Incazelo yokunakekelwa kwelashwa kanye nezinsizakalo ezinikezayo
Nakuba ukuthuthukiswa kwezokwelapha zanamuhla kanye nobuchwepheshe kuyamangalisa, kunezimo lapho iziguli ezingenakukwazi ukuzenza noma ukungaziphishekeli imizamo yokuphulukisa ukugula okunciphisa impilo, izifo noma isimo. Lesi sihloko sichaza ukuthi yikuphi ukunakekelwa kwe-hospice, izinsizakalo ezinikeza ngokujwayelekile nokuthi unquma kanjani ukuthi ukufuna ukunakekelwa esibhedlela kufanelekile wena noma othandekayo.
Kuyini ukunakekelwa kwezibhedlela?
I-hospice iyindlela ekhethekile yokunakekelwa kwezokwelapha okuzama ukunikeza induduzo nokugcina izinga lompilo wesiguli (ngokusemandleni kakhulu) kulabo ababhekene nokugula okukhawulela ukuphila, izifo noma isimo sokugcina. Ukunakekelwa kwe-Hospice ngokuvamile kugxile ekuphatheni kahle kwesiguli ngokugcwele hhayi ngokubhekana nesimo sakhe somzimba kuphela, kodwa nanoma yiziphi izidingo ezingokomzwelo, ezenhlalakahle nezingokomoya / zezenkolo njengoba ukufa kusondela.
Ngaphezu kwalokho, ukunakekelwa kwabahlengikazi kunganikeza usizo, izinsiza kanye nokwaziswa emndenini weziguli kanye nabathandekayo phakathi nalesi sikhathi esinzima-ikakhulukazi ilungu lomndeni elihlinzeka ukunakekelwa isiguli-kanye nokusizwa ngemuva kokufa kwesiguli esibhedlela.
Kubalulekile ukuqonda ukuthi nakuba ukunakekelwa kwe-hospice akufuneki ukwelashwa kwesifo somkhawulo wokugula kwesiguli, izifo noma isimo, isibhedlela asifuni ukushona noma "kusize umuntu afe." Inhloso jikelele yokunakekelwa kwezingane zokubeletha ngokuvamile iqinisekisa impilo futhi ibheka ukufa njengengxenye yenqubo yemvelo ukuze kusize iziguli zichitha isikhathi esisele sempilo yazo ngokugcwele nangokunethezeka ngangokunokwenzeka.
Ukunakekelwa kwezibhedlela kuhlinzeka ngokujwayelekile endlini yomguli kodwa ezinye iziguli zingathola ukunakekelwa kwezingane zesikhashana esikhungweni sokugula. Ngaphezu kwalokho, ukunakekelwa esibhedlela akuhlinzeki ngamahora angu-24, "ukunakekelwa kwezingane", ngakho amalungu omndeni, aqashe abanikazi bokunakekelwa noma abasebenzi basekhaya abahlengikazi bangase banikeze ngezinsizakalo zokunakekela izingane.
Ukunakekelwa kwe-Hospice vs. Care Care
Ngokungafani nokunakekelwa kwendabuko, ukunakekelwa kwabahlengikazi kufanelekile uma kunesikhathi sokuphila kwezinyanga eziyisithupha noma ngaphansi. Uma ukwelashwa okukwelashwa kungasasebenzi futhi / noma isiguli asisifisi ukuqhubeka nabo, khona-ke isibhedlela siba uhlobo lokunakekelwa okuthandwayo. Ngakolunye uhlangothi, ukunakekelwa kwe-palliative kunganikezwa nganoma isiphi isikhathi ngesikhathi sokugula futhi ngokuhambisana nokuphefumula kanye / noma ezinye izindlela zokwelapha.
Izinsizakalo zezibhedlela
Abaningi bama-hospice banikeza izinsizakalo ezibalulwe ngezansi, njengoba kuchazwe yi- Medicare Hospice Benefit , eyadluliselwa e-United States ngo-1982:
- Izinsizakalo zokwelapha: Isiguli esibhedlela sinikezwa umhlengikazi wezinkinga, ovame ukuvakashela izinsuku ezintathu kuya kwesonto. Iziguli ezibhedlela kanye nabanakekeli bazo nazo zingathola umhlengikazi onogada ngamahora angu-24 ngosuku.
