Ke kōkua nei iā ʻoe e noho olakino i kou wā ʻelemakule: ʻO wai ka geriatrician?

He mea maʻamau ka ʻelemakule ʻana iā kākou a pau. I ko kākou ʻelemakule ʻana, loli like ʻole ko kākou kino a me ko kākou noʻonoʻo, a hiki ke ulu mai nā maʻi hou. No laila, i nā manawa e like me kēia, pehea ka maikaʻi o ka loaʻa ʻana o ke kauka e kālele ana i nā pilikia olakino o ko kākou poʻe ʻelemakule? ʻO ia ke ʻano loea a kākou e kamaʻilio ai i kēia lā , ʻo ia ka 'Geriatrician' .

ʻO wai ka mea geriatrician maoli?

I ka ʻōlelo maʻalahi, he kauka geriatrician kahi kauka i loaʻa i ka hoʻomaʻamaʻa kūikawā i ke olakino o ka poʻe ʻelemakule, ʻo ia hoʻi ko mākou mau makuahine, nā makuakāne, nā kūpuna, a pēlā aku. I kekahi manawa ua kapa ʻia lākou ʻo 'Geriatric Medicine Doctors'. Hoʻoponopono a mālama lākou i nā ʻano maʻi like ʻole e kū mai ana i ko mākou wā ʻelemakule. Kōkua pū lākou iā ʻoe e hoʻolālā i kahi hoʻolālā lapaʻau e kūpono loa iā ʻoe, ma ke kamaʻilio ʻana e pili ana i kāu mau pono pilikino, nā mea makemake, a me nā mea makemake ʻole. ʻAʻole anei he mea maikaʻi kēlā?

ʻO kēia mau kauka geriatric he mau kauka i loaʻa i ke aʻo kumu ma ke ʻano he kauka laulā (`Internal Medicine`) a i ʻole nā ​​kauka ʻohana (`Family Medicine`), a laila loaʻa iā lākou ke aʻo kūikawā hou aʻe ma ke kahua o ka lāʻau geriatric (`Geriatric Medicine`). Hiki iā lākou ke hana ma ke ʻano he ʻāpana o kahi haukapila "Center for Geriatric Medicine", a i ʻole e hana paha lākou ma kahi kikowaena lapaʻau pilikino. Hana pū kekahi me nā pākeke ma nā "hale mālama lōʻihi" a i ʻole "hale hoʻoponopono". Aia kekahi hui ʻē aʻe i kapa ʻia ʻo "Gerontologists", nāna hoʻi e hana me ka pono o nā pākeke, akā he kauka nō hoʻi ka geriatrician. Maopopo iā ʻoe ka ʻokoʻa?

Pehea e hiki ai i kahi geriatrician ke kōkua iā ʻoe?

ʻIke ke kauka geriatric iā ʻoe ma ke ʻano he kanaka holoʻokoʻa . ʻO ia hoʻi, ua noʻonoʻo ʻo ia i kou mau pono kino, noʻonoʻo, ʻike, a me ka nohona. Hoʻohana ʻo ia i kēia ʻike āpau e hāʻawi iā ʻoe i ka lāʻau lapaʻau a me ka ʻōlelo aʻoaʻo. Eia kekahi o nā mea hiki i ke kauka geriatric ke hana nou:

