Hiki iā ʻoe ke loaʻa ka lāʻau lapaʻau āu e makemake ai i ka hopena o kou ola? E kamaʻilio kākou e pili ana i ka (DNR)!

Aloha kākou a pau i ke ola, ʻeā? Akā i kekahi lā, malia paha i ka wā e maʻi loa ai kākou, kokoke i ka hopena o ko kākou ola, e hiki mai ana ka manawa e pono ai kākou e noʻonoʻo i ke ʻano o ka mālama olakino a kākou e makemake ai a me nā mea a kākou e makemake ʻole ai. ʻOiai he kumuhana koʻikoʻi a paʻakikī kēia e kamaʻilio e pili ana, he mea nui loa ia e ʻike i ko kākou mau pono a me nā makemake. ʻO ia ka mea a kākou e kamaʻilio ai i kēia lā, a ʻo ia hoʻi ʻo `(DNR)`.

He aha ka manaʻo o `(DNR)`? E ʻike maʻalahi kākou?

I ka ʻōlelo maʻalahi, ʻo `(DNR)` kahi huaʻōlelo pōkole no nā huaʻōlelo Pelekania "Do-Not-Resuscitate" . Ma ka ʻōlelo Sinhala, ʻo ia hoʻi ua haʻi mua mākou iā ʻoe "mai hoʻāla hou." He ʻano kuhikuhi mua kēia. Ua hana ʻoe i kahi kauoha `(DNR)`, ʻo ia hoʻi inā e pau ka paʻi ʻana o kou puʻuwai a i ʻole e pau kou hanu ʻana, ʻaʻole ʻoe makemake e mālama ʻia me `(CPR)` (cardiopulmonary resuscitation).

ʻO ka maʻamau, hana nā kauka, nā kahu maʻi, a me nā limahana mālama ola ʻē aʻe i nā mea āpau e hiki ai iā lākou ke hoʻopakele i kou ola. Hoʻokomo pū kēia i ka hana ʻana i ka "CPR", ʻo ia hoʻi ke kaomi ʻana i ka umauma a me ka hanu ʻana mai ka waha a i ka waha e kōkua i kou puʻuwai a me kou māmā e hana hou. A:

• Inā paʻakikī ka hanu ʻana, hoʻokomo ʻia kahi ʻōmole hanu (`Intubation`) a hoʻopili ʻia i kahi mīkini hanu hana (`Ventilator` / `Mechanical Ventilation`).
• Inā lilo ka hana o ka puʻuwai i mea ʻano ʻē, hoʻāʻo ʻia e hoʻihoʻi i ka puʻuwai i ka maʻamau ma o ka hāʻawi ʻana i kahi haʻalulu uila (he `haʻalulu`) mai kahi mīkini kūikawā (me ka hoʻohana ʻana i ka `defibrillator`).

Akā pehea inā ua maʻi nui ʻoe, a i ʻole he maʻi make paha? ʻO ia kahi e komo ai nā kauoha `(DNR)`. Hiki ke lilo ka `(DNR)` i mea pono inā makemake ʻoe i nā mea e like me:

• E ho'ēmi i ke kaumaha a me ke kaumaha āu e manaʻo ai i ka hopena o kou ola.
• E mālama i kou hanohano i ka manawa o kou make ʻana.

ʻO ka maʻamau, kākau ʻia ke kauoha "DNR" e ke kauka, ma hope o ke kūkākūkā pono ʻana me ʻoe a/a i ʻole kāu poʻe hoʻoholo kānāwai, inā makemake ʻoe, a me kou ʻohana. Ma muli o ke kānāwai ma kou mokuʻāina, kūpono wale ke kauoha "DNR" inā kākau ʻia e ke kauka (MD a i ʻole DO) a i ʻole kekahi loea mālama ola i koho ʻia.

ʻOi aku ka maikaʻi o ka hoʻomākaukau ʻana i kahi kauoha "DNR" ma mua o ka hiki ʻana mai o kahi pilikia. Ke haʻi aku nei kēia kauoha i nā limahana mālama ola kino ʻaʻole e hana i ka "CPR" inā pau kou puʻuwai a hanu paha. Na ke kauka nāna e kākau i kēia kauoha e hoʻohui iā ia i kāu moʻolelo lapaʻau ("Palapala Lapaʻau") i hiki i nā poʻe ʻē aʻe ke ʻike.

