Ua lohe paha ʻoe i kahi 'PA' i kou nānā ʻana i nā moʻo TV lapaʻau haole. A laila ua manaʻo paha ʻoe, "ʻO wai kēia PA? He kauka? He kahu maʻi? A i ʻole kekahi mea ʻē aʻe?" ʻOiaʻiʻo, ʻaʻole kēia he kūlana maʻamau i kā mākou ʻōnaehana mālama ola ma Sri Lanka. Eia naʻe, ma nā ʻāina e like me ʻAmelika, ʻo kēia Kōkua Kauka, a i ʻole PA no ka pōkole, he kanaka nona ke kuleana koʻikoʻi i ka ʻōnaehana mālama ola. No laila, e ʻike hou kākou e pili ana i kēia i kēia lā?
I ka ʻōlelo maʻalahi, he loea mālama ola kino i aʻo nui ʻia kahi Kōkua Kauka (PA) e hana pū ana me a ma lalo o ka nānā ʻana o nā kauka e hāʻawi i ka mālama olakino i nā maʻi. Hiki iā ʻoe ke loaʻa nā PA ma nā wahi āpau mai nā wahi mālama mua a hiki i nā kahua lapaʻau kūikawā.
He aha ka ʻokoʻa ma waena o ke Kauka Lapaʻau (PA) a me ke Kauka Lapaʻau (MD)?
He mea maʻalahi ke huikau i nā mea ʻelua. Akā, aia kekahi mau ʻokoʻa koʻikoʻi ma waena o nā mea ʻelua. ʻO ka ʻokoʻa nui loa, ʻo ia ka nui o ka manawa i hoʻolilo ʻia no ka hoʻonaʻauao a me ke aʻo ʻana.
E noʻonoʻo, no ka lilo ʻana i kauka, pono ʻoe e aʻo ma ke kula lapaʻau ʻehā makahiki, a laila e hoʻopau i kahi papahana noho e mau ana mai ʻekolu a ʻehiku mau makahiki, ma muli o kāu ʻoihana kūikawā i koho ʻia. Ma hope o kēlā, hoʻopau kekahi mau kauka i hoʻokahi a ʻekolu paha mau makahiki o ke aʻo kūikawā (fellowship).
Akā no ka lilo ʻana i PA, pono ʻoe e loaʻa i ke kēkelē laeoʻo mai kahi papahana PA i ʻae ʻia ma hope o ke kēkelē ʻepekema. Ua aʻo ʻia nā mea ʻelua e mālama i nā maʻi. Eia nō naʻe, hana pinepine kahi PA ma lalo o ka nānā ʻana a ke kauka .
E nānā kākou i kēia papa e hoʻomaopopo iki aʻe i kēia ʻokoʻa.
| Ke kumu o ka hoʻololi | Kōkua Kauka (PA) | Kauka Lapaʻau (MD) |
|---|---|---|
| Hoʻonaʻauao | Pono ke kēkelē laeoʻo. (ʻO ka maʻamau he papahana 3 makahiki) | Pono ke kēkelē lapaʻau (MD). (kula lapaʻau 4 makahiki) |
| Hoʻomaʻamaʻa puka hope | ʻAʻohe hoʻomaʻamaʻa postgraduate mandatory (residency), akā he mea koi ʻia nā hoʻololi lapaʻau. | Ma muli o ke kahua o ka ʻike, he mea koi ʻia kahi hoʻomaʻamaʻa postgraduate 3-7 mau makahiki (residency). |
| Kūlana | Hoʻomaopopo i nā maʻi lapaʻau maʻamau a hāʻawi i ka lāʻau lapaʻau maʻamau. Hana mau ma lalo o ka nānā ʻana a ke kauka . | Hoʻomaopopo a mālama i nā kūlana olakino paʻakikī. Hiki ke hana i nā hoʻoholo kūʻokoʻa. |
ʻOkoʻa ma waena o PA a me PA-C
Ua ʻike paha ʻoe i ka inoa o kahi PA i ukali ʻia e "PA-C." Ke hōʻike nei kēia "C" i kahi ʻoihana kūikawā? ʻAʻole. ʻO ia hoʻi, ua hōʻoia ʻia ka PA. Ma hope o ka hoʻopau ʻana i kahi papahana hoʻonaʻauao PA, hiki iā lākou ke lawe i ka Physician Assistant National Certifying Examination (PANCE). Ke hala lākou i kēlā hoʻokolohua, ua ʻae ʻia lākou e hoʻohana i ka inoa "PA-C".
He aha ka hana a ke Kōkua Kauka?
E like me ke kauka, hiki i kahi PA ke hana ma kekahi kahua lapaʻau. Hiki iā lākou ke loea i kahi kahua e like me ka pediatrics a i ʻole ka lāʻau lapaʻau ulia pōpilikia.
ʻO ka mea nui loa, ʻo ia ka hana mau ʻana o kahi PA me ka laulima ʻana me ke kauka a ma lalo o kāna mākaʻikaʻi ʻana.
ʻO kā lākou mau kuleana nui:
- Ke nānā ʻana i nā maʻi.
- Ke nānā hou ʻana i ka mōʻaukala olakino a me nā hōʻailona o ka mea maʻi.
- Ke hoʻomohala nei i kahi hoʻolālā lapaʻau.