• Ka ʻike ʻana i ka maʻi: ʻIke mākou i nā ʻano maʻi like ʻole āu e loaʻa nei.
• Ke kuhikuhi ʻana i nā lāʻau lapaʻau a me nā lāʻau lapaʻau ʻē aʻe: Ke kuhikuhi ʻana i nā lāʻau lapaʻau e pono ai, nā huaora, a me nā lāʻau lapaʻau kūpono ʻē aʻe.
• E nānā i nā hopena ʻaoʻao o nā lāʻau lapaʻau: E nānā mau e ʻike inā he mau hopena ʻaoʻao nā lāʻau lapaʻau āu e lawe nei. Inā he mau hopena, hiki ke hoʻololi i ke kauoha.
• Ke kamaʻilio ʻana e pili ana i nā pono a me nā pōʻino o nā lāʻau lapaʻau: I ka wā e hana ʻia ai nā lāʻau lapaʻau nui e like me ke ʻoki ʻana, e hoʻomaopopo pono ʻia ʻoe e pili ana i nā pono, nā pōʻino, a me nā pilikia.
• Ke hana pū nei me nā mea lawelawe mālama ola kino ʻē aʻe: E hoʻonohonoho mākou no ʻoe e loaʻa nā lawelawe loea āu e pono ai, no ka laʻana, he loea maʻi kanesa a he loea neurologist paha.
• Ke kūkākūkā ʻana i nā hana o kēlā me kēia lā: E kūkākūkā mākou i kou hiki ke hana i nā hana o kēlā me kēia lā a e aʻo aku iā ʻoe i nā loli o ke ʻano o ka nohona inā pono. No ka laʻana, inā ʻaʻole palekana hou ke kalaiwa kaʻa hoʻokahi a inā he mea weliweli ke noho hoʻokahi ma ka home, e kūkākūkā mākou i kēia mau mea a kōkua iā ʻoe e hana i nā hana kūpono.
• Hoʻolālā Kuhikuhi Mua: He kumuhana koʻikoʻi kēia, akā he mea nui loa ia. I kekahi manawa, ʻaʻole hiki iā mākou ke hoʻoholo e pili ana i ko mākou olakino i ka wā e hiki mai ana. Ma ia ʻano kūlana, hiki iā mākou ke alakaʻi iā ʻoe a me kou ʻohana i ka hoʻolālā ʻana no ke ʻano āu e makemake ai e hoʻokō ʻia kāu lāʻau lapaʻau, e like me kou makemake.

Ua ʻike nā kauka geriatric ʻaʻole like nā kānaka a pau. E noʻonoʻo inā loaʻa i kekahi kanaka ka maʻi like me ʻoe, akā ʻokoʻa loa paha kā lākou mālama ʻana a me ko lākou nohona mai kou. No kekahi poʻe, ʻoi aku ka nui o ko lākou kūʻokoʻa ma mua o nā mea ʻē aʻe. Makemake kekahi e loaʻa kekahi me lākou i nā hola he 24 o ka lā e kōkua iā lākou. Hoʻāʻo kekahi e hōʻemi i kā lākou lāʻau lapaʻau a pale i ke ʻoki ʻana i ka hiki. Makemake kekahi e hoʻāʻo i nā lāʻau lapaʻau āpau.

"E kamaʻilio kekahi kauka geriatric iā ʻoe a kōkua iā ʻoe e hoʻomaopopo i kāu mea e makemake nui ai a pehea e hiki ai iā ʻoe ke hoʻokō i kēlā mau pahuhopu . E wehewehe pū lākou iā ʻoe i nā koho ʻē aʻe i loaʻa inā ʻaʻole hiki ke hoʻokō ʻia kāu mau makemake maʻamau, a inā he mea weliweli ia nou. E hoʻokomo pū lākou i kāu poʻe aloha i kēia mau mea āpau, e hōʻoiaʻiʻo ana ua hoʻomaha a hauʻoli ʻoe e like me ka hiki e pili ana i kāu hoʻolālā lapaʻau."

He aha ka 'Hui Mālama Geriatric'?

He mea nui loa kēia. ʻO kahi 'Geriatric Care Team' he hui o nā geriatricians a me nā loea mālama ola kino ʻē aʻe e hana pū ana e mālama i nā mākua. Loiloi lākou i kāu mau pono a mālama i nā kūlana olakino e hoʻopilikia paha i kou kino a me kou noʻonoʻo.

Ma waho aʻe o nā kauka geriatric, hiki i kēia hui ke hoʻokomo pū i nā poʻe ʻē aʻe. Eia kekahi laʻana:

• Nā Kauka ʻAi Meaʻai: Nā poʻe e aʻo aku iā ʻoe i kāu meaʻai.
• Nā Kahu Maʻi: ʻO ka poʻe e hāʻawi ana i ka mālama ma ke kōkua ʻana i nā kauka.
• Nā Luna Hoʻōla Hana: Nā poʻe e kōkua i nā kānaka e hana i nā hana o kēlā me kēia lā me ka maʻalahi.
• Nā Kauka Lāʻau Lapaʻau: ʻO ka poʻe e aʻo iā ʻoe e pili ana i nā lāʻau lapaʻau āu e lawe ai a me kā lākou mau pilina.
• Nā Luna Hoʻōla Kino: ʻO ka poʻe e mālama i nā pilikia e pili ana i ka hoʻoikaika kino, nā hono, a me nā ʻiʻo.
• Nā Kōkua Kauka: ʻO ka poʻe e mālama ana i nā maʻi ma lalo o ka mākaʻikaʻi a nā kauka.
• Nā Kauka Lapaʻau a me nā Kauka Manaʻo:ʻO ka poʻe e hāʻawi ana i ka ʻōlelo aʻo a me ka mālama ʻana no nā pilikia olakino noʻonoʻo.
• Nā Luna Hana Kaiaulu: Nā kānaka e kōkua ana i nā pilikia pili kaiaulu a me ka hoʻokele waiwai a kuhikuhi iā lākou i nā kumuwaiwai e pono ai.
• Nā Loea ʻŌlelo a me ka Lohe: Nā poʻe e kōkua ana me nā pilikia ʻōlelo a i ʻole ka lohe.

