alahlwa.
- Imithi : I-hospice ihlanganisa yonke imithi ehlobene nokuxilongwa kwe-hospice kanye nalabo okuhloswe ukulawula noma ukunciphisa ubuhlungu nezinye izimpawu.
- Izinsizakalo zokuhlengikaza: Isiguli esibhedlela sinikezwa umhlengikazi wezinkantolo ovame ukuvakashela izinsuku ezintathu ukuya kwesonto, kuye ngezidingo. Umhlengikazi obizwa nge-on-call uphinde atholakale ezigulini zokugula kanye nabanakekeli babo amahora angu-24 ngosuku.
- Ukuzibandakanya kwabahlengikazi : Udokotela ovamile wesiguli uhlinzeka ngokunakekelwa kwakhe ngokubambisana nomqondisi wezokwelapha esibhedlela.
- Ukukhathalela abahlali : Leli fomu lesikhashana, usizo lesikhashana lingaba usizo kumnakekeli womndeni ukwehlisa noma ukugwema ukucindezeleka nokukhathazeka .
- Izinsizakalo zezenhlalakahle : Iziguli ze-Hospice zinikezwa isisebenzi senhlalakahle esiqinisekisiwe sokuzisiza kanye nemindeni yabo ngezidingo zabo ezingokomzwelo kanye / noma zomphakathi.
- Therapists : Uma kufanelekile, i-hospice inganikeza umhlinzeki womlimi, ngokomsebenzi, kanye / noma okhuluma ulimi ukusiza isiguli.
- Usizo olungeziwe: Amanye ama-ejenti ase-hospice ngamunye ahlinzeka ngezinsizakalo ezengeziwe ngokusebenzisa amavolontiya ase-hospice aqeqeshiwe kanye / noma izinhlelo zosizo.
Ngaphezu kwalokho, i-Medicare ichaza amazinga amane ahlukene wokunakekelwa kwe -hospice-isikhungo sokubhedlela kanye nodokotela we-hospice esibhedlela kufanele anqume izinga elifanele lokunakekelwa ngesikhathi sokungena. Njengengxenye yokunakekelwa komuntu oyedwa futhi okubuyekeziwe, leli zinga lingashintshwa njengoba kudingeka.
Ukumboza Izindleko
Ngokwe-National Hospice and Palliative Care Organisation (NHPCO), uMedarele ukhokhele ukunakekelwa okutholwe ngamaphesenti angama-85.5 weziguli zokubeletha ngo-2014. Nokho, ukuze umuntu afanelekele i-Medicare Hospice Benefit, umuntu kufanele afanelekele i-Part A ye-Medicare futhi abe udokotela -kuqinisekisiwe ngokuthi abagulayo bayaphakanyiswa izinyanga eziyisithupha noma ezimbalwa-uma lesi sifo siqhuba inkambo evamile, phakathi kwezinye izinto. (Udokotela angase aphinde avuselele isiguli uma isimo sakhe siqhubeka nokuhla kodwa siphila isikhathi esingaphezu kwezinyanga eziyisithupha.)
Ngaphezu kwalokho, izinhlelo eziningi zemfihlo zomshuwalense noma ezomnotho zinikeza izinzuzo zokubhedlela njengezinhlelo eziningi ze-Medicaid. Uma umuntu engenawo umshuwalense odingekayo noma ezinye izisetshenziswa zezimali, abaningi abahlala esibhedlela bazobe bemukela isiguli futhi bahlanganise izindleko besebenzisa iminikelo yezezimali noma imali etholakala ngesikhathi sezemicimbi yezimali kanye neminye imithombo yokusiza.
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Lawa mavolontiya aKwaseMpilo aKhethekile aqinisekisa ukuthi akekho owaziwa yedwa
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Iyini Izinketho Zomshuwalense Wezempilo Wami Yokunakekela I-Hospice?
Kunezici ezimbalwa ezibalulekile okufanele uzicabangele uma ukhetha umhlinzeki we-hospice , futhi, kusobala ukuthi umshuwalense wakho wezokwelapha kanye nesimo sezimali kuzobangela isinqumo sakho. Unganqikazi ukubuza udokotela wakho kanye neminye imibuzo engaba khona e-hospice imibuzo kungakhathaliseki ukuthi izimo zakho-izimboni ezimbalwa zizokwenza umuntu ongeke azuze emisebenzini yakhe.
Imicabango Engajwayelekile
Ngenxa yokuthi kunezinkolelo ezihlukahlukene mayelana ne-hospice , abantu abaningi bacabanga ukuthi le ndlela yokunakekelwa kwezokwelapha okukhethekile yilabo ababhekana nomdlavuza. Ngokusho kwe-NHPCO, iningi lamagciwane (amaphesenti angu-63.4) angeniswe esibhedlela ngonyaka ka-2014 nge-diagnostic primary, njengengqondo yokugula, isifo senhliziyo, isifo samaphaphu, isifo sohlangothi, noma i-coma. Iqiniso liwukuthi ochwepheshe be-hospice banganikeza ukunakekelwa nokududuzeka kulabo abhekene nezimo ezihlukahlukene zokuphila-ukulinganiselwa ngaphandle komdlavuza.
