Manaaki Hōhipera: Me Kōrero Tātou mōna

Tērā ngā wā o tō tātou oranga, kāore? Arā, ina pā mai he mate kino, ā, ka mea ngā tākuta kāore e taea te whakaora katoa. He tino taumaha ki te hinengaro. Engari, i tēnei wā, he aha te hiranga o te āwhina hei whakapau i te wā e toe ana me te whakamarie, me te kore mamae, e ai ki tāu e hiahia ana, me ō whanaunga ? I tēnei rā, ka kōrero tātou mō tētahi ratonga tiaki tino nui e haere mai ana hei awhina i ēnei wā, ā, he tokomaha kāore e mōhio ana. Ka kiia tēnei ko te `(Hospice Care)`, ko te "manaaki mutunga-o-te-oranga" rānei.

He aha te Tiaki Hauora? He māmā noa iho...

Ki te kī ngāwari, ina pāngia koe e tētahi mate hauora, ā, ka inehia tō roanga o te ora i roto i ngā marama, kaua i ngā tau, ā, ko tō whāinga matua he whakaiti i te mamae me te noho whakamarie , koinei te mea e kiia nei ko te "Manaaki Hospice". Whakaarohia, kei reira ētahi mate, hei tauira, kei reira ētahi momo mate pukupuku, kei reira rānei ngā mea pēnei i te "Mate ngākau", ina tae ki tētahi taumata, he uaua ki te whakaora katoa mā te rongoā anō. Koinei te wā me whakaaro koe ki tēnei tiaki.

Ko te whāinga matua o tēnei he āwhina i a koe ki te pupuri i te mana whakahaere i tōu ao, kia taea ai e koe te noho humarie me te whai mana, me te hoatu hoki i te kaha me te tautoko e hiahiatia ana e koe i a koe e whakarite ana mō te mutunga o tōu ao i runga i tō ake ara. Ko te hunga e whakarato ana i tēnei ratonga he tohunga ki te whakahaere i ngā tohu. Nō reira, ka taea e koe te whakapau i ngā rā whakamutunga o tōu ao i runga i te huarahi e whai tikanga ana ki a koe, me te kore mamae. He tino whakamarie tēnei mōu me tō whānau. Ka karapotia koe e te rōpū nēhi hōhipera, ngā kaimahi hapori, ngā kaiwhakatakoto whakaaro wairua, ngā kaimahi hauora kāinga, ngā tākuta, ngā tūao me ngā kaiwhakatakoto whakaaro pouri, ā, ka whakaratohia ki a koe ngā tautoko katoa e hiahiatia ana e koe.

He aha ngā taumata e whā o te tiaki hōhipera?

Āe, e whā ngā taumata tiaki e wātea ana i runga i ō hiahia. Mā tō rōpū tiaki hauora e whakatau ko tēhea taumata te mea pai mōu. Tērā pea ka rerekē tēnei taumata i te rerekētanga o tō āhua.

• Te tiaki kāinga auau: Koinei te wā e tiaki ai tō whānau, tō hunga aroha rānei i a koe i te kāinga. Ka haere mai ngā kaiwhakarato tiaki hōhipera ki tō kāinga i ngā rā kua whakaritea, ka whakarato i te tiaki me te tohutohu e hiahiatia ana e koe. I roto i tō tātou ahurea o Sri Lanka, he tokomaha te hunga e pai ake ana ki te noho ki te kāinga, me ō rātou whānau. He tino whai hua tēnei tikanga mō rātou.
• Te tiaki tūroro whānui (GIP): Mena ka pāngia koe e te mamae, e ētahi atu tohu rānei e tino kino rawa ana ki te whakahaere i te kāinga, ka whakaurua koe ki tētahi hōhipera, ki tētahi whare rānei kua tohua mō te tiaki tūroro.
• Te tiaki tonu i te kāinga:Ka whakamahia tēnei mēnā ka kino haere ō tohumate, ā, me nui ake te tiaki i te kāinga mō te wā poto. Ko te tikanga ka hoatu tēnei ki te hunga e tika ana mō te taumata `(GIP)` engari e hiahia ana kia noho ki te kāinga.
• Manaaki wā poto: Mena me whai wā okiokinga ō kaitiaki, ka taea te whakarato i te manaaki hōhipera ki a koe mō te wā poto. Nā te mea me whai wā hoki rātou ki te okioki me te wātea i a rātou e tiaki tonu ana i tētahi.

