Kodi muli ndi chidwi ndi ntchito ya unamwino wa maganizo? Phunzirani zambiri za zomwe muyenera kuyembekezera m'mamwino odwala matenda a maganizo, ndipo ngati izi zingakhale zoyenera kwa inu.
Malingaliro a Mmodzi Wamwino
"Ndine wokondwa kuti ndiri pano ... mapemphero anga ayankhidwa ndikuchoka pano." Zomwezo ndizo zomwe Nora Fabrigar, RN , adalamula namwino ku White Memorial Hospital kum'mwera kwa California, ponena za ntchito yake yothandizira anthu odwala matenda a maganizo, omwe amadziwikanso ngati mankhwala okhudza khalidwe.
Ubwino ndi Mavuto
Uchikulire wa matenda a maganizo amapatsa mphoto zambiri koma sichikhala ndi mavuto ambiri, kuphatikizapo kunyada kwa matenda a maganizo komanso kusowa kuzindikira. Mavuto ena nthawi zambiri ndi osagwirizana ndi odwala omwe ali ndi mankhwala komanso malangizo ena omwe nthawi zina amachititsa zachiwawa pakati pa odwala kapena ngakhale ogwira ntchito. Izi sizilepheretsa anamwino omwe ali ndi chilakolako cha zamaganizo, komabe. Kwa anamwino odziperekawa, ubwino wa anamwino odwala matenda opatsirana maganizo amaposa zotsalira za gawoli lomwe limakhala lovuta kwambiri.
Atatha zaka zisanu ndi zitatu akugwira ntchito yothandizira, Nora adalimbikitsidwa ndi wachibale wake yemwe adayendetsa malo ogona a "malo" ndi "chisamaliro" okwana 71 kuti athe kuchiritsa odwala matenda a maganizo. "Ankawachitira anthu okhala ngati banja," Nora anafotokoza za azakhali ake, omwe adagwira ntchitoyi asanachoke. Anapatsana ulemu ndi odwala ake odwala kwambiri, kuti amuthandize kwambiri.
Zosangalatsa, Nora akunena kuti sankasamala za maphunziro a maganizo ndi maganizo a sukulu, ndipo sankaganiziranso kuti namwino waumphawi monga ntchito poyamba. Koma zomwe anakumana nazo ndi odwala ena opatsirana mwachipatala m'chipinda chodzidzimutsa, kuphatikizapo kudzoza kwa azakhali ake, adawonetsa chilakolako chogwira ntchito ndi odwala ovutawa.
Maphunziro ndi Ntchito Zogwirira Ntchito
Komabe, pokhala opanda chidziwitso chochulukirapo cha unamwino wa maganizo, kulandira ngongole kumunda kunali kovuta poyamba. Pambuyo popempha malo angapo odwala matenda a maganizo ndi kutayidwa chifukwa chosoĊµa chithandizo cha umoyo waumoyo, Nora anayamba kuphunzira mwatsatanetsatane mderalo ndikufufuza za luso ndi chidziwitso chomwe angafunikire kupambana. Kenaka adapeza White Memorial ndipo adangodzinso ndi timu kumeneko.
Ngakhale kuti Nora adali ndi zaka zisanu ndi zitatu zothandizidwa ndi chithandizo chodzidzimutsa, adayenera kutsimikizira gulu lotsogolera ku White Memorial kuti ali woyenerera kugwira ntchitoyi. "Ndinapempha ndikupempha ndipo anandifunsa kwa nthawi yaitali." Nora nayenso anavomera maphunziro owonjezera ndi kuphunzira kuti apitirize kudziyenerera udindo. Zaka zisanu zapitazo. "White Memorial ili ndi gulu labwino kwambiri, othandizira, komanso maphunziro," Nora akufotokoza, "Ndaphunzira zambiri pano, ndipo tsopano ndine Nuresi Wothandizira."
