Yu kin gɛt di tritmɛnt we yu want we yu dɔn day? Mek wi tok abaut (DNR)!

Wi ɔl lɛk layf, nɔto so? Bɔt wan de, sɔntɛm we wi sik bad bad wan, we wi de nia fɔ dɔn wi layf, tɛm go kam we wi fɔ tink bɔt us kayn mɛrɛsin wi want ɛn wetin wi nɔ want. Pan ɔl we dis na tɔpik we rili impɔtant ɛn we at fɔ tɔk bɔt, i rili impɔtant fɔ no bɔt wi rayt ɛn wetin wi want. Na dat wi go tok abaut tide, and na im bi `(DNR)`.

Wetin `(DNR)` min? Lɛ wi fɛn ɔltin simpul wan?

Fɔ tɔk am simpul wan, `(DNR)` na abbrevieshɔn fɔ di Inglish wɔd dɛn "Do-Not-Resuscitate" . Insay Sinhala, dis min se wi dɔn tɛl yu bifo tɛm se "nɔ gi layf bak." Dis na wan kayn advays we dɛn kin gi bifo tɛm . Yu dɔn mek `(DNR)` ɔda, we min se if yu at stɔp fɔ bit ɔ yu nɔ de blo, yu nɔ want fɔ gɛt tritmɛnt wit `(CPR)` (cardiopulmonary resuscitation).

Bɔku tɛm, dɔktɔ, nɔs, ɛn ɔda pipul dɛn we de kia fɔ wɛlbɔdi biznɛs kin du ɔl wetin dɛn ebul fɔ sev yu layf. dis inklud fכ du ``CPR'', we na fכ kכmpreshכn na yu chεst εn fכ brith mכt to mכt fכ εp yu hat εn lכng dεm fכ wok bak. Ɛn:

• if i at fכ brith, dεn de put wan tyub fכ brith (`Intubation`) εn kכnekt am to wan atifishal brith mashin (`Ventilator` / `Mechanical Ventilation`).
• if di at in wok nכ de rεgulεr, dεn de tray fכ mek di at kam bak to nכmal bay we dεn gi ilektrikal shכk (wan `shכk`) frכm spεshal mashin (we dεn de yuz `difibrilator`).

Bɔt wetin yu go du if yu dɔn ɔlrɛdi sik bad bad wan, ɔ yu gɛt sik we nɔ go mɛn? Na de `(DNR)` ɔda dɛn kin kam in. Wan `(DNR)` kin yusful if yu want tin dɛn lɛk:

• Minimiz di pen ɛn sɔfa we yu de fil we yu dɔn yu layf.
• Kip yu rɛspɛkt di tɛm we yu day.

``DNR'' ɔda na dɔktɔ kin rayt am, afta dɛn dɔn tek tɛm tɔk wit yu ɛn/ɔ di wan dɛn we de disayd fɔ du di lɔ, if yu want, ɛn yu famili. Dipen pan di lɔ na yu stet, ``DNR'' ɔda de wok if dɔktɔ (MD ɔ DO) ɔ pɔsin we dɛn dɔn pik fɔ kia fɔ wɛlbɔdi biznɛs rayt am.

I bεst fɔ pripia ``DNR'' ɔda bifo imejensi apin. Dis ɔda de tɛl di wan dɛn we de wok fɔ di wɛlbɔdi biznɛs nɔ fɔ du ``CPR'' if yu at ɔ yu brith stɔp. Di dɔktɔ we rayt dis ɔda go ad am to yu mɛdikal rɛkɔd (``Mɛdikal Chat'') so dat ɔda pipul dɛn go si am.

Difrɛn kayn `(DNR)` de?

Bɔku tɛm, we wi se `(DNR)`, wi kin min `(CPR)` ɛn tritmɛnt dɛn we gɛt fɔ du wit am lɛk fɔ yuz wan `(Defibrillator)`. Bɔt ɔda ɔda ɔda ɔda ɔda tin dɛn de we tan lɛk dis we de tɔk mɔ bɔt dis. Sɔntɛnde, dɛn kayn `(DNR)` ya kin difrɛn bak dipen pan di lɔ na yu kɔntri/rijɔn. Lɛ wi luk sɔm ɛgzampul dɛn.