Ko wai ka whai hua mai i te Hospice Care?

I te nuinga o te wā, ka whakamahia e ngā tākuta ngā mea pēnei i ngā aratohu a Medicare hei whakatau mēnā he tika te tangata mō te tiaki hōhipera. Arā, mēnā kei te haere tonu tō āhua, ā, e ono marama, iti iho rānei, tō oranga, ka tika pea koe mō te tiaki hōhipera. Ka tūtohutia tēnei tiaki ina whakapono ngā tākuta kāore e whai hua ngā maimoatanga o nāianei, ā, kāore he tumanako ka pai ake tō āhua. He maha ngā wā ka hipokina te tiaki hōhipera e Medicare, Medicaid, me te maha o ngā mahere inihua tūmataiti.

He tokomaha ngā tāngata e whiwhi ana i te tiaki hōhipera he mate pūmau ā rātou e kino haere ana, ā, i te mutunga ka kore e taea te whakaora. Hei tauira:

• ALS (he mate e pā ana ki te pūnaha io)
• Te mate a Alzheimer
• Matepukupuku
• Te mate wareware
• Mate ngakau
• mate whatukuhu
• Te mate a Parkinson
• Mate pūkahukahu
• Me ētahi atu mate.

He tohunga ngā mema o te tīma Hospice, ā, e mōhio ana rātou ki ngā matea motuhake o te hunga e ora ana i ngā marama, ngā wiki, me ngā rā whakamutunga o ō rātou oranga.

Nā wai tēnei manaakitanga hōhipera e whakarato ana? He whānui rawa te rōpū...

I roto i tēnei manaakitanga, he maha ngā kaiwhakarato ratonga e tiaki ana i tō oranga tinana, hinengaro, pāpori me te wairua:

• Ngā Tākuta: Ka mahi tahi ngā tākuta tiaki hauora me koe me ō whanaunga ki te waihanga i tētahi mahere tiaki e aro ana ki tō whakamarie me tō mana.
• Ngā Nēhi: Ka haere mai ngā nēhi tiaki hōhipera ki te kite i a koe kotahi, i ētahi wā rānei i te wiki, ā, ka whakaratohia te manaaki e hiahiatia ana e koe. Ka ako rātou i a koe me ō kaitiaki ki te whakahaere i ō tohumate. Ka whakarite ngā nēhi i te mahi tahi me te toenga o te tīma tiaki hōhipera.
• Ngā kaiawhina hauora kāinga: Ka haere mai ēnei tāngata kotahi, e maha rānei ngā wā i te wiki, ka āwhina i ngā mahi o ia rā pēnei i te kaukau me te akuaku whaiaro. Ka mahi hoki rātou i ngā mahi iti o te whare. Pērā i ngā nēhi, he nui ngā mea ka akohia e ēnei tāngata. Ka ako rātou i a koe me tō whānau me pēhea te tiaki i a koe ina kore he nēhi, he kaimahi hauora rānei i te taha.
• Ngā kaitohutohu wairua:Mā ēnei tāngata koe e āwhina ki te whakatau i ngā huringa e pā ana ki a koe i a koe e whakatata atu ana ki te mutunga o tō oranga, ā, mā rātou anō koe e āwhina ki te whakawhiti ki ngā wāhanga whakamutunga o te oranga. Kāore koe e hiahia kia whakapono ki tētahi whakapono motuhake. He tangata tēnei hei whakamarie i a koe, hei kōrero ki a koe i runga i te huarahi e whakaponohia ana e koe, hei āwhina hoki i a koe ki te whakatau i tō whakaaro.
• Ngā kaimahi hapori: Ka taea e ēnei tāngata te tautoko i a koe ki ngā kare ā-roto me te tuku tohutohu. Ka taea hoki e rātou te āwhina i a koe ki te whakarite tuhinga pēnei i ō hiahia whakamutunga (ngā tohutohu i mua) me te kōrero mō ngā take pūtea. Ka taea hoki e rātou te hono i a koe ki ngā rauemi whai hua pēnei i te āwhina pūtea, te āwhina kai, me ngā ratonga tohutohu.