Nora adalimbikitsidwa kuti adziwitse namwino wothandizira adamupatsa udindo wowonjezera pantchito yake. "Ndine mtsogoleri wothandizira, ndikuthandiza ndi ntchito komanso ndondomeko, komanso timapanga ndondomeko ya mankhwala ndi mauthenga kumayambiriro kwa kusintha." Monga namwino wothandizira, Nora amayitananso ndi namwino wa mankhwala, wodwala matenda a maganizo, ogwira ntchito komanso anthu ena ogulu la mankhwala.
Kugwira ntchito ndi odwala matenda a maganizo sikuli kwa aliyense, Nora akulangiza. "Mtima wanu uyenera kukhala momwemo, ndipo muyenera kuthandizadi odwalawa." Imodzi mwa mavuto aakulu kwa anamwino a maganizo, malinga ndi Nora, ndi pamene wodwala wosasinthasintha amakhala wachiwawa. Sizichitika kawirikawiri, ndipo mumaphunzira kufufuza mawu ndi mawu osakayankhula kuti musakonzekere, koma "Ndinkachita mantha poyamba." Nora akuvomereza. Amawona kuti izi ndizo mantha omwe amatha kulepheretsa anamwino kuti asatengere ntchito za unamwino wa maganizo. Komabe, pogwira ntchito pamodzi ndi chitsogozo kuchokera kwa azinesi amphamvu ndi ogwira ntchito, anamwino amaphunzira kukonzekera, ndi momwe angayendetsere zinthu zomwe zingakhale zoopsa pa zotsatira zake.
Kwa anamwino monga Nora, kupambana kwa wodwala ndi mphoto yaikulu. Mwachitsanzo, ngati wodwalayo asanalankhule kwa chaka chimodzi, mwadzidzidzi akuti "Hi" ndipo amandiyamikira tsitsi lanu latsopano kapena akukupemphani, izi ndizo zokhutiritsa kwambiri, Nora akulongosola. Odwala matenda odwala matendawa amaonedwa ngati osauka ndi anthu, kotero amawachitira ulemu, monga anthu anzawo, amapita kutali kwambiri.
Nora akulangiza athandizi omwe amatha kuchipatala kuti adziwitse kuchipatala chochipatala chifukwa odwala ambiri a maganizo amakhalanso ndi matenda omwe amachititsa kapena kuwathandiza ku matenda awo a maganizo. Kuonjezera apo, Nora akuyamikira kupezeka pamisonkhano ndi misonkhano kuti akhalebe panopa komanso kugwirizanitsa ndi anthu ena m'mayamwino odwala matenda a maganizo. Iye anati, "Ntchito zomwe amwino amachiritso amagwiritsa ntchito zimatseguka," akutero chifukwa cha ntchito yaikulu chifukwa cha chiwerengero chachikulu cha odwala matenda ovutika maganizo kapena matenda ena, komanso okalamba omwe ali ndi matenda a dementia. Msika wodalirika wa ntchito umaphatikizapo ntchito zosiyanasiyana monga magulu opita kuchipatala, malo othandizira okhalamo, malo osokoneza bongo, komanso chithandizo chamankhwala kunyumba .
Anamwino a m'maganizo ayenera kukhala okonzeka kulandira mavuto ndi kuwagonjetsa pamene akukhala chete. Kukhalabe wodekha pamene mukupanikizika ndi kofunikira, kuti musapitirize kukhala ndi maganizo a wodwalayo. Chisoni ndi chinthu china chofunikira - munthu ayenera kudziyika yekha m`chifuwa cha wodwalayo ndi kuwachitira moyenera.
Kuonjezerapo, funsani mafunso ambiri pa zokambirana ndikuyang'ana bwino. Funsani wofunsayo za maphunziro ndi chithandizo, momwe kayendetsedwe ka ntchito ikuyendera mikangano ndi zosavuta, ndipo phunzirani za makhalidwe abwino ndi njira zomwe zilipo. White Memorial ndi malo achikhristu omwe anali abwino kwa Nora. Mapemphero tsiku ndi tsiku komanso masewera a timagulu a tsiku ndi tsiku amapereka chithandizo chowonjezerapo ndikuwunika, zomwe zimamuthandiza kupyola tsikulo. Kuvomereza kwake komwe adalandira chifukwa cha ntchito yake yabwino kumamuthandiza kukhala ndi chidaliro pa nthawi komanso kumuthandiza kuti apitirize kupambana.
