Ukunakekelwa Kwe-Hospice: Ake Sixoxe Ngakho

Kunezikhathi ekuphileni kwethu, akunjalo? Okusho ukuthi, lapho kuvela isifo esibi, futhi odokotela bathi akusenakwenzeka ukusilapha ngokuphelele. Ngempela kuwumthwalo engqondweni. Kodwa, ngaleso sikhathi, kungaba usizo kangakanani ukuba nesikhathi esisele ngokunethezeka ngangokunokwenzeka, ngaphandle kobuhlungu, njengoba ufisa, nabathandekayo bakho ? Namuhla, sizokhuluma ngenkonzo yokunakekela ebaluleke kakhulu esisizayo ngezikhathi ezinjalo, futhi abantu abaningi abangazi ngayo. Lokhu kubizwa ngokuthi `(Hospice Care)` noma "ukunakekelwa kokuphela kwempilo".

Kuyini Ukunakekelwa Kwe-Hospice? Kalula nje...

Kalula nje, uma unesifo esithile futhi isikhathi sakho sokuphila silinganiswa ngezinyanga hhayi ngeminyaka, futhi umgomo wakho oyinhloko ukunciphisa ubuhlungu nokuhlala ukhululekile , yilokhu okubizwa ngokuthi "Ukunakekelwa Kwe-Hospice". Cabanga ngakho, kunezifo ezithile, isibonelo, kunezinhlobo ezithile zomdlavuza, noma kukhona izinto ezifana "nesifo senhliziyo", okunzima ukuzelapha ngokuphelele uma sezifinyelele esigabeni esithile. Yilapho-ke kufanele ucabange ngalokhu kunakekelwa.

Umgomo oyinhloko walokhu ukukusiza ukuthi ugcine ukulawula impilo yakho, ukukuvumela ukuthi uphile ngokunethezeka nangesithunzi ngangokunokwenzeka, nokukunikeza amandla nokusekelwa okudingayo njengoba ulungiselela ukuphela kwempilo yakho ngendlela yakho. Abantu abahlinzeka ngale nsizakalo bangochwepheshe ekuphatheni izimpawu. Ngakho-ke ungachitha izinsuku zokugcina zokuphila kwakho ngendlela enenjongo kuwe, ngaphandle kobuhlungu. Lokhu kuyimpumuzo enkulu kuwe nomndeni wakho. Ithimba labahlengikazi be-hospice, izisebenzi zezenhlalakahle, abeluleki abangokomoya, izisebenzi zezempilo zasekhaya, odokotela, izisebenzi zokuzithandela kanye nabeluleki bosizi bazokujikeleza futhi bakunikeze lonke ukwesekwa okudingayo.

Yiziphi amazinga amane okunakekelwa kwe-hospice?

Yebo, kunezigaba ezine zokunakekelwa ezitholakalayo kuye ngezidingo zakho. Ithimba lakho le-hospice lizonquma ukuthi yiliphi izinga elikufanele. Leli zinga lingashintsha njengoba isimo sakho sishintsha.

• Ukunakekelwa ekhaya okuvamile: Yilapho umndeni wakho noma abathandekayo bakho bekunakekela ekhaya. Abahlinzeki bokunakekelwa kwe-hospice beza ekhaya lakho ngezinsuku ezihleliwe futhi bakunikeze ukunakekelwa nezeluleko ozidingayo. Esikweni lethu laseSri Lanka, abantu abaningi bakhetha ukuhlala emakhaya, nabathandekayo babo. Le ndlela iwusizo kakhulu kubo.
• Ukunakekelwa okujwayelekile kweziguli ezilaliswe esibhedlela (GIP): Uma unezinhlungu noma ezinye izimpawu ezinzima kakhulu ukuthi ungaziphatha ekhaya, uzolaliswa esibhedlela noma esikhungweni esiqokiwe sokunakekelwa kweziguli ezigula kakhulu.
• Ukunakekelwa kwasekhaya okuqhubekayo:Lokhu kusetshenziswa uma izimpawu zakho ziba zimbi ngokuzumayo futhi udinga ukunakekelwa okujulile, kwesikhashana ekhaya. Lokhu kuvame ukunikezwa abantu abafanelekela izinga `(GIP)` kodwa abafisa ukuhlala ekhaya.
• Ukunakekelwa kwekhefu: Uma udinga ukunikeza abanakekeli bakho ikhefu, unganikezwa ukunakekelwa kwe-hospice isikhathi esifushane. Ngoba nabo badinga isikhathi sokuphumula nokuphumula ngenkathi beqhubeka nokunakekela othile.

