Mumakumi emakore achangobva kupfuura, sangano rave richiwedzera kusimbisa ruzivo rwekufa nerufu. Kune zvikonzero zvakasiyana-siyana zveizvi, asi vashomanana vangarwisana nebhizimisi re "kufa" rave rava kutengeserana uye rakaitwa zvishoma. Mukugadzirisa, vanhu vanowedzera kuva vasinganyanyiswi nekufunga kwavo pachavo kufa.
Kudya chikamu chisingadzivisiki chehupenyu, saBJ Miller, mutungamiri mukuru weZen Hospice Project muSan Francisco, akanyatsotaura muhupenyu hwake hwekutaura 2015 TED hurukuro.
BJ Miller anokurudzira nzira yevanhu-yekutarisa kuchengetedza, nekuisa pfungwa kune hupenyu hwakanaka uye kunyaradzwa pane "kurwara," uko kune nzvimbo yechinangwa, nekugadzirisa uye kuderedzwa kwekutambudzika kusingakoshi.
Kufa hakufaniri kuonekwa sechiito chekupedzisira chehupenyu hwako. Kufa hachisi chimwe chinhu chinogona kutsungirira mukunyarara uye kuparadzaniswa. Vanhu vanoda kutsigirwa sezvavanopfuura nepakati pehupenyu huno. Vakawanda vanotarisira kuti nzira iyi ichava ivo pachavo, nekuremekedza, rudo nekuremekedzwa. Zvisinei, ruzhinji rwezvipatara zvinotarisira varwere pedyo nekuguma kwehupenyu dzakanga dzisingagadziri kutsigira kuchengetedza. Uyezve, vanhu vazhinji vanoda kusarudza kupi uye kuti vanofa sei, uye kazhinji izvi hazvisi muzvinyorwa zvechipatara.
Dhigiriyuta yehutano tekombiki yehutano iye zvino inopa dzimwe mhinduro dzinogona kuvandudza hutano hwekuguma kwehupenyu.
Kuvandudza Kukurukurirana nekubatana
The Institute of Medicine (IOM) inoshuma kuti vanhu vari pedyo nekuguma kwehupenyu hwavo vanowanzoonekwa uye vachipetwa muzvirongwa zvakawanda zvehutano.
Saka, zvakakosha kuti ruzivo rwehutano hwavo hunogoverwa zvakanaka uye hunoendeswa pakati penharaunda dzakasiyana, kuve nekusimbiswa kwekutarisira. Zvinyorwa zvisingashandisirwi zvemabhuku ehutano zvehutano (EHR) nezvimwe zvirongwa zvehutano zvejeri zvinogona kutsigira izvi nekugadzirisa kukurukurirana pakati pevashandi vakasiyana-siyana, kuderedza kunonoka uye kuzvidzivirirwa kushandiswa kwebasa.
EHRs inogonawo kushandira kukurukura zvishuwo zveunhu, uyewo kuva chikamu cherongwa hwavo hwekufambisa mberi. Kutsva nyore nyore kune zvinodiwa nemurwere kunovimbisa kuti munhu ari pedyo nekuguma kwehupenyu (apo angasakwanise kuita zvisarudzo zvakare) anogamuchira kutaridzika kunoratidza izvo zvaaida zvambotaurwa.
Chimwe chinhu chinokosha chekuchengetedza kupora ndezvekukurukurirana kune vamwe uye kugoverana manzwiro. Vanhu vazhinji, kusanganisira vashandi vehutano, havanzwi vakasununguka kana vane kodzero yekukurukura nezvekuoma kwezvinhu zviripo kune munhu anofa uye / kana nhengo dzemhuri. Dhigirii hutano hunogona kupa mauto anobatsira anobatsira kudzidzisa uye kutungamirira vose mutarisiri uye murwere kuburikidza nekukurukurirana kunonetsa. Sezvo varwere nevanotarisira avo vanowanzonzwa vachishungurudzika, mapurisa evanhu anopa mikana yekubatana uye kutsigirana mumwe nemumwe, mupfungwa uye nekupa ruzivo uye dzidzo. Mapoka ekutsigira varwere ari kutendeukira kumiganhu yevarwere vemuInternet, iyo inogona kubatsira zvikuru kune avo vanogona kuvharirwa pamabhedha avo. Chikwata Chekugadzirira Kubatsira Kwakawanda (CAPC) yakaisa pamwe nhandare yepaIndaneti yekuchengetedza mazano ekuvandudza nekuvandudza. Nzvimbo yavo yepaIndaneti inopa mauto ekudzidzisa uye mafundo, mikana yekushandira pamwe nevashandi munyika yose, uyewo rubatsiro rwekambani.
Vanoedza kutsigira kutarisira kurapa mune chero mararamiro ekuchengetedza utano uyewo kupa maonero ekuenzanisira uye nhoroondo kune mapurogiramu akasiyana ekuchengetedza chirwere.
Kutarisira Telepalliative
Dzimwe nhaurirano uye miongorori zvinogona kuitika ikozvino. Paunenge wava pedyo nemagumo ehupenyu, munhu kazhinji anoda kubatanidzwa kwechikwata chekuchengetedza vanhu vakawanda, chinogona kusanganisira misha yakawanda yekushanyira uye kuchipatara.