Kusintha Kusiyana, Wodwala Panthawi
"Ntchito yanga yokhutira kwenikweni imachokera kukumana kwanga ndi odwala anga. Ngati ndingathe kusintha mmoyo wawo, ndimakhutira ndi zomwezo. Kusamalira anzeru kumandithandiza kudziwa munthu yense, osati chizindikiro kapena matenda," akuti Sunnie Dishman, Namwino Woyang'anira Utsogoleri ku chipatala cha Resnick Neuropsychiatric, chipatala cha odwala 24 ku UCLA. Iye akuti, "Kukhala namwino wamisala amafuna kuti munthu akhale ndi chiyanjano ndi wodwalayo. Koma mwatsoka, matenda a m'maganizo amakhudza miyoyo yonse: mibadwo yonse, mafuko onse, zikhulupiriro, ndi mitundu." Choncho, Sunnie amaona kuti ntchito yake yasintha momwe amaonera anthu onse, osati kuntchito. "Ndikutha kuona anthu popanda kuwaweruza ... Ndikumva ngati kukhala namwino wa apamtima ndikupanga munthu wabwino. Ndimaphunzira kuchokera kwa anzanga ndi odwala anga."
Chidwi cha Sunnie kuchipatala cha matenda a maganizo chinayamba kumayambiriro kwa ntchito yake. "Ndinkasangalala ndi kusinthasintha kwanga kusukulu. Poyamba ndinkafuna kukhala namwino wa OB / GYN, koma nditatha kuthamanga kwanga, ndinangomva bwino kwambiri m'munda umenewu."
Kuwonjezera pa Bachelor's Degree yake yothandizira anthu odwala ndi odwala, Sunnie nayenso adamaliza chiyanjano ku UCLA komwe adakwaniritsa zochitika zowonetsera umboni wa zofuna zowononga (SIB). Iye ndi namwino waphunzitsi ndi wothandizira odwala pa Kugonjetsa. "Sabata yodziwikiratu imakhala yathunthu (odwala 24), kuphatikiza odwala ambiri omwe akudwala matenda osiyanasiyana."
Sunnie amagwira ntchito maola asanu ndi atatu, Lolemba mpaka Lachisanu, pamene antchito anzake akugwira ntchito osakaniza masabata asanu ndi atatu - ndi maora khumi ndi awiri, kuphatikizapo mapeto a sabata. Amayang'anira tsiku lomwelo ndikupanga mapulogalamu a gulu, amapita kuntchito tsiku ndi tsiku, ndi misonkhano ndi makomiti osiyanasiyana kuti akambirane njira zowonjezera. "Ndikumaliza ntchito za tsiku ndi tsiku ndikuonetsetsa kuti mapulogalamuwa (magulu ndi ntchito) akugwira ntchito komanso kuti odwala akupezekapo ndikuchiritsidwa. Ndimathandizanso odwala anga katatu pamlungu."
Sunnie akugawana malangizo angapo kwa anamwino akuganizira ntchito yokhudzana ndi maganizo. "Monga namwino wothandizira, nthawi zonse nkofunika kukhalabe panopa m'munda mwanu. Tsatirani zochitika zamakono, chifukwa njira zatsopano ndi njira zothandizira zatsopano zikukhazikitsidwa kuti zithetse odwala ndi matenda awo." Amapitiriza kunena kuti anamwino amakhalabe achifundo komanso achifundo pamene akukhala ndi mtunda wapadera kuti athe kusamalira bwino kwambiri. N'kofunikanso kuti anamwino odwala matenda a m'maganizo asadzipereke okha kukhala osokonezeka kapena oweruza. "Odwala anu ali odwala-mosasamala kanthu za chifukwa cha matenda awo. Muziwachitira ulemu ndi kulemekeza. Mudzakhala bwino kwa iwo, monganso odwala anu," Sunnie anamaliza.
