Hospice Care: I sawi dawn nia

Kan nunah hian hun a awm a ni lawm ni? Chu chu, natna khirh tak a lo awm a, doctor-te’n tihdam kim theih a ni tawh lo tih an sawi chuan a ni. Rilru tan phurrit a ni tak zet a ni. Mahse, chutiang hunah chuan, hun la awm chu a nuam thei ang bera, hrehawmna awm lovin, i duh angin, i hmangaih tak takte nena hman dun turin tanpuina neih chu engtiang chiahin nge a hlu ang ? Vawiin hian hetiang huna tanpui tura lo kal, mi tam takin an hriat loh care service pawimawh tak chungchang kan sawi dawn a ni. Hei hi `(Hospice Care)` emaw "end-of-life care" emaw an ti a.

Hospice Care chu eng nge ni? A awlsam zawngin...

A awlsam zawngin, damdawi lam dinhmun engemaw tak i neih a, i dam rei zawng chu kum aiin thla tam takah teh a nih a, i thil tum ber chu natna tihziaawm leh nuam taka awm a nih chuan , hei hi ``Hospice Care`` an tih chu a ni. Ngaihtuah teh, natna thenkhat a awm a, entirnan, cancer chi hrang hrang a awm a, a nih loh leh ``Thinlung natna`` ang chi thil a awm a, chu chu, a dinhmun engemaw chen a thlen chuan damdawi dang hmanga tihdam vek a harsa thin. Chutih lai chuan he enkawlna hi i ngaihtuah a ngai a ni.

Hei hian a tum ber chu i nun thununna vawng reng tura puih che a ni a, a theih ang anga nuam leh zahawm taka nun theihna tur che leh, nangmah duh dan anga i nun tawp tur atana i inbuatsaih laia chakna leh thlawpna i mamawh pek che hi a ni. He service pe tute hi symptom management lama mithiam tak an ni. Chuvangin i dam chhung ni hnuhnung berte chu i tana awmze nei takin, hrehawmna awm lovin i hmang thei a ni. Hei hi nang leh i chhungte tan thlamuanna ropui tak a ni. Hospice nurse, social worker, thlarau lam counselor, home health worker, doctor, volunteer leh grief counselor te team chuan an hual vel ang che a, i mamawh zawng zawng an pe ang che.

Hospice care level palite chu engte nge ni?

Ni e, i mamawh dan azirin enkawlna level pali a awm. I hospice team hian eng level nge i tan a tha ber tih an rel ang. I dinhmun a inthlak danglam zel chuan he level hi a danglam thei.

• Routine home care: Hei hi i chhungte emaw, i hmangaih tak takte’n in lama an enkawl che hun a ni. Hospice care provider-te chu ni ruat saah i inah an lo kal a, i mamawh enkawlna leh thurawn an pe che a ni. Kan Sri Lanka culture-ah chuan mi tam tak chuan in lama awm an duh zawk a, an hmangaih tak takte nen. Hetiang method hi an tan chuan a hlu hle a ni.
• General inpatient care (GIP): In lama enkawl theih loh khawpa natna emaw, natna dang emaw i neih chuan damdawi in emaw, hospice care atana ruat bik hmunah emaw dah i ni ang.
• In lama enkawl chhunzawm zel:Hei hi i natna lan chhuah dan a zual nghal a, in lama enkawlna nasa zawk, hun rei lote chhunga enkawl i mamawh chuan hman a ni. Hei hi `(GIP)` level-a tling mahse in lama awm duh tan pek a ni tlangpui.
• Respite care: I enkawltu te chawlh i pek a ngai a nih chuan hospice care chu hun rei lote chhung atan pek theih a ni. A chhan chu mi pakhat an enkawl chhunzawm zel lai hian chawlh hahdam leh hahdam hun an mamawh bawk a ni.

Hospice Care hi tute nge hlawkpui?

A tlangpuiin doctor-te chuan Medicare kaihhruaina ang chi thil hmangin mi pakhat chu hospice care dawng thei tura tlin leh tlin loh hriat nan an hmang thin. Chumi awmzia chu i dinhmun chu a pianphung anga a kal zel a, thla ruk emaw a aia rei lo dam tur i neih chuan hospice care-ah i tling thei tihna a ni. He enkawlna hi doctor-te’n tuna enkawlna hman mekte hi a \angkai tawh lo tih an rin a, i dinhmun a ṭhat leh theihna tur beiseina a awm tawh loh hunah a \ha ber a ni. Hospice care hi Medicare, Medicaid leh private insurance plan tam takin an huam fo thin.

