Care Hospice

Zachidule za Hospice

Ngakhale kuti kupita patsogolo kwa zamankhwala zamakono komanso zamakono opanga moyo wochulukitsa moyo zakhala zikuyenda bwino kwambiri, pakadakalipo mavuto omwe odwala sangathe kapena samayesetsa kuchita zinthu zochiritsa matenda, matenda, kapena chikhalidwe. M'mayesero amenewa, anthu ambiri amapeza chitonthozo ndi chisamaliro kuti akhalebe ndi umoyo wawo pa nthawi yawo yotsalayo. Choncho ndikofunikira kudziŵa chomwe chithandizo chenicheni cha odwala chili, ntchito zomwe zimapereka kwa odwala ndi mabanja, ndi momwe mungadziwire ngati mukufuna kapena wokondedwa wanu.

Kodi Chisamaliro Chimakhala Chiyani?

Hospice ndi njira yapadera ya chithandizo chamankhwala chomwe chimapereka chitonthozo ndi kusunga umoyo wa wodwalayo (ngati momwe zingathere) kwa iwo omwe akudwala matenda olepheretsa moyo, matenda, kapena chikhalidwe chothetsera. Atatha kulowa kuchipatala, wodwala amalandira chisamaliro chaumwini chomwe chimaganizira kwambiri za moyo wawo wonse, osati pokhapokha pokhapokha ngati akudwala, komanso kuti ali ndi zosowa zauzimu kapena zachipembedzo pamene imfa ikuyandikira.

• Malangizo 5 Oyenera Kusankhira Wokondedwa Wanu

• Kodi Ndi Nthawi Yabwino Yotani Posamalira Thandizo lachipatala Ndi Khansa Yam'mimba?

Kuwonjezera apo, gulu la odwala la odwala opaleshoni nthawi zonse limayesa vuto lake ndipo limasintha dongosolo la chisamaliro ngati likufunikira.

Thandizo lachipatala limaperekanso chithandizo chothandiza, zofunikira, ndi chidziwitso kwa banja la odwala komanso okondedwa panthaŵi yovutayi makamaka makamaka kwa aliyense m'banja lanu amene amapereka chisamaliro kwa wodwalayo, komanso kuthandiza kukonzekera maliro, msonkhano wachikumbutso, komanso thandizo lachisoni kwa opulumuka pambuyo pa imfa ya wodwalayo.

Thandizo lachipatala limaperekedwa kulikonse kumene wodwala akuitanira "kunyumba." Izi zikuphatikizapo nyumba yake kapena ya membala, nyumba yosungirako okalamba kapena malo othandizira, malo osungirako odwala matenda odwala, kapena chipatala.

Mosasamala kanthu za malo, wodwalayo amalandira chisamaliro kuchokera kwa mamembala ndi ophunzitsidwa opaleshoni ogwira ntchito komanso ogwira ntchito osiyana siyana a odwala, monga madokotala, anamwino, ogwira nawo ntchito, othandizira ena, ndi ena.

Mapulogalamu Amtundu

Ambiri ogwira ntchito kuchipatala amapereka maulendo otsatirawa, monga momwe adafotokozera Medicare Hospice Benefit yomwe inaperekedwa ku United States mu 1982:

• Malangizo othandizira uphungu : Ngati n'koyenera komanso / kapena oyenera, odwala odwala ndi / kapena okondedwa awo akhoza kulandira thandizo la zakudya, abusa kapena thandizo lauzimu, ndi uphungu woperewera kwa banja ndi osamalira kwa chaka chimodzi pambuyo pa imfa ya wodwalayo.
• Wothandizira zaumoyo kunyumba : Wothandizira wathanzi wathanzi angathandize odwala onse kusamalira okha, monga kusamba kapena kuvala, kapena osamalira nyumba ndi maudindo awo ndipo nthawi zambiri amayendera kawiri kapena katatu pa sabata, malingana ndi zosowa.
• Kuyeza kwa Laboratory ndi maphunziro ena oyenerera opatsirana
• Zipangizo zamankhwala : Zipatala zimapereka zipangizo zofunika kuti malo odwala azikhala abwino, omasuka komanso osamala. Zophatikizirazi zingakhale monga bedi lachipatala, njinga ya olumala, makapu akuluakulu, mabanki, ndi / kapena magalasi a latex.

