Nthaŵi zambiri chisamaliro cha chipatala sichinamvetsetse bwino. Chowonadi imfa ndi nkhani yoopsya koma odwala ndi odwala kwambiri kuposa kufa koma zingathandize munthu wokondedwa kufa ndi ulemu ndi chisomo. Kumvetsetsa zina mwazochitika mu chipatala kungathandize kwambiri kuchepetsa mantha ndikulimbikitsa kumvetsetsa. Ndipotu, zalembedwa kuti kulembedwa kwa anthu odwala kuchipatala kumathandiza kuti mapeto a moyo asamalire.
Bungwe la National Hospice and Palliative Care Organization ndilopangitsa kuti amvetsetse malo ogulitsa odwala . Tawonani mofulumira pa ziwerengero zina.
Ziwerengero
- Mu 2014, odwala pafupifupi 1.6 miliyoni adalandira thandizo kuchokera kuchipatala .
- Amayi anayi mwa khumi aliwonse ku United States akuyang'aniridwa ndi pulogalamu yachipatala.
- Medicare odwala opatsirana masiku atatu kapena kuposerapo operekera kuchipatala anakula kufika 43.3%.
- Anthu omwe ali ndi malingaliro opatsirana pogonana adakula ndi 33.6%.
- Utali wautali wa utumiki ndi masiku 19.7.
- Chisamaliro chochuluka cha odwala, 58.9% amalandira kunyumba, zomwe zimaphatikizapo nyumba zaukhondo komanso malo ogona.
- Chiwerengero cha odwala odwala omwe akusamalidwa m'chipatala cha odwala ndi 31.8%.
Kusanthula Kwambiri
Pamene chisamaliro cha odwala kuchipatala ku United States chinakhazikitsidwa m'ma 1970, odwala khansa ndiwo anali ambiri mwa anthu odwala matendawa. Masiku ano, matenda opatsirana khansa amakhala osachepera theka la onse odwala matendawa.
Panopa, anthu oposa 25 peresenti ya imfa ya ku America tsopano amayamba ndi khansa, ndipo ambiri amamwalira chifukwa cha matenda ena.
Matenda anayi akuluakulu omwe sali odwala khansa omwe amavomerezedwa kuchipatala ndi matenda a mtima (14.3%), osadziwika (13.0%), dementia (13.0%), ndi matenda a m'mapapo (8.3%).
Izi ndi zofunika kudziwa pamene mukufuna kufalitsa zowonjezera zomwe mukubwezera komanso kuyang'ana kuti muwonjezere zida zamagulu othandizira odwala.
Mankhwala a Medicaid hospice amawerengedwa malinga ndi chiwerengero cha hospice chakale chomwe chinakhazikitsidwa pansi pa Medicare. Madera a Medicaid ogulitsa tsiku ndi tsiku a chisamaliro ndi mautumiki operekedwa kuchokera pa October 1, 2011, kupyolera pa September 30, 2012, ndi awa:
- Kusamalira Kwawo Kwawo - $ 161.89
- Kusamalira kwapakhomo kwapakhomo - $ 944.79
- Kusamalira odwala matenda opatsirana - $ 167.45
- Chisamaliro Chachilendo Chachilendo - $ 720.11
Mapulogalamu Amaperekedwa
Malinga ndi National Health Statistics, ntchito zazikulu zoperekedwa ndi gulu la osamalira odwala ndi awa:
- Mapulogalamu Amankhwala Amankhwala
- Ntchito Zopusa kapena Zauzimu
- Mapulogalamu Amankhwala
- Mapulogalamu a Zakudya
- Ntchito Zodzipereka
Anamasulidwa kuchipatala odwala m'magulu omwe anali mbali ya unyolo anali okhoza kulandira thandizo la madokotala kusiyana ndi omwe adatulutsidwa m'chipatala odwala m'magulu omwe sanali mbali ya unyolo.
Zina mwazinthu zothandiza:
- Zothandizidwa ndi ADLs
- Mapulogalamu a Homemaker
- Kusamalira kwapakhomo kwapakhomo
- Services Resende
- Ntchito Zothandizira
Kugwiritsira ntchito maulendo apamwamba kapena mtundu wina wa Advanced Care Planning
Ambiri omwe adasamalidwa kuchipatala anali ndi chithandizo chamtsogolo kuyambira 75,8% mwa anthu a zaka zapakati pa 45 mpaka 93.1% mwa anthu omwe ali ndi zaka 85 ndi kupitirira.
Oposa theka (26,9%) onse omwe adatulutsidwa kuchipatala anali ndi mitundu itatu kapena iwiri yowonetsera chithandizo chamtsogolo. Chida chodziwika bwino chokonzekera chisamaliro pakati pa odwala omwe ali m'manja mwa anthu odwala omwe anali kuchipatala chinali dongosolo lopanda kuchitapo kanthu (80.2%), motsogozedwa ndi mphamvu yokhala ndi mphamvu ya aphungu (36.4%) ndi moyo wathanzi (25.3%).
Kwa ogula, ndikofunika kukhala ndi malamulo apamwamba (kukhala ndi moyo) m'malo mofotokozera zofuna zanu zaumoyo ndipo ndizofunikira kukhazikitsa mphamvu yothandizira odwala omwe angatsatire zofuna zanu ngati simungathe kulankhulana iwo.