Hospice-a enkawlna dawng tam tak chuan natna khirh tak tak an nei a, chu chu zawi zawiin a chhe zel a, a tawpah chuan tihdam theih lohvin a awm ta a ni. Entir nan:

• ALS (natna pakhat, nervous system tichhe thei) .
• Alzheimer natna a ni
• Ngawt
• Dementia natna (dementia) a awm
• Lung natna
• Kal natna
• Parkinson natna a ni
• Lung natna
• Tin, natna dangte pawh.

Hospice team member-te hi mithiam, an nun thla hnuhnung ber, kar hnuhnung ber leh ni hnuhnung berte mamawh bikte hre chiang tak an ni.

He hospice care hi tuin nge pe? Group zau tak a awm a...

He enkawlna chhungah hian i taksa, rilru, khawtlang leh thlarau lam hriselna enkawltu service provider hrang hrang an awm a:

• Doctor-te: Hospice doctor-te chuan nang leh i hmangaih takte nen thawk hovin i thlamuanna leh zahawmna ngaihtuah chunga enkawlna ruahmanna an siam thin.
• Nurses: Hospice nurse te hian kar khatah vawi khat emaw vawi engemaw zat emaw an rawn hmu che a, i mamawh enkawlna an pe che a ni. Nang leh i enkawltute chu i natna lan chhuah dan enkawl dan tur an zirtir thin. Nurse te hian hospice team dangte nen hna an thawk ho thin.
• Home health aides: Heng mite hi kar khatah vawi khat emaw vawi engemaw zat emaw an lo kal a, nitin hna hrang hrang, inbual leh mimal faina kawngah an pui thin. Inchhung hna tenau te an thawk bawk. Nurse te ang bawkin heng mite hian thil tam tak an zirtir che a ni. Nurse emaw health worker emaw an awm loh hunah nang leh i chhungte enkawl dan tur an zirtir thin.
• Thlarau lam thurawn petute:Heng mite hian i nun tawp i hnaih ruala i hriat inthlak danglamnate hmachhawn turin an pui che a, nun tawp ber thlenga i inthlak theih nan an pui bawk che a ni. Sakhaw bik ringtu i nih a ngai lo. Hei hi i thlamuan thei che a, i rin dan anga biak thei che a, i rilru siam tura pui theitu che a ni.
• Social worker: Heng mite hian emotional support leh counseling an pe thei che a ni. I duhthusam hnuhnung ber (advance directives) ang chi document buatsaih leh sum leh pai chungchang sawihonaah pawh an pui thei bawk. Sum leh pai lama tanpuina, ei leh in lama tanpuina, leh counseling service te ang chi thil hlu tak takte nen pawh an inzawm tir thei bawk.

I mamawh dan azirin, hospice enkawlnaah hian a chang chuan massage therapy, art therapy, leh music therapy ang chi thil te pawh a tel thei.

Hospice Care atang hian eng nge i hmuh tak tak?

Hospice care hian nun hnuhnung ber thleng mekte tan hmanraw leh puihna tam tak a pe a:

• Holistic end-of-life care: Hospice-in a ngaih pawimawh ber chu mi pum pui anga enkawl che leh chhungte enkawl hi a ni. I taksa mamawh enkawltu doctor leh nurse te, chubakah i rilru, rilru, khawtlang leh thlarau lam hriselna enkawltu social worker leh thlarau lam counselor te nen in thawk dun ang.
• Comfort medicine: I natna tihziaawmna tur leh symptom dang tihziaawmna tur damdawi leh enkawlna dang i dawng ang. Hospice team chuan i damdawi ei tur atana i tana tha tur ruahmanna siam turin an thawk ho ang che. I dinhmun a inthlak danglam zel angin i mamawh chu a hun hunah ngaihtuah nawn leh a ni ang. I rilru hahdamna leh nunphung tichangtlung thei damdawi i dawng chhunzawm zel ang.
• Damdawi hmanrua leh bungrua: Khumah awm reng tur leh i kal kual theihna tur hmanrua i dawng ang – electronic hospital khum, chawi sang leh hniam theih, wheelchair, leh kea kal theihna te ang chi thil. Thâwk chhuahna hmanrua, oxygen ang chi pawh i dawng thei bawk. Tin, thil pawimawh tak tak, bedpan, bandage, leh syringe te pawh i dawng bawk ang.
• Hun rei lote chhunga enkawlna hmuna tanpuitu: In lama phuhruk theih loh mamawh a lo awm chuan, i enkawlna chu hun rei lote chhung atan chenna inah sawn theih a ni.
• Enkawltu te tanpui:Hospice care hian i enkawltu ber – i chhungte emaw, i ṭhiante emaw, i bula hun hmang tam berte pawh a huam tel bawk. Hospice professional-te hian heng enkawltu te hi an thawhpui tha hle a, i enkawl dan tur an hriatthiam theih nan an pui thin. Nangmah an enkawl lai hian anmahni hriselna enkawl turin resources hmangin an thlunzawm bawk. Entîr nân, respite care pawh a tel thei a, chu chuan i enkawltu berte chu chawlh hahdamna a pe a, hmun nuam takah hun rei lo tê i awm thei a ni. Hospice care-ah hian lungngaihna puihna pawh a tel a, chu chuan i hmangaih takte chu i thih hnua an lungngaihna tuar chhuak turin a pui a ni.

Hospice Care-in a huam loh eng nge ni?

Nun tawp hun tur ruahmanna kan siam hian hospice enkawlna hlawkna ngaihtuah chungin, hospice-in a pek loh thilte hriat a pawimawh hle:

• Curative care: Hospice care chu i rilru hahdam taka awm tir leh curative treatment a \angkai tawh loh hunah nunphung tha ber pek che hi a ni. I natna tihdam nan a enkawl lo. I ngaihdan i thlak a, i natna enkawlna chhunzawm zel i duh tih i rel chuan hospice care hi i titawp thei a ni. Entirnan, mi thenkhat chuan damdawi thar emaw, enkawlna thar emaw enchhin theih a nih chuan enkawlna an tan leh thin.
• Room leh board: Hospice care hi nursing home ang chi, chenna hmuna darkar 24 chhunga enkawlna i hmuh aiah a ni lo. In i ngaihtuah hmun apiangah hospice care i hmu thei a – nangmah ngeiin i inah, nursing home-ah, hospice care center-ah emaw, assisted living facility-ah emaw. Mahse, facility-a enkawlna i hmuh chuan nangmah ngeiin i pek a ngai mai thei. Chutiang hmuna kal duh mah la, a senso i chiang lo a nih chuan i insurance plan-ah zawt rawh.
• Hun rei tak, darkar 24 chhunga enkawlna: I enkawlna chu thil chi hrang hrangah a innghat a, chutah chuan i awmna hmun, i dinhmun, leh i insurance te pawh a tel a ni. A tlangpuiin, hospice professional-te chu i damdawi lam zawhnate chhang turin 24/7 an awm laiin, nitin darkar 24 chhungin hun rei tak chhung direct care an pe lo. Chu ai chuan ni ruat saah hmu turin an lo kal zawk a ni. In lama hospice enkawlna dawng tam tak chuan chhungte emaw, ṭhiante emaw, hun kima enkawltu an nei a.

Mi pakhat chu eng chen nge hospice care-ah a awm theih ang?

Mi thenkhat chuan, "Thla ruk aia rei kan dam chuan hospice kan hloh dawn em?" Mahse chutiang chu a ni lo. Thudik tak chu, mi dang dam rei tur chu tumahin an hre lo. Thla ruk hi Medicare-in a hman hun chhung a ni. Insurance company dangte pawhin Medicare timeframe hi an standard atan an hmang bawk. Mi tam tak chuan hospice-ah hian enkawlna tha tak an dawng nasa hle a, an ngaihtuah aiin an dam rei zawk a ni.

I hospice doctor chuan i dinhmun a enfiah chhunzawm zel ang. Hospice care hi thla ruk aia rei pawhsei theih a ni. I dinhmun a ṭhat chuan i doctor chuan hospice aṭangin a chhuahtir ang che. I hlawkna tur chu i mamawh bik a zirin a innghat ang.

Hospice Care leh Palliative Care hi eng nge an danglamna?