• Mankhwala : Chipatala chimayambira mankhwala onse okhudzana ndi matenda opatsirana odwala ndi omwe akufuna kuti athetse kapena kuchepetsa ululu ndi zizindikiro zina.
• Maubwino ochizira : Achipatala amapatsidwa a nurse wothandizira milandu amene amayendera masiku atatu pa sabata, malingana ndi kufunikira kwake. Namwino wothandizira amapezekanso kwa odwala odwala ndi owasamalira awo maola 24 pa tsiku.
• Udokotala kutenga nawo mbali : Udokotala wodwala wodwala nthawi zambiri amamupatsa chisamaliro mogwirizana ndi wotsogolera mankhwala wodwala.
• Chisamaliro chokhazikika : Njira iyi yothandiza kwa kanthawi, ing'onoing'ono ingathandize wothandizira banja kuti achepetse kapena kupeŵa kusamalira nkhawa ndi kupsinjika maganizo .
• Ntchito zothandiza anthu : Odwala omwe amapita kuchipatala amapatsidwa antchito othandizira ogwira ntchito zachipatala kuti awathandize iwo ndi mabanja awo ndi zosowa zawo zamaganizo.
• Odwala : Ngati kuli koyenera, odwala amatha kupereka mankhwala, okhudza ntchito, ndi / kapena oyankhula chinenero kuti athandize wodwalayo.
• Thandizo Lowonjezera : Mabungwe ena ogwira ntchito kuchipatala amaperekanso zina zowonjezera kudzera mwa odzipereka odzipereka ogwira ntchito komanso / kapena mapulogalamu othandiza.

Kuonjezerapo, Medicare imatanthawuza magulu anayi osiyana siyana a chipatala - chipatala ndi dokotala wodwala wodwalayo adzazindikira mlingo woyenera wa chisamaliro panthaŵi yovomerezeka. Monga mbali ya chisamaliro cha wodwalayo ndi chosinthidwa, msinkhu uwu ukhoza kusinthidwa ngati mukufunikira.

Kuphimba Malipiro

Malinga ndi bungwe la National Hospice and Palliative Care Organization (NHPCO), Medicare amapereka chisamaliro chothandizidwa ndi 85.5 peresenti ya odwala opaleshoni m'chaka cha 2014. Komabe kuti ayenerere mwayi wa Medicare Hospice Benefit, munthu ayenera kukhala ndi gawo la mankhwala a Medicare ndi kukhala dokotala -wotsimikizika ngati wodwala odwala ali ndi matenda odwala miyezi isanu ndi umodzi kapena yocheperapo-ngati matendawa amatha, mwazinthu zina. (Dokotala akhoza kukonzanso wodwalayo ngati matenda ake akupitirirabe koma amakhala miyezi isanu ndi umodzi.)

Kuonjezera apo, mapulani a inshuwalansi ambiri kapena ogulitsa malonda amapereka chithandizo chachipatala monga momwe amapangira mapulogalamu a Medicaid. Ngati munthu sakusowa chithandizo cha inshuwaransi kapena ndalama zina, ambiri ogwira ntchito kuchipatala adzalandirabe wodwalayo ndikupeza ndalama zomwe zimaperekedwa pogwiritsa ntchito ndalama kapena ndalama zomwe zimalandira panthawi yomwe anthu amapeza ndalama zothandizira ndalama komanso malo ena othandizira.

• Odzipereka Achipatala Apadera Amatsimikizira Kuti Palibe Munthu Amene Amafa Yekha

• Kodi Moyo Wanga Wa Inshuwalansi Wotani ku Hospice Care?

Pali zifukwa zingapo zofunika kuziganizira pakusankha wopereka chipatala , ndipo, mwachiwonekere, inshuwaransi yanu ya zachipatala komanso mavuto azachuma adzakhudza chisankho chanu. Musazengereze kufunsa dokotala wanu ndi bungwe lopempha anthu odwala matenda mafunso ngakhale mutakhala kuti muli ndi vuto lotani-anthu ochepa omwe angathe kulandira chithandizo angapangitse munthu wina amene angapindule ndi ntchito zawo.

Maganizo Olakwika

Chifukwa pali nthano zosiyanasiyana zokhudzana ndi odwala , anthu ambiri amaganiza kuti chithandizo chachipatalachi ndi cha anthu omwe ali ndi khansa. Komabe, malinga ndi NHPCO, ambiri mwa odwala (63.4 peresenti) adaloledwa kupita kuchipatala mu 2014 ndi matenda omwe sali odwala khansa, monga matenda a mtima, matenda a m'mapapo, matenda a zilonda zam'mimba, kapena azimayi. Chowonadi ndi chakuti akatswiri ogwira ntchito kuchipatala angapereke chisamaliro ndi chitonthozo kwa iwo omwe akukumana ndi moyo wambiri-kuchepetsa mikhalidwe yopitirira khansa.