Ubani ozuzayo ku-Hospice Care?

Ngokuvamile, odokotela basebenzisa izinto ezifana neziqondiso ze-Medicare ukuze banqume ukuthi umuntu uyakufanelekela yini ukunakekelwa kwe-hospice. Lokho kusho ukuthi uma isimo sakho sithuthuka ngokwemvelo futhi unezinyanga eziyisithupha noma ngaphansi zokuphila, ungase ufanelekele ukunakekelwa kwe-hospice. Lokhu kunakekelwa kuyanconywa lapho odokotela bekholelwa ukuthi ukwelashwa kwamanje akusasizi futhi alikho ithemba lokuthi isimo sakho sizoba ngcono. Ukunakekelwa kwe-hospice kuvame ukumbozwa yi-Medicare, i-Medicaid, kanye nezinhlelo eziningi zomshuwalense ezizimele.

Abantu abaningi abathola ukunakekelwa kwe-hospice banezifo ezingamahlalakhona eziwohloka kancane kancane futhi ekugcineni zingabe zisaphulukiswa. Isibonelo:

• I-ALS (isifo esithinta isimiso sezinzwa)
• Isifo sika-Alzheimer
• Umdlavuza
• Isifo sokulahlekelwa yingqondo
• Isifo senhliziyo
• Isifo sezinso
• Isifo sikaParkinson
• Isifo samaphaphu
• Nezinye izifo.

Amalungu eqembu le-Hospice angochwepheshe abanolwazi oluhle ngezidingo ezikhethekile zabantu abaphila ezinyangeni zokugcina, emavikini, nasezinsukwini zokuphila kwabo.

Ubani ohlinzeka ngalolu kunakekelwa kwe-hospice? Kukhona iqembu elibanzi kakhulu...

Kulolu nakekelo, kunabahlinzeki bezinsizakalo abahlukahlukene abanakekela inhlalakahle yakho engokomzimba, yengqondo, yezenhlalo nengokomoya:

• Odokotela: Odokotela be-Hospice basebenzisana nawe kanye nabathandekayo bakho ukudala uhlelo lokunakekelwa olugxile enduduzo kanye nesithunzi sakho.
• Abahlengikazi: Abahlengikazi be-hospice beza ukuzokubona kanye noma kaningana ngesonto futhi bakunikeze ukunakekelwa okudingayo. Bakufundisa wena nabanakekeli bakho ukuthi ningaphatha kanjani izimpawu zenu. Abahlengikazi bahlela umsebenzi nethimba lonke le-hospice.
• Abasizi bezempilo yasekhaya: Laba bantu beza kanye noma kaningana ngesonto futhi basize ngemisebenzi yansuku zonke njengokugeza kanye nokuhlanzeka komuntu siqu. Benza nemisebenzi emincane yasekhaya. Njengabahlengikazi, laba bantu bakufundisa okuningi. Bakufundisa wena nomndeni wakho ukuthi ningakunakekela kanjani lapho umhlengikazi noma isisebenzi sezempilo engekho.
• Abeluleki abangokomoya:Laba bantu bayakusiza ukuthi ubhekane nezinguquko ozizwayo njengoba usondela ekupheleni kwempilo yakho, futhi bakusize ukuthi ushintshele ezigabeni zokugcina zokuphila. Akudingeki ube yikholwa enkolweni ethile. Lona umuntu ongakududuza, akhulume nawe ngendlela okholelwa kuyo, futhi akusize wenze isinqumo.
• Izisebenzi zezenhlalakahle: Laba bantu bangakunikeza ukwesekwa ngokomzwelo kanye nokwelulekwa. Bangakusiza futhi ukulungiselela amadokhumenti afana nezifiso zakho zokugcina (iziqondiso kusengaphambili) futhi bakhulume ngezinkinga zezimali. Bangakuxhumanisa nezinsiza ezibalulekile njengosizo lwezezimali, usizo lokudla, kanye nezinsizakalo zokwelulekwa.

