Kutarisirwa kweHospice: Ngatikurukurei nezvazvo

Pane dzimwe nguva muhupenyu hwedu, handiti? Ndiko kuti, kana chirwere chakakomba chikaitika, uye vanachiremba vachiti hazvichakwanisike kuchirapa zvachose. Zvechokwadi mutoro kupfungwa. Asi, panguva yakadaro, zvingava zvakakosha sei kuwana rubatsiro rwekushandisa nguva yasara zvakanaka sezvinobvira, pasina kurwadziwa, sezvaunoda, nevadikanwi vako ? Nhasi, tichataura nezvebasa rinokosha rekutarisira rinouya kuzobatsira panguva dzakadaro, uye iro vanhu vazhinji vasingazive. Izvi zvinonzi `(Hospice Care)` kana kuti "kutarisirwa kwekupedzisira kwehupenyu".

Chii chinonzi Hospice Care? Zvichitaurwa zviri nyore...

Zvichitaurwa zviri nyore, kana uine chirwere chakati uye makore ekurarama kwako achiyerwa mumwedzi kwete makore, uye chinangwa chako chikuru chiri chekuderedza marwadzo uye kugara wakasununguka , izvi ndizvo zvinonzi "Hospice Care". Funga nezvazvo, kune zvimwe zvirwere, semuenzaniso, kune mamwe marudzi ekenza, kana kune zvinhu zvakaita se "chirwere chemwoyo", izvo, kana zvasvika padanho rakati, zvinonetsa kurapa zvachose nemishonga mitsva. Ndipo paunofanira kufunga nezvekurapa uku.

Chinangwa chikuru cheizvi ndechekukubatsira kuti urambe uchitonga hupenyu hwako, kuti ugare zvakanaka uye uine rukudzo sezvinobvira, uye kukupa simba nerutsigiro rwaunoda sezvaunogadzirira kuguma kwehupenyu hwako nenzira yako. Vanhu vanopa sevhisi iyi inyanzvi mukugadzirisa zviratidzo. Saka unogona kupedza mazuva ekupedzisira ehupenyu hwako nenzira ine zvazvinoreva kwauri, pasina kurwadziwa. Izvi zvinozorodza iwe nemhuri yako. Chikwata chevanamukoti vehospice, vashandi vemagariro evanhu, vapi vemazano emweya, vashandi vehutano hwepamba, vanachiremba, vanozvipira uye vapi vemazano ekurwadziwa vachakukomberedza uye vachakupa rutsigiro rwese rwaunoda.

Ndezvipi zvikamu zvina zvekutarisira varwere vanorwara zvikuru?

Ehe, kune mazinga mana ekutarisira anowanikwa zvichienderana nezvaunoda. Chikwata chako chekuchengetedza varwere vanorwara ndicho chichasarudza kuti ndeipi nhanho yakakunakira. Iyi nhanho inogona kuchinja sezvo mamiriro ako ezvinhu achichinja.

• Kuchengetwa kumba nguva dzose: Apa ndipo apo mhuri yako kana vadikanwi vanokuchengeta kumba. Vanopa rubatsiro rwekuchengetedza varwere vanouya kumba kwako pamazuva akarongwa uye vanokupa rubatsiro nemazano aunoda. Mutsika dzedu dzekuSri Lanka, vanhu vazhinji vanosarudza kugara kumba, nevadikanwi vavo. Nzira iyi inokosha zvikuru kwavari.
• Kutarisirwa kwevarwere vari muchipatara (GIP): Kana uine kurwadziwa kana zvimwe zviratidzo zvakanyanya kuoma kubata kumba, uchaendeswa kuchipatara kana kunzvimbo yakatarwa yekutarisira varwere vanorwara zvikuru.
• Kutarisirwa kwepamba nguva dzose:Izvi zvinoshandiswa kana zviratidzo zvako zvikawedzera kamwe kamwe uye uchida kutarisirwa kwenguva pfupi kumba. Izvi zvinowanzopihwa vanhu vanokodzera nhanho ye '(GIP)' asi vachida kuramba vari kumba.
• Kutarisirwa kwekuzorora: Kana uchida kupa vanokuchengeta zororo, rubatsiro rwevanorwara runogona kupihwa kwauri kwenguva pfupi. Nekuti vanodawo nguva yekuzorora nekuzorora pavanenge vachiri kutarisira mumwe munhu.

