Ukuthola Abaphenduli Eziphuthumayo Ukuhlonipha Ukuhlakanipha Kwakho
Ukuhleleka ukubuyisela (DNR) umyalelo wokuhlinzeka ngempilo ukuba bangenzi i- CPR ngesiguli esinomzimba wokuboshwa. Imiyalo ye-DNR iyingqayizivele ngoba i-CPR yiyona kuphela ukungenelela kwezokwelapha okudinga umyalelo wokungawuqondisi.
Ama-DNR oda avela odokotela, hhayi ezigulini. Uma isiguli sifuna ukuthi i-CPR ivinjelwe, kufanele axoxe ngesinqumo nodokotela ukuze athole i-oda.
Uma isiguli singakwazi ukuxoxa ngezifiso nezifiso zakhe nodokotela, kunezincwadi ezahlukene zokuphela kokuphila ezimboza izifiso zesiguli ezibizwa ngokuthi iziqondiso ezithuthukisiwe. Ngaphambi kokuqondisa iziqondiso zisiza izinqumo zesidokotela uma isiguli singakwazi ukubonisana.
Amandla angapheli yommeli avumela abanye (ngokuvamile amalungu omndeni) ukuba enze izinqumo ngesiguli esingakwazi ukukhubazeka, ngokuvamile ngaphakathi kwezinhlahlandlela ezichazwe kudokhumenti. Kuvame ukuba imindeni isebenzise inhlanganisela yamandla ahlala njalo yommeli kanye nomyalelo osengaphambili wokusiza udokotela enze ucingo.
Imithetho Ye-oda ye-DNR
Njengenye yokunakekelwa kwezokwelapha okunzima e-United States, ukusetshenziswa kwe-DNR oda kuyahlukahluka kusuka kuhulumeni kuya kuhulumeni, ikakhulukazi ngokuphathelene nokunakekelwa kwe-ambulensi. Ezinye zinezifomu eziqinisekisiwe zama-DNR; uma umyalelo ungabhaliwe kuleso simo esithile, awukwazi ukuhlonishwa. Ezinye izifunda zingaphansi, zihlonipha noma yiluphi uhlobo lwe-DNR oda.
Abaningi bathi abaphenduli bezimo eziphuthumayo balandele imiyalo ye-DNR ebhalelwe abanye abahlinzeki bokunakekelwa, ngisho noma bengabhalwanga kumafomu afanelwe. Ngokwesibonelo, izimo eziphuthumayo nabachwepheshe bezokwelapha eziphuthumayo ngokuvamile kuvunyelwe ukulandela imiyalo ye-DNR ebhalelwe abasebenzi basekhaya labahlengikazi. Kungenzeka futhi bakwazi ukuhlonipha imiyalo ebhalelwe iziguli ezithola ukunakekelwa ekhaya uma umhlengikazi wekhaya ephethe ikhophi ye-DNR oda esandleni.
Umbuso ngamunye uhlukile, futhi omasipala bangase bahluke ngaphakathi kombuso ngamunye.
Kungakhathaliseki ukuthi ifomethi noma indawo, i-DNR iyala cishe njalo ilandele imithetho efanayo ejwayelekile ukuba isebenze:
- Imiyalo ye-DNR kufanele ibhaliswe odokotela kunokuba ibhalwe phansi. Kukhona okungafani nalomthetho, njengokuthi udokotela wezokwelapha eziphuthumayo oyala iqembu le-ambulensi ukugodla ukuvuselelwa ngomsakazo noma umhlengikazi obhalisiwe ethatha umyalelo ovela kudokotela ovuma phezu kwefoni. Ngokuvamile, zikhona izivikelo zalezi zingaphandle ukuqinisekisa ukuthi i-oda iqinisekisiwe kamuva.
- Imiyalo eqoshiwe ye-DNR kumele ifake igama lomguli. Kubonakala kungenangqondo, kodwa imithi nezinye izinqubo zivame ukuphathwa iziguli ezingalungile; ukulandela i-DNR oda nesiguli esingalungile kungaba yingozi.
- Imiyalo ye-DNR kufanele ibe yesikhathi. Kuye ngesimo, imiyalo ingase iphelelwe isikhathi esithile noma kungenzeka kube nesikhathi esinqunyiwe sokuba udokotela alandele. Ngisho noma umyalelo we-DNR ungapheli, uhlelo oluthile oludala lungabangela abahlinzeki ukuba babuyekeze isinqumo ngeziguli.
- I-DNR oda kumele isayinwe udokotela. Kulezo zimo lapho imiyalo ithathwe ngumhlengikazi efonini, ngokuvamile ubeka isikhathi sokugcina udokotela ukuze aqinisekise futhi asayine i-oda - eCalifornia, isibonelo, i-doc kumele isayine i-DNR kungakapheli amahora angu-24.