ʻO kaʻoiaʻiʻo, ʻaʻole hiki i nā kānaka a pau ke loaʻa maʻalahi i kahi geriatrician a i ʻole kekahi hui mālama. He ʻokoʻa ia ma muli o kou wahi e noho ai, kāu hoʻolālā ʻinikua olakino, a pēlā aku. I ia mau hihia, hiki iā ʻoe ke hana pū me kāu kauka ʻohana ('Primary Care Provider`), nona ka hoʻomaʻamaʻa kūikawā i ka mālama ʻana i ka poʻe ʻelemakule.

I ka makahiki hea ʻoe e pono ai e ʻike i kahi geriatrician?

Hoʻomaka ka hapa nui o ka poʻe e ʻike i kahi geriatrician ma hope o 65 mau makahiki , a ʻoi aku hoʻi ma hope o 75 mau makahiki. Akā hiki ke loli kēlā ma muli o kou mōʻaukala olakino a me nā pono. Ke hoʻomaka nei kekahi mau Centers for Geriatric Medicine (CGM) e lawelawe i nā poʻe i ko lākou mau makahiki 50. Me he mea lā he mea hikiwawe iki kēia. ʻAe, maopopo iaʻu, he ʻōpiopio nō ka 50 no kekahi poʻe. Eia nō naʻe, ʻo ka hoʻoponopono ʻana i nā pilikia olakino e hele mai me ka ʻelemakule mua hiki ke kōkua iā ʻoe e kāohi i kāu mau mea pilikia a pale i nā maʻi maʻi he nui.

E noʻonoʻo i kēia: ʻOi aku ma mua o 50% o ka poʻe he 65 makahiki a ʻoi aku ka nui o nā maʻi olakino he ʻekolu a ʻoi aku paha e pono ai ke nānā ʻia a mālama ʻia paha. Ke loaʻa iā ʻoe ma mua o hoʻokahi maʻi olakino, lilo kāu mālama olakino i mea paʻakikī iki. ʻO ia ka manawa e pono ai ke kōkua o kahi geriatrician.

Eia kekahi laʻana, inā ʻoe e lawe ana i nā lāʻau lapaʻau he nui no nā kūlana like ʻole, hiki i kahi kauka geriatric ke hōʻoia i ka palekana o nā lāʻau lapaʻau e hoʻohana me ka ʻole o nā pilina weliweli. Pēlā nō, i ka wā e hana ʻia ai kahi lāʻau e like me ke ʻoki ʻana, kaupaona lākou i nā pono a me nā pōʻino. No ka mea, ʻoi aku ka kiʻekiʻe o nā pilikia o ke ʻoki ʻana i ka makahiki 70 ma mua o nā mea i ka makahiki 40.

ʻOiaʻiʻo, hāʻawi pū nā kauka lapaʻau kūloko a me nā kauka ʻohana i kēia ʻano kōkua i kahi nui. ʻOiai inā ʻoe e kūkākūkā me kahi geriatrician, he mea nui e hoʻomau i ka mālama ʻana i ka pilina me kāu kauka ʻohana. Eia nō naʻe, hoʻohui nā geriatricians i ka ʻike a me ka ʻike loea hou i kāu mālama. Ua hoʻomaʻamaʻa kūikawā ʻia lākou e mālama i nā pākeke, ʻoiai ka poʻe me nā pilikia olakino paʻakikī. Hoʻokomo pū kēia i nā maʻi kino a me nā pilikia olakino noʻonoʻo. No laila, no ka mea ua ʻike lākou i ka nui o kēia mau kūlana, ua mākaukau lākou e kōkua, ʻaʻohe mea i kou kūlana.

Pono anei kaʻu mea aloha e ʻike i kahi geriatrician?