Ndiani anobatsirwa neHospice Care?

Kazhinji, vanachiremba vanoshandisa zvinhu zvakaita semirairo yeMedicare kuti vaone kana mumwe munhu akakodzera kutarisirwa kwevanorwara zvikuru. Izvi zvinoreva kuti kana chirwere chako chiri kukura zvakajairika uye une mwedzi mitanhatu kana pasi pekurarama, unogona kukodzera kutarisirwa kwevanorwara zvikuru. Kutarisirwa uku kunokurudzirwa kana vanachiremba vachifunga kuti kurapwa kwazvino hakuchabatsiri uye hapana tariro yekuti chirwere chako chichave nani. Kutarisirwa kwevanorwara zvikuru kunowanzo vharwa neMedicare, Medicaid, uye zvirongwa zvakawanda zveinishuwarenzi zvepachivande.

Vanhu vazhinji vanowana rubatsiro rwekuchengetedza varwere vane zvirwere zvisingaperi zvinopera zvishoma nezvishoma uye pakupedzisira zvinopedzisira zvisingarapiki. Semuenzaniso:

• ALS (chirwere chinokanganisa tsinga)
• Chirwere cheAlzheimer
• Kenza
• Dementia
• Chirwere chemwoyo
• Chirwere cheitsvo
• Chirwere cheParkinson
• Chirwere chemapapu
• Nezvimwe zvirwere.

Nhengo dzechikwata cheHospice inyanzvi dzinonyatsoziva zvinodiwa nevanhu vanorarama mwedzi yekupedzisira, mavhiki, uye mazuva ehupenyu hwavo.

Ndiani anopa rubatsiro urwu rwekuchengetedza varwere vanorwara zvikuru? Kune boka rakakura kwazvo...

Mukati merubatsiro urwu, kune vanopa rubatsiro vakasiyana-siyana vanokutarisira hutano hwako hwemuviri, hwepfungwa, hwemagariro evanhu uye hwemweya:

• Vanachiremba: Vanachiremba veHospice vanoshanda newe nevadikanwi vako kugadzira hurongwa hwekutarisira hunotarisa kunyaradzwa kwako nerukudzo.
• Vanamukoti: Vanamukoti veHospice vanouya kuzokuona kamwe chete kana kakawanda pasvondo uye vanokupa rubatsiro rwaunoda. Vanokudzidzisa iwe nevanokuriritira maitiro ekugadzirisa zviratidzo zvako. Vanamukoti vanoronga kushanda pamwe chete nevamwe vese vechikwata cheHospice.
• Vabatsiri vehutano hwepamba: Vanhu ava vanouya kamwe chete kana kakawanda pasvondo uye vanobatsira mabasa ezuva nezuva akadai sekugeza uye kushambidzika. Vanoitawo mabasa madiki epamba. Kufanana nevakoti, vanhu ava vanokudzidzisa zvakawanda. Vanokudzidzisa iwe nemhuri yako maitiro ekukutarisira kana mukoti kana mushandi wehutano asipo.
• Vanopa mazano ezvemweya:Vanhu ava vanokubatsira kugadzirisa shanduko dzaunonzwa paunenge wava kusvika kumagumo ehupenyu hwako, uye vanokubatsira kuti uchinje kusvika padanho rekupedzisira rehupenyu. Haufanire kunge uri mutendi wechitendero chimwe chete. Uyu munhu anogona kukunyaradza, kutaura newe nenzira yaunotenda, uye kukubatsira kusarudza zvaunoda kuita.
• Vashandi vezvemagariro evanhu: Vanhu ava vanogona kukupa rutsigiro rwemanzwiro uye mazano. Vanogonawo kukubatsira kugadzirira magwaro akadai sezvinodiwa zvako zvekupedzisira (mirairo yenguva isati yasvika) uye kutaura nezvenyaya dzemari. Vanogonawo kukubatanidza nezvinhu zvakakosha zvakaita serubatsiro rwemari, rubatsiro rwechikafu, uye mabasa ekupa mazano.

