Ukunyamekela

Ukunyamekela abagulayo kuluncedo kubantu abanezigulo ezinganyangekiyo kwaye abakufutshane nokufa. Injongo kukunika intuthuzelo noxolo endaweni yonyango. Unonophelo lwe-Hospice lubonelela:

• Inkxaso yesigulana kunye nosapho
• Uncedo kwisigulana kwiintlungu kunye neempawu
• Uncedo lwamalungu osapho kunye nabathandekayo abafuna ukuhlala kufutshane nesigulana esiswelekayo

Uninzi lwezigulana ezikwi-hospice zikwiinyanga ezi-6 zokugqibela zobomi.

Xa ukhetha ukhathalelo lwe-hospice, uthathe isigqibo sokuba awusafuni kukhathalelwa ukuzama ukunyanga isigulo sakho esinganyangekiyo. Oku kuthetha ukuba akusekho kufumana unyango olujolise ekunyangeni naziphi na iingxaki zempilo yakho ezingapheliyo. Izifo eziqhelekileyo ezenzelwe esi sigqibo zibandakanya umhlaza, kunye nentliziyo ebukhali, imiphunga, izintso, isibindi okanye isifo se-neurologic. Endaweni yoko, naluphi na unyango olunikiweyo lwenzelwe ukuba uhlale ukhululekile.

• Ababoneleli ngononophelo lwempilo abanako ukwenza isigqibo kuwe, kodwa banokuphendula imibuzo kwaye bakuncede wenze isigqibo.
• Liliphi ithuba lokunyanga ukugula kwakho?
• Ukuba awunakunyangeka, lingakanani ixesha eliza kukunika unyango olusebenzayo?
• Bebuzobanjani ubomi bakho ngelixesha?
• Ngaba ungayitshintsha ingqondo yakho emva kokuba uqalile kwi-hospice?
• Iya kuba njani inkqubo yokufa kuwe? Ngaba unokuhlala ukhululekile?

Ukuqala ukhathalelo lwe-hospice kutshintsha indlela oza kufumana ngayo ukhathalelo, kwaye inokutshintsha ukuba ngubani oza kubonelela ngononophelo.

Unonophelo lwe-Hospice lunikezelwa liqela. Eli qela linokubandakanya oogqirha, abongikazi, oonontlalontle, abacebisi, abancedisi, abefundisi, kunye nonyango. Iqela lisebenza kunye ukunika isigulana nosapho intuthuzelo kunye nenkxaso.

Umntu ovela kwiqela lakho lokhathalelo lwe-hospice uyafumaneka iiyure ezingama-24 ngosuku, iintsuku ezisi-7 ngeveki ukubonelela ngenkxaso okanye ukukunceda, umntu omthandayo, okanye iimfuno zosapho lwakho.

Ukhathalelo lwe-Hospice lunyanga ingqondo, umzimba kunye nomoya. Iinkonzo zingaquka:

• Ukulawulwa kwentlungu.
• Unyango lweempawu (ezinje ngokuphefumla kancinci, ukuqhina, okanye ixhala). Oku kubandakanya amayeza, ioksijini, okanye ezinye izinto ezikunceda ukulawula iimpawu zakho.
• Inkathalo yokomoya ehlangabezana neemfuno zakho.
• Ukunika usapho ithuba lekhefu (elibizwa ngokuba yinkathalo).
• Iinkonzo zikagqirha.
• Unonophelo.
• Uncedo lwempilo yasekhaya kunye neenkonzo zekhaya.
• Iingcebiso.
• Izixhobo zonyango kunye nokuhanjiswa.
• Unyango lomzimba, unyango lwasemsebenzini okanye unyango lwentetho, ukuba luyafuneka.
• Ukunika iingcebiso ngexesha elifutshane kunye nenkxaso kusapho.
• Unonophelo lwangaphakathi kwizigulo, ezinje nge-pneumonia.

Iqela le-hospice liqeqeshelwe ukunceda isiguli kunye nosapho kwezi zinto zilandelayo:

• Yazi ukuba ulindele ntoni
• Indlela yokujongana nesizungu noloyiko
• Yabelana ngeemvakalelo zakho
• Ungamelana njani nasemva kokufa (ukhathalelo lokufelwa)

Unonophelo lwabantu abagulela ukufa luhlala lusenzeka ekhayeni lesigulana okanye kwikhaya lelungu losapho okanye lomhlobo.

Inokunikwa nakwezinye iindawo, kubandakanya:

• Ikhaya labongikazi
• Isibhedlele
• Kwiziko labantu abagulela ukufa

Umntu ophetheyo kukhathalelo ubizwa ngokuba ngumnikezeli wokhathalelo oluphambili. Oku kunokuba liqabane, iqabane lobomi, ilungu losapho, okanye umhlobo. Kwezinye iimeko iqela lokunyamekela abaguli abagulela ukufa liya kufundisa umniki-nkonzo oyintloko indlela yokunyamekela isigulana. Ukukhathalela kunokubandakanya ukuguqula isigulana ebhedini, kunye nokondla, ukuhlamba, kunye nokunikeza isigulana amayeza. Umnikezeli wokhathalelo oluphambili uya kufundiswa malunga neempawu ekufuneka bezijongile, ke bayazi ukuba mababize nini iqela labalondolozi ukuba lifumane uncedo okanye ingcebiso.

Palliative care - esibhedlele; Ukhathalelo lokuphela kobomi - i-hospice; Ukufa - i-hospice; Umhlaza - hospice

UArnold RM. Unonophelo lonyango. Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Ngomhla wama-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 3.

Iwebhusayithi yeMedicare.gov. Izibonelelo ze-Medicare hospice. www.medicare.gov/Pubs/pdf/02154-Medicare-Hospice-Izibonelelo.PDF. Ukuhlaziywa ngo-Matshi 2020. Kufikeleleke ngoJuni 5, 2020.

UNabati L, uAbrahamm JL. Ukunyamekela abaguli ekupheleni kobomi. Ku: Niederhuber JE, Armitage JO, Kastan MB, Doroshow JH, Tepper JE, ii-eds. I-Oncology yeklinikhi yase-Abeloff. Umhla wesi-6. IPhiladelphia, PA: Elsevier; 2020: isahl 51.

URakel RE, uTrinh TH. Ukhathalelo lomguli ofayo. Ku: Rakel RE, Rakel DP, ii-eds. Incwadi yesikhokelo samayeza osapho. Umhla we-9. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 5.

• Unonophelo Lwezifo