Murwere ane kodzero yekuzivisa zvakakwana
Medicare inoshongedza vanhu vakawanda vanopfuura makore makumi matanhatu nemashanu pane mamwe mapurisa emishuwarenzi akabatanidzwa. Ichokwadi, inobatanidza mamiriyoni 55 eAmerica-avo vane utano, avo vane zvirwere zvisingaperi, uye avo pamagumo ehupenyu.
Chokwadi chisina kunaka ndechokuti mamiriyoni 1,9 aMedare-vanhu vakwegura vanopfuura gore negore. Izvo zvingava zvisina hanya neMurengeti kuti usatarise kuguma kwehupenyu hwehupenyu.
Ndeipi chaiyo iyo Medicare inobata uye iwe unogona sei kubatsirwa nemabasa iwayo?
Chii Chinonzi Chirevo Chinokurumidza?
Kana iwe uchiziva kuti chii chisingadzokeri kurongeka (DNR), iwe unoziva chimwe chinhu pamusoro pemirayiridzo yakakwirira . Nheyo dzepamusoro-soro ndezvinyorwa zvinotsanangura kuti unoda kutarisirwa sei munyaya iyo iwe haugoni kuita zvisarudzo zvezvechiremba.
Kurarama zvido uye / kana simba rakasimba remweya ndiyo inonyanya kutungamirira mirayiridzo. Aya mabhuku anotsanangura zvaunoda uye / kana kupa sarudzo yehutano kuti ikuitire iwe kana iwe uchinge usingazivi kana kurwara zvachose. Iwe unogona kusarudza kutevera kana kudzivisa hupenyu-kuwedzera kurapwa kwakadai seku:
- Kuwedzerwa ropa
- Cardiac defibrillation
- Cardiopulmonary resuscitation (CPR)
- Dialysis
- Kudyisa tubhu
- Ventilator kutsigira
Mune zvinyorwa izvi, unogonawo kutsanangura zvaunoshuvira kuti uchengetedze nekupa zvipo .
Hazvisi nyore nguva dzose kutarisana nehupenyu hwako pachako, asi kuti utarise kuguma kwehupenyu nekuremekedzwa, zvinokosha kutora nguva yekufunga nezvenyaya idzi.
Pasina hupenyu huchada kana simba rakasimba remweya, nhengo dzemhuri dzingave dzisina chokwadi nezvido zvako uye zvingakuisa pasi pekutarisira iwe kana kuti usingadi.
Kukurukurirana kwemashoko epamusoro kunosanganiswa sechikamu che "Welcome to Medicare" kushanyira uye kutarirwa kwe "Wellness" yegore negore .
Mugumo weHupenyu Kurayira
Mhirizhonga pamusoro pe "panhivi dzekufa" yakatanga midzi munguva yemutambo wekutanga wegore ra2008 apo apo vatsigiri vemazidhendi vehurumende Sarah Palin vakagadzira nguva.
Akatsoropodza urongwa hwaObamacare hwekuguma kwehupenyu huri kupa mazano, achitaura kuti yaiva nzira yevakuru vehurumende kuti vamanikidze varwere vakwegura uye vakaremara kupinda muchipatara. Hapana chingave chiri mberi kubva kuchokwadi.
Vanhu vazhinji vanotevedzera kurapa kwechisimba pamagumo ehupenyu nokuti havazivi nezvevamwe vanogona kusarudza. Izvi zvinogona kutungamirira kune zvipatara zvisina kufanira kana kurapwa kusina kunaka kwemigumisiro. Kunyange zvazvo vanhu vakawanda vangasarudza kutevera kurapwa uku zvisingaiti, vamwe vangasarudza kuzvidzora vachida mamwe matanho anochengetedza. Vanofanira kuziva kuti vane chisarudzo.