Zvichienderana nezvaunoda, kutarisirwa kwevanorwara nehospice dzimwe nguva kunogona kusanganisira zvinhu zvakaita semassage therapy, art therapy, uye music therapy.

Chii chaunowana kubva kuHospice Care?

Kuchengetwa kwevarwere vanorwara nehospice kunopa zvinhu zvakawanda uye rutsigiro kune avo vari muchikamu chekupedzisira chehupenyu:

• Kutarisirwa kwekupedzisira kwehupenyu: Chinangwa chikuru chehospice ndechekukubata iwe semunhu wese uye kutsigira mhuri yako. Uchashanda pamwe chete navanachiremba nevakoti vanotarisira zvaunoda mumuviri, pamwe chete nevashandi vezvemagariro evanhu nevapi vemazano ezvemweya vanotarisira hutano hwako hwepfungwa, hwemanzwiro, hwemagariro evanhu, uye hwemweya.
• Mushonga wekunyaradza: Uchawana mishonga nemimwe mishonga yekubatsira kuderedza marwadzo ako uye kuderedza zvimwe zviratidzo. Chikwata chevanorwara nehope chichashanda newe kugadzira hurongwa hwemishonga yako yakakunakira. Zvaunoda zvichaongororwazve nguva nenguva sezvo mamiriro ako ezvinhu achichinja. Ucharamba uchiwana mishonga inovandudza kunyaradzwa kwako uye hupenyu hwako.
• Midziyo yekurapa nezvinhu zvekushandisa: Uchagamuchira michina yekukubatsira kugara pamubhedha nekufamba-famba - zvinhu zvakaita semibhedha yemagetsi yemuchipatara inogona kusimudzwa nekudzikiswa, mawiricheya, uye zvinhu zvekufamba-famba. Unogonawo kugamuchira michina yekukubatsira kufema, zvakaita seoxygen. Uchagamuchirawo zvinhu zvakakosha zvakaita semapani emubhedha, mabhandeji, uye sirinji.
• Kuchengetwa kwenguva pfupi munzvimbo ine rutsigiro: Kana paine zvinodiwa zvisingagone kuzadzikiswa kumba, kuchengetwa kwako kunogona kutamisirwa kunzvimbo yekugara kwenguva pfupi.
• Rutsigiro kune vanochengeta varwere:Kutarisirwa kwevanorwara nehospice kunosvikawo kune vanokuchengetai vekutanga - nhengo dzemhuri yako kana shamwari dzinopedza nguva yakawanda newe. Nyanzvi dzehospice dzinoshanda pamwe chete nevanotarisirai ava kuti dzivabatsire kunzwisisa kuti vangakutarisirai sei. Vanovabatanidzawo nezvinhu zvekutarisira hutano hwavo ivo vachikuchengetai. Semuenzaniso, zvinogona kusanganisira kuzorora, izvo zvinoita kuti vanokutarisirai vekutanga vatore zororo uye iwe ugare panzvimbo yakasununguka kwenguva pfupi. Kutarisirwa kwevanorwara nehospice kunosanganisirawo rutsigiro rwekufirwa, izvo zvinobatsira vadikanwi vako kutsungirira kusuruvara kwavo mushure mekufa kwako.

Chii chisingafukidzwe neHospice Care?