I runga anō i ō hiahia, ka uru pea ki te tiaki hōhipera ngā mea pēnei i te mirimiri, te toi, me te puoro.

He aha ngā mea ka riro i a koe mai i te Hospice Care?

He maha ngā rauemi me ngā tautoko e whakaratohia ana e te manaaki hōhipera mō te hunga kei ngā wāhanga whakamutunga o te oranga:

• Manaaki whānui i te mutunga o te ora: Ko te arotahi matua o te hospice ko te manaaki i a koe hei tangata katoa, me te tautoko i tō whānau. Ka mahi tahi koe me ngā tākuta me ngā nēhi e manaaki ana i ō hiahia tinana, tae atu ki ngā kaimahi hapori me ngā kaiwhakatakoto whakaaro wairua e manaaki ana i tō oranga hinengaro, kare ā-roto, pāpori, me te wairua.
• Rongoā whakamarie: Ka whiwhi koe i ngā rongoā me ētahi atu maimoatanga hei āwhina i te whakamamae i tō mamae me te whakaiti i ētahi atu tohu. Ka mahi tahi te tīma hōhipera me koe ki te waihanga i tētahi mahere mō āu rongoā e tika ana māu. Ka arotakehia anō ō hiahia i ia wā, i ia wā, i te mea ka huri tō āhua. Ka whiwhi tonu koe i ngā rongoā hei whakapai ake i tō whakamarie me te kounga o te oranga.
• Ngā taputapu me ngā taonga hauora: Ka whiwhi koe i ngā taputapu hei āwhina i a koe ki te noho i runga i te moenga me te neke haere – ngā mea pēnei i ngā moenga hōhipera hiko ka taea te hiki me te tuku iho, ngā tūru wīra, me ngā taputapu hikoi. Tērā pea ka whiwhi koe i ngā taputapu hei āwhina i a koe ki te manawa, pēnei i te hāora. Ka whiwhi hoki koe i ngā taonga nui pēnei i ngā ipu moenga, ngā takai, me ngā ngira.
• Manaaki mō te wā poto i roto i tētahi taiao tautoko: Mena ka puta he hiahia kāore e taea te whakatutuki i te kāinga, ka taea te whakawhiti i tō manaaki ki tētahi whare noho mō te wā poto.
• Tautoko mō ngā kaitiaki:Ka horapa atu hoki te manaaki hōhipera ki ō kaitiaki matua – ō mema whānau, ō hoa rānei e noho tahi ana me koe i te nuinga o te wā. Ka mahi tahi ngā tohunga hōhipera me ēnei kaitiaki hei āwhina i a rātou ki te mārama me pēhea te tiaki i a koe. Ka hono atu hoki rātou i a rātou ki ngā rauemi hei tiaki i ō rātou ake hauora i a rātou e tiaki ana i a koe. Hei tauira, kei roto pea i tēnei ko te manaaki wā okiokinga, e āhei ai ō kaitiaki matua ki te okioki me te noho ki tētahi wāhi whakamarie mō te wā poto. Kei roto hoki i te manaaki hōhipera te tautoko mō te pouri, e āwhina ana i ō whanaunga ki te aro atu ki ō rātou pouri i muri i tō matenga.

He aha ngā mea kāore i te hipokina e te Hospice Care?

