Nā kauoha mālama mua
Ke maʻi nui a ʻeha paha ʻoe, ʻaʻole hiki iā ʻoe ke koho i nā koho mālama ola nāu. Inā hiki ʻole iā ʻoe ke ʻōlelo no ʻoe iho, akaka paha i kāu poʻe lawelawe mālama ola i ke ʻano o ka mālama āu e makemake ai. Maluhia paha a ʻae ʻole paha nā lālā o kou ʻohana e pili ana i ke ʻano o ka mālama olakino āu e loaʻa ai. ʻO kahi ʻōkuhi mālama mua kahi palapala kū kānāwai e haʻi i kāu poʻe lawelawe i ka mālama āu e ʻae ai ma mua o kēia ʻano kūlana.
Me kahi ʻōkuhi mālama mua, hiki iā ʻoe ke haʻi i kāu poʻe lawelawe i ka lāʻau lapaʻau āu e makemake ʻole ai e loaʻa a me ke ʻano o ka lāʻau āu e makemake ai inā he maʻi ʻoe.
He paʻakikī paha ke kākau ʻana i kahi ʻōlelo mālama mua. Pono ʻoe e:
- E ʻike a hoʻomaopopo i kāu koho koho.
- E hoʻoholo i nā koho lapaʻau e hiki mai ana.
- Kūkākūkā i kāu koho me kou ʻohana.
E wehewehe kahi ola i ka mālama āu e makemake a makemake ʻole ai. I loko o laila, hiki iā ʻoe ke hōʻike i kāu mau makemake e pili ana i ka loaʻa ʻana:
- CPR (inā kū ka hanu a kū ʻole paha ka puʻuwai o ka puʻuwai)
- Nā hānai ma o kahi paipu i loko o kahi aa (IV) a i ʻole i loko o kou ʻōpū
- Mālama nui ʻia i ka mīkini hanu
- Nā hoʻāʻo, nā lāʻau, a i ʻole nā ʻoki ʻana
- Hoʻokahe koko
He mau kānāwai ko kēlā me kēia mokuʻāina e pili ana i nā makemake ola. Hiki iā ʻoe ke ʻike e pili ana i nā kānāwai i kou mokuʻāina mai kāu poʻe lawelawe, ka hoʻonohonoho kānāwai mokuʻāina, a me ka hapa nui o nā haukapila.
E ʻike ʻoe i kēlā:
- ʻAʻole like ka makemake ola me ke kauoha hope loa ma hope o ka make ʻana o ke kanaka.
- ʻAʻole hiki iā ʻoe ke inoa i kekahi e hoʻoholo i ka mālama olakino iā ʻoe i kahi makemake ola.
ʻO nā ʻano ʻē aʻe o nā kuhikuhi mua me:
- Ka mana mālama olakino kūikawā he palapala pili kānāwai e ʻae iā ʻoe e inoa i kahi mea ʻē aʻe (kahi luna mālama ola a i hope paha) e hoʻoholo i nā olakino olakino iā ʻoe ke hiki ʻole. ʻAʻole ia e hāʻawi i ka mana i kekahi e hoʻoholo hoʻoholo kānāwai ai ʻole kālā iā ʻoe.
- A kauoha hana hou ʻole (DNR) He palapala ia e haʻi ana i nā mea hoʻolako ʻaʻole e hana i ka CPR inā kū kou hanu a i ʻole kūʻoki paha kou puʻuwai. Kamaʻilio kāu mea hoʻolako iā ʻoe, ka hope, a ʻohana paha e pili ana i kēia koho. Kākau ka mea hāʻawi i ke kauoha ma kāu pakuhi olakino.
- Hoʻopiha i kahi kāleka manawaleʻa organ a halihali i loko o kāu pēke. E mālama i kahi kāleka lua me kāu mau pepa koʻikoʻi. Hiki iā ʻoe ke ʻike e pili ana i ka hāʻawi manawaleʻa mai kāu mea hāʻawi. Hiki iā ʻoe ke loaʻa i kēia koho i helu ʻia ma kāu laikini kaʻa.
- Nā ʻōlelo haʻi waha ʻo kāu koho e pili ana i ka mālama āu e haʻi aku ai i nā mea hoʻolako a i ʻole nā lālā o ka ʻohana. Hoʻololi pinepine nā makemake waha i nā mea āu i hana ai ma ke kākau.
Kākau i kou makemake ola a i ʻole mana mālama olakino o ka loio e like me nā kānāwai o kou mokuʻāina.
- E hāʻawi i nā kope i nā lālā o kou ʻohana, nā mea hoʻolako, a me ka mea mālama ola.
- Lawe i kahi kope me ʻoe i loko o kāu pēke a i ʻole ke keʻena mīkina lima o kāu kaʻa.
- Lawe i kahi kope me ʻoe inā ʻoe i ka haukapila. E haʻi i nā limahana lapaʻau a pau i pili i kāu mālama e pili ana i kēia palapala.
Hiki iā ʻoe ke hoʻololi i kāu mau hoʻoholo i kēlā me kēia manawa. E hoʻomaopopo pono i nā poʻe āpau e pili ana, nā lālā o ka ʻohana, nā proxies, a me nā mea hoʻolako, inā ʻoe e hoʻololi i kāu kuhikuhi mua a i ʻole e hoʻololi ʻia kahi ola. E kope, mālama, a kaʻana like i nā palapala hou me lākou.
E ola ka makemake; Mana o ka loio; DNR - kuhikuhi mua; Mai hoʻomaha hou - kuhikuhi mua; Hana hou ʻole - kuhikuhi mua; Ka mana loio kūpaʻa - kuhikuhi mālama mua; POA - kuhikuhi mālama mua; Luna mālama ola - kuhikuhi mālama mua; Hope mālama ola - kuhikuhi mālama mua; Hoʻonohonoho mālama mālama hope loa; Kākoʻo ola - kuhikuhi mālama mua
- Mana loio o ka loio
ʻO Lee BC. Nā pilikia hopena. I: Ballweg R, Brown D, Vetrosky DT, Ritsema TS, eds. Kōkua Kauka: Kahi Alakaʻi i ka hoʻomaʻamaʻa lapaʻau. ʻElua huaʻōlelo Piladelapia, PA: Elsevier; 2018: chap 20.
Lukin W, White B, Douglas C. Hoʻoholo hopena o ka hopena a me ka mālama palliative. I: Cameron P, Little M, Mitra B, Deasy C, eds. Puka o ka Medicine Emergency Emergency. 5th lā. Piladelapia, PA: Elsevier; 2020: chap 21.
ʻO Rakel RE, ʻo Trinh TH. Mālama i ka mea hoʻomanawanui e make ana. I: Rakel RE, Rakel DP, eds. Puke aʻo o ka lāʻau lapaʻau ʻohana. 9th ed. Piladelapia, PA: Elsevier Saunders; 2016: chap 5.
- Nā Kuhikuhi mua