- Ke kuhikuhi ʻana i kekahi mau lāʻau lapaʻau.
Ma nā haukapila
He wahi maʻamau nā haukapila kahi e hana ai nā PA. Hana lākou i nā mea he nui, e like me ka nānā ʻana i nā maʻi ma nā keʻena, ka hoʻopou hou ʻana i nā moʻolelo o ka maʻi, ka lawe ʻana i nā memo no nā kauka, a me ke aʻo ʻana i nā maʻi a me ko lākou mau ʻohana i ko lākou haʻalele ʻana i ka haukapila.
I ka wā o nā ʻoki kino
Aia kekahi mau PA i loaʻa i ka hoʻomaʻamaʻa kūikawā ma ke ʻoki kino. Kōkua lākou i ka ʻike ʻana i nā maʻi e pono ai ke ʻoki kino, hoʻolālā i ka lāʻau lapaʻau, a hana i nā hoʻolālā hoʻōla hou ma hope o ke ʻoki kino. Hiki iā lākou ke kōkua i ke kauka ʻoki kino i ka wā o ke ʻoki kino ma lalo o ka nānā ʻana a ke kauka . Eia naʻe, ʻaʻole ʻae ʻia lākou e hana i ke ʻoki kino hoʻokahi.
Ma ka Mālama Ola Kino
Ma kahi hoʻonohonoho e like me ke keʻena kauka maʻamau, hiki i kahi PA ke hana i nā mea like me nā hana a ke kauka. Eia kekahi laʻana, ke nānā ʻana i nā maʻi, ke kuhikuhi ʻana i nā lāʻau lapaʻau, ke humuhumu ʻana i nā ʻeha liʻiliʻi, a me ka mālama ʻana i nā ʻeha a me nā haki liʻiliʻi.
Hiki i kahi PA ke kuhikuhi i nā lāʻau lapaʻau?
ʻAe. Ma nā ʻāina he nui, hiki i nā PA ke kuhikuhi i nā lāʻau lapaʻau i kāohi ʻole ʻia, e like me nā mea no ke koko a me ka cholesterol. Ua ʻae ʻia hoʻi lākou e kuhikuhi i kekahi mau lāʻau lapaʻau i kāohi ʻia, nona ka nui o ka pilikia o ka hoʻohui ʻana, ma lalo o ka nānā ʻana o ke kauka. Loaʻa iā lākou ka ʻike e pono ai no ka mea loaʻa iā lākou ke aʻo kūikawā ma ka pharmacology i ko lākou hoʻonaʻauao ʻana.
ʻO kekahi mau wahi i loea ai nā PA:
- ʻAnestesia
- ʻO ke kālaiʻike puʻuwai
- ʻIli ʻili
- Lāʻau lapaʻau pilikia
- ʻĀʻī, Pepeiao, Ihu (ENT)
- Lāʻau lapaʻau ʻohana
- ʻO ka Obstetrics a me Gynecology (OB/GYN)
- Nā Pediatrics
- ʻoki kino
ʻO ka ʻokoʻa ma waena o kahi PA a me kahi Nurse Practitioner (NP)
ʻO kēia kekahi kanaka e hana ana i kahi kūlana like me kahi PA ma nā ʻōnaehana mālama ola haole. ʻO kahi Nurse Practitioner (NP) he kahu maʻi i hoʻopaʻa inoa ʻia i loaʻa i ka hoʻomaʻamaʻa kiʻekiʻe. E like me ka PA, hiki i kahi NP ke hāʻawi i ka mālama kumu i nā maʻi a kuhikuhi i nā lāʻau lapaʻau.
ʻO ka ʻokoʻa nui, ʻo ia ka aʻo nui ʻana o nā PA i ka lāʻau lapaʻau laulā a laila koho i kahi ʻāpana kūikawā. Koho nā NP i kahi ʻāpana kūikawā, e like me ka lāʻau lapaʻau ʻohana a i ʻole pediatrics, i ka wā e hoʻomaka ai kā lākou hoʻomaʻamaʻa.
ʻO kekahi ʻokoʻa koʻikoʻi, ʻo ia ka pono o kahi PA i kahi ʻaelike a i ʻole ka nānā ʻana mai ke kauka e hana, akā ma kekahi mau ʻāina, ua ʻae ʻia nā NP e hana i kā lākou mau keʻena lapaʻau ponoʻī me ke kūʻokoʻa.
Leka Lawe-Home
- ʻAʻole he kauka ke Kōkua Kauka (PA), akā he lālā i aʻo nui ʻia a koʻikoʻi hoʻi o kahi hui lapaʻau.
- Hana mau lākou ma lalo o ka nānā ʻana a ke kauka.
- He ʻokoʻa ka hoʻonaʻauao a me ke aʻo ʻana o kahi PA mai ke kauka. Hoʻonaʻauao lākou a hiki i ke kēkelē laeoʻo.
- Ua lako pono lākou e mālama i nā maʻi a me nā ʻeha maʻamau a maʻalahi hoʻi.
- ʻOiai ʻaʻole maʻamau ma Sri Lanka, hana nā PA i kahi lawelawe nui i ka hāʻawi ʻana i ka mālama ola kino i ka lehulehu ma nā ʻāina he nui a puni ka honua.
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