I te whakamahere mō te mutunga o te ora, me te whakaaro hoki ki ngā painga o te tiaki hōhipera, he mea nui kia mōhio ki ngā mea kāore e whakaratohia ana e te hōhipera:

• Manaaki whakaora: Ko te manaaki hōhipera he mea kia noho humarie koe, kia pai ai te noho, kia pai ai te kounga o te oranga ina kore e whai hua te maimoatanga whakaora. Kāore e rongoatia tō mate hei whakaora. Ki te huri tō whakaaro, ā, ka whakatau koe ki te haere tonu i te maimoatanga mō tō mate, ka taea e koe te whakamutu i te manaaki hōhipera. Hei tauira, ka tīmata anō ētahi tāngata i te maimoatanga ina wātea mai he rongoā hou, he maimoatanga rānei hei whakamātautau.
• Rūma me te kai: Ehara te tiaki hōhipera i te whakakapi mō te tiaki 24-hāora e whiwhi ana koe i roto i tētahi whare noho, pērā i te whare tiaki kaumātua. Ka taea e koe te whiwhi tiaki hōhipera i ngā wāhi katoa e whakaarohia ana e koe he kāinga – tō ake kāinga, he whare tiaki kaumātua, he pokapū tiaki hōhipera, he whare noho āwhina rānei. Heoi, ki te whiwhi tiaki koe i roto i tētahi whare tiaki, me utu pea e koe anō. Ki te hiahia koe ki te haere ki tētahi whare tiaki pērā engari kāore koe i te tino mōhio mō te utu, tirohia me tō mahere inihua.
• Manaaki mō te wā roa, 24-hāora: Ko te manaaki e whiwhi ana koe ka whakawhirinaki ki ngā āhuatanga maha, tae atu ki te wāhi e noho ana koe, tō āhua, me tō inihua. I te nuinga o te wā, ahakoa e wātea ana ngā tohunga tiaki hauora 24/7 ki te whakautu i ō pātai hauora, kāore rātou e whakarato tiaki tika ki a koe 24 hāora ia rā mō ngā wā roa. Engari, ka haere mai rātou ki te kite i a koe i ngā rā kua whakaritea. He maha ngā tāngata e whiwhi ana i te manaaki tiaki hauora i te kāinga, he mema whānau, he hoa rānei e tiaki ana i a rātou mō te wā katoa.

Kia pēhea te roa ka taea e te tangata te noho ki te tiaki hōhipera?

Kei te mataku ētahi tāngata, "Ki te roa atu i te ono marama te ora o tātou, ka ngaro rānei te manaakitanga?" Engari ehara i te mea koinā. Ko te pono, kāore tetahi e mōhio ki te roa o te ora o tētahi atu tangata. Ko te ono marama te wā e whakamahia ana e Medicare. Ka whakamahia hoki e ētahi atu kamupene inihua te wā Medicare hei paerewa mā rātou. He maha ngā tāngata e whiwhi ana i te nui o te tiaki pai i roto i te manaakitanga, ā, ka roa ake te ora i tā rātou i whakaaro ai.

Ka haere tonu te aromatawai a tō tākuta hōhipera i tō āhua. Tērā pea ka roa ake te tiaki hōhipera neke atu i te ono marama. Mēnā ka pai ake tō āhua, ka tukuna koe e tō tākuta i te hōhipera. Ko ngā painga ka riro i a koe ka whakawhirinaki ki ō hiahia.

He aha te rerekētanga i waenga i te Tiaki Hospice me te Tiaki Palliative?

He tokomaha te hunga e pōhēhē ana mō ēnei mea e rua. Kia kite tātou he aha te rerekētanga.

Ko te tiaki mamae he momo tiaki e aro ana ki te whakapai ake i te kounga o te oranga mō te hunga e pāngia ana e ngā mate kino. Ka taea e koe te whiwhi tiaki mamae i ngā wā katoa o te mate kino, me te maimoatanga whakaora . Ko te tikanga ka taea e koe te whiwhi i tēnei tiaki hei whakaiti i te mamae, te kore whakamarie, me te oranga hinengaro i a koe e tango ana i te rongoā hei rongoā i te mate. Ko te whāinga he whakamama i ngā uauatanga tinana, kare ā-roto, pāpori, me te wairua ka puta mai i te mate kino.