Kusamalira Odwala 'Palibe Amene Amafuna Kusamalira'
Cathy W., yemwe ali mkulu wa chithandizo chamankhwala odwala matenda amisala kumwera kwa California, akulongosola unamwino waumoyo monga "Kuitana - iwe mwina umamukonda kapena umamuda," ndipo mwachiwonekere amamukonda. Iye wagwira ntchito zosiyanasiyana zaukhondo, kuphatikizapo zingapo zapadera m'maganizo. Amakhudzidwa ndi maudindo omwe amagwira ntchito ndi odwala kwambiri, ovuta, komanso odwala maganizo, omwe nthawi zambiri amakhala ovuta kwambiri omwe "palibe wina aliyense amene akufuna kuwasamalira." Cathy amakonda chidwi ndi matenda opatsirana pogwiritsa ntchito matenda opaleshoni, ndipo wakhala akugwira ntchito m'maganizo kuyambira mu 1995.
Cathy akufotokoza kuti, "Mankhwala onsewa ndi osiyana. Simukuwona zizindikiro zomwezo pazochitika zonse monga momwe mumachitira ndi mankhwala." Amwino ambiri opatsirana maganizo amapindula pazovuta zina. Ngati mukufuna kusangalala mwamsanga, komabe asamalidwe a m'maganizo sangakhale abwino kwambiri kwa inu. Kupita patsogolo kumatenga nthawi yaitali kuti mukhale ndi matenda opatsirana maganizo. Mosiyana ndi chipinda chodzidzimutsa, komwe munthu amabwera ndi kuphwanya fupa kapena kupwetekedwa kumapeto ndipo amapita kunyumba "bwino" pambuyo pochita opaleshoni kapena mankhwala ena, kusintha kwa matenda a maganizo kumatengera masiku osachepera atatu kapena asanu. Chotsatira cha ichi, Cathy akufotokoza, ndiko kupitiriza chisamaliro, kumathandiza anamwino kuwona odwala akuwongolera ndikuyankha mankhwala ndi chithandizo pa nthawi.
Kuwonjezera pa chilakolako chake cha uchembere wamaganizo, Cathy amamupangitsa kuti athandizidwe kumunda kwa "khungu lake" ndi chikondi cholimba. Kuonjezera apo, monga Nora, Cathy akulimbikitsanso kupeza chidziwitso pa unamwino wopita kuchipatala, zomwe zimathandiza kumvetsetsa zachipatala kwa odwala matenda a maganizo.
Kulimbitsa Mpumulo mu Unamwino wa Psychiatric
Monga mtsogoleri wa anamwino amene ali ndi zaka khumi ndi zisanu ndi zinayi zachipatala, Cathy W. angapereke chitsimikizo chachikulu chopeza ndi kulimbikitsa ntchito yabwino m'munda wovutawu. Iye ali ndi udindo woyankhulana ndi kulemba antchito ake, ndipo adatchula zotsatirazi monga zizindikiro zovuta zomwe akufuna mwa mamembala ake:
- Maluso omvetsera mwachidwi (opanda zopanda pake - onetsetsani chiweruzo chonse choyamba chisanafike pakhomo)
- Kuteteza
- Maganizo Ovuta
- Kusamala
- Kugwirizana ndi kuthetsa kusamvana
Anamwino a m'maganizo ayenera kukhala ogwira ntchito limodzi monga gulu logwirizana, komanso athe kugwira ntchito pawokha. Cathy akulangizani kuwerenga za kuganiza mozama, komanso mfundo za psychology ndi psychiatry, kuphatikizapo njira zosiyanasiyana ndi maganizo. Ndiponso, kufufuza malamulo ndi malamulo a maganizo a dziko lanu ndi dera lanu ndi othandiza. Dera lirilonse liri losiyana ndi chithandizo cha odwala matenda opatsirana pogonana ndi akatswiri, kuphatikizapo kusiyana kwa zofuna zothandizira, olemba ntchito, 5150 ogwira, ovomerezeka odwala, ndi zina zotero.