Chinthu china cholakwika chomwe anthu ambiri amakhulupirira ndi chakuti omwe akulowa pulogalamu yachipatala amasiya chiyembekezo kapena akufuna kufa. Ndikofunika kumvetsetsa kuti ngakhale chisamaliro cha odwala chisamayesetse kuchiza matenda oletsa moyo, matenda, kapena chikhalidwe, wodwalayo sachitanso imfa kapena "kuthandiza wina kufa." Ntchito yayikulu ya chisamaliro chachipatala nthawi zambiri imatsimikizira moyo chifukwa imayang'ana imfa monga gawo lachirengedwe ndikuthandiza odwala kuthera miyoyo yawo yonse mokwanira komanso moyenera.

Kodi Chisamaliro Chokhalitsa Ndichochimodzimodzi?

Zomwe zimasamalidwa bwino ndi kusamalira alendo zimagwiritsidwa ntchito mosasinthasintha, koma kwenikweni sizofanana. Ngakhale kuti njira zonsezi zapadera zimathandiza kuchepetsa zizindikiro za wodwala komanso kumuthandiza kuti azikhala ndi moyo wathanzi , angathe kusamalidwa nthawi iliyonse komanso ngati akufunikira kukhala ndi vuto linalake kapena loopsya. . A

Mwachitsanzo, ngakhale kuti matendawa sali ochepa, munthu wodwala khansa angayambe kulandira chithandizo kuti asamalire matenda komanso zotsatira zake za mankhwala omwe akudwala, monga chemotherapy kapena radiation.

Hospice ndi mawonekedwe ochepetsera anthu omwe akuyandikira mapeto a moyo, koma chisamaliro chosamalidwa chikhoza kuperekedwa nthawi iliyonse mosasamala kanthu kuti matenda kapena chikhalidwe cha wodwalayo chikhoza kuchiritsidwa.

Kodi Ndilo Chipatala Choyenera Kwa Ine Kapena Wokondedwa?

Pali zowonjezereka komanso zowonongeka polowetsa pulogalamu yachipatala ndi aliyense amene akudwala matenda, matenda, kapena matenda otha msinkhu ayenera kukambirana zonse zomwe angasankhe, kuphatikizapo chipatala, ndi dokotala, osamalira, komanso banja lawo. Wodwala kawirikawiri amakhala wokonzeka kulandira chipatala, komabe, akasankha kuchita zochizira amangofuna kulimbikitsa / kutonthoza m'malo mofuna kuchiza matenda, matenda, kapena chikhalidwe chake.

Chithandizo chamankhwala choterochi chingakhale ndi mankhwala ochepetsa kupweteka, kunyowa, mpweya wochepa (dyspnea) , kusowa kudya, kupweteka kwa minofu, kuyabwa, kapena zizindikiro zina. Ali pakhomo lachipatala, wodwalayo angalandire mankhwala oopsa kwambiri, monga kuika magazi, chemotherapy, kapena radiation, pamene cholinga chake ndi kuchepetsa ululu ndi mavuto koma osati kuchiza matenda.

Ngakhale chisamaliro cholandirira alendo ndi choyenera kwa wodwala amene ali ndi moyo wa miyezi isanu ndi umodzi kapena yocheperapo, izi zimangokhala zongoganizira (odwala ena amafa msanga ndipo ena amakhala ndi nthawi yayitali). Woyamba wodwala akhoza kupita kuchipatala, komabe phindu lalikulu iyeyo ndi achibale ake ndi okondedwa ake adzalandira kuchokera ku chipatala chapaderachi.

> Zotsatira:

> "Zokwanira za chipatala." Bungwe la National Hospice and Palliative Care Organization. Inapezedwa pa August 14, 2016. http://www.nhpco.org/hospice-eligibility-requirements

> "Zowonadi za NHPCO: Hospice Care ku America," September 2015. Bungwe la National Hospice and Palliative Care Organization. Inabweretsedwa pa August 16, 2016. http://www.nhpco.org/sites/default/files/public/Statistics_Research/2015_Facts_Figures.pdf