• Nɔ tray fɔ gi layf bak (DNAR): Dis na di sem tin wit DNR. Na sɔm say dɛn, sɔm say dɛn we de kia fɔ wɛlbɔdi biznɛs kin yuz dis nem.
• Alaw Natural Death (AND): Dis min se yu fɔ gi yu di tritmɛnt nɔmɔ we yu nid fɔ mek yu fil fayn as yu ebul. Di men tin we wi want fɔ du na ya na fɔ mek yu nɔ sɔfa we yu day.
• Nɔ intubate (DNI): Dis kin tɛl di dɔktɔ se yu nɔ want fɔ intubate ɔ kɔnɛkt to ventilator if yu nɔ ebul fɔ blo yusɛf.
• Spɛsifi k DNR ɔda dɛn: Dis na ɔda ɔda tin dɛn we dɛn kin mek fɔ di pɔsin. Fɔ ɛgzampul, yu kin se nɔ to CPR, bɔt yu nɔ go want fɔ gɛt ɔda tritmɛnt dɛn we go sev yu layf, lɛk difibrilator.
• Kɔmfɔt kia ɔda: Dɛn kin tɛl yu us kayn kia yu kin gɛt na di ɛnd pan yu layf. Dɛn kin tɔk bak bɔt wetin yu want fɔ ɛp yu fɔ fil fayn we yu dɔn.

Difrɛn kayn ``DNR'' kin de dipen pan usay yu de liv ɛn yu sityueshɔn. Yu dɔktɔ kin tɛl yu mɔ bɔt di tin dɛn we yu go ebul fɔ du.

If CPR sev layf, wetin mek ɛnibɔdi go mek DNR ɔda?

Dis na kwɛstyɔn we bɔku pipul dɛn kin gɛt. Sɔm pipul dɛm wae gɛt sik wae nɔr de mɛn ɔr gɛt siriɔs wɛl bɔdi prɔblɛm nɔr want fɔ gɛt CPR, ilɛksɛf i kin mek dɛn day. Fɔ disayd fɔ mek DNR ɔda kin gi yu sɛns fɔ kɔntrol yu layf ɛn gi yu sɔm trɛnk.

Pan ɔl we CPR kin sev pipul dɛn layf, i nɔ kin wok 100%. Dɔn bak, CPR nɔ kin wok fayn fɔ pipul dɛn we rili sik ɔ we gɛt sɔm kayn mɛrɛsin. I kɔmɔn bak fɔ gɛt injury we de mek yu fil pen lɛk we yu rib brok ɛn sternum frakt we yu de du CPR.

Imajin, sɔmbɔdi dɔn ol bad bad wan ɛn i gɛt kansa we nɔ go mɛn. If dɛn at stɔp fɔ bit, ɛn ivin if dɛn gi dɛn CPR fɔ mek dɛn gɛt layf bak fɔ sɔm tɛm, i go jɔs mek dɛn fil mɔ pen ɛn nɔ gɛt ɛni rilif, dɛn kin disayd fɔ gɛt DNR. Na dat dɛn disayd fɔ du.

Aw a go kɔmyuniket wetin a want (DNR)?

Tɔk to yu praymari kia ɔr di tim lida we de trit yu bɔt dis. Yu dɔktɔ go tɔk to yu bɔt di gud ɛn bad tin dɛn we CPR ɛn ɔda tritmɛnt dɛn we gɛt fɔ du wit am gɛt. Dis na ɔnɛs tɔk wit yu bɔt wetin yu rili want. I rili impɔtant fɔ gi pɔsin kɔnsɛntmɛnt we dɛn no bɔt we dɛn de tɔk bɔt dis. Dis go ɛp yu fɔ no ɔl wetin yu ebul ɛn disayd fɔ du sɔntin bay wetin yu lɛk. If yu want fɔ tink bɔt am mɔ ɔ tɔk to yu famili, i nɔ bad fɔ tɛl yu dɔktɔ . I kɔmɔn fɔ yɛri bɔt DNR ɔda we yu go na dɔktɔ in ɔfis ɔ we dɛn admit yu na ɔspitul.

Afta yu gɛt `(DNR)`, yu dɔktɔ kin rikodɔ am na yu ``Mɛdikal Rikɔd``. I kin gi yu wan kɔpi fɔ kip wit yu. Yu kin ivin fɛn ``Medical ID Bracelets`` we yu de wɛr so dat di wan dɛn we de ɛp yu fɔ no se yu gɛt ``DNR``.

Wetin kin apin if a nɔ ebul fɔ disayd bɔt `(DNR)` misɛf?

If yu nɔ no natin bikɔs ɔf sik ɔ aksidɛnt, ɔ if yu nɔ ebul fɔ disayd ɔda tin dɛn we yu no, yu nɔ go ebul fɔ tɔk wetin yu want bɔt ``DNR''. If yu dɔn gɛt ``DNR'' ɔda, we de na yu mɛdikal rɛkɔd, yu famili nɔ go ebul fɔ chenj am.

If yu nɔ gɛt `(DNR)` yet, yu kin nem pɔsin fɔ tɔk fɔ yu. Fɔ ɛgzampul, yu ligal ripɔt (`Power of Attorney`) ɔ pɔsin we dɔn gi yu pawa fɔ mek ɔda mɛdikal disizhɔn (`Healthcare Proxy`) . If yu nɔ gi pɔsin in nem, sɔntɛnde, pɔsin na yu fambul kin disayd fɔ yu bɔt mɛrɛsin if yu nɔ ebul fɔ disayd fɔ du sɔntin. Di famili mɛmba dɛm we kin disayd fɔ yu kin difrɛn frɔm wan kɔntri to ɔda kɔntri ɛn frɔm wan rijyɔn to ɔda rijyɔn.