Kuguma kwehupenyu kupa mazano mukana wekudzidza pamusoro pezvaunogona kuita, kwete kuzvipira kune chisarudzo. Chiremba anofanira kunge ari kuuya uye akupei ruzivo rwese rwaunoda kuziva nezvehutano hwako uye huripo huripo huripo huripo huripo huripo hukubatsira kuronga, zvisinei kuti zvirapa izvi zvinotyisa kana kuti zvinotyisa. Anofanira kukupa zvinotarisirwa. Chiremba haana mari yekukurudzira kuti iwe usayine murairo wakafambiswa kana zvimwe. Chiremba anongoda nguva yekurondedzera huwandu hwakazara hwezvasarudzo.
Medicare Muviri Wekuguma Kwoupenyu Kupa mazano
Pasati gore ra2016, Medicare haina kuvhara kuguma kwehupenyu kupa mazano.
Iwe unogona kutaura nachiremba wako pamusoro pekufambiswa kwemashoko ekufambisa sechikamu chekugamuchirwa ku Medicare Exam kana yeWorld Wellness Visit, asi izvi zvinoshanyira zvinotarisirwa kuvhara mimwe mizhinji yebasa uye nyaya dzezvehutano. Inosiya nguva shomanana yekugadzirisa nyaya yacho nenzira inobatsira.
Zvichitaura zvishoma, kushanyirwa kwemaminitsi gumi nemakumi maviri kana makumi maviri hakuzove kwakakwana kukurukura nyaya dzakaoma dzekufa nekufa. Kazhinji, kushanya kakawanda kunodiwa kudzidzisa nekukurukura maitiro akasiyana-siyana anowanikwa kune mumwe munhu ari kupedzisa zvirongwa zvehupenyu. Murwere, mhuri yake, uye vadiwa vake vakakodzera nguva yekudzidza zvakawanda pamusoro pemamiriro ezvinhu kubva kumativi ose vasati vasarudza chisarudzo.
The Institute of Medicine yakarondedzera mazano avo kumagumo ekupa mazano kwehupenyu muna 2014. The Care Planning Act yegore ra2015 yakatangwa neDemo Senator Mark Warner weVirginia uye Republican Senator Johnny Isakson weGeorgia. Masangano anopfuura makumi mana, kusanganisira AARP, American Medical Association, National Council on Aging uye National Hospice uye Palliative Care Organization, yakatsigira mutemo.
Nekuda kwekuedza uku, Medicare yakagumisa kuguma kwehupenyu kupa mazano sekubatsira kunobatsira muna 2016. Zvino iwe une nguva yose yaunoda kutaura pamusoro pezvinokosha zvikuru.
Shoko kubva
Medicare inokubvumira nguva yekutaura nachiremba wako pamusoro pekuraira kwegore negore, asi izvozvo zvingasave nguva yakakwana yekusvika pamwoyo wenyaya yacho. Kana iwe uine chirwere chisingaperi, une mamiriro ekurapa asingagumi, kana iwe uri kungoenda mumakore, iwe ungada nguva yakawanda yekukurukura zvirongwa zvako zvemangwana. Kuguma kwehupenyu kupa mazano, rubatsiro ikozvino rwakaputirwa neMedare, inogona kukupa iwe sarudzo iyoyo.
> Sources:
> Mazano ekufambisa uye Kuchengetedza kwenguva refu.Medicare.gov. https://www.medicare.gov/manage-your-health/advance-directives/advance-directives-and-long-term-care.html.
> 10 FAQs: Basa reMedare muKuguma kweUpenyu. Henry J. Kaiser Family Foundation. http://kff.org/medicare/fact-sheet/10-faqs-medicares-role-in-end-of-life-care/. Yakapedzwa musi waSeptember 26, 2016.
> FastStats: Older Personal's Health. Nzvimbo dzeDaase Control and Prevention, National Centre for Health Statistics. https://www.cdc.gov/nchs/fastats/older- american-health.htm. Yakapedzwa musi waMay 3, 2017.
> Hospice uye Ressident Care. Medicare.gov. https://www.medicare.gov/coverage/hospice-and-respite-care.html.