- Ukuzibandakanya kwabahlengikazi : Udokotela odokotela weziguli ogulayo ngokuvamile uvame ukunakekelwa, ngokubambisana nomqondisi wezokwelapha esibhedlela.
- Izinsizakalo zezenhlalakahle : Iziguli zinikezwa isisebenzi sezenhlalakahle ukuzisiza ngezidingo zabo ezingokomzwelo kanye / noma zomphakathi.
- Izinsizakalo zokweluleka : Iziguli ze-Hospice kanye / noma abathandekayo babo bangadinga izinsizakalo zokudla, njengoba kufanele; ukwesekwa komfundisi noma ngokomoya; kanye nokwelulekwa kokulahlekelwa umndeni nabanakekeli emva kokufa kwesiguli.
- Umsizi wezekhaya : Lawa aides angasiza iziguli ngokunakekelwa komuntu siqu futhi ngokuvamile zivakashe izikhathi ezimbili kuya kathathu ngesonto.
- Imithi : I-hospice ihlanganisa yonke imithi ehlobene nokuxilongwa kwe-hospice kanye nalabo okuhloswe ukulawula noma ukunciphisa ubuhlungu nezimpawu.
- Imishini yokwelapha: Izibhedlela zihlinzeka ngemishini edingekayo ukuhlinzekela indawo ephephile, ekhululekile futhi enakekelayo ekhaya lomguli. Lezi zinto zingase zibandakanye, isibonelo, isibhedlele esibhedlela, isitulo sabakhubazekile kanye ne-oksijeni, kanye nama-diapers omdala, ama-bandages nama-latex igantshi.
- I-Laboratory / Okunye izifundo zokuhlola
- Ukukhathalela abahlali : Leli fomu lesikhashana, usizo lwesikhashana lungasiza ukunciphisa noma ukugwema ukukhathazeka kokukhathazeka nokucindezeleka .
- Abahlengikazi : Uma kufanelekile, ukubeletha kungase kuhlinzeke ngomuthi osebenza ngokomzimba, osebenzayo kanye / noma okhuluma ulimi.
- Usizo olwengeziwe : Amanye ama-ejensi wokugula angase ahlinzeke ngamasevisi engeziwe ngokusebenzisa izinhlelo zokuzithandela kanye / noma izinsiza.
Ingabe I-Hospice Ilungile Noma Ithandekayo?
Ukunakekelwa kwezibhedlela ngokuvamile kuvumelekile isiguli esiphelelwa yisikhathi sokuphila isikhathi esingangezinyanga eziyisithupha noma ngaphansi. Ngenkathi izifo ezinjalo zilinganiselwa nje (okusho ukuthi ezinye iziguli ziyafa ngokushesha futhi ezinye zihlala isikhathi eside), kuvunywa ukuthi ngokushesha isiguli singakwazi ukufinyelela ezinsizeni zokubhedlela, inzuzo enkulu ayothola ekunakekeleni esibhedlela.
Isiguli ngokuvamile silungele ukunakekelwa esibhedlela lapho ekhetha ukuphishekela ukwelashwa okuhloswe kuphela ukugqugquzela / ukunikeza induduzo kunokuba afune ukwelashwa kokugula kwakhe, izifo noma isimo. Lezi zokwelashwa zingase zihlanganise imithi yokunciphisa ubuhlungu, isicanucanu, ukuphefumula (dyspnea) , ukulahlekelwa isifiso, ama-cramps, ukuhlambalaza, i-hiccups nezinye izimpawu. Ukwelashwa okunamandla kakhulu, njengokumpontshelwa igazi, i-chemotherapy kanye / noma imisebe, kungase kube okufanelekile ngenkathi ngaphansi kokunakekelwa esibhedlela uma umgomo ukunciphisa ubuhlungu nesifo esingagulayo kodwa hhayi ukuphilisa isifo sakhe.
Ihlelwe futhi ibuyekezwe nguChris Raymond, Meyi 7, 2016.