ʻO wai ke Kauka Lapaʻau Lapaʻau? E kamaʻilio maʻalahi kākou e pili ana i kēia!

E kahaha iki paha ʻoe ke lohe ʻoe i kēia inoa, 'ʻO wai kēia Kauka Lapaʻau Lapaʻau?' Manaʻo paha ʻoe, 'ʻĀ, he kahu maʻi ʻē aʻe paha ia.' ʻAe, he ʻoiaʻiʻo kēlā ma kekahi ʻano. Akā, hele kēia poʻe ma ʻō aku o ka lawelawe kahu maʻi maʻamau, loaʻa iā lākou ke aʻo kūikawā a me ka nui o ka ʻike. Ua like ia me kekahi o ko mākou ʻohana, nāna i ʻike i nā mea āpau a kōkua iā mākou. E ʻike kākou ʻo wai kēia poʻe a me kā lākou hana.

ʻO wai kēia Kauka Lapaʻau Lapaʻau? He kahu maʻi wale nō anei ʻo ia?

ʻAʻole, aia kekahi mea ʻoi aku ma mua o kēlā. Kāhea mākou i kēia poʻe he Advanced Practice Registered Nurses (APRNs). ʻO ia hoʻi, ma waho aʻe o kā lākou kekelē kahu hānai maʻamau, loaʻa iā lākou ke kekelē Master a ʻoi aku paha. E noʻonoʻo e like me kahi Registered Nurse (RN) maʻamau. Akā, ua lako kēia mau APRN me ka ʻike hohonu a me nā mākau kūikawā. Ma muli o kēia hoʻonaʻauao kiʻekiʻe, hiki iā lākou ke lawe i nā kuleana alakaʻi ma kā lākou wahi hana a kōkua i nā poʻe ʻē aʻe i ke kaiāulu.

Aia kekahi poʻe ʻē aʻe i hāʻule i loko o kēia māhele `(APRN)`. Eia kekahi laʻana:

• Nā kahu hānai hōʻoia
• Nā Kahu Hoʻopaʻa Inoa Hōʻoia (CRNA)
• Nā Kauka Hānai Hōʻoia (CNP)

No laila, ʻike ʻoe, ʻeā? ʻO kēia `(Clinical Nurse Specialist - CNS)` he kanaka nō hoʻi me ka ʻike kūikawā. ʻAʻole lākou he mau kahu maʻi wale nō, he mau loea lākou ma ʻō aku o kēlā.

No laila, he aha ka hana a kahi Clinical Nurse Specialist (CNS)?

Hiki ke hoʻokaʻawale ʻia kā lākou mau lawelawe i ʻelua mau māhele: ka mālama pololei a me ka mālama ʻole pololei . E nānā kākou i ke ʻano o lākou.

Lawelawe i hāʻawi pololei ʻia iā ʻoe (Direct Care)

ʻO kēia ka lawelawe āu a i ʻole kāu poʻe aloha e ʻike pono ai. E noʻonoʻo i kou hele ʻana i ka haukapila, a i ʻole i kahi keʻena lapaʻau, e hana kēia kanaka `(CNS)` i nā mea e like me kēia nou:

• Ke nānā ʻana iā ʻoe: E like me ke kauka, e nānā lākou i kou kino a kōkua iā ʻoe e ʻike i ke ʻano o ka maʻi. E nīnau lākou e pili ana i kāu mau hōʻailona a, inā pono, e hana i nā hoʻokolohua maʻamau.
• Ke hāʻawi ʻana i ka lāʻau lapaʻau: Nā mea e like me ka hāʻawi ʻana iā ʻoe i ka lāʻau lapaʻau āu e pono ai, ka hoʻomaʻemaʻe ʻana i nā ʻeha, a me ka hāʻawi ʻana i nā inikini.
• Ke aʻo ʻana pehea e hoʻohana ai i nā lako lapaʻau: Aia nā mīkini e hiki ke hoʻohana ʻia ma ka home no kekahi mau maʻi (no ka laʻana, kahi inhaler, a i ʻole kahi glucometer no ka maʻi diabetes). Aʻo lākou iā ʻoe pehea e hoʻohana pono ai iā lākou a pehea e mālama ai iā lākou.
• Ke aʻo ʻana iā ʻoe iho a me kou ʻohana e pili ana i ka maʻi: He paʻakikī iki kekahi mau maʻi. A laila, ua wehewehe ʻia nā mea he nui iā ʻoe a me kou poʻe mālama, e like me ke ʻano o ka loaʻa ʻana o ka maʻi, ka mea e hana ai e pili ana i ia mea, pehea e mālama ai iā ʻoe iho ma ka home, a pehea e kaohi ai i kāu ʻai. E hāʻawi kēia iā ʻoe i ka ikaika nui e ola me ka maʻi.

