Thandizo la Thomas Kitwood Lophatikiza Demoti

Kodi Thandizo Lokha Ndi Liti?

Kukula kwa njira yolingalira zaumunthu kumatchulidwa kwambiri ndi pulofesa Thomas Kitwood kumapeto kwa zaka za 1980 ku University of Bradford ku United Kingdom. Chisamaliro chaumwini ndi njira yowusamalira anthu omwe munthu wapadera ndi zofuna zawo akugogomezedwa, mmalo mwa matenda, zizindikiro zake zoyenera ndi zovuta, ndi luso lothawa la munthuyo.

Chisamaliro chaumwini chimadziƔa kuti matenda a dementia amangozindikira kuti munthuyo ndi wotani, komanso kuti pali zambiri zedi kwa munthuyo kusiyana ndi matenda ake.

Njira yokhazikika pa umunthu imasintha momwe timamvetsela ndikutsata machitidwe ovuta muumtima. Chisamaliro chaumwini chimayang'ana makhalidwe monga njira ya munthu amene ali ndi chifuwa chachikulu chaumtima kuti alankhule zosowa zake , ndipo amadziwa kuti kulingalira zomwe zosowa zosayenera zimayambitsa khalidwe ndilofunika.

Chisamaliro chaumwini chimalimbikitsanso ndi kupereka mphamvu kwa womusamalira kumvetsa munthu yemwe ali ndi chikhulupiliro chaumtima, kukhala ndi maluso, zochitika pamoyo ndi maubwenzi omwe ali ofunika kwa iwo ndikuthandizira kuti akhale munthu.

Panthawi yochepa, chisamaliro cha munthu chimayesa kuona dziko lonse lapansi kudzera mwa munthu amene ali ndi matenda a maganizo.

Kodi Chisamaliro Chadokha Chimasiyana Bwanji ndi Chithandizo cha Zamankhwala Chachikhalidwe?

Tiyeni titenge chitsanzo cha George:

George ndi mwana wamwamuna wa zaka 89 ali ndi matenda a Alzheimer omwe sabata imodzi yapitayo anasamukira ku nyumba yosungirako okalamba chifukwa mkazi wake Hilda sakanakhoza kumusamalira iye kunyumba. Hilda amapita ku George tsiku lililonse ndipo ngakhale akufuna kuti amusunga kunyumba, amadziwa kuti George amafunika kusamalidwa kwambiri kuposa momwe angamupatsire.

Njira yodalirika yogwiritsira ntchito zachipatala idzakhala yoganizira kwambiri za chakudya chake chamadzulo chomwe George adadya, kutengera George kukwaniritsa cholinga chake choyenda maulendo 50 panjira lero, ndikumaliza kusamba lero pa 9am chifukwa ndi tsiku lake. Pamene akuyesa kukhala pansi atayenda mamita 10 okha, wothandizira pogwiritsa ntchito njira yachipatala akufunsira wachiwiri wachiwiri kuthandiza kumbali inayo ya George ndipo akuyimiranso George ndikuyamba kupita patsogolo, ngakhale kuti akufuna wotopa kwambiri. Kenaka George akukhumudwa ndikuponyera osamalira.

Ngakhale kuti George anakana, ntchito ndi ntchitozi zimayikidwa pazomwe amalemba.

Njira yokhazikika yaumunthu, yowonjezereka , ingayang'ane zambiri monga izi:

M'malo moyandikira George ndi mndandanda m'mitu yathu, chisamaliro cha munthu chimayang'ana munthuyo poyamba, ndi zolinga ndi ntchito yachiwiri.

M'malo mogwiritsira ntchito kadzutsa komweko kwa aliyense, njira yowunikira munthu ikanapeza kuchokera kwa George kapena Hilda zomwe George amadya chakudya cham'mawa asanayambe kupita ku nyumba yosungirako okalamba . Wopereka chithandizo cha munthu amathandizanso kuyenda maulendo 50, koma ngati George atopa komanso atatsutsidwa pamene ayesa kuyenda naye, ayesanso kamodzi tsiku lotsatira.

