Inā ua hele ʻoe i kahi haukapila a i ʻole ke keʻena lapaʻau, pono ʻoe e hālāwai me nā kānaka he nui e like me nā kauka a me nā kahu maʻi. Akā i waena o kēia poʻe, ʻoiai inā ʻaʻole ʻoe e hālāwai pololei me lākou, aia kekahi poʻe i loaʻa ka ʻike kūikawā a me ke aʻo ʻana e hana i kahi hana nui ma hope o nā hiʻohiʻona e hoʻomaikaʻi i ka maikaʻi o ka mālama ola kino āu e loaʻa ai. I kēia lā e kamaʻilio mākou e pili ana i kahi Clinical Nurse Specialist (CNS), ʻo ia hoʻi, he kahu maʻi lapaʻau kūikawā, nāna e hana i kēlā ʻano hana kūikawā.
ʻO wai maoli ke Kauka Lapaʻau Lapaʻau (CNS)?
I ka ʻōlelo maʻalahi, he kahu maʻi kahi Clinical Nurse Specialist (CNS) me ka hoʻonaʻauao kahu maʻi kiʻekiʻe, ʻo ia hoʻi ma ka liʻiliʻi he kekelē Master a ʻoi aku paha, a me ka ʻike kūikawā. Ma muli o kēia hoʻonaʻauao kiʻekiʻe, ua hoʻokomo ʻia lākou i loko o ka māhele o Advanced Practice Registered Nurses (APRNs) .
ʻAʻole wale kēia māhele o nā APRN e pili ana i ka poʻe me ke kēkelē kahu hānai. Pono ia i ka hoʻomaʻamaʻa postgraduate. Hāʻawi kēia hoʻomaʻamaʻa kūikawā iā lākou i kahi ʻike hohonu a ākea a me nā mākau. Hiki i kēia ʻike iā lākou ke lawe i nā kuleana alakaʻi ma kā lākou wahi hana a hāʻawi i ka lawelawe maikaʻi loa i nā mea maʻi a me ke kaiāulu.
Ma waho aʻe o ka CNS, aia kekahi mau ʻano APRN ʻē aʻe. Eia kekahi laʻana:
- Nā kahu hānai i hōʻoia ʻia
- Nā kahu maʻi i hoʻopaʻa inoa ʻia (CRNA) i hōʻoia ʻia
- Nā kahu hānai i hōʻoia ʻia (CNPs)
He aha ka hana a ka CNS?
Hiki ke hoʻokaʻawale ʻia ke kuleana o kahi CNS i ʻelua ʻāpana. ʻO kekahi nā lawelawe āu e ʻike pololei ai a ʻike ai. ʻO kekahi nā lawelawe āu e hana ai ma hope o nā hiʻohiʻona, ʻoiai inā ʻaʻole ʻoe e ʻike pololei iā lākou, no ka pono o kēlā me kēia maʻi, me ʻoe iho.
Nā lawelawe āu e ʻike pololei ai (Direct Care)
ʻO kēia nā lawelawe āu, ma ke ʻano he mea maʻi, e loaʻa pololei mai kahi CNS.
- Ke nānā kino ʻana iā ʻoe: E like me ke kauka, hiki iā lākou ke nīnau e pili ana i kāu mau hōʻailona, e nānā iā ʻoe, a hiki i kahi hōʻailona.
- Ke hāʻawi nei i ka lāʻau lapaʻau: Hana lākou e hāʻawi i nā ʻano lapaʻau e pono ai.
- Ke aʻo ʻana iā ʻoe pehea e hoʻohana ai i nā lako lapaʻau: E noʻonoʻo he hānō kou. No laila, ke aʻo aku nei lākou iā ʻoe pehea e hoʻohana pono ai i ka inhaler a pehea e hoʻomaʻemaʻe ai.
- Ke aʻo ʻana iā ʻoe a me kou ʻohana e pili ana i kou kūlana: No kekahi kanaka me kahi maʻi lōʻihi e like me ka maʻi diabetes, e wehewehe lākou iā ʻoe a me kou ʻohana pehea e hoʻokele ai, kaohi i kāu ʻai, a lawe i kāu mau lāʻau lapaʻau.
Nā lawelawe āu e ʻike ʻole ai, akā ua hana ʻia nou (Mālama Kūlike ʻole)
ʻO kēia ka ʻāpana kū hoʻokahi loa o ke kuleana o kahi CNS. Hiki ke hana ʻia kēia ma nā wahi āu e ʻike ʻole ai, malia paha ma nā lumi keʻena, ma nā papa ʻaina hālāwai. Akā ʻo ka hopena hope loa o kēia mau mea a pau, ʻo ia ka hoʻomaikaʻi ʻana i ka maikaʻi o ka lawelawe āu e loaʻa ai.
I ka ʻōlelo maʻalahi, ke ʻimi nei lākou i nā pilikia nui ma kahi haukapila a i ʻole ka ʻōnaehana mālama ola a loaʻa nā hopena no lākou. ʻAʻole kēia e pōmaikaʻi i hoʻokahi mea maʻi wale nō, akā, i kahi hui nui o nā mea maʻi i ka manawa hoʻokahi.
