Hospice Care

Chirongwa cheH hospice

Kunyange zvazvo kufambira mberi mune remishonga yemazuva ano uye utachiona hwekuwedzera kwenguva yakawanda huve huchiita zvinhu zvinoshamisa, mamiriro ezvinhu achiri kubuda umo varwere vangave vasingakwanisi kana vasingazofambisi kuedza kurapa hupenyu hunopedza hupenyu, zvirwere, kana chirwere. Muzviitiko izvi, vanhu vakawanda pane kutsvaka kunyaradzwa uye kuchengetedza kuchengetedza hupenyu hwavo munguva yavo yakasara. Saka zvakakosha kuziva kuti kunyatsochengetwa kwakadini, iyo maitiro anowanzopa varwere nemhuri, uye kuti ungaziva sei kana uchiitsvaga zvakakodzera kwauri kana mudiwa.

Chii Chinonzi Hospitality Care?

Hospice inzira yakasiyana-siyana yekurapa inotarisira kunyaradza nekuchengetedza hutano hwehupenyu (kusvika pakukwanisika) kune avo vanotarisana nechirwere chekudzivirira-hupenyu, zvirwere, kana chirwere chekuguma. Mushure mekunge vapinda muchipatara, murwere anowana rubatsiro rwomunhu mumwe oga rwunowanzotarisa hupenyu hwavo hwose kana hupenyu hwose kuburikidza nokutarisa kwete hutano hwake chete asiwo chero hupi zvemuhupenyu, hwemagariro evanhu, uye kunyange zvekunamata / zvechitendero sezvo rufu ruchiuya.

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Mukuwedzera, boka revarwere vevashandi vekuchengetedza vanoramba vachiongorora mamiriro ake ezvinhu uye anovandudza hurongwa hwekuchengeta sezvinodiwa.

Kuchengetwa kwechipatara kunopawo rubatsiro runobatsira, ruzivo, uye ruzivo kumhuri yemurwere nevanodikanwa munguva ino yakaoma-kunyanya kune nhengo yemhuri (s) inopa kutarisira kune murwere-uyewo rubatsiro kuronga kumariro, basa rekuyeuchidza, uye kutsigira kushungurudza kune vanopona mushure mekufa kwevarwere vanorwara.

Kuchengetwa kwechipatara kunowanzogoverwa kwose kwaanoti murwere "kumba." Izvi zvinogona kusanganisira imba yake kana yeimwe nhengo yemumhuri, imba yevanotarisira vakwegura kana kubatsira-nzvimbo yekugara, hospice inpatient facility, kana kunyange chipatara.

Pasinei nenzvimbo iyo, murwere anogamuchira kutarisirwa kubva kumhuri uye akadzidzira vana vanozvipira vachengeti pamwe chete neboka rakasiyana-siyana revashandi vekuchengetedza, sezvakaitwa navanachiremba, vanamukoti, vashandi vomunharaunda, vanobatsira, nevamwe.

Zvimwe zveMabasa

Vazhinji vezvipatara vanopa mabasa anotevera, sezvinotsanangurwa neMurepa weMedare Hospice wakapiwa muUnited States muna 1982:

• Mazano ekupa mazano : Kana zvichidiwa uye / kana zvakakodzera, varwere vanochengetedza varwere uye / kana vadiwa vavo vanogona kugamuchira mabasa ezvekudya, mufudzi kana kutsigirwa mune zvemweya, uye kurasikirwa nekupa mazano kune vemhuri nevatarisiri kwekunenge kwegore rimwe mushure mekunge murwere afa.
• Mushandi wehutano hwekuMusha : Mupi wehutano hwehutano hwemusha anokwanisa kubatsira vose vatano nekutarisira kwavo pachavo, sekugeza kana kupfeka, kana vatarisi veimba vane mabasa avo uye kazhinji vanoshanyira kaviri kana katatu pavhiki, zvichienderana nezvinodiwa.
• Kuongororwa kwebhizinesi uye zvimwe zvidzidzo zvinokosha zvekuongorora
• Zvirwere zvemishonga : Hospice inopa mishonga inofanirwa kuchengetedza nzvimbo yakachengeteka, yakagadzikana, uye ine hanya mumusha wevarwere. Izvi zvinogona kusanganisira mubhedha wezvipatara, chikwama chavasimudza, vanhu vakuru vemaoko, mabhanji, uye / kana kuraswa kwegasifu magasi.