Kuye ngezidingo zakho, ukunakekelwa kwe-hospice ngezinye izikhathi kungase kuhlanganise izinto ezifana nokwelashwa ngokubhucungwa, ukwelashwa ngobuciko, kanye nokwelashwa ngomculo.

Yini ngempela oyitholayo ku-Hospice Care?

Ukunakekelwa kwe-hospice kunikeza izinsiza eziningi kanye nokusekelwa kulabo abasezigabeni zokugcina zokuphila:

• Ukunakekelwa okuphelele kokuphela kokuphila: Umgomo oyinhloko we-hospice ukukuphatha njengomuntu ophelele nokusekela umndeni wakho. Uzosebenzisana eduze nodokotela nabahlengikazi abanakekela izidingo zakho ezingokwenyama, kanye nabasebenzi bezenhlalakahle nabeluleki abangokomoya abanakekela inhlalakahle yakho yengqondo, yemizwa, yezenhlalo nengokomoya.
• Umuthi wenduduzo: Uzothola imithi kanye nezinye izindlela zokwelapha ezizosiza ekunciphiseni ubuhlungu bakho futhi zinciphise ezinye izimpawu. Ithimba le-hospice lizosebenzisana nawe ukudala uhlelo lwemithi yakho olufanele wena. Izidingo zakho zizohlolwa kabusha ngezikhathi ezithile njengoba isimo sakho sishintsha. Uzoqhubeka nokuthola imithi ethuthukisa induduzo yakho kanye nekhwalithi yokuphila.
• Imishini nezinto zokwelapha: Uzothola imishini ezokusiza ukuthi uhlale embhedeni futhi uzulazule - izinto ezifana nemibhede yesibhedlela kagesi engaphakanyiswa futhi yehliswe, izihlalo zabakhubazekile, kanye nezihlalo zokuhamba. Ungathola futhi imishini ezokusiza ukuthi uphefumule, njengomoya-mpilo. Uzothola nezinto ezibalulekile ezifana namapani okulala, amabhandeji, kanye nesirinji.
• Ukunakekelwa kwesikhashana endaweni yokusekela: Uma kuvela izidingo ezingenakuhlangatshezwa ekhaya, ukunakekelwa kwakho kungadluliselwa esikhungweni sokuhlala isikhathi esifushane.
• Ukusekelwa kwabanakekeli:Ukunakekelwa kwe-hospice kufinyelela nakubanakekeli bakho abayinhloko – amalungu omndeni wakho noma abangani abachitha isikhathi esiningi nawe. Ochwepheshe be-hospice basebenzisana eduze nalaba bahlinzeki ukuze babasize baqonde ukuthi bangakunakekela kanjani. Baphinde babaxhumanise nezinsiza zokunakekela impilo yabo ngenkathi bekunakekela. Isibonelo, kungafaka phakathi ukunakekelwa kokuphumula, okuvumela abanakekeli bakho abayinhloko ukuthi bathathe ikhefu kanye nawe ukuthi uhlale endaweni ekhululekile isikhathi esifushane. Ukunakekelwa kwe-hospice kuhlanganisa nokusekelwa kokushonelwa, okusiza abathandekayo bakho ukuba babhekane nosizi lwabo ngemva kokufa kwakho.

Yini engamboziwe yi-Hospice Care?