Kuti urege kunetseka-uye zvichida zvisina kufanira-kufamba uye kuendesa, zvino zvinoita kuti upedze dzimwe nhaurirano zvese muhutano nekunyaradza kweimba yako pachako uchishandisa teleconferencing.
Telehospice yave ichitsanangurwa se "muganhu mutsva we telehealthcare delivery." Kukurukurirana kwemasuo akadai sefoni kana vhizimisi musangano inogona kushandiswa kuita mamwe mabasa aizoda kutanga kushanyira kuchipatara. Izvi zvinowedzera hutsva hutsva hwehutano hwekutarisira. Semuenzaniso, kana kune imwe nzira inokosha, isingaitiki inoda murwere, mukoti anogona kudzidzisa vatarisi vemusha kuburikidza nevhidhiyo hurukuro yekuita basa racho.
Nzvimbo dzakazara dzehuterehealth dzinoshandiswawo dziri kuenzaniswa nevarwere vane simba vanogara mune dzimwe nzvimbo dziri kure. Izvi zvinokwanisa kuyera zviratidzo zvinokosha uye kutumira kuverengerwa kune mukoti, saka varwere vanogona kuramba vachiongororwa pakati pe-munhu anoshanyira kunze kwechipatara. Sangano reNational Hospice nePalliative Care Organisation (NHPCO) rave rakabudisa pepa rinotsanangura nzira dzakanakisisa dzekushandisa telehealth. NHPCO yakaedza kufanotaura zvakawanda zvekubatsira kwekutambira telehealth mukuchengetedza kwepamusoro, kusanganisira kufambira mberi kwehutano uye hutsika, nekuvandudza mari yakawanda. Kunyange zvakadaro, vanoonawo zvimwe zvezvinetso, zvakadai sekubhadhara mari, kusarirwa kwehutungamiri hwehutungamiri hwehurongwa uye kushandiswa kwakanyanya kwevashandi vekufambisa telehealth. Kushanda kwevashandi zvakare kwave kuri kuderedza uye kushandiswa kwemasangano akaiswa kwakanonoka munzvimbo dzakawanda. Chidzidzo chevanakiriniki "maonero ehurongwa hweterehealth munzvimbo yekuchengetedzwa kwevanhu vanochengetedza, inotungamirirwa naDkt. Aileen Collier uyo ave ari mukoti wekuchengeta vana munzvimbo dzakasiyana-siyana, akaratidza kuti zvivako zvakasimba zvekugadzirisa nekusimbiswa kwekambani zvakakosha kugamuchirwa. Uyewo, vanachiremba vanotaura kuti vanoona telehealth seipi nzira yekuwedzera basa ravo rekuita, asi kwete sekutsvaga kwekutarisana nemasangano.
Telehealth yakave ichizivikanwa sechinhu chinokosha chitsva mukuchengetwa kwevana mukurapa. Nyanzvi dzakawanda dzinozviona semukana wekutsvaga wekuwana mhuri dzinogara kune dzimwe nzvimbo dziri kure uye dzinotambura nehupenyu hwenzvimbo. Zvipatara izvo zvinoshandisa chirongwa cheterehealth zvinotsanangura nyaya dzakawanda dzinogona kukurukurwa panguva yemavhidhiyo-kutaurirana, somuenzaniso, chiratidzo chekugadzirisa, hutano hwepfungwa, uye zvirongwa zvekukurumidza. Nyaya dzinogona kunge dzikava matambudziko makuru nekuda kwekushayikwa kwekunzwisisa.
Digital teknolojia inogona kuunza mamwe ekutarisira nekusigirwa nevanhu vanoda mumazuva avo ekupedzisira nenzira yakajeka uye yakajeka. Iyo inogona kubatsira vanhu mugove rekupedzisira rehupenyu, pamwe nemhuri dzavo nevatarisi, uye zvimwe zviitiko zvinofanira kutarisirwa mune iri remunyika munguva yemberi. Digital teknolojia haisi iyo inogona kutora nzvimbo dzevanhu dzinokosha dzekutarisira kurapa, asi pane kusunungura michina kuitira kuti vatarisiri nevarwere vanogona kutarisa zviri nani pane izvo zvinonyanya kukosha, munhu wacho.
> Sources
> Armfield N, Young J, Young J, et al. Mhosva yekutengesa telehealth kumusha mucheche hwekuchengeta vana: chirongwa chekugadzirisa. BMC Kuchengetedza Kwekuwedzera . 2013; 12-24
> Bhishopi L, Flick T, Wildman V. Chirongwa chekuchengetedza zvinyorwa zvinyorwa: Maitiro akanaka ekushandisa terehealth mukuchengetedza. 2015. National Hospice uye Palliative Care Organization
> Bradford N, Armfield N, Smith A, Young J, Herbert A. Home telehealth uye vana vane utano hwakanaka: Vanachiremba vanofunga nezvezvinotidzivirira? . BMC Kuchengetedza Kwekuwedzera . 2014; 13 (1); 29
> Collier A, Swetenham K, Kuna T, Currow D, Tieman J, Morgan D. Kugadziriswa kwepurogiramu yekufambisa telehealth munharaunda yekuchengetedzwa kwevanhu: Kuchengetedza kwakanaka kwevakiriniki maonero. Mishonga inobatsira .2016; 30 (4): 409-417
> Institute of Medicine. Kufira muAmerica: Kuvandudza hutano uye kukudza munhu pane zvaanoda pedyo nekuguma kwehupenyu . 2014.