IPOLST ibhuku idzva rinotaura nezvekuguma kwehupenyu hwevanhu. PSTST inomirira Mutapi weMirayi weHupenyu-Kusimudzira Kuchengetedzwa. Paradigm iri kusika mhirizhonga munharaunda yezvokurapa uye iri kuratidza zvipikirwa zvakawanda mukuvimbisa kuti zvinodiwa nemurwere zvinoteverwa.
Kusvikira ikozvino, munhu angashandisa Mazano Anotevera kuti ataure zvavanoda kuti zvive pakuguma kwehupenyu hwavo.
Nhungamiro yeZvirevo inowanzove ine ruzivo pamusoro pechido chemunhu chekugadzirisa mhepo, kugadziriswa zvakakwana, uye chido chekunyaradza. Zvisinei, Mazano Anotungamirirwa haaiti zvishoma kuti adzivirire munhu kubva pane zvisina kufanira kurapwa kwakajeka seCPR kana kutamira kuchipatara. Munhu angada kuve akaparadzanisa Usadzokorora Mutemo (DNR) kuti umudzivirire kubva kumakumbo asina kudiwa emapfupa, kushamiswa kwemagetsi, uye kufema kwepfungwa.
Nekushandisa kwePOLST paradigm, vekukurumidzira uye vashandi vane mazano akajeka pamusoro pezviito zvingaitwe mumugariro wekukurumidzira kunobva pane zvido zvemurwere. Inosanganisira chido chemu murwere wekuti kana kuti arambe CPR, kutorwa kuenda kuchipatara, uye kuti awane chikafu chekuvaka. Paradigm inogona kutevera munhu kupi zvako kwaanoenda; inoshanda kumba, mumusha unotarisira vakwegura, nzvimbo yekuchengetedza kwenguva refu, uye muchipatara.
Chii chinonzi POLSTST?
Purogiramu yePOLST ine zvikamu zvitatu kana zvina (zvichienderana nehurumende) umo munhu angasarudza chirongwa chake chinoda kurapwa:
- CPR
Munhu anogona kusarudza kuva nechirwere chemoyo wekare (CPR) akaedza. Kusarudza sarudzo iyi zvinoreva kusarudza "Kurapa Kwakakwana" muchikamu B. Zvimwewo, munhu anogona kusarudza "Rega Kufa Kwemhuka," inozivikanwawo sekuti Usaedza Kudzokorora.
- Kupindira Kwezvokurapa
Munhu ane zvisarudzo zvitatu zvehutano hwekurapa kwavanoda. Chisarudzo chekutanga ndechokuti "Nyaradza Nyaradzo Chete" zvinoreva kurega kungoita hanya kunogona kubvisa kutambura uye kutambura. Kusarudza sarudzo iyi zvinoreva kuti munhu aizongoendeswa kuchipatara kana kutambura kusingasunungurwi kumba.
Chisarudzo chechipiri ndeche "Kupera Kwakawedzerwa Kupindira" kunosanganisira kunyaradza kuchengetedzwa kubva pakusarudzwa kwekutanga asi kunogonawo kuisa mukati memvura (IV) mvura uye mishonga inorwisa mabhakitiriya. Ikoko kune sarudzo yekusarudza MUSA kutamiswa kuchipatara kunze kwekutambudzika kusingabviswi kumba.
Chisarudzo chechitatu ndechokuti "Kurapa Kwakakwana." Kusarudza sarudzo iyi zvinoreva kuti munhu anoda kutarisirwa kuchengetedzwa, zvirwere zve IV, antibiotics, CPR, nezvimwe zvose zvekurapa zvakanyanya kusanganisira kutamirwa kuchipatara.
Pane rwonzi rwechikamu ichi kune chero mamwe mairairo. Varwere vanogona kusarudza nachiremba wavo kuti adzire rudzi rwemishonga yeVV inoshandiswa kana kuti ingasarudza kutaura zvakananga maererano nehupenyu hwekufema kunotsigira kwavanoda.
- Antibiotics
Ichi chikamu chinobvumira varwere kuziva kuti kana uye kana mishonga inouraya inofanira kushandiswa kurapa zvirwere.
- Artificially Administered Nutrition
Ichi chikamu chinobvumira munhu kuti ataure zvaanoda pamusoro pekudyiswa zvepamusoro , kazhinji kuburikidza nehuwandu hwemanogastric (NG) hwekudya kwenguva pfupi kana kuburikidza negastric tube (yakaiswa mukati meganda kusvika mudumbu) kwekudya kwenguva refu. Zvisarudzo zvinosanganisira "Hapana chikafu chekugadzira chigadzirwa nehuputi," iyo yakajeka zvakajeka, "Yakatsanangurwa nguva yekuedza kwekudya kwechigadzirwa nehutu" iyo inowanzoreva kudya zvishoma kwenguva pfupi kuti uone kana kune kuvandudzwa mumamiriro avo, kana "Nguva refu chikafu chinokonzerwa nehuputi "iyo inowanzoitwa kuburikidza negastric tube.
Ndeipi iyo POLST yakasiyana neyekutanga kwekuraira?
Mazano Anokurumidza Anogadzirirwa kupa mirayiridzo pamusoro pemishandisirwo anodiwa mune zvechiremba kana munhu atove aine chirwere chinokurumidzira - kazhinji chinotungamirirwa kuchipatara kana kumusha wevanotarisira. IPOLST yakagadzirirwa kurayira vashandi vekukurumidzira pane zviito zvinotora iwe uchiri pamba.
Ndiani Anoda Kuisa POLST?
Munyika dzose apo POLST inogamuchirwa uye inobvumirwa nemutemo, murwere kana mutemo wavo wehutano wehutano anofarira kuisa fomu.
Chiremba anofanirwawo kusimbisa kuti chisarudzo murwere ari kuita chiri chakaenderana nehutano hwake huripo. Semuenzaniso, kana mukadzi ane makore makumi matatu nematatu ane utano, akadai seni, akakumbira Kubvumira Kufa Kwemhuka, Nyaradzo Yezvokunyaradza chete, uye Kwete Chirongwa Chekuita, chiremba wangu ((tarisai) haasi kuzosaini iyo fomu. Mune dzimwe nyika, mukoti anoshanda (NP) kana kuti mubatsiri wechiremba (PA) angasaina zviri pamutemo fomu.
Chero ani zvake ane chirwere chisingaperi kana hupenyu-chiremera kana ani zvake ane makore akwegura anofanira kufunga kuti ane pepa rePOLST. Kuti uone kana nyika yako ichibvuma uye inoshandisa purogiramu yePOLST, shanyira webusaiti yePOLST.