• Mishonga : Hospice inowanzovhara mishonga yose yakabatana nehutano hwekurwara uye iyo inoda kuronga kana kuderedza kurwadziwa nezvimwe zviratidzo.
• Mazano ekurapa : Murwere anopa varwere anotumirwa mukoti wemhosva- avo vanowanzoshanyira imwe kusvika kumatatu mazuva evhiki, zvichienderana nezvinodiwa. Mumwe mukoti anowanzonzi anowanikwawo kune varwere vanochengetedza uye vanochengeta avo maawa 24 pazuva.
• Chiremba kubatanidzwa : Chirwere chechiremba wenguva dzose anowanzoita kuti atarisire pamwe chete nemukuru wezvokurapa.
• Rutsigiro rwekuchengetedza : Iyi fomu yekubatsira kwenguva pfupi, kwenguva pfupi inogona kubatsira mutarisiri wemhuri kugadzirisa kana kudzivisa kuchengetedza kushungurudzika nekutsamwa .
• Nzvimbo dzezvemagariro evanhu : Varwere vanochengetedza varwere vanotumirwa mushandi wehutano hwehutano hwezvehutano kuti vabatsire ivo nemhuri dzavo vane zvido zvavo zvepfungwa uye / kana zvemagariro.
• Therapists : Kana zvakakodzera, hospice inogona kupa mutauri wepanyama, webasa, uye / kana kutaura-mutauro kubatsira murwere.
• Rubatsiro rwekuwedzera: Vamwe vehurumende vanochengetedza varwere vanopawo mamwe mabasa kuburikidza nevanodzidziswa vachengeti vanozvipira uye / kana mapurogiramu ekuritira.

Mukuwedzera, Medicare inotsanangura maitiro mana akaenzana ekuchengetwa kwekuchengetedza -chirwere chekuchengetedza uye chiremba wechirwere chekupa varwere achagadza nzvimbo yakakodzera yekuchengetedza panguva yekugamuchirwa. Sezvo chikamu chemuviri wehutano uye chekuchengetedzwa kwakarongeka, iyi yezinga inogona kuchinjwa sezvinodiwa.

Kuvhara Mari

Maererano neNational Hospice nePalliative Care Organisation (NHPCO), Medicare yakabhadhara kuchengetwa kwakagamuchirwa ne 85.5 muzana yevarwere vanochengetedza varwere muna 2014. Kuti vakwanise kuwana Medicare Hospice Benefit, zvakadaro, munhu anofanira kukodzera Chikamu A chaMedare uye ave chiremba -kanyatsozivikanwa sechirwere chinotapukira nechirwere chemwedzi mitanhatu kana kuti mashomanana-kana chirwere chacho chinotanga nguva yaro, pane zvimwe zvinhu. (Chiremba anogona kugadzirisa murwere kana chirwere chake chinoramba chichiramba asi chinorarama kwenguva refu kupfuura mwedzi mitanhatu.)

Pamusoro pezvo, zvirongwa zvakawanda zvehutano kana zvekutengeserana-hurongwa hwehushuwarisi hunopa hutano hwekuchengetedza maitiro sezvinoitwa zvirongwa zveMedicaid. Kana munhu asina ruzivo rwehutano hunodiwa kana humwe hupfumi hwehupfumi, vazhinji vanochengetedza varwere vacharamba vachigamuchira murwere uye vanovhara mari inoshandisa kushandisa mari yemari kana mari inowanikwa munguva yemunharaunda fundraising zviitiko uye zvimwe zvipo zvinobatsira.

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Pane zvinhu zvinokosha zvinokosha zvinofanira kuonekwa kana ukasarudza mupiki wehutano , uye, zviri pachena, iwe wehutano inshuwarisi yehutano uye mamiriro ezvinhu emari achaita kuti uite chisarudzo chako. Usanetseka kubvunza chiremba wako uye nhengo yehurumende yekuchengetedza mibvunzo pasinei nemamiriro ako-vashoma vanofambisa vachabvumira mumwe munhu anokwanisa kubatsirwa nebasa ravo.

Kazhinji Mishema

Nokuti kune mhando dzakasiyana-siyana pamusoro pekuchengetedza varwere , vanhu vazhinji vanofunga kuti chimiro chekurapa kwakanyanyisa kune avo vanobata nekenza. Maererano neHNPCO, zvisinei, vazhinji vevarwere (63.4 muzana) vakabvumirwa kuenda kuchipatara muna 2014 vasina chekuita chepabonde kutsvaga, zvakadai sekuora mwoyo, chirwere chemoyo, chirwere chemapapu, chirwere, kana kuti coma. Ichokwadi ndechekuti vashandi vekuchengetedza vanogona kupa nekunyaradza kune avo vanotarisana nemhando dzakasiyana-siyana dzehupenyu-kuregeredza mamiriro kunze kwekenza.