Aia kekahi mau ʻano like ʻole o ka `(DNR)`?

ʻO ka hapa nui o ka manawa, ke ʻōlelo mākou he `(DNR)`, ʻo ia hoʻi ʻo `(CPR)` a me nā lāʻau lapaʻau e pili ana e like me ka hoʻohana ʻana i ka `(Defibrillator)`. Eia nō naʻe, aia kekahi mau kauoha like ʻē aʻe i ʻoi aku ka kikoʻī. I kekahi manawa, hiki ke ʻokoʻa kēia mau ʻano `(DNR)` ma muli o ke kānāwai ma kou ʻāina/wahi. E nānā kākou i kekahi mau laʻana.

• Mai ho'āʻo e hoʻōla hou (DNAR): Ua like kēia me DNR. Ma kekahi mau wahi, hoʻohana kekahi mau hale mālama ola i kēia inoa.
• ʻAe i ka Make Kūlohelohe (A ME): ʻO ke ʻano kēia o ka hāʻawi wale ʻana i ka lāʻau lapaʻau e pono ai e hōʻoluʻolu iā ʻoe e like me ka hiki. ʻO ka pahuhopu nui ma ʻaneʻi, ʻo ia ke pale aku iā ʻoe mai ka ʻeha ke make ʻoe.
• Mai hoʻokomo i ka intubation (DNI): Ke haʻi aku nei kēia i ke kauka ʻaʻole ʻoe makemake e hoʻokomo ʻia a hoʻopili ʻia paha i kahi ventilator inā ʻaʻole hiki iā ʻoe ke hanu iā ʻoe iho.
• Nā kauoha DNR kikoʻī: ʻO kēia nā kauoha i hiki ke hoʻopilikino ʻia i kēlā me kēia kanaka. No ka laʻana, hiki iā ʻoe ke ʻōlelo ʻaʻole i ka CPR, akā ʻaʻole paha ʻoe makemake i nā lāʻau lapaʻau ʻē aʻe e hoʻōla ola ai, e like me ka defibrillator.
• Nā kauoha mālama hōʻoluʻolu: Hiki i kēia ke haʻi iā ʻoe i ke ʻano o ka mālama hiki iā ʻoe ke loaʻa i ka hopena o kou ola. Hiki iā lākou ke hōʻike i kou mau makemake e kōkua iā ʻoe e ʻoluʻolu e like me ka hiki i ka hopena o kou ola.

Aia paha nā ʻano "DNR" like ʻole ma muli o kou wahi e noho ai a me kou kūlana. Hiki i kāu kauka ke haʻi hou aku iā ʻoe e pili ana i kāu mau koho.

Inā hoʻopakele ʻo CPR i nā ola, no ke aha e kau ai kekahi i kahi kauoha DNR?

He nīnau kēia e kū nei i nā poʻe he nui. ʻAʻole makemake kekahi poʻe me nā maʻi make a i ʻole nā ​​​​​​kūlana olakino koʻikoʻi e loaʻa iā CPR, ʻoiai inā hiki ke hopena i ko lākou make. ʻO ka hoʻoholo ʻana e hana i kahi kauoha DNR hiki ke hāʻawi iā ʻoe i kahi manaʻo o ka mana ma luna o kou ola a hāʻawi iā ʻoe i kahi ikaika.

ʻOiai hiki i ka CPR ke hoʻōla i nā ola, ʻaʻole ia he 100% pono. Eia kekahi, ʻaʻole paha e pono ka CPR i ka poʻe maʻi loa a i ʻole kekahi mau maʻi. He mea maʻamau nō hoʻi ka ʻeha ʻana i nā ʻeha ʻeha e like me nā iwi ʻaoʻao haʻihaʻi a me nā haki sternum i ka wā o ka CPR.

E noʻonoʻo, ua ʻelemakule loa kekahi a ke ʻeha nei i ka maʻi kanesa hiki ʻole ke hoʻōla ʻia. Inā pau ka paʻi ʻana o ko lākou puʻuwai, a inā paha e hāʻawi ʻia ka CPR e hoʻōla iā lākou no kekahi manawa, e hoʻonui wale ia i ka ʻeha a me ka ʻole o ka hōʻoluʻolu, hiki iā lākou ke koho e loaʻa kahi DNR. ʻO kā lākou hoʻoholo ia.