Uma uhlela ukuphela kokuphila, ngenkathi ucabangela izinzuzo zokunakekelwa kwe-hospice, kubalulekile ukuqaphela izinto i-hospice engazinikezi:

• Ukunakekelwa kokwelapha: Ukunakekelwa kwe-hospice kumayelana nokukugcina ukhululekile nokukunikeza impilo engcono kakhulu lapho ukwelashwa kokwelapha kungasasizi. Akuselaphi ukugula kwakho ukuze kukwelaphe. Uma ushintsha umqondo wakho bese unquma ukuthi ufuna ukuqhubeka nokwelashwa ukugula kwakho, ungayeka ukunakekelwa kwe-hospice. Isibonelo, abanye abantu baqala ukwelashwa futhi lapho umuthi omusha noma ukwelashwa sekutholakala ukuthi bakuzame.
• Igumbi kanye nokudla: Ukunakekelwa kwe-hospice akuthathi indawo yokunakekelwa okutholwa amahora angama-24 endaweni yokuhlala, njengekhaya labagugile. Ungathola ukunakekelwa kwe-hospice noma kuphi lapho ucabanga ukuthi usekhaya khona - ikhaya lakho, ikhaya labagugile, isikhungo sokunakekelwa kwe-hospice, noma indawo yokuhlala yokusiza. Kodwa-ke, uma uthola ukunakekelwa endaweni, kungadingeka ukuthi uzikhokhele wena. Uma ungathanda ukuya endaweni enjalo kodwa ungaqiniseki ngezindleko, hlola uhlelo lwakho lomshwalense.
• Ukunakekelwa kwesikhathi eside, amahora angama-24: Ukunakekelwa okutholayo kuncike ezintweni ezahlukahlukene, okuhlanganisa ukuthi uhlala kuphi, isimo sakho, kanye nomshwalense wakho. Ngokuvamile, yize ochwepheshe be-hospice betholakala amahora angama-24 ngosuku, izinsuku eziyi-7 ngesonto ukuphendula imibuzo yakho yezokwelapha, abakunikezi ukunakekelwa okuqondile amahora angama-24 ngosuku isikhathi eside. Kunalokho, beza ukuzokubona ngezinsuku ezihleliwe. Abantu abaningi abathola ukunakekelwa kwe-hospice ekhaya banamalungu omndeni noma abangane ababanakekelayo isikhathi esigcwele.

Umuntu angahlala isikhathi esingakanani esikhungweni sokunakekelwa kweziguli ezigula kakhulu?

Abanye abantu bayesaba, "Uma siphila isikhathi esingaphezu kwezinyanga eziyisithupha, ingabe sizolahlekelwa yi-hospice?" Kodwa akunjalo. Iqiniso liwukuthi, akekho owaziyo ukuthi omunye umuntu uzophila isikhathi esingakanani. Izinyanga eziyisithupha yisikhathi esisetshenziswa yi-Medicare. Ezinye izinkampani zomshuwalense nazo zisebenzisa isikhathi se-Medicare njengendinganiso yazo. Abantu abaningi bathola ukunakekelwa okuhle kakhulu e-hospice kangangokuthi baphila isikhathi eside kunalokho ababekucabanga.

Udokotela wakho we-hospice uzoqhubeka nokuhlola isimo sakho. Ukunakekelwa kwe-hospice kungase kwandiswe isikhathi esingaphezu kwezinyanga eziyisithupha. Uma isimo sakho sithuthuka, udokotela wakho uzokukhipha e-hospice. Izinzuzo ozothola zizoncika ezidingweni zakho ezithile.

Uyini umehluko phakathi kwe-Hospice Care kanye ne-Palliative Care?

Abantu abaningi bayadideka ngalezi ezimbili. Ake sibone ukuthi umehluko uyini kalula.

Ukunakekelwa kwe-palliative uhlobo lokunakekelwa olugxile ekuthuthukiseni ikhwalithi yokuphila kwabantu abanezifo ezinkulu. Ungathola ukunakekelwa kwe-palliative kunoma yisiphi isigaba sesifo esinzima, kanye nokwelashwa okwelaphayo . Lokhu kusho ukuthi ungathola lokhu kunakekelwa ukuze unciphise ubuhlungu, ukungakhululeki, kanye nenhlalakahle yengqondo ngenkathi uthatha imithi yokwelapha lesi sifo. Umgomo uwukukhulula ubunzima obungokomzimba, obungokomzwelo, obungokwenhlalo, nobungokomoya obungenzeka ngesifo esinzima.