Enye into eyiphutha ephikisiwe kakhulu ukuthi labo abangena ohlelweni lwe-hospice baye balahleka ithemba noma bafuna ukufa. Kubalulekile ukuqonda ukuthi ngenkathi ukunakekelwa kwe-hospice akufuni ukuphulukisa ukugula okugulisa isiguli, izifo, noma isimo, ukunakekelwa esibhedlela futhi akusheshi ukufa noma "kusize umuntu afe." Inhloso jikelele yokunakekelwa kwezingane zokubeletha ngokuvamile iqinisa impilo ngoba ibheka ukufa njengengxenye yenqubo yemvelo futhi isiza iziguli zichitha isikhathi esisele sempilo yazo ngokugcwele nangokunethezeka ngangokunokwenzeka.
Ingabe Ukunakekelwa Kwama-Palliative Kuyafana?
Imigomo yokunakekelwa kwe-palliative nokunakekelwa kwe-hospice ngokuvamile kuvame ukusetshenziswa ngendlela ehlukile, kodwa empeleni ayinjalo into efanayo. Nakuba zombili lezi zinhlobo zokwelashwa ezikhethekile zigxila ekunciphiseni izimpawu zesiguli nokuthuthukisa ikhwalithi yakhe yokuphila, ukunakekelwa kwe-palliative kungenziwa nganoma yisiphi isikhathi futhi uma nje kubonakala kunesidingo kumuntu obhekene nesimo esingapheli noma esongela ukuphila . A
Isibonelo, ngenkathi kungagcini lesi sifo, omunye umuntu otholakale ukuthi unomdlavuza angase aqale ukuthola ukunakekelwa kokunakekelwa ukuze aphathe kokubili izimpawu nemiphumela emibi yokwelapha kwakhe ngenkathi eqhubeka nokwelapha umdlavuza ngokwayo, njenge-chemotherapy noma i-radiation.
I-hospice yindlela yokunakekelwa ngokucophelela kulabo abasondela ekupheleni kokuphila, kodwa ukunakekelwa ngokucophelela kungenziwa nganoma yisiphi isikhathi kungakhathaliseki ukuthi isifo noma isimo sesiguli singelashwa.
Ingabe I-Hospice Ilungile Noma Ithandekayo?
Kukhona inzuzo nokuqeda ukungena ohlelweni lwesifo esibhedlela kanye nanoma ubani obhekene nokugula okukhawulela ukuphila, izifo, noma isimo esibulalayo kufanele axoxe ngakho konke okukhethwa kukho, okubandakanya ukugula, nodokotela, umnakekeli, nomndeni wabo. Isiguli ngokuvamile sikulungele ukunakekelwa esibhedlela, kodwa, lapho ekhetha ukuphishekela ukwelashwa okuhloswe kuphela ukukhuthaza / ukunikeza induduzo kunokuba afune ukwelashwa kokugula, izifo noma isimo sakhe.
Ukunakekelwa okunjalo kwezokwelapha kungase kuhlanganise nemithi yokunciphisa ubuhlungu, i-nausea, ukuphefumula okuncane (dyspnea) , ukulahleka kokudla, ukuhlukunyezwa kwamasipha, ukuchiza, noma ezinye izimpawu nemibandela. Ngenkathi engaphansi kokunakekelwa esibhedlela, isiguli singathola ukwelashwa okungaphezu kwamandla, njengokumpompela igazi, chemotherapy, noma imisebe, uma umgomo ukunciphisa ubuhlungu nobuhlungu kodwa hhayi ukuphilisa lesi sifo.
Ngenkathi ukunakekelwa kwe-hospice ngokuvamile kuvumelekile isiguli esinesikhathi sokuphila kwezinyanga eziyisithupha noma ezimbalwa, ukuhlolwa okunjalo kubalwa kuphela (ezinye iziguli ziyafa ngokushesha futhi ezinye zihlala isikhathi eside). Ngaphambili isiguli singakwazi ukufinyelela ezinsizakalweni zokugula, kodwa-ke, inzuzo enkulu yena kanye namalungu omndeni wakhe nabathandekayo-bayothola kulolu hlobo olukhethekile lokunakekelwa kwezempilo.
> Imithombo:
> "Izidingo zokufaneleka kwezibhedlela." I-National Hospice ne-Palliative Care Organization. Ibuyiselwe ngo-Agasti 14, 2016. http://www.nhpco.org/hospice-eligibility-requirements
> "Izimpawu Nezibalo ze-NHPCO: Ukunakekelwa Kwemitholampilo eMelika," NgoSepthemba 2015. I-National Hospice ne-Palliative Care Organization. Ibuyiswe ngomhla ka-Agasti 16, 2016. http://www.nhpco.org/sites/default/files/public/Statistics_Research/2015_Facts_Figures.pdf