E noʻonoʻo, inā paha ma muli o kahi ulia a i ʻole kahi maʻi olakino e like me ka maʻi Alzheimer, ʻaʻole hiki i kekahi ke hoʻoholo e pili ana iā lākou iho. I kēlā manawa, ʻo wai ka mea e hoʻoholo, 'Makemake au i kēia ʻano lapaʻau', 'ʻAʻole pono wau e hana i kēia mau mea'? He mea kēia e pono ai kākou a pau e noʻonoʻo. Aia nā mea hiki iā kākou ke hana ma ke kānāwai e hoʻomākaukau ai no ia ʻano kūlana i manaʻo ʻole ʻia ma mua. ʻO ia ka mea a kākou e kamaʻilio nei i kēia lā.
He aha kēia mau Kuhikuhi Mua?
I ka ʻōlelo maʻalahi, he palapala kānāwai ka Advance Directive e haʻi mua iā ʻoe i ke ʻano o ka lāʻau lapaʻau āu e makemake ai a makemake ʻole paha inā ʻaʻole hiki iā ʻoe ke hoʻoholo e pili ana i kou olakino i ka wā e hiki mai ana.
E noʻonoʻo inā hāʻule kekahi i loko o ka coma a i ʻole ua nalowale loa ka hoʻomanaʻo, a ʻaʻole hiki iā lākou ke ʻōlelo i ka mea a lākou e makemake ai e hana iā lākou. ʻO ia ka manawa e lilo ai kēia palapala i mea nui. Hōʻike ia i nā kauka a me ka ʻohana i ke ʻano o kāu mau makemake.
ʻElua ʻano nui o nā Advance Directives:
Hiki ke hoʻokaʻawale ʻia kēia mau Kuhikuhi Mua i ʻelua ʻano nui. He mea nui loa ia e hoʻomaopopo i ka ʻokoʻa ma waena o nā mea ʻelua.
| ʻAno o ke Kuhikuhi | I ka ʻōlelo maʻalahi... |
|---|---|
| Kauoha Ola | I ke kūlana kahi hiki ʻole iā ʻoe ke hoʻoholo, pono ʻoe e wehewehe mua i ke ʻano o nā lāʻau lapaʻau āu e pono ai a ʻaʻole paha e loaʻa. |
| Mana Loio Ola Kino | Ke koho ʻana i kahi kanaka hilinaʻi (ʻākena) e hana i nā hoʻoholo olakino nou ke hiki ʻole iā ʻoe ke hoʻoholo. |
E nānā pono kākou i kahi 'Living Testament'
He palapala kū kānāwai kēia. Hāʻawi ia iā ʻoe e hoʻoholo ma mua inā e loaʻa iā ʻoe nā kaʻina hana kākoʻo ola inā lilo ʻoe i mea hiki ʻole ke hana, maʻi loa, a i ʻole ʻike ʻole mau loa.
Eia kekahi laʻana, inā e pau kou hanu ʻana, hiki i kēia palapala ke haʻi iā ʻoe inā e kau ʻia ʻoe ma luna o kahi mea hanu a i ʻole. Ma kekahi mau ʻāina, ua manaʻo pū ke kānāwai i ka hāʻawi ʻana i ka meaʻai a me ka wai ma o kahi paipu e lilo i lāʻau ola i nā hihia o ka coma hiki ʻole ke hoʻōla ʻia.
ʻO ka mea nui loa, e hoʻokō ʻia kahi Palapala Kauoha Ola ma hope o ka hōʻoia ʻana o ʻelua mau kauka ua maʻi loa ʻoe a i ʻole i loko o kahi coma kahi hiki ʻole iā ʻoe ke hoʻōla.
He aha ka 'Mana Loio Ola Kino'?
Ua kapa ʻia kēia he 'Health Care Proxy'. Me kēia palapala, koho ʻoe i kahi mea āu e hilinaʻi ai e hana i nā hoʻoholo mālama ola kino nou inā ʻaʻole hiki iā ʻoe ke hoʻoholo nou iho. Ua kapa ʻia kēia mea i koho ʻia he 'agent'.
Hiki i kēia kūlana ke lilo i mea manawa pōkole, i hoʻokumu ʻia e kahi ulia, a i ʻole mau loa, i hoʻokumu ʻia e kahi maʻi. ʻAʻole e like me ka Palapala Kauoha Ola, ʻaʻole pono ʻoe e maʻi loa i mea e pono ai kēia. He kūpono kēia palapala i kēlā me kēia manawa āu e nalowale ai ka hiki ke hoʻoholo .
Hiki iā ʻoe ke koho i kekahi ma luna o 18 mau makahiki ma ke ʻano he ʻelele. Eia nō naʻe, ʻaʻole hiki iā ʻoe ke koho i ke kauka e mālama nei iā ʻoe a i ʻole kekahi o kāna mau limahana. ʻAʻole kuleana kālā ka ʻelele āu e koho ai no kāu mālama ʻana. Hiki iā ʻoe ke koho i kekahi mau ʻelele ʻē aʻe e pani i ka ʻelele mua inā ʻaʻole hiki iā lākou ke hana pēlā.