Ukunakekelwa kwe-hospice uhlobo lokunakekelwa olugxile ekunikezeni induduzo kanye nokusekelwa okwengeziwe lapho isikhathi sokuphila silinganiswa ngezinyanga, hhayi iminyaka . Ukunakekelwa kwe-hospice kuyasiza lapho ukwelashwa kokwelapha kungasasizi, noma lapho umuntu esenqume ukuyeka ukwelapha ukugula kwakhe. Ku-hospice, umgomo oyinhloko induduzo .

Cabanga nje, othile unomdlavuza futhi welashwa. Ngesikhathi welashwa, ungathola ukunakekelwa kokunciphisa ubuhlungu ukuze unciphise izinto ezifana nobuhlungu kanye nesicanucanu. Kodwa, uma ngolunye usuku odokotela bethi, "Lo mdlavuza awusaphulukiswa, futhi kungcono ukuhlala ngokunethezeka impilo yakho yonke," khona-ke ungacabanga ngokunakekelwa kwe-hospice.

Ingabe ukuthola ukunakekelwa kwe-hospice kusho "ukuyeka"?

Lutho neze! Lokhu kuyinto ebaluleke kakhulu okufanele uyiqonde. Ukuthola ukunakekelwa kwe-hospice kusho ukuthi uzama ukuphila impilo yakho kahle ngangokunokwenzeka nangendlela ekhululekile ngangokunokwenzeka, yize isimo sakho sempilo siba sibi kakhulu. Uma udokotela wakho encoma ukunakekelwa kwe-hospice, kubonisa ukuthi bazinikele kangakanani enhlalakahleni yakho.

Kodwa-ke, khumbula ukuthi isinqumo sokugcina sokungenela ukunakekelwa kwe-hospice noma ukuqhubeka nokwelashwa singesakho. Ungashintsha umqondo wakho nganoma yisiphi isikhathi.

Ukufa kuyingxenye yokuphila njengokuzalwa. Ukufa kuyinto esibhekana nayo sonke ngesikhathi esithile. Uma uhlaselwa ukugula okungathí sina, ukukhuluma nabathandekayo bakho ngalokho okubalulekile kuwe nokuthi ungathanda ukuchitha kanjani (nokuthi kuphi, nobani) izinyanga ezimbalwa zokugcina zempilo yakho kungakusiza wena nomndeni wakho ukuthi nenze izinqumo mayelana nokunakekelwa kwenu. Ukuba nombono ocacile wokuthi ziyini izifiso zenu ngezinsuku zenu zokugcina kuzoninika inkululeko yokuphila usuku ngalunye lwempilo yenu ngokuthula kwengqondo okukhulu. Khuluma nodokotela wakho ngalokhu futhi (ukuhlela ukunakekelwa kusenesikhathi).

Izinto ezibaluleke kakhulu okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

Ukunakekelwa Kweziguli Ezigulayo kuyisibusiso esikhulu ngezikhathi ezinzima kakhulu empilweni. Kuhlinzeka:

• Kunciphisa ubuhlungu nokungakhululeki: Kukusiza ukuthi uhlale ukhululekile ngangokunokwenzeka.
• Inhlonipho Nokulawula: Kukuvumela ukuthi uphile impilo yakho yonke ngesithunzi, ngokwezifiso zakho.
• Impumuzo emndenini: Lokhu futhi kunikeza ukwesekwa okukhulu kanye nokuphumula emndenini onakekela isiguli.
• Inhlalakahle yengqondo nengokomoya: Akugcini nje ngokusiza ngenhlalakahle yomzimba, kodwa futhi kusiza nokuthula kwengqondo.
• Akusikho "ukuyeka": kuyisinyathelo esihle sokubona iqiniso lempilo nokusebenzisa isikhathi esisele ngokugcwele.

Uma wena noma othile omaziyo ekulesi simo, ungangabazi ukukhuluma nodokotela wakho mayelana nokunakekelwa kwe-hospice. Kungakulethela induduzo engenakucatshangwa.

I- Hospice, ukunakekelwa kokuphela kwempilo, ukunakekelwa kobuhlungu, ukuphathwa kobuhlungu, ukugula okungapheli, induduzo, ikhwalithi yokuphila