Tsvaga chokwadi chiri shure kwechimiro chekupedzisira-kwe-upenyu kutarisirwa
Pasinei nekuenderera mberi kukura mukuziva uye kugona, hurumende inoramba ichitaura nheyo dzakawanda pamusoro pekuchengetedza nekuchengetedza kwayo. Aya maonero asina kunaka anobatsira pakugadziriswa kwemabasa ekurapa. Izvi zvinosuruvarisa nokuti varwere vakawanda vane zvirwere zvinokonzera hupenyu vanogona kubatsirwa nenhamo yevanyanzvi nekudzivirira zviratidzo, uyewo manzwiro evanhu, zvemagariro evanhu, uye ezvemweya izvo kutarisira kwekuchengetedza kunogona kupa.
Dzidza chokwadi chemashure mana anowanzochengetedza hospice inokonzera kushorwa kwakapoteredza maitiro ekupedzisira-e--hupenyu.
Nhema # 1: Kutarisira Kuchengetedza Kunoreva Kupa Tariro
Vanhu vazhinji vanofunga zvisiri izvo kuti varwere vanosarudza kupinda muchipatara vakasiya tariro , asi chokwadi ndeyekuti avo vanotarisana nehutano hwekudzivirira hupenyu kana chirwere chinogadzirisa vakasarudza kujekesa tariro yavo. Apo murwere akambotarisira mushonga, iye zvino angave iye zvino tariro yekurarama marwadzo-akasununguka . Kune vamwe varwere vanorwara, tariro inogona kureva kuona shamwari iri kure kana hama imwe yekupedzisira kana kutora rwendo kuenda kugungwa. Kune vamwewo, tariro inogona kuva yakajeka seyokuda kupedza nguva yakawanda nevadiwa kana zvichiita kana kuti kugara pamba panzvimbo yekuenda kuchipatara kana kumusha unochengetwa.
Tariro inotarisa zvakasiyana mukuchengetwa kwekuchengetedza asi haina chokwadi. Bato rekuchengetedza varwere rinogona kubatsira varwere kuita mabasa, kuzadzisa zvido, uye kuchengetedza tariro munguva yavo yakasara.
Nhema # 2: Zvimwe Zvokudya Zvandinoda Ndinofanira Kuisa DNR
A do-not-resuscitate (DNR) chirongwa ndechimwe chezvinyorwa zvemutemo zvakasiyana-siyana zvinoshandiswa nevanhu pavanosimbisa hurongwa hwavo hwehutano hwakanaka . DNR zvinoreva kuti haudi kudzorerwa zvakare kuburikidza neCardiopulmonary resuscitation (CPR) kana dzimwe nzira kana kufema kwako kuchiguma kana kuti mwoyo wako urege kurova.
Kusayina DNR haisi mvumo yekugamuchira rubatsiro rwekuchengetedza, zvisinei. Kunyange zvazvo varwere vazhinji vanorwara vachengetedzwa kuva neDNR panzvimbo, DNR haisi chisarudzo chakanaka kune munhu wose .
Chinangwa chekuchengetedza chirwere ndechokunyaradza murwere nemurwere achivatungamirira. Hapana chisarudzo chinofanira kumanikidzwa kune varwere, kusanganisira avo vari muchipatara.
Nhema # 3: Hospice ndeye Chete yevarwere
Kubva muna 2015, inenge nhatu-nehafu (72,3 kubva muzana) yevarwere vakagamuchirwa kune hospice nevasiri vese kanhiyo yekuongorora zvirwere. Izvi zvinoreva kuti kungoita chikamu chimwe chete kubva kune imwechete (27.7 muzana) yevarwere vanochengetedza varwere vaine chinonyanya kuongororwa nekenza.
Zvimwe zvinowanzosava nekenza kuongororwa muchipatara muna 2015 chaiva nehosha yemwoyo (19,3 muzana), dementia (16,5 muzana), chirwere chemapapu (10,9 muzana), uye chirwere cheproke kana coma (8.8 muzana). Kunyange zvazvo vanachiremba vechirwere vechipatara uye vamwe vashandi vekuchengetedza vane ruzivo rwakakwana pakugadzirisa zviratidzo zvekenza, ivo vane unyanzvi hwakakwana pakugadzirisa zviratidzo zvezvimwe zvirwere zvechirwere chisingaperi.
Nhema # 4: Hospice ndeyeVatano Vachida Kurara kana Kuswedera Kufa
Muna 2015, nguva yakareba yehutano hwevarwere vechirwere yaive nemazuva makumi maviri nemaviri. Izvi zvinoreva kuti kune avo vanofungidzirwa vatanhatu kusvika ku1,7 mamiriyoni avo vakagamuchira zvirongwa zvekuchengetedza vanhu gore iroro, hafu yakagamuchira kuchengetwa kwekuchengetedza varwere kwemazuva makumi maviri nemaviri, uye imwe hafu yakaigamuchira kwenguva refu kupfuura iyo.
Ichokwadi, chiyero chemazuva murwere akapiwa kugarisa kwekuchengetedza vachengeti muna 2015 yaiva mazuva 69.5.
Kufa kunotora nguva. Nemhaka yehutano hwakanaka hunoti vashandi vanochengetedza vanogona kugovera varwere vavo, hospice inobatsira zvikuru kana boka rekutarisira rine nguva yekuripa. Varwere uye vadiwa vavo vanoda rubatsiro, ruzivo uye kurapa. Vashandi vezvemagariro evanhu uye vadzidzisi vanoda nguva yekushanda nevarwere nemhuri dzavo kuti vaende navo kunzvimbo yekugamuchirwa. Vanamukoti navanachiremba vanoda nguva yekugadzirisa zvakakwana zviratidzo zvevarwere.
Kubvisa Hospice Kuchengetedza Nhema
Kubvisa kunyadzisa kwakapoteredza kuvepa nekuchengetedza kuguma kwehupenyu kunokosha kune ramangwana rehutano hwehutano.
Pakazosvika 2060, nhamba yevanhu vane makore 65 kana kupfuura muUnited States inotarisirwa kusvika 98.2 mamiriyoni, iyo inenge iine imwe muvana veAmerica. Izvozvo zvinoreva kuti vanhu vakawanda vachararama nemararamiro asingagumi, uye anorayira kugadzirisa kuguma kwehupenyu. Kuparadzanisa zvinyorwa izvi zvina zvinogona kubatsira kutiswededza pedyo nekupa hukuru hwepamusoro, kutarisira unyanzvi kuvarwere vose vanorida pakuguma kwehupenyu.
> Sources:
> NHPCO Facts and Figures: Hospice Care muAmerica. 2016 Edition. National Hospice uye Palliative Care Organization. http://www.nhpco.org/sites/default/files/public/Statistics_Research/2016_Facts_Figures.pdf.
> Mwedzi Yekare yeMelika: May 2015 . US Census Bureau. https://www.census.gov/content/dam/Census/newsroom/facts-for-features/2015/cb15-ff09_older_american_month.pdf