I ka ʻōlelo maʻalahi, he kanaka kēia e hele mai ana i kou ʻaoʻao moe, e nānā i kou olakino, e hana i kāu mea e pono ai, a e kamaʻilio pū me ʻoe ma ke ʻano ʻoluʻolu.

Pehea e kōkua ai iā ʻoe mai hope o nā hiʻohiʻona (Mālama Kūlike ʻole)

ʻO kēia ka lawelawe āu e ʻike pinepine ʻole ai, akā he mea nui loa ia iā ʻoe. Ua like kēia me kahi mea e hana ʻia ana ma ke keʻena, ma kahi lumi hālāwai. Akā, ʻo kēia ka mea e hoʻoholo ai i ke ʻano o ka hana ʻana o nā haukapila a me nā keʻena lapaʻau, nā lula a me nā hoʻoponopono, nā lako i hoʻohana ʻia, a pēlā aku. Ke hoʻāʻo nei kēia poʻe e hoʻoponopono i nā pilikia nui i loko o ka ʻōnaehana haukapila a hoʻololi i ke kūlana ma ke ʻano e hoʻopilikia ai i nā poʻe he nui.

Eia kekahi laʻana, e noʻonoʻo i nā maʻi i loaʻa i ka haukapila, e like me C. diff. Hiki i kēia mau CNS ke hōʻiliʻili i ka ʻikepili ma luna o ia mau maʻi a loaʻa nā ala maikaʻi aʻe e hōʻemi ai i ko lākou hanana a, inā loaʻa lākou, e ʻike a mālama koke iā lākou. E pale kēia i kēlā me kēia maʻi ma ka haukapila.

Hana pū lākou:

• Ke aʻo ʻana a me ke aʻo ʻana i nā kahu maʻi ʻē aʻe: Ke aʻo ʻana i nā kahu maʻi hou a i ʻole nā ​​kahu maʻi e kū nei i nā mea hou a me ke kōkua ʻana iā lākou e hoʻomaikaʻi i ko lākou ʻike. Hoʻomaikaʻi kēia i ka lawelawe ʻana o ka hui kahu maʻi holoʻokoʻa.
• Noiʻi: I kekahi manawa hana mākou i ka noiʻi ʻana i nā maʻi hou a me nā lāʻau lapaʻau, a hoʻokomo ʻia nā ʻike i loko o ka mālama ola kino. Hiki i kēia ke alakaʻi i nā lāʻau lapaʻau hou a ʻoi aku ka maikaʻi.
• Ke hana pū nei me nā hui kaiāulu: Hana pū mākou me nā hui lawelawe kaiāulu e hana ana e hoʻomaikaʻi i ke olakino o kānaka, e like me nā papahana hoʻomaopopo i ka mālama ʻana i ka maʻi diabetes.

I ka ʻōlelo maʻalahi, ʻo ka CNS kekahi kanaka e hana ma hope o nā hiʻohiʻona e hoʻomaikaʻi i ka maikaʻi o ka mālama ola kino no ʻoe a me nā tausani o nā poʻe ʻē aʻe. I kekahi manawa e ʻimi hohonu lākou i nā pilikia a loaʻa nā hoʻonā.

Āhea ʻoe e hiki ai ke hālāwai me kahi Clinical Nurse Specialist (CNS)?