Ko te tiaki hōhipera he momo tiaki e aro ana ki te whakarato whakamarie me te tautoko tāpiri ina inehia te wā e ora ai i roto i ngā marama, ehara i te tau . He whai hua te tiaki hōhipera ina kore e whai hua ngā maimoatanga whakaora, ina whakatau rānei te tangata ki te mutu te rongoā i tōna mate. I roto i te hōhipera, ko te whāinga matua ko te whakamarie .

Whakaarohia, he mate pukupuku tō tetahi, ā, kei te rongoatia. I a koe e rongoatia ana, ka taea e koe te whiwhi tiaki whakaora hei whakaiti i ngā mea pēnei i te mamae me te whakapairuaki. Engari, ki te mea mai ngā tākuta i tētahi rā, "Kāore e taea te whakaora i tēnei mate pukupuku, ā, he pai ake te noho humarie mō te toenga o tō oranga," ka taea e koe te whakaaro ki te tiaki hōhipera.

He "whakarērea" te whiwhi tiaki hōhipera?

Kāore rawa! He mea tino nui tēnei kia mārama. Ko te whiwhi i te manaaki hōhipera ko te tikanga kei te ngana koe ki te noho i tō oranga kia pai rawa atu, kia whakamarie hoki, ahakoa kei te heke haere tō hauora. Ki te taunaki tō tākuta i te manaaki hōhipera, e whakaatu ana i te nui o tō rātou whakapau kaha ki tō oranga.

Heoi, kia maumahara ko te whakatau whakamutunga kia uru atu ki te tiaki hōhipera, kia haere tonu rānei te maimoatanga nāu. Ka taea e koe te whakarerekē i tō whakaaro i ngā wā katoa.

He wāhanga nui te mate o te ao, pērā i te whānautanga. He mea e pāngia ana tātou katoa e te mate i tētahi wā. Mēnā ka pāngia koe e te mate kino, mā te kōrero ki ō whanaunga mō ngā mea nui ki a koe me pēhea (me te wāhi, me wai) e hiahia ana koe ki te noho tahi i ngā marama whakamutunga o tō oranga ka āwhina i a koe me tō whānau ki te whakatau i ō manaakitanga. Mā te mārama ki ō hiahia mō ō rā whakamutunga ka whai mana koe ki te ora i ia rā o tō oranga me te rangimārie nui ake. Kōrero ki tō tākuta mō tēnei mea anō hoki (te whakamahere manaakitanga i mua).

Ngā mea tino nui hei maumahara (Karere hei kawe ki te kāinga)

He manaakitanga nui te Tiaki Hauora i ngā wā tino uaua o te ao. E whakarato ana i:

• Ka whakaiti i te mamae me te kore whakamarie: Ka āwhina i a koe kia noho whakamarie.
• Te Whakaute me te Mana Whakahaere: Mā tēnei ka taea e koe te noho rangatira tae noa ki te mutunga o tō oranga, e ai ki ō hiahia.
• He oranga ngākau mō te whānau: He tautoko nui tēnei, he whakangā hoki mō te whānau e tiaki ana i te tūroro.
• Te oranga hinengaro me te oranga wairua: Ehara i te mea ka āwhina i te oranga tinana anake, engari ka āwhina anō hoki i te rangimārie hinengaro.
• Ehara i te "whakarērea": ​​he taahiraa pai ki te whakatutuki i te ao tūturu, me te whakamahi pai i te wā e toe ana.

Mena kei roto koe, kei roto rānei i tēnei āhuatanga tētahi atu e mōhio ana koe, kaua e mangere ki te kōrero ki tō tākuta mō te tiaki hōhipera. Ka taea e tēnei te kawe mai i te whakamarie e kore e taea te whakaaro.

` Te tiaki i te mutunga o te ora, te tiaki mamae, te whakahaere mamae, te mate mau tonu, te whakamarie, te kounga o te ora