Paunenge uchironga kuguma kwehupenyu, uchifunga nezvemabhenefiti ekutarisira varwere vanorwara zvikuru, zvakakosha kuziva zvinhu zvisingapihwe nevanorwara vanorwara zvikuru:

• Kurapa: Kurapa kwevarwere vanorwara nehospice ndekwekuti ugare wakasununguka uye kukupa hupenyu hwakanaka kana kurapwa kwevarwere kusisabatsire. Hakurapi chirwere chako kuti chirapwe. Kana ukachinja pfungwa dzako wobva wasarudza kuti unoda kuramba uchirapwa chirwere chako, unogona kumisa kurapwa kwevarwere vanorwara nehospice. Semuenzaniso, vamwe vanhu vanotanga kurapwa zvakare kana mushonga mutsva kana mushonga wavapo kuti vaedze.
• Imba nekudya: Kuchengetwa kwevanorwara nehospice hakusi kutsiva kuchengetwa kwemaawa makumi maviri nemana kwaunowana munzvimbo yekugara, senge imba yekuchengetedza vakwegura. Unogona kuwana kuchengetwa kwevanorwara nehospice chero kupi kwaunofunga kuti uri kumba - imba yako wega, imba yekuchengetedza vakwegura, nzvimbo yekuchengetedza vanorwara nehospice, kana nzvimbo yekugara inobatsirwa. Zvisinei, kana ukawana kutarisirwa munzvimbo yekugara, ungafanira kuzvibhadharira wega. Kana uchida kuenda kunzvimbo yakadaro asi usina chokwadi nemutengo wayo, bvunza nehurongwa hweinishuwarenzi yako.
• Kutarisirwa kwenguva refu, kwemaawa makumi maviri nemana: Kutarisirwa kwaunowana kunoenderana nezvinhu zvakasiyana-siyana, zvinosanganisira kwaunogara, mamiriro ako ezvinhu, uye inishuwarenzi yako. Kazhinji, kunyange hazvo nyanzvi dzekuchengetedza varwere varipo maawa makumi maviri nemana pazuva kuti vapindure mibvunzo yako yekurapa, havakupe rubatsiro rwakananga maawa makumi maviri nemana pazuva kwenguva yakareba. Pane kudaro, vanouya kuzokuona pamazuva akarongwa. Vanhu vazhinji vanowana rubatsiro rwekuchengetedza varwere vari kumba vane nhengo dzemhuri kana shamwari dzinovatarisira nguva yakazara.

Munhu anogona kugara kwenguva yakareba sei muchipatara chevarwere vanorwara zvikuru?

Vamwe vanhu vanotya kuti, "Kana tikararama kwenguva inopfuura mwedzi mitanhatu, ticharasikirwa nehospice here?" Asi handizvo zvazviri. Chokwadi ndechekuti, hapana anoziva kuti mumwe munhu achararama kwenguva yakareba sei. Mwedzi mitanhatu ndiyo nguva inoshandiswa neMedicare. Mamwe makambani einishuwarenzi anoshandisawo nguva yeMedicare senzira yavo. Vanhu vazhinji vanowana rubatsiro rwakanaka muhospice zvekuti vanorarama kwenguva yakareba kupfuura zvavaifunga.

Chiremba wako wekuchengetedza varwere vasingaperi acharamba achiongorora mamiriro ako ezvinhu. Kutarisirwa kwevarwere vasingaperi kunogona kuwedzerwa kupfuura mwedzi mitanhatu. Kana mamiriro ako akavandudzika, chiremba wako achakusunungura kubva muchipatara chekuchengetedza varwere vasingaperi. Mabhenefiti auchawana achaenderana nezvaunoda.

Ndeupi musiyano uripo pakati peHospice Care nePalliative Care?

Vanhu vazhinji vanovhiringidzika nezvezvinhu zviviri izvi. Ngationei musiyano uripo.

Kutarisirwa kwevarwere vane zvirwere zvakakomba (palliative care ) rudzi rwekutarisirwa kunotarisa pakuvandudza hupenyu hwevanhu vane zvirwere zvakakomba. Unogona kuwana rubatsiro rwevarwere vane zvirwere zvakakomba (palliative care) chero padanho ripi zvaro rechirwere chakakomba, pamwe chete nekurapwa kunorapwa . Izvi zvinoreva kuti unogona kuwana rubatsiro urwu kuderedza marwadzo, kusagadzikana, uye kugara zvakanaka kwepfungwa paunenge uchitora mishonga yekurapa chirwere chacho. Chinangwa ndechekurerutsira matambudziko emuviri, epfungwa, emagariro, uye emweya anogona kuitika nechirwere chakakomba.