Ke noʻonoʻo nei paha ʻoe, 'ʻĀ, inā hana ʻo ia i kēia mau mea a pau, pehea lā wau e hālāwai ai me ia?' ʻOiaʻiʻo, hiki iā ʻoe ke hālāwai me kahi CNS no kāu mau pono mālama mua . Ua like ia me kou hālāwai ʻana me kahi Kauka Mālama Mua (PCP) no kāu kauka ʻohana.

Hiki i ke kanaka `CNS` ke:

• E nānā kino iā ʻoe iho.
• E hana i kahi hōʻailona (ʻo ia hoʻi, e haʻi i ke ʻano o ka maʻi).
• Ma kekahi mau ʻāina/mokuʻāina, loaʻa iā lākou ka mana e kuhikuhi i nā lāʻau lapaʻau .
• Hiki ke kuhikuhi ʻia ʻoe no nā hoʻokolohua diagnostics . Eia kekahi laʻana, nā mea e like me nā hoʻokolohua koko a me nā X-ray.

Eia kekahi, inā makemake ʻoe i nā lawelawe a kekahi loea ʻē aʻe, e kuhikuhi lākou iā ʻoe i kahi kūpono .

No laila, inā makemake ʻoe i ke kōkua e noho olakino, e mālama i nā maʻi like ʻole, a i ʻole e hoʻonohonoho i nā mea e like me ka mālama palliative (ʻo ia hoʻi kahi lawelawe e hāʻawi ana i ka hōʻoluʻolu a me ka ʻoluʻolu i ka mea maʻi ʻoiai ʻaʻole hiki ke ho'ōla ʻia ka maʻi) a i ʻole ka mālama hospice (ʻo ia hoʻi kahi lawelawe e kōkua ai i nā kānaka e noho ʻoluʻolu i ka hopena o ko lākou ola), hiki iā ʻoe ke loaʻa ke kōkua mai kahi CNS.

ʻO ia hoʻi, ʻo kēia `(CNS)` kekahi kanaka e hiki ke alakaʻi a kōkua iā ʻoe ma nā pae like ʻole o kāu huakaʻi olakino.

He aha nā ʻano mea a kēia mau Kauka Lapaʻau Lapaʻau (CNS) i ʻike pono ai?

Ma ke ʻano he `Advanced Practice Registered Nurse (APRN),` hiki i kahi `(CNS)` ke koho i kahi ʻāpana a kahua paha o ka lāʻau lapaʻau a loea i ia mea. E like me kekahi mau kauka loea i ka maʻi puʻuwai wale nō, a i ʻole kekahi loea i ka pediatrics wale nō. Lilo lākou i poʻe akamai i kā lākou kahua i koho ʻia.

Eia kekahi laʻana, hiki iā lākou ke loea i nā mea e like me:

• E pili ana i kahi maʻi a kūlana paha: No ka laʻana, e pili ana i ke kanesa, e pili ana i ka maʻi diabetes. A laila loaʻa iā lākou ka ʻike hohonu e pili ana i ke ʻano o ka mālama ʻana i kēlā mau maʻi, pehea e mālama ai iā lākou.
• E pili ana i kahi ʻano o nā maʻi: No ka laʻana, e pili ana i ke olakino o ka poʻe ʻelemakule (geriatrics) a i ʻole e pili ana i ke olakino o nā keiki (pediatrics). ʻO ia hoʻi, nānā pono lākou i nā maʻi e kū mai ana i nā keiki ʻōpio a me ko lākou ulu ʻana.
• E pili ana i kahi wahi hana kikoʻī: No ka laʻana, e pili ana i ke ʻano o ka hana ʻana ma nā keʻena mālama koʻikoʻi (ICU), e pili ana i ke ʻano o ka hana ʻana ma nā lumi pilikia.
• E pili ana i kahi ʻano mālama: No ka laʻana, e pili ana i ka mālama noʻonoʻo, a i ʻole e pili ana i ka hoʻōla hou ʻana. ʻO ia hoʻi, ke kōkua ʻana e hoʻi i ka maʻamau ma hope o kahi ulia.
• E pili ana i kahi pilikia olakino: No ka laʻana, e pili ana i ka ʻeha mau loa, a i ʻole e pili ana i nā ʻeha like ʻole.