Ukwenza i-DNR Order Work for You
Uma wena noma othandekayo ene-oda le-DNR futhi ufuna ukuthi udunyiswe ngaphandle kwesibhedlela, gcina ukuhleleka komzimba futhi ubonise ngokucacile nomaphi lapho abaqaphi bangakuthola (noma isiguli). Yenza iphuzu lokutshela abahlengikazi lapho befika. Kungumqondo omuhle ukuba ube nekhophi engaphezu kweyodwa ekhona futhi uboniswe, kanye nekhophi ukuhamba nesiguli esibhedlela.
Uma uhamba, cela abalingani bakho abahambahambayo ukuba babe nekhophi ye-oda lakho le-DNR kubo ngaso sonke isikhathi. Ukugcina ikhophi ngesiguli akusizi ngaso sonke isikhathi abahlengikazi, okungenzeka basuse izingubo zesiguli ngokushesha futhi bangenakwenzeka ukuba babheke esikhwameni noma esikhwameni.
Ezinye izinhlobo zezingubo zezokwelapha zingase zibe usizo. I-MedicAlert Foundation inikeza ubucwebe oklanyelwe ngqo iziguli ezine-DNR oda. Isisekelo sigcina ikhophi ye-oda kufayela, futhi iyakwazi ukuyihambisa ngefeksi noma kuphi emhlabeni. Imijoqo ye-MedicAlert iqukethe abahlengikazi benombolo yefoni engenayo mahhala abangashayela ukucela ikhophi.
Izinhlelo ze-hospice ngokuvamile zidinga ama-DNR oda njengesimo sokubamba iqhaza. Kulezo zimo, ukubiza i-ambulensi kungenzeka kungadingeki. Xhumana nomhlinzeki wakho we-hospice bese ubuza mayelana nenqubo okumele ilandelwe uma othile efa ngenkathi ebhalisile ohlelweni lwabo.
Izinkinga Zokuziphatha Zomthetho we-DNR
Ukusetshenziswa okungahambisani nemiyalo ye-DNR kusho ukuthi ezinye iziguli zithole okungaphansi kokunakekelwa okulungile uma abahlinzeki beqaphela ukuthi kukhona i-DNR. Kukhona okwamanje okudingeka ukuthi ufunde kabanzi ngalolu daba, kodwa abanye abahlinzeki bezempilo bazobe benganaki ukunakekelwa okuyisisekelo neziguli ezine-oda ze-DNR.
Kubalulekile ukukhumbula ukuthi ukuhleleka kwe-DNR akuyona umyalo wokugodla yonke imithi yesiguli, kodwa umane nje umyalelo wokungavuseleli isiguli. Incazelo yokuvuselelwa ingaba nzima. Abanye odokotela bavimbela ukucindezeleka kwesifuba ngenkathi behlinzeka ukunakekelwa okuthuthukile njengomoya wokungenisa umoya - okungenani kuze kube yilapho engekho impulane . Abanye odokotela bazogodla noma yikuphi ukwelashwa okuphambili kusuka esigulini nge-oda le-DNR.
Ngenxa yalezi zinkinga, kunoma yini enye ngaphandle kokuxilongwa kwesifo esibulalayo - njengomdlavuza noma izimo ezithile ezingapheli-ukutholwa kwe-DNR kungase kungabi yisinqumo esifanele. Xoxa ngezindlela ongakhetha kuzo nodokotela wakho manje kunokuba kamuva, kodwa ungazizwa ucindezelwe ukwenza ingqondo yakho mayelana nezinqumo zokuphela kokuphila. Khumbula ukuthi uma sisho nje ngokugodla i-CPR, kungaba ngcono ukuvumela abahlengikazi bazame ukuvuselela ngesikhathi esiphuthumayo. Kukhona ithuba elincane lokuthi i-CPR ngaphandle kwesibhedlela iyophumelela noma kunjalo, futhi ukuhlukunyezwa kokuziphatha kuyogwema.
Izinkomba:
I-Adams, JG. "I-Prehospital do-not-resuscitate oda: inhlolovo yezinqubomgomo zombuso e-United States." I-Prehosp Yenkinga Yamanga . Oct-Dec 1993
U-Bedell, SE, et al. "Awu-hhayi-ukuvuselela ama-oda weziguli ezigula kakhulu esibhedlela. Zisetshenziswa kanjani futhi zithini umthelela wazo?" I-JAMA . 11 Julayi 1986
Hosaka, T, et al. "Imibono yabahlengikazi ngokuphathelene ne-do-not-resuscitate (DNR)." I-Tokai J Exp Clin Med . Apr 1999
I-Koenig, i-KL, ne-GW Tamkin. "Yenza-hhayi-ukuvuselela ama-oda. Bangaphi lapho kulungiselelwa khona kuqala?" I-Prehosp Yenkinga Yamanga . Jan-Mar 1993
I-Ott, BB, ne-RM Nieswiadomy. "Ukusekelwa kokuzimela ngesineke ku-inthanethi akuyikususa isinqumo." I-Heart Lung . Jan 1991
Sulmasy, DP, et al. "Ikhwalithi yesihe. Ukunakekela iziguli ezinokuthi 'musa ukuvuselela' ama-oda." I-JAMA . 5 Feb 1992