Imwe nzira yakawanda yakanyanyofungidzirwa ndeyokuti avo vanopinda chirongwa chekuchengetedza vakasiya tariro kana kuti vanoda kufa. Zvakakosha kunzwisisa kuti kana kutarisirwa kwekuchengetwa kwevakafambisa hakutsvaki kurapa hutano hwemurwere-kukonzera kurwara, zvirwere, kana chirwere, hospice zvakare haakurumidzi rufu kana "kubatsira mumwe munhu kufa." Basa rose rekuchengetedza varwere rinowanzosimbisa hupenyu nokuti rinoona rufu sechikamu chezvinhu zvekusika uye rinobatsira varwere kupedza zvakasara zvehupenyu hwavo sezvakakwana uye zvinyararire sezvinobvira.

Kutarisira Kuwedzera Pamwechete?

Izwi rokuti palliative care uye hospital care rinowanzoshandiswa zvakasiyana, asi ivo hachisi chinhu chimwe chete. Kunyange zvazvo zvose izvi maitiro ehutano hwakananga hunoisa pakurambidza zvirwere zvevarwere nekuvandudza hupenyu hwake hwehupenyu, kutarisira kwepamusoro kunogona kutarisirwa chero nguva uye kwenguva yakareba sezvinodiwa kune mumwe munhu ane chirwere chisingaperi kana chinotyisa . A

Semuenzaniso, asi zvisingarevi kune chirwere ichi, mumwe munhu anonzi ane kenza anogona kutanga kutora kurapa kuti aporese zviratidzo pamwe nemigumisiro yehutano hwake paanenge achirapa kurapwa kwemukenza, zvakadai semakemikirasi kana kuti mahara.

Hospice inoratidzira kutarisira kune avo vanosvika kumagumo ehupenyu, asi kuchengetedza kwepamusoro kunogona kutarisirwa chero nguva pasinei nokuti chirwere ichi kana chirwere chinogona kupora.

Anoparidzira Zvakanaka Kwangu Here Kana Kuti Anodiwa?

Pane hutano uye hunozopinda kupinda purogiramu yekurapa uye chero munhu anotarisana nechirwere chekudzivirira hupenyu, zvirwere, kana chirwere chekugadzirisa anofanira kufungisisa zvose zvavanosarudza, kusanganisira hospice, pamwe nachiremba wavo, mutarisiri (s), uye mhuri. Murwere anowanzogadzirira kurapwa, asi, kana achisarudza kutsvaga kurapwa kunongoreva kukurudzira / kupa nyaradzo panzvimbo yekutsvaga mushonga wehutano hwake, zvirwere, kana chirwere.

Kuchengetwa kwakadai kunogona kusanganisira mishonga yekudzivirira marwadzo, kushungurudzika, kufema kwemhepo (dyspnea) , kudya kwemafuro, mitsipa yemasumbu, kuchenesa, kana zvimwe zviratidzo nemamiriro. Paanenge ari pasi pekuchengetwa kwevarwere, murwere angagamuchira zvirwere zvakanyanya-zvinorwadza, zvakadai sekuwedzerwa ropa, chemotherapy, kana kuti rayation, apo chinangwa chiri kuderedza kurwadziwa kwake uye kusuruvara asi kwete kuporesa chirwere chacho.

Kunyange zvazvo kuchengetwa kwekuchengetwa kwevakafambisa kunowanzoenderana nemurwere ane tarisiro yeupenyu kwemwedzi mitanhatu kana kuti shomanana, zvakadaro zvinongororwa (vamwe varwere vanofa nokukurumidza uye vamwe vanorarama kwenguva refu). Ipo murwere anokwanisa kuwana mazamu ekuchengetedza varwere, zvisinei, zvakanyanya kubatsiro iye-uye avo vemhuri yake nevanodikanwa-vachagamuchira kubva kune imwe nzira yakasiyana yekurapa.

> Sources:

> "Kukodzera kugadziriswa kwezvipatara." National Hospice uye Palliative Care Organization. Yakadzorerwa musi waAugust 14, 2016. http://www.nhpco.org/hospice-eligibility-requirements

> "NHPCO Facts and Figures: Hospice Care muAmerica," Nyama 2015. National Hospice uye Palliative Care Organization. Yakadzorerwa musi waAugust 16, 2016. http://www.nhpco.org/sites/default/files/public/Statistics_Research/2015_Facts_Figures.pdf