Wopereka chithandizo chokhazikika payekha angaphunzire kuti George ambiri amasankha kusambira m'malo osamba, ndipo kuti chizoloƔezi chake chinali kusamba kutsamba asanagone; Choncho, nthawi yake yosamba idzasinthidwa mpaka 9pm.

N'zosadabwitsa kuti tsikulo limayenda bwino kwambiri kwa George ndi womusamalira.

Ubwino wa Thandizo Labwino la Munthu

Chisamaliro chaumwini chawonetsedwa ndi kafukufuku wochuluka kuti athandize kuchepetsa makhalidwe ovuta kwa anthu omwe ali ndi matenda a maganizo . Kafukufuku wina woyesera anagwiritsa ntchito antchito ophunzitsidwa kuti agwiritse ntchito njira zoyang'anira zosamalira anthu ndi anthu okalamba omwe amakhala ndi matenda a maganizo aumtima.

Zotsatira? Odwala matenda opatsirana pogonana - omwe nthawi zina amachititsa ngati makhalidwe ovuta sangathe kuchitidwa mosamalidwa m'chipatala - komanso kugwiritsa ntchito mankhwala okhudza psychotropic -omwe angakhale othandiza komanso angakhale ndi zotsatira zoyipa - zonsezi zinachepa kwambiri.

Phunziro lina lomwe limaphatikizapo anthu 289 ogwira ntchito panyumba yosungirako anthu okalamba pa malo osiyana khumi ndi asanu ndi awiri (15), adasonyezera kuchepa kwa anthu omwe ali ndi chifuwa chachikulu pamene njira yoyendetsera chisamaliro cha munthu inagwiritsidwa ntchito.

Chisamaliro chaumwini chingathe kuchepetsa kukhumudwa kwa osamalira odwala ndi kusunga ndalama mwa kuchepetsa kuchepa kwa alendo komanso kugwiritsa ntchito mankhwala, koma chofunika kwambiri, kumapereka moyo wabwino kwa anthu omwe ali ndi maganizo aumtima komanso okondedwa awo.

Zimakhalanso zovuta kwambiri kuti iwe ndi ine tifunikire kuchiritsidwa.

Zotsatira:

Mgwirizano wa Matenda a Alzheimer's. Care Centered Care. Inapezeka pa November 14, 2013. http://www.alz.org.sg/about-dementia/person-centered-care

Alzheimer's Society. Chisamaliro chaumwini. Inapezeka pa November 14, 2013. http://www.alzheimers.org.uk/site/scripts/services_info.php?serviceID=167

Ndemanga ya Canada Alzheimer's Review. April 2003. Chisamaliro cha Dementia: Cholinga cha Kuyeretsedwa. http://www.livingdementia.com/downloads/newsletters/2010/sep_oct/person-centered_dementia_care.pdf

Lancet Neurology, Voliyumu 8, Magazini 4, masamba 317 - 325, April 2009. Kusamalira Phunziro Loyang'anira Kusamalira Odwala Dementia (CADRES) la chithandizo chokhazikika paumunthu, mapu a chisamaliro cha maganizo, ndi chisamaliro chachizolowezi cha chifuwa chachikulu . http://www.thelancet.com/journals/laneur/article/PIIS1474-4422(09)70045-6/fulltext

National Care Forum. Ndondomeko Yabwino Yabwino; Mfundo zazikuluzikulu za chisamaliro cha Dementia.

Dipatimenti ya Zaumoyo ya Ukhondo ku United States. Bungwe la Health Research Research ndi Quality. September 25, 2013. Thandizo Labwino kwa Anthu Okhala ndi Chifuwa cha Dementia Kuwonetsa Khalidwe Labwino Kumachepetsa Psychiatric Hospitalizations ndi Mankhwala Okhudzana ndi Machitidwe.