Inā ʻo kāu mea aloha, e like me ka makuahine, ka makuakāne, ke kupuna wahine, a i ʻole ke kupuna kāne, aia i loko o kēia kūlana, hiki ke kōkua nui i ka ʻimi ʻana i ka ʻōlelo aʻo mai kahi geriatrician:

• Ke noho nei me nā kūlana olakino he nui
• Inā ʻoe e lawe ana i nā lāʻau lapaʻau he nui i ka manawa like.
• Inā ʻoe e loaʻa nei i nā pilikia hoʻomanaʻo, e like me ka nalowale o ka hoʻomanaʻo a i ʻole ka poina ʻana.
• Inā paʻakikī iā ia ke hoʻonohonoho i nā manawa a me nā lāʻau lapaʻau,
• Inā ua hoʻokomo ʻia ʻoe i ka haukapila a i ʻole e hoʻōla ana mai kahi noho haukapila. (Hoʻokomo ʻia i ka haukapila a i ʻole e hoʻōla ana mai kahi noho haukapila)

Inā ʻo ʻoe ko lākou mea mālama nui, e ʻike paha ʻoe i nā loli liʻiliʻi i ʻike ʻole ʻia e kekahi poʻe. ʻAʻole paha e ʻike kāu mea aloha iā lākou. I ia mau hihia, he kuleana paha kāu e kuhikuhi aku iā lākou e ʻike i kahi kauka geriatric. Hiki iā lākou ke nānā i kāu mea aloha mai nā ʻaoʻao āpau, me ko lākou olakino noʻonoʻo a me ka nohona maikaʻi, a hana i kahi hoʻolālā e kūpono i kā lākou mau pono.

Pehea e hiki ai iaʻu ke loaʻa i kahi geriatrician kokoke iaʻu?

Ma Sri Lanka, ʻaʻole i laha nui ka ʻoihana loea o ka geriatrician. Eia nō naʻe, hiki iā ʻoe ke nīnau i kāu kauka ʻohana e pili ana i kēia. Hiki paha iā ia ke kuhikuhi i kahi mea kūpono. Aia paha he mau keʻena lapaʻau kūikawā no ka poʻe ʻelemakule ma nā haukapila aupuni nui a i ʻole nā ​​​​halemai pilikino. Hiki iā ʻoe ke loaʻa ka ʻike mai ia mau wahi. I kekahi manawa hiki nō hoʻi ke loaʻa ka ʻike e pili ana i ia mau kauka loea ma ka pūnaewele.

Leka Lawe-Home

ʻAe, ʻaʻole anei he mea maikaʻi iā ʻoe ke hoʻomanaʻo i kekahi o nā mea nui a kākou i kamaʻilio ai?

• He kauka loea ke kauka ʻelemakule i ke olakino o ka poʻe ʻelemakule. Mālama lākou i kāu mau pono kino a me ka noʻonoʻo.
• Inā loaʻa iā ʻoe nā maʻi he nui, ke lawe nei ʻoe i nā lāʻau lapaʻau he nui, a i ʻole he mau pilikia hoʻomanaʻo , he mea waiwai nui ke kōkua o ke kauka geriatric.
• He mea nui loa ka hana ʻana i nā hoʻokolohua lapaʻau maʻamau ('nā hoʻokolohua makahiki') ma hope o ka piha ʻana o 50 makahiki. Hiki i kēia ke kōkua i ka ʻike a me ka kaohi ʻana i nā maʻi he nui i ka wā mua.
• ʻOiai inā paʻakikī ka loaʻa ʻana o kahi geriatrician, e hoʻomau mau i ka launa pū ʻana me ke kauka ʻohana nāna e mālama i ke olakino o ka poʻe ʻelemakule.
• I ko kākou ʻelemakule ʻana, ʻaʻole paha kākou e maopopo piha i nā loli i ko kākou olakino. He poʻe loea nā Geriatricians e hoʻomaopopo ana i nā loli e hele mai me ka ʻelemakule ʻana. Hiki iā lākou ke kōkua iā ʻoe e noho olakino a hauʻoli.

No laila, inā ʻoe a i ʻole kekahi āu e aloha ai e ʻelemakule ana, he mea kūpono ke noʻonoʻo ʻana i nā lawelawe a ke kauka geriatric. Pono nā kānaka a pau e ola i kahi ola olakino a hauʻoli, ʻeā?

ʻO Geriatrics, geriatrician, olakino makua, mālama ʻelemakule, nā maʻi mau, ʻōlelo aʻoaʻo lapaʻau, mālama ola kino