Wodwala Ali Ndi Ufulu Wokudziwitsani Kwathunthu
Medicare ili ndi anthu ambiri oposa zaka 65 kuposa mapulani ena a inshuwalansi pamodzi. Ndipotu, imaphatikizapo anthu 55 miliyoni a ku America-omwe ali ndi thanzi labwino, omwe ali ndi matenda aakulu, komanso omwe ali kumapeto kwa moyo.
Chowonadi chosautsa n'chakuti anthu 1,9 miliyoni a Medicare amapita chaka chilichonse. Kungakhale kusaweruzika kwa Medicare kuti asamathetse mavuto a moyo.
Kodi chithandizo cha Medicare chikutani makamaka ndipo mungapindule bwanji ndi mautumikiwa?
Kodi Ndondomeko Yabwino Yotani?
Ngati mudziwa kuti kusinthika (DNR) ndi chiyani, mukudziwa zambiri za malangizo apamwamba . Malamulo apamwamba ndi malemba omwe amatsindika momwe mukufuna kusamalirira ngati simungathe kupanga zosankha zachipatala.
Zofuna zamoyo ndi / kapena mphamvu yokhazikika ya oimira milandu ndiwo malamulo apamwamba kwambiri. Mapepalawa afotokoze zofuna zanu ndipo / kapena apatseni wothandizira zaumoyo kuti akuchitirani inu ngati mulibe chidziwitso chosatha kapena akudwala. Mungasankhe kuchita kapena kusamalila chithandizo chamankhwala chowonjezera monga:
- Kuika magazi
- Kusokoneza mtima kwa mtima
- Kukhazikitsanso magazi (CPR)
- Dialysis
- Kudyetsa timachubu
- Ventilator thandizo
M'zinthu izi, mungathenso kufotokoza zofuna zanu zothandizira pafupipafupi komanso zopereka za bungwe .
Si nthawi zonse zokonzeka kukumana ndi zakufa kwanu, koma kuti muthane ndi mapeto a moyo ndi ulemu, nkofunika kutenga nthawi yoganizira izi.
Pokhapokha kukhala ndi moyo wokhutira kapena mphamvu yotsutsa, abambo angakhale osatsimikiza za zofuna zanu ndipo akhoza kukuthandizani kuti mukhale kapena simukufuna.
Zokambirana za malangizo apamwamba zikuphatikizidwa ngati gawo la "Kukulandizani ku Medicare" ndi maulendo a pachaka omwe akuyendera bwino .
Mapeto a Moyo Uphungu
Mtsutso pa "zigawo za imfa" poyamba unayamba mizu pa mpikisano wa pulezidenti wa 2008 pamene pulezidenti wotsatizidenti wa pulezidenti Sarah Palin adagwiritsa ntchito nthawiyi.
Iye adatsutsa ndondomeko ya Obamacare ya kutha kwa uphungu wamoyo, kunena kuti inali njira ya maofesi kukakamiza okalamba ndi olumala kupita kuchipatala. Palibe chomwe chingakhale chowonjezera pa choonadi.
Anthu ambiri amayesetsa kulandira chithandizo chamankhwala kumapeto kwa moyo chifukwa sakudziwa zina zomwe angasankhe. Izi zingachititse kuzipatala zosafunikira kapena mankhwala omwe alibe mavuto. Ngakhale anthu ambiri angasankhe kutsatira mankhwalawa mosasamala kanthu, ena angasankhe kuwatsutsa pofuna kukonza njira zowonjezereka. Ayenera kudziwa kuti ali ndi chisankho.
Mapeto a uphungu wa moyo ndi mwayi wophunzira za zomwe mungasankhe, osati kudzipereka pa chisankho. Dokotala ayenera kuti akubwera ndikukupatsani zonse zomwe mukufunikira kuti mudziwe zaumoyo wanu komanso zomwe mungapeze kuti mukuthandizeni kukonzekera, kaya mankhwalawa ndi owopsa kapena ovuta. Ayenera kukupatsani malingaliro abwino. Dokotala alibe zolimbikitsa zachuma kuti akulembeni malangizo apamwamba kapena ayi. Dokotala akungofuna nthawi kuti afotokoze zonse zomwe mungachite.
Medicare Maphunziro a Kutha kwa Moyo Uphungu
Zisanafike chaka cha 2016, Medicare sanaphimbe mapeto a uphungu wamoyo.
Mungathe kuyankhula ndi dokotala wanu za malangizo apamwamba monga gawo la Kulandiridwa kwa Medicare Exam kapena Ulendo wa Chaka Chatsopano, koma maulendowa akukonzekera ntchito zina zambiri ndi zamankhwala. Zimasiya nthawi yochepetsera nkhaniyi m'njira yodalirika.
Mwachidule, kuchezera kwa mphindi 15 kapena 20 sikukwanira kukambirana nkhani zovuta za imfa ndi kufa. Kawirikawiri, maulendo ambiri amafunika kuti aphunzitse ndikukambirana zosiyana siyana zomwe zimapezeka kwa munthu amene akutha mapulani a moyo. Wodwala, banja lake, ndi okondedwa ake akuyenerera nthawi kuti aphunzire zambiri za vutoli kumbali zonse asanadziwe bwino.
Institute of Medicine inalongosola zomwe adalangizidwa pamapeto a uphungu wamoyo mu 2014. Careing Act Act ya 2015 inayambitsidwa ndi Senator Democrat Mark Warner wa Virginia ndi Republican Senator Johnny Isakson waku Georgia. Mabungwe oposa 40, kuphatikizapo AARP, American Medical Association, National Council on Aging ndi National Hospice ndi Palliative Care Organization, adavomereza malamulo.
Chifukwa cha khamali, Medicare adalangiza uphungu wa uphungu wa moyo monga chithandizo chophatikizidwa mu 2016. Tsopano inu nthawi zonse mumayenera kukambirana za zofunika kwambiri.
Mawu ochokera
Medicare imakupatsani nthawi yokambirana ndi dokotala za malangizo apamwamba chaka chilichonse, koma izo sizingakhale nthawi yokwanira kuti mufike pamtima pa nkhaniyo. Ngati muli ndi matenda opatsirana, muli ndi matenda aakulu, kapena mukungopitirira zaka zambiri, mungafunikire nthawi yambiri kuti mukambirane zolinga zanu zamtsogolo. Mapeto a uphungu wamoyo, phindu lomwe tsopano likugwiritsidwa ndi Medicare, lingakupatseni inu chisankho chimenecho.
> Zotsatira:
> Malangizo Otsogolera ndi Zosamalira Zakale.Medicare.gov. https://www.medicare.gov/manage-your-health/advance-directives/advance-directives-and-long-term-care.html.
> 10 Ma FAQs: Udindo wa Medicare mu Mapeto a Moyo Wosatha. Henry J. Kaiser Family Foundation. http://kff.org/medicare/fact-sheet/10-faqs-medicares-role-in-end-of-life-care/. Idasinthidwa pa September 26, 2016.
> FastStats: Health Old Person's Health. Maofesi a Kuletsa ndi Kuteteza Matenda, Bungwe la National Health Statistics. https://www.cdc.gov/nchs/fastats/older- american-health.htm. Kusinthidwa pa Meyi 3, 2017.
> Chisamaliro ndi malo osamalira alendo. Medicare.gov. https://www.medicare.gov/kofunika/hospice-and-respite-care.html.