Wetin a go du if a chenj mi maynd afta dɛn rayt DNR ɔda ɛn gi mi?

Yu gɛt rayt ɔltɛm fɔ chenj yu maynd bɔt yu ``(DNR)``. If yu chenj yu maynd, tɛl yu dɔktɔ wantɛm wantɛm. Dɔn i kin rayt di chenj na yu mɛdikal rɛkɔd. Yu fɔ stɔp bak fɔ yuz tin dɛn lɛk aydentifikeshɔn kad we yu de wɛr na yu an, ɛn pwɛl ɛni kɔpi we yu gɛt.

Tɛl yu famili ɛn ɔda pipul dɛn we de kia fɔ yu se yu dɔn chenj yu maynd ɛn yu nɔ want yu `(DNR)` igen.

Wetin go apin if yu rivaiv pɔsin we de pan `(DNR)`?

``(DNR)`` ɔda dɛn kin jɔs afɛkt di mɛdikal pɔshɔnal dɛn we no bɔt dɛn (ɔ fɔ rili no bɔt dɛn). If dɔktɔ nɔ no bɔt yu ``(DNR)``, ɔ if kɔmyunikeshɔn mistek de, dɛn nɔ go rili gɛt prɔblɛm.

Bɔt if yu dɔktɔ no bɔt yu `(DNR)` ɛn stil de gi yu layf bak, dɛn kin gɛt prɔblɛm wit di lɔ. If dɛn bin neglijen ɛn nɔ bin no bɔt yu `(DNR)`, dɛn kin gɛt kɔnsikuns bak fɔ dat.

Di lɔ nɔ gɛt fɔ du CPR pan pɔsin we gɛt DNR. If dɛn tren yu fɔ du CPR pan pɔsin we gɛt at atak, yu fɔ tray fɔ du dat. Bɔt if yu no se pɔsin gɛt DNR, yu fɔ rɛspɛkt wetin i want fɔ mek i nɔ gi am layf bak.

If a de du ɔpreshɔn, yu tink se ``DNR'' go afɛkt mi kia?

If yu gɛt `(DNR)` ɛn yu go gɛt ɔpreshɔn, mek shɔ se yu tɔk to yu ɔspitul dɔktɔ ɛn anɛstɛsiɔlɔjis bɔt yu `(DNR)`. Dɛn kin tɛl yu mɔ bɔt aw yu `(DNR)` go afɛkt ɛni pat pan yu ɔpreshɔn.

Sɔntɛnde, yu anestezi dɔktɔ, ɔspitul dɔktɔ, ɔ ɔl tu kin aks yu fɔ stɔp yu ``DNR'' fɔ sɔm tɛm we dɛn de du ɔpreshɔn. dis na biכs sכm pan di kכmכn aspek dεm fכ כpεrayshכn, spεshal wan jεnarכl anεsthεsia, kin kכnflik wit yu ``DNR''. If yu gɛt ɛni kwɛstyɔn bɔt dis, nɔ shek fɔ aks yu dɔktɔ we de mɛn yu ɔ di dɔktɔ we de mɛn yu anestezi. I impɔtant fɔ ɛksplen to dɛn wetin de mɔna yu fɔ mek shɔ se yu gɛt kia we go mit yu nid ɛn wetin yu want.

Di tin we impɔtant pas ɔl fɔ mɛmba (Take-Home Message) .

Ivin we yu de nia fɔ dɔn yu layf, yu gɛt rayt fɔ disayd bɔt aw fɔ kia fɔ yu. Wan ɔda ``Nɔ Risuscitate'' (DNR) de gi yu pawa ɛn gi yu di chans fɔ pik di kayn tritmɛnt we yu go gɛt.

I bɛtɛ fɔ tɔk to yu dɔktɔ bɔt aw fɔ kia fɔ yu we yu dɔn day bifo tɛm bifo tɛm we yu go nid am. We yu plan bifo tɛm, dat kin ɛp yu wɛlbɔdi tim ɛn di wan dɛn we yu lɛk fɔ no wetin yu want. Da we de, yu kin gɛt kia we go mit yu nid ɛn di tin dɛn we yu fɔ put fɔs te yu day. Nɔ fred fɔ tɔk bɔt dis, na yu rayt.

` DNR, nɔ risays, advans dairektv, CPR, layf-sɔstayn tritmɛnt, fayn wil, mɛdikal disizhɔn, tɛminal sik, kɔmfɔt kia