Mi tam tak chuan heng pahnih chungchangah hian an buai thin. Eng nge a danglamna chu i en ang u.

Palliative care hi natna khirh tak nei te nunphung tihchangtlunna lam hawia enkawlna chi khat a ni. Natna khirh tak i neih chuan eng stage-ah pawh palliative care i dawng thei a, chubakah curative treatment pawh i dawng thei bawk . Chumi awmzia chu natna enkawlna atana damdawi i ei laiin natna, lungawi lohna leh rilru hriselna tihziaawmna turin he enkawlna hi i dawng thei tihna a ni. A tum ber chu natna khirh tak nena lo awm thei taksa, rilru, khawtlang leh thlarau lam harsatnate tihziaawm hi a ni.

Hospice care hi enkawlna chi khat a ni a, dam hun chhung chu kum ni lovin thla-a teh a nih chuan thlamuanna leh puihna dang pek hi a ngaih pawimawh ber a ni . Hospice care hi damdawi hmanga enkawlna a \angkai tawh loh hunah emaw, mi pakhatin an natna enkawl tawh loh tura thutlukna a siam hunah emaw a \angkai hle. Hospice-ah chuan thil tum ber chu thlamuanna a ni .

Mi pakhatin cancer a vei a, enkawl mek a ni tih han ngaihtuah teh. Enkawlna i neih lai hian natna leh rilru hahna ang chi thil tihziaawmna turin palliative care i dawng thei a ni. Mahse, ni khat chu doctor-te'n, "He cancer hi tihdam theih a ni tawh lo va, i dam chhung zawng nuam taka awm a tha ber," an tih chuan hospice-a enkawl hi i ngaihtuah thei ang.

Hospice care dawn hian "bânsan" tihna a ni em?

A ni lo tak zet! Hei hi hriatthiam tur pawimawh tak a ni. Hospice care dawng hian i hriselna dinhmun a chhe zel chung pawhin a theih ang anga tha leh nuam taka nun i tum tihna a ni. I doctor-in hospice-a enkawl a rawt chuan i hriselna atana an inpekna a tilang a ni.

Mahse, hospice care-a luh emaw, enkawlna chhunzawm emaw tura thutlukna hnuhnung ber chu nangmah ngeiin i siam tih hre reng ang che. Engtik lai pawhin i ngaihdan i thlak thei.

Thihna hi pian ang bawkin nunah a tel ve a ni. Thihna hi engtik lai pawhin kan tawn vek a ni. Natna khirh tak i neih chuan, i hmangaih takte nêna i tâna thil pawimawh leh i nun thla hnuhnung berte chu engtin nge (leh khawiah nge, tute nên nge) hman i duh tih sawipui hian nang leh i chhûngte chu i enkawlna chungchânga thu tlûkna siam tûrin a ṭanpui thei ang. I ni hnuhnung ber atana i duhzawng chu eng nge ni tih chiang taka hriat chian chuan i nun ni tin rilru thlamuanna nasa zawk nena nun theihna zalenna a pe ang che. Hemi chungchang pawh hi i doctor nen sawiho rawh (advance care planning).

Hriat reng tur pawimawh ber berte (Take-Home Message) .

Hospice Care hi nun harsa ber lai pawhin malsawmna ropui tak a ni. A pe a ni:

• Natna leh hrehawmna a tiziaawm: A theih ang anga nuam taka awm turin a pui thin.
• Zahawmna leh Thununna: I nun tawp chu zahawm takin, i duh dan ang zelin i nunpui thei a ni.
• Chhungkaw tan chhawmdawlna: Hei hian damlo enkawltu chhungkua tan pawh tanpuina leh hahdamna nasa tak a pe bawk.
• Rilru leh thlarau lama damna: Taksa damna kawngah a pui mai ni lovin, rilru thlamuanna a pui bawk.
• "Give up" a ni lo: nun tak tak hriatchhuahna tur leh hun la awm chu a tha thei ang bera hman theihna tura hmalakna tha tak a ni.

Nangmah emaw i hriat mi emaw chu hetiang dinhmunah hian i awm a nih chuan hospice care chungchangah i doctor nen inbiakna neih hreh suh. Ngaihtuah phak loh thlamuanna a thlen thei che a ni.

` Hospice, kum tawp lama enkawlna, palliative care, natna enkawlna, natna khirh tak, thlamuanna, nunphung tha