Pehea e hana ai i kahi Advance Directive?
Hiki i kekahi mea ma luna o 18 mau makahiki a me ka noʻonoʻo pono ke hoʻomākaukau i ia palapala.
- Hiki iā ʻoe ke noi i kāu kauka no kahi palapala no kēia.
- A i ʻole hiki iā ʻoe ke kākau i lalo i kāu mea e makemake ai ma kahi ʻāpana pepa.
- I kekahi manawa, aia paha he mau palapala laʻana e pili ana i kēia ma nā pūnaewele o ke Keʻena Ola.
- He koho maikaʻi nō hoʻi e ʻimi i ke kōkua o kahi loio e pili ana i kēia.
I mea e kū kānāwai ai kēia palapala, pono e kau inoa ʻia e nā mea hōʻike makua ʻelua , a i ʻole pono e hōʻoia ʻia e ka notari . ʻOiai ʻokoʻa nā kānāwai mai kēlā ʻāina a kēia ʻāina, ʻoi aku ka maikaʻi o ka nānā ʻana me kāu loio e pili ana i ke kūlana kānāwai ma Sri Lanka.
Hiki iā ʻoe ke hoʻōki i kēia palapala i kēlā me kēia manawa. Aia kekahi mau mea hiki iā ʻoe ke hana e hana ai i kēia:
- Ka haehae ʻana a me ka luku ʻana i ka palapala.
- Ke ʻōlelo leo nui nei e hoʻopau ʻia i mua o nā mea hōʻike.
- Hoʻolaha i kākau ʻia no ke kāpae ʻana.
Ma nā haukapila a me nā keʻena lapaʻau he nui, ke komo ʻoe i loko o ke keʻena, nīnau lākou iā ʻoe a i ʻole kou ʻohana inā he palapala like kāu. Hoʻopaʻa pū lākou iā ia ma kāu pakuhi lapaʻau.
He aha ka ʻokoʻa ma waena o nā Advance Directives a me nā DNR Orders?
ʻO kēia kahi e huikau ai nā kānaka he nui. ʻAʻole kahi Kauoha Mua he kauoha "Mai Hoʻōla Hou" (DNR).
ʻO ke kauoha DNR he kauoha i kākau ʻia mai ke kauka e ʻōlelo ana ʻaʻole pono e hāʻawi ʻia ka cardiopulmonary resuscitation (CPR) inā pau ka hanu ʻana a i ʻole ka puʻuwai o kekahi.
ʻOiai me kahi Advance Directive, pono paha ʻoe e loaʻa i ka lāʻau lapaʻau no kahi maʻi hiki ke mālama ʻia, e like me ka pneumonia. He ʻokoʻa ka DNR, he kauoha lapaʻau kikoʻī. No laila, mai huikau i nā mea ʻelua.
ʻO kekahi mea ma ʻō aku o nā palapala...
E like me ke koʻikoʻi o ka hana ʻana i kahi palapala kānāwai e like me kēia, ʻoi aku paha ka nui o ke koʻikoʻi, ʻo ke kamaʻilio ākea ʻana e pili ana i kēia me kou ʻohana a me kāu kauka .
E hoʻomaopopo iā lākou e pili ana i kāu mau makemake a me nā lāʻau lapaʻau āu e makemake ai i ka hopena o kou ola. Ma kēlā ʻano, i ka wā paʻakikī loa e hoʻoholo ai, e maʻalahi iā lākou ke hoʻokō i kāu mau makemake. He ikaika nui kēlā no lākou.
Leka Lawe-Home
- He palapala kānāwai ka Advance Directive e hōʻike ana i kou mau makemake e pili ana i kāu mālama ola kino ma mua inā ʻaʻole hiki iā ʻoe ke hoʻoholo i ka wā e hiki mai ana.
- ʻElua ʻano nui: Palapala Kauoha Ola (e wehewehe ana i nā lāʻau lapaʻau āu e makemake ai/ʻaʻole makemake ai) a me ka Mana Loio Ola Kino (ke koho ʻana i kekahi e hoʻoholo nou).
- Pono ʻoe e makaʻala i ka hana ʻana i kahi palapala e like me kēia, a pono nā mea hōʻike a i ʻole ka palapala hōʻoia notary i mea e kū kānāwai ai.
- ʻAʻole he kauoha DNR (Mai Hoʻōla Hou) ka Advance Directive. He ʻelua mau manaʻo like ʻole lāua.
- ʻOi aku ka mea nui ma mua o ka hana ʻana i kahi palapala, ʻo ia ke kamaʻilio ākea a akāka e pili ana i kāu mau makemake me kou ʻohana a me kāu kauka.
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