Kuchengetwa kwevarwere vanorwara nehospice rudzi rwekutarisirwa kunonyanya kutarisisa kupa nyaradzo nerutsigiro rwakawedzerwa kana nguva yekurarama yakaenzana nemwedzi, kwete makore . Kuchengetwa kwevarwere vanorwara nehospice kunobatsira kana kurapwa kwekurapa kusisabatsiri, kana kana munhu asarudza kurega kurapa chirwere chake. Mukuchengetedza varwere vanorwara nehospice, chinangwa chikuru ndechekunyaradzwa .

Fungidzira, mumwe munhu ane kenza uye ari kurapwa. Paunenge uchirapwa, unogona kuwana rubatsiro rwekuderedza marwadzo nekurutsa. Asi, kana rimwe zuva vanachiremba vakati, "Kenza iyi haicharapiki, uye zviri nani kugara zvakanaka kweupenyu hwako hwese," saka unogona kufunga nezvekuchengetedzwa kwehospice.

Kugamuchira rubatsiro rwevanhu vanorwara zvikuru zvinoreva here "kurega"?

Kwete zvachose! Ichi chinhu chakakosha kunzwisisa. Kuwana rubatsiro rwevanhu vanorwara zvikuru zvinoreva kuti uri kuedza kurarama hupenyu hwako zvakanaka uye zvakanaka sezvinobvira, kunyangwe hutano hwako huri kuipa. Kana chiremba wako achikurudzira rubatsiro rwevanhu vanorwara zvikuru, zvinoratidza kuti vakazvipira sei kuhutano hwako.

Zvisinei, yeuka kuti sarudzo yekupedzisira yekupinda muchipatara chevarwere vanorwara zvakanyanya kana kuramba uchirapwa ndeyako. Unogona kushandura pfungwa dzako chero nguva.

Rufu chikamu chehupenyu sekuzvarwa. Rufu chinhu chatinosangana nacho tese pane imwe nguva. Kana ukatanga kurwara zvakanyanya, kutaura nevadikanwi vako nezvezvakakosha kwauri uye kuti ungada kupedza sei (uye kupi, naani) mwedzi mishoma yekupedzisira yehupenyu hwako kunogona kukubatsira iwe nemhuri yako kuita sarudzo nezvekuchengetwa kwako. Kuva nepfungwa yakajeka yezvaunoda pamazuva ako ekupedzisira kuchakupa rusununguko rwekurarama zuva rega rega rehupenyu hwako nerunyararo rwepfungwa. Taura nachiremba wako nezveizvi zvakare (kuronga kurapwa pachine nguva).

Zvinhu zvakakosha zvekurangarira (Mharidzo Yekuenda Kumba)

Kuchengetwa kweHospice chikomborero chikuru munguva dzakaoma zvikuru muhupenyu. Kunopa:

• Inoderedza marwadzo nekusagadzikana: Inokubatsira kuti ugare wakasununguka sezvinobvira.
• Kuremekedza uye Kudzora: Zvinokutendera kuti urarame mugumo wehupenyu hwako nerukudzo, zvichienderana nezvaunoda.
• Rubatsiro kumhuri: Izvi zvinopawo rutsigiro rukuru uye zororo kumhuri iri kutarisira murwere.
• Kugara zvakanaka kwepfungwa nemweya: Hazvingobatsiri chete pakugara zvakanaka kwemuviri, asiwo zvinobatsira pakugara zvakanaka kwepfungwa.
• Hazvisi "kurega": idanho rakanaka rekuona chokwadi chehupenyu uye kushandisa nguva yasara zvakanaka.

Kana iwe kana mumwe munhu waunoziva ari mumamiriro ezvinhu akadai, usazeza kutaura nachiremba wako nezvekutarisira varwere vanorwara zvikuru. Izvi zvinogona kukuunzira nyaradzo isingafungidzike.

Hospice , kutarisirwa kwekuguma kwehupenyu, kutarisirwa kwekuderedza marwadzo, kudzora marwadzo, chirwere chisingaperi, nyaradzo, mhando yehupenyu