Pehea e hoʻomaopopo ai i kaʻu mau makemake (DNR)?

E kamaʻilio me kāu mea mālama ola mua a i ʻole ke alakaʻi o ka hui e mālama nei iā ʻoe e pili ana i kēia. E kūkākūkā kāu kauka i nā pono a me nā pōʻino o ka CPR a me nā lāʻau lapaʻau e pili ana me ʻoe. He kamaʻilio ʻoiaʻiʻo kēia me ʻoe e pili ana i kāu mea e makemake maoli ai. He mea nui loa ka hāʻawi ʻana i ka ʻae ʻike i ka wā o kēia mau kūkākūkā. E kōkua kēia iā ʻoe e ʻike i nā mea āpau hiki iā ʻoe a hoʻoholo i kahi hoʻoholo ma muli o kāu mau makemake pilikino. Inā makemake ʻoe e noʻonoʻo hou aʻe e pili ana i ia mea a i ʻole e kamaʻilio me kou ʻohana, ua maikaʻi ke haʻi aku i kāu kauka . He mea maʻamau ka lohe ʻana e pili ana i kahi kauoha DNR ke kipa ʻoe i ke keʻena o ke kauka a i ʻole ke komo ʻoe i ka haukapila.

Ma hope o kou loaʻa ʻana o kahi `(DNR)`, hiki i kāu kauka ke hoʻopaʻa iā ia i loko o kāu ``Medical Record``. Hiki iā ia ke hāʻawi iā ʻoe i kope e mālama pū me ʻoe. Hiki iā ʻoe ke loaʻa nā ``Medical ID Bracelets`` āu e ʻaʻahu ai i ʻike ai nā mea pane ulia pōpilikia he ``DNR`` kāu.

He aha ka mea e hana ai inā ʻaʻole hiki iaʻu ke hoʻoholo e pili ana i ka `(DNR)` iaʻu iho?

Inā ʻaʻole ʻoe i ʻike ma muli o ka maʻi a i ʻole kahi ulia, a inā ʻaʻole hiki iā ʻoe ke hoʻoholo i nā hoʻoholo naʻauao, ʻaʻole paha ʻoe e hiki ke hōʻike i kou mau makemake e pili ana i kahi "DNR". Inā loaʻa iā ʻoe kahi kauoha "DNR", aia i loko o kāu moʻolelo lapaʻau, ʻaʻole hiki i kou ʻohana ke hoʻololi.

Inā ʻaʻohe āu `(DNR)`, hiki iā ʻoe ke koho i kekahi e ʻōlelo nou. No ka laʻana, kou ʻelele kānāwai (`Power of Attorney`) a i ʻole kekahi i hāʻawi iā ʻoe i ka mana e hana i nā hoʻoholo lapaʻau ʻē aʻe (`Healthcare Proxy`) . Inā ʻaʻole ʻoe e inoa i kekahi, i kekahi manawa hiki i kahi lālā o ka ʻohana ke hana i nā hoʻoholo lapaʻau nou inā ʻaʻole hiki iā ʻoe ke hoʻoholo. Hiki ke ʻokoʻa nā lālā o ka ʻohana e hiki ke hoʻoholo nou mai kēlā ʻāina a i kēia ʻāina a mai kēlā ʻāina a i kēia ʻāina.

He aha inā e loli koʻu manaʻo ma hope o ke kākau ʻia ʻana o kahi kauoha DNR a hāʻawi ʻia iaʻu?

Loaʻa iā ʻoe ke kuleana e hoʻololi i kou manaʻo e pili ana i kāu "(DNR)". Inā hoʻololi ʻoe i kou manaʻo, e haʻi koke i kāu kauka . A laila hiki iā ia ke hoʻopaʻa i ka hoʻololi i kāu moʻolelo lapaʻau. Pono ʻoe e hoʻōki i ka hoʻohana ʻana i nā mea e like me nā kāleka hōʻoia āu e kau ai ma kou pulima lima, a luku i nā kope āu.

E haʻi aku i kou ʻohana a me nā mea mālama ʻē aʻe ua loli kou manaʻo a ʻaʻole ʻoe makemake hou i kāu `(DNR)`.

