Sivame ukuzwa la magama amabili emgqumeni owodwa noma esihlokweni, "ukunakekelwa kokunakekelwa nokunakekelwa ngokucophelela." Noma yize zihambisana, zizinto ezimbili ezihlukene.
Kuyini Ukunakekelwa Kwama-Palliative?
Ukunakekelwa kwe-palliative , okubizwa nangokuthi ukunakekelwa kwenduduzo, kuwukunikeza ukukhululeka. Ihlinzekwa kubantu abanesifo esilimazayo, noma ngabe basendleleni eya empilweni , noma kungakhathaliseki ukuthi bazophila isikhathi eside kangakanani.
Ngokuhlinzekela ukunakekelwa kokunakekelwa, umhlinzeki ucabangela izinga lempilo yesiguli, aqiniseke ukuthi isiguli asihlupheki izimpawu ezinzima ezifana nobuhlungu, isisulu, ukukhathala, ukuqothulwa, ukuphefumula, ukulala, ukulala, noma ngisho nezinselele zempilo yengqondo njengokucindezeleka uma nje ehlala, kungakhathaliseki ukuthi lokho kungaba isikhathi esingakanani.
Ngokungafani nokunakekelwa kwe-hospice (bheka ngezansi), ukunakekelwa kwe-palliative akusekho isikhathi. Kungaba yisidingo esifushane, njengokuthi iziguli ezitholwa ukwelashwa komdlavuza, zidinga usizo lokududuza futhi ekugcineni zizolashwa, noma okungenani isifo noma isimo sabo sizophathwa. Noma kungase kube isidingo sesikhathi eside seziguli ezizobhekana nezifo zazo zonke izimpilo zabo, mhlawumbe iminyaka. Ukunakekelwa kwe-palliative kungasetshenziselwa ngokubambisana nokunakekelwa esibhedlela (bheka ngezansi).
Izinzuzo zokunakekelwa nge-palliative hhayi nje iziguli, kodwa nabathandekayo babo futhi abangathola induduzo ngokwazi ukuthi ukuhlupheka komuntu othandekayo kuphethwe.
Udokotela wesiguli nguye oqaphela isiguli esidinga ukunakekelwa ngokucophelela futhi nguye owenza lokho. Abanye odokotela bafika ebhodini eliqinisekisiwe ukunakekelwa nge-palliative. Kukhona nesitifiketi sokunakekela izingane. Uma uhlola udokotela ukuze usize ngokuhlupheka okungapheli, noma ngabe isimo sesiphetho sokuphila noma cha, ungabheka kulawa maphodi ukuze uncoma amalungu awo.
(Yenza usesho lwewebhu "isitifiketi sokunakekela ukunakekelwa kwezintambo.")
Ukunakekelwa kwe-palliative kubhalwa ngumqashi noma umkhokheli weziguli (Medicare, Medicaid, nabanye) kuze kube yilapho umshwalense wegulane ehlanganisa noma yiziphi ezinye izinsizakalo zezokwelapha .
Uma uzizwa sengathi kungenziwa okuningi ukuze unciphise ukuhlupheka kwakho ngokomzimba noma ngokomzwelo, cela udokotela wakho ukuba axoxe ngezinketho zokunakekelwa nge-palliative nawe.
Kuyini ukunakekelwa kwezibhedlela?
Ukunakekelwa kwezibhedlela kunikezwa ekupheleni kompilo womunye umuntu, beqaphela ukuthi iziguli zihlupheka ngokuhlukile lapho ziyazi ukuthi ukuphela kokuphila kuseduze.
Ngokungafani nokunakekelwa kwe-palliative, ukunakekelwa kwe-hospice kubangelwa yisikhathi. Isiguli asikwazi ukunconywa ukunakekelwa esibhedlela ngaphandle kokuthi kuze kudlule udokotela (futhi kuthiwa kwezinye, odokotela ababili) baqinisekisa ukuthi isiguli singakapheli izinyanga eziyisithupha ekupheleni kokuphila kwakhe.
Ukunakekelwa kwezibhedlela kungabandakanya ezinye izinhlobo zokunakekela ukunakekelwa kwamaphilisi. Umehluko wukuthi ukunakekelwa esibhedlela akuhlinzeki ngalutho noma ngisho nokusikisela kokwelapha. I-hospice ihloswe kuphela ukuphatha izimpawu, ukugcina isiguli sikhululekile aze afe.
Enye into engalungile mayelana nokugoma iwukuthi indawo - indawo lapho abantu baya khona. Ngenkathi kunezinkulungwane zezikhungo zokunakekelwa kwezibhedlela e-United States naseCanada, i-hospice ingase igxile emakhaya asebekhulile noma esibhedlela.
Izinsizakalo ze-Hospice nazo zinganikezwa ekhaya.
Njengalokhu odokotela bangase babe yibhodi eqinisekisiwe ekunakekelweni kwezingane, bangase babe yibhodi eliqinisekisiwe ekunakekelweni kwe-hospice; Ngokuvamile kuyisitifiketi esifanayo sebhodi .
Izinhlangano zezibhedlela ziyasebenza ngendlela efanayo nodokotela. Bangase babe nezindawo eziningana, babe nobuhlobo nabanye abahlinzeki, kumele bahambisane nemithetho ye-HIPAA, ngezinye izikhathi benza amakholi wendlu, futhi bamukela ezinye izinkampani zokukhokhela kanye nabakhokhi abanjengeMedare noma iMedicaid.
Izinhlangano zezibhedlela zinezisebenzi zabo zokwelapha / zezokwelapha. Umbuzo owodwa owodwa umbuzo kanye nemindeni kungenzeka ukuthi ngabe isiguli kumele sishintshe odokotela lapho befaka izinsiza zokubeletha.
Impendulo ayifani nayo yonke inhlangano ye-hospice, ngakho-ke kungcono ukubuza ukuthi ucabangisisa yini wena noma othandekayo.
Uma isiguli sisebenzisa i-Medicare noma i-Medicaid, izindleko zokunakekelwa esibhedlela zihlanganiswe 100% ngesiguli esibhedlela. Uma isiguli sithembele kumshuwalense wangasese, inani lokubhalwa lizohluka. Qinisekisa ukuthi uqinisekisa nenhlangano yakho yokubhedlela yasekhaya ukuthi inkokhelo izovezwa.