Ukunakekelwa kwezibhedlela ngokuvamile kuvame ukuqondwa kahle. Ukufa okuyiqiniso kuyisihloko esesabekayo kodwa isibhedlela siningi kakhulu kunokufa kodwa singasiza umuntu othandekayo afe ngesithunzi nomusa. Ukuqonda ezinye izitayela ku-hospice kungasiza ekunciphiseni ukwesaba nokukhuthaza ukuqonda. Eqinisweni, kuye kwashiwo ukuthi ukubhaliswa kwangaphambili ku-hospice kuthuthukisa ekugcineni kokunakekelwa kokuphila.
I-National Hospice kanye ne-Palliative Care Organisation iyindlela yokuthola ukuqonda imakethe ye- hospice . Nakhu ukubuka okusheshayo kwezinye izibalo.
Izibalo
- Ngo-2014, iziguli ezilinganiselwa ku-1.6 million zathola usizo oluvela esibhedlela .
- Ukufa kwezinyanga eziyishumi e-United States kunakekelwa uhlelo lwe-hospice.
- Iziguli ze-Medicare ezifinyelela ezinsukwini ezintathu noma ngaphezulu zokuhlinzeka ngezifo zokugula zikhule zibe ngu-43.3%.
- Labo abanezinkinga zokufinyelela kwe-dementia bakhule ngo-33.6%.
- Ubude bomsebenzi obuphakathi buyizinsuku ezingu-19.7.
- Iningi lokunakekelwa kwesineke, i-58.9% yamukelwa ekhaya, ehlanganisa imizi yokuhlengikaza nezindawo zokuhlala.
- Iphesenti yeziguli zokubeletha ezitholwa ukunakekelwa esikhungweni sokugula esibhedlela siphelelwa ngu-31.8%.
Ukutholwa Okuyisisekelo
Lapho ukunakekelwa esibhedlela e-United States kwasungulwa ngawo-1970, iziguli zomdlavuza zenza amaphesenti amakhulu kunazo zonke zokuvuma iziguli. Namuhla, ukuxilongwa komdlavuza kubangaphansi kwesigamu sabo bonke abamukelwayo esibhedlela.
Njengamanje, amaphesenti angaphansi kuka-25 okufa kwe-US manje abangelwa umdlavuza, iningi lokufa ngenxa yezifo ezibulalayo.
Izifo ezine eziphezulu ezingezona umdlavuza ezingenayo umdlavuza iziguli ezivunyelwe esibhedlela ziyizifo zenhliziyo (14.3%), ukungaziwa okungacacisiwe (13.0%), ukucindezeleka komzimba (13.0%), nesifo sengculazi (8.3%).
Lokhu kubalulekile ukwazi ukuthi ufuna ukukhulisa imithombo yakho yokubuyisela futhi ubheke ukwandisa amaqoqo amakhono wethimba lokunakekela abagulayo.
I-Medicaid rates yokukhokha esibhedlela iyabalwa ngokususelwa emazingeni e-hospice ngonyaka asekwe ngaphansi kweMedare. I-Medicaid rates yokukhokha nsuku zonke yokunakekelwa kanye nezinsizakalo ezinikezwe kusukela ngo-Okthoba 1, 2011, kusukela ngo-Septhemba 30, 2012, zilandelayo:
- Ukunakekelwa Kwamakhaya Okujwayelekile - $ 161.89
- Ukunakekelwa Kwekhaya Okuqhubekayo - $ 944.79
- Ukunakekelwa Kwezingane Eziphuthumayo - $ 167.45
- Ukunakekelwa Okujwayelekile Kwezingane - $ 720.11
Amasevisi anikeziwe
Ngokusho kwe-National Health Statistics, izinsizakalo eziyinhloko ezinikezwa ithimba lokunakekela iziguli zihlanganisa:
- Izinsizakalo Zezenhlalakahle
- Izinsizakalo Zokukhonza noma Zomoya
- Amasevisi Wezokwelapha
- Izinsiza Zokudla
- Izinsizakalo Zokuzithandela
Iziguli zokunakekela iziguli ezitholakale e-ejenti eziyingxenye yeketheni zazikwazi ukuthola izinsizakalo zodokotela kunokuba zikhishwe iziguli zokunakekelwa esibhedlela ezindaweni ezingekho ingxenye yohlu.
Phakathi kwezinsizakalo ezingekho ezingundoqo:
- Usizo olwamukelwe nge-ADLs
- Izinsizakalo Zokuqashwa
- Ukunakekelwa Kwekhaya Okuqhubekayo
- Services Respite
- Izinsizakalo zokwelapha
Ukusetshenziswa kweziqondiso ezithuthukisiwe noma olunye uhlobo lwe-Advanced Care Planning
Iningi lalabo abahlinzeka ngeziguli zokunakekelwa esibhedlela kwaba nokuhlelwa kokunakekelwa okuqhubekayo kusuka ku-75.8% kulabo abangaphansi kweminyaka engu-45 kuya ku-93.1% kulabo abaneminyaka engama-85 nangaphezulu.
Ngaphezulu kweyodwa-yesine (26,9%) yazo zonke iziguli zokunakekela iziguli ezihlinzekwe iziguli zinezinhlobo ezintathu noma ngaphezulu zokwenza izinhlelo zokuhlela ukunakekelwa kwangaphambi kwesikhathi. Uhlobo olujwayelekile kakhulu lwezinto zokuhlela ukunakekelwa kusengaphambili phakathi kweziguli zokunakekelwa esibhedlela kwakungumyalo ongenzi-resuscitate (80.2%), olandelwa amandla okugcina ommeli (36.4%) kanye nokuthanda okuphilayo (25.3%).
Kubathengi, kubalulekile ukuba ube nomyalo othuthukile (ukuphila okuzayo) endaweni yokuphenya izifiso zakho zokunakekelwa kwezempilo futhi kubaluleke kakhulu ukuqoka amandla okunakekelwa kwempilo ommeli ongakwazi ukulandela izifiso zakho uma ungenaso isikhundla sokuxhumana kubo.