E noʻonoʻo i kēia ʻano. Ma kahi haukapila, hōʻiliʻili mākou i ka ʻikepili e pili ana i nā maʻi i loaʻa i ka haukapila i nā maʻi a nīnau, "No ke aha e hana nei kēia? He aha kā mākou e hana ai e hōʻemi i kēia?" A laila, he kuleana nui o kahi CNS ka hoʻolauna ʻana i nā ʻano hana hou e pale aku ai, ʻike, a mālama i kēlā mau maʻi i ka wā mua.
Kahi mea hou aʻe,
- Ke aʻo ʻana a me ke aʻo ʻana i nā kahu maʻi ʻē aʻe.
- Ke hana nei i nā noiʻi e hoʻomaikaʻi ai i ka mālama ola kino.
- Kōkua i ka hoʻoikaika ʻana i nā kulekele a me nā kaʻina hana o ka haukapila a ʻoi aku ka maikaʻi a me ke aloha i ka mea maʻi.
Hana nui lākou ma hope o nā hiʻohiʻona.
He aha kā lākou mau ʻoihana akamai?
Koho kahi CNS e loea i kahi kahua lapaʻau kikoʻī ma hope o ko lākou kekelē laepua. ʻO ia hoʻi, loaʻa iā lākou ka ʻike hohonu loa o kēlā kahua. Hiki iā lākou ke koho mai nā ʻano kahua like ʻole e hana i kēia.
| Kahua o ka ʻike loea | Nā Laʻana |
|---|---|
| He maʻi a kūlana paha | ʻIke loea e pili ana i nā maʻi e like me ke kanesa a i ʻole ka maʻi diabetes. |
| ʻO kahi hui o nā maʻi | Nā pilikia olakino e pili ana i kahi hui makahiki kūikawā, e like me ka poʻe ʻelemakule (geriatrics) a i ʻole nā kamaliʻi ʻōpio (pediatrics). |
| He wahi hana kūikawā | Lawelawe ma nā wahi kūikawā e like me nā keʻena mālama ulia pōpilikia (ETU) a i ʻole nā keʻena mālama koʻikoʻi. |
| Kekahi ʻano mālama | Mālama noʻonoʻo a hoʻoponopono hou paha. |
| Kekahi pilikia olakino | Nā pilikia e like me ka ʻeha mau loa a i ʻole nā ʻeha i hana ʻia e nā ulia. |
Ma hea kahi e hana ai ka CNS?
Hana kēia ʻano kahu maʻi kūikawā ma nā wahi hana like ʻole.
- Nā Halemai
- Nā Keʻena Lapaʻau
- Nā kikowaena lapaʻau pilikino
- Nā hale mālama keiki
- Nā Kula
- Nā kikowaena lapaʻau o nā ʻoihana nui
- Hale Paʻahao
No kēia mau mea, hiki ke ʻōlelo ʻia ʻo ka hapa nui o ka hoʻohana ʻia ʻana o nā CNS ma nā haukapila , no ka mea, he mea nui loa kā lākou hāʻawi ʻana i ka hoʻomaikaʻi ʻana i ka maikaʻi a me ka palekana o kahi ʻōnaehana haukapila.
No laila, i ka manawa aʻe e hele ai ʻoe i ka haukapila, e hoʻomanaʻo he hoʻohui i nā kauka a me nā kahu maʻi āu e ʻike ai, aia kekahi poʻe ʻē aʻe e like me ka Clinical Nurse Specialist (CNS) e hana ana e hoʻomaikaʻi i ka lawelawe āu e loaʻa ai, me ka ʻike ʻole ʻoe. Hiki paha iā ʻoe ke hālāwai pololei me lākou. Inā ʻaʻole, e hilinaʻi e hana ana lākou nou, no kākou a pau.
Leka Lawe-Home
- ʻO kahi kahu hānai lapaʻau (CNS) kekahi kanaka i loaʻa i ka hoʻonaʻauao kiʻekiʻe aʻe, ma ka pae postgraduate a me ke aʻo kūikawā ma mua o ke kahu hānai maʻamau.
- Hana lākou i nā lawelawe hiki iā ʻoe ke ʻike pololei (hoʻāʻo, hāʻawi i ka lāʻau lapaʻau), a me nā lawelawe hiki ʻole iā ʻoe ke ʻike (hoʻomaikaʻi ʻōnaehana, noiʻi).
- He mea koʻikoʻi kā lākou kuleana "ma hope o nā hiʻohiʻona" no ka hoʻomaikaʻi ʻana i ka maikaʻi holoʻokoʻa o ka mālama ola kino a me ka palekana o ka mea maʻi ma kahi haukapila.
- Hana ka CNS ma ke ʻano he loea i kahi maʻi kikoʻī, hui maʻi, a i ʻole ʻano mālama.
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