He aha ka mea e hana ai inā ʻoe e hoʻāla hou i kahi mea e noho ana ma ka `(DNR)`?

ʻO nā kauoha ``(DNR)`` wale nō e pili ana i nā loea lapaʻau i ʻike e pili ana iā lākou (a i ʻole e ʻike pono iā lākou). Inā ʻaʻole ʻike ke kauka e pili ana i kāu ``(DNR)``, a inā he hewa kamaʻilio, ʻaʻole pono lākou e pilikia.

Eia nō naʻe, inā ʻike kāu kauka e pili ana i kāu `(DNR)` a hoʻōla hou iā ʻoe, hiki iā lākou ke kū i nā hopena kānāwai. Inā lākou i hoʻowahāwahā a ʻaʻole ʻike e pili ana i kāu `(DNR)`, hiki iā lākou ke kū i nā hopena no ia mea.

ʻAʻole koi ʻia nā loea lapaʻau ʻole e hana i ka CPR ma luna o kahi mea nona ka DNR. Inā ua aʻo ʻia ʻoe e hana i ka CPR ma luna o kahi mea e loaʻa ana i ka hōʻeha puʻuwai, pono ʻoe e hoʻāʻo e hana pēlā. Eia nō naʻe, inā ʻike ʻoe he DNR ko kekahi, pono ʻoe e mahalo i ko lākou makemake ʻaʻole e hoʻōla hou iā lākou.

Inā e hana ʻia ana au i ke ʻoki kino, e hoʻopilikia anei ka "DNR" i kaʻu mālama ʻana?

Inā loaʻa iā ʻoe kahi `(DNR)` a e hana ʻia ana ʻoe i ke ʻoki kino, e kamaʻilio me kāu kauka ʻoki kino a me ka anesthesiologist e pili ana i kāu `(DNR)`. Hiki iā lākou ke haʻi hou aku iā ʻoe e pili ana i ke ʻano o kāu `(DNR)` e pili ana i kekahi ʻāpana o kāu ʻoki kino.

I kekahi mau hihia, hiki i kāu anesthesiologist, kauka ʻoki kino, a i ʻole nā ​​mea ʻelua ke noi iā ʻoe e hoʻōki i kāu "DNR" i ka wā o ke ʻoki kino. ʻO kēia no ka mea hiki i kekahi o nā ʻano maʻamau o ke ʻoki kino, ʻoiai ka anesthesia laulā, ke kūʻē i kāu "DNR". Inā he mau nīnau kāu e pili ana i kēia, mai kānalua e nīnau i kāu kauka ʻoki kino a anesthesiologist paha. He mea nui e wehewehe i kou mau hopohopo iā lākou e hōʻoia i ka loaʻa ʻana o ka mālama e kūpono i kāu mau pono a me kou makemake.

ʻO ka mea nui e hoʻomanaʻo (Leka Lawe-Home)

ʻOiai ke kokoke ʻoe i ka hopena o kou ola, loaʻa iā ʻoe ke kuleana e hoʻoholo e pili ana i kāu mālama. ʻO ke kauoha "Mai Hoʻōla Hou" (DNR) e hoʻoikaika iā ʻoe a hāʻawi iā ʻoe i ka manawa kūpono e koho i nā ʻano lapaʻau āu e loaʻa ai.

ʻOi aku ka maikaʻi o ke kamaʻilio ʻana me kāu kauka e pili ana i kāu mālama ʻana i ka hopena o ke ola ma mua o ka wā e pono ai ʻoe. ʻO ka hoʻolālā ʻana ma mua e kōkua i kāu hui mālama ola a me kāu poʻe aloha e ʻike i kāu makemake. Ma kēlā ala, hiki iā ʻoe ke loaʻa ka mālama e kūpono i kāu mau pono a me nā mea nui a hiki i ka hopena o kou ola. Mai makaʻu e kamaʻilio e pili ana i kēia, ʻo kou kuleana ia.

` DNR, mai hoʻāla hou, nā kuhikuhi mua, CPR, ka mālama ola, ka palapala kauoha hope loa, nā hoʻoholo lapaʻau, ka maʻi make, ka mālama hōʻoluʻolu