ʻIke ʻoe, ʻeā? Ua loaʻa i kēia poʻe ka ʻike loea ma kēlā me kēia kahua a ke hoʻāʻo nei e hāʻawi i ka lawelawe maikaʻi loa i nā maʻi ma kēlā me kēia kahua.

Ma hea e hana ai nā Kauka Lapaʻau Lapaʻau (CNS)?

Hana kēia mau "(Nā Kauka Lapaʻau Lapaʻau)" ma nā ʻano wahi mālama ola kino like ʻole. Eia kekahi laʻana:

• Ma nā keʻena lapaʻau
• Nā kikowaena olakino e pili ana me nā ʻoihana nui
• Ma nā haukapila
• Nā hale mālama keiki
• Nā hale paʻahao (ʻae, pono pū ka poʻe ma laila i ka mālama ola kino)
• Nā kikowaena lapaʻau pilikino (Nā hana pilikino)
• Nā Kula (E nānā e pili ana i ke olakino o nā keiki kula)

ʻO kēia poʻe, ʻo ka hapa nui o nā "Clinical Nurse Specialists" e hana ana ma nā haukapila.ʻAe. No ka mea, he wahi kahi e noho ai ka poʻe he nui me nā maʻi like ʻole a pono i nā ʻano mālama like ʻole.

Ma ke kahua o ka hānai ʻana, aia nā ʻano hōʻoia like ʻole ma muli o ka hoʻonaʻauao a me ke aʻo ʻana. ʻO kēia "Clinical Nurse Specialist" paha he kanaka āu e hana pū ai, a i ʻole kekahi kanaka āu e hālāwai ʻole ai ma ke kino. Eia nō naʻe, ʻaʻohe mea nui ka nui o kou pilina me lākou, hiki iā ʻoe ke hilinaʻi e hana ana kēia mau loea hānai e hoʻomaikaʻi i ka maikaʻi o kāu mālama ola kino a me nā poʻe ʻē aʻe.

No laila, he aha ka leka lawe home mai kēia mau mea a pau?

I ka ʻōlelo maʻalahi, ʻaʻole he kahu maʻi wale nō kahi Clinical Nurse Specialist (CNS). ʻO lākou kēia:

• ʻO ka poʻe i loaʻa ka hoʻonaʻauao kūikawā a me ke aʻo ʻana a loaʻa ka ʻike kiʻekiʻe.
• ʻO lākou ka poʻe e mālama pololei ana i nā maʻi a hana e hoʻomaikaʻi i ka maikaʻi o ka ʻōnaehana mālama ola. ʻO ka noiʻi a lākou e hana ai, nā ʻano hana hou a lākou e hoʻolauna ai, a me ke aʻo ʻana a lākou e hāʻawi ai i nā poʻe ʻē aʻe, he pōmaikaʻi kūpono ʻole ia iā ʻoe, iaʻu, a me nā mea āpau.
• Ma muli o ko lākou ʻike loea i nā ʻano hana like ʻole, hiki iā lākou ke kōkua nui i nā maʻi paʻakikī.
• ʻO kekahi kanaka hiki ke lilo i kākāʻōlelo hilinaʻi, kikowaena, a alakaʻi i kāu huakaʻi olakino.

No laila, inā ʻoe e hālāwai a lohe paha e pili ana i kahi "Clinical Nurse Specialist", ʻike ʻoe iā lākou, kā lākou hana, a me ko lākou waiwai. He waiwai nui lākou i kā mākou ʻōnaehana mālama ola!

ʻO ka Luna Hoʻomaʻamaʻa Lapaʻau, CNS, Kahu Maʻi, Nā Kahu Maʻi Hana Kiʻekiʻe, APRN, Mālama Maʻi, Kūlana o ka Mālama Ola, Mālama Ola ma Sri Lanka