Kauoha hoʻopau hou ʻole

ʻO kahi kauoha do-not-resuscitate, a i ʻole ke kauoha DNR, kahi kauoha olakino i kākau ʻia e ke kauka. Kauoha ia i nā mea lawelawe olakino ʻaʻole e hana i ka cardiopulmonary resuscitation (CPR) inā kū ka hanu o ka mea maʻi a i ʻole ke kū ka puʻuwai o ka mea maʻi.

Ma ke kūpono, hana ʻia kahi kauoha DNR, a hoʻonohonoho ʻia paha, ma mua o ka hanana ʻana o kahi pilikia. ʻO kahi kauoha DNR e ʻae iā ʻoe e koho inā makemake a makemake paha ʻoe iā CPR i kahi pilikia. He kikoʻī e pili ana iā CPR. ʻAʻohe ona ʻōkuhi no nā ʻano lāʻau ʻē aʻe, e like me ka lāʻau ʻeha, nā lāʻau ʻē aʻe, a i ʻole ka meaʻai.

Kākau ke kauka i ke kauoha ma hope o ke kamaʻilio ʻana e pili ana ia me ka mea maʻi (inā hiki), ka mea pani, a i ʻole ka ʻohana o ka mea maʻi.

ʻO ka CPR ka lapaʻau e loaʻa iā ʻoe ke kū kahe o kou koko a i ʻole hoʻomaha ka hanu. Pili paha ia:

• Nā hana maʻalahi e like me ka hanu waha-a-waha a kaomi ʻana i ka umauma
• Hoʻoweliweli uila e hoʻomaka hou i ka puʻuwai
• Nā paipu hanu e wehe i ke alaloa
• Nā Lapaʻau

Inā kokoke ʻoe i ka hopena o kou ola a i ʻole he maʻi kou e hoʻomaikaʻi ʻole ai, hiki iā ʻoe ke koho inā makemake ʻoe e hana ʻia ka CPR.

• Inā makemake ʻoe e loaʻa ka CPR, ʻaʻole pono ʻoe e hana i kekahi mea.
• Inā ʻaʻole ʻoe makemake i ka CPR, e kamaʻilio me kāu kauka e pili ana i kahi kauoha DNR.

Hiki i kēia mau mea ke koho paʻakikī iā ʻoe a me ka poʻe kokoke iā ʻoe. ʻAʻohe kānāwai paʻakikī a wikiwiki e pili ana i ka mea āu e koho ai.

E noʻonoʻo e pili ana i ka pilikia ʻoiai hiki iā ʻoe ke hoʻoholo iā ʻoe iho.

• E aʻo hou e pili ana i kāu kūlana olakino a me ka mea e kali ai i ka wā e hiki mai ana.
• E kamaʻilio me kāu kauka e pili ana i ka maikaʻi a me ka maikaʻi ʻole o ka CPR.

He ʻāpana DNR paha kahi ʻāpana o kahi hoʻolālā mālama hale hānai. ʻAʻole ke kumu o kēia mālama e hoʻolōʻihi i ke ola, akā e mālama i nā ʻōuli o ka ʻeha a i ʻole ka liʻiliʻi o ka hanu, a e mālama i ka ʻoluʻolu.

Inā loaʻa iā ʻoe kahi kauoha DNR, he kuleana mau kou e hoʻololi i kou manaʻo a noi iā CPR.

Inā hoʻoholo ʻoe makemake i kahi kauoha DNR, e haʻi i kāu kauka a me ka hui mālama olakino i kāu mea e makemake ai. Pono kāu kauka e ukali i kāu makemake, a i ʻole:

• Hiki i kāu kauka ke hoʻololi i kāu mālama i kahi kauka nāna e hoʻokō i kāu mau makemake.
• Inā he mea hoʻomanawanui ʻoe i ka haukapila a i ʻole kahi home hānai, pono i kāu kauka e ʻae e hoʻoponopono i nā paio a pau e like me kou makemake.

Hiki i ke kauka ke hoʻopihapiha i ka palapala no ke kauoha DNR.

• Kākau ke kauka i ke kauoha DNR i kāu moʻolelo olakino inā ʻoe i ka haukapila.
• Hiki i kāu kauka ke haʻi iā ʻoe pehea e kiʻi ai i kahi kāleka ʻeke, kūpeʻe lima, a i ʻole nā ​​palapala DNR ʻē aʻe e loaʻa ai ma ka home a i ʻole nā ​​hoʻonohonoho maʻi ʻole.
• Hiki ke loaʻa nā palapala maʻamau mai ka Keʻena Ola Ola o kou mokuʻāina.

E hōʻoia i:

• Hoʻopili i kāu mau makemake i kahi ʻōlelo mālama mua (e ola ana)
• E hoʻomaopopo i kāu mea mālama ola (i kapa ʻia ʻo proxy mālama ola) a me ka ʻohana i kāu hoʻoholo

Inā hoʻololi ʻoe i kou manaʻo, e kamaʻilio koke me kāu kauka a i ʻole kime mālama ola. E haʻi pū aku i kou ʻohana a me nā mea mālama e pili ana i kāu hoʻoholo. E luku i nā palapala āu i loaʻa ai ka ʻoka DNR.

Ma muli o ka maʻi a ʻeha paha, ʻaʻole hiki iā ʻoe ke haʻi i kāu mau makemake e pili ana iā CPR. I kēia hihia:

• Inā ua kākau kāu kauka i kahi kauoha DNR ma kāu noi, ʻaʻole paha e hoʻokahuli ʻia e kou ʻohana.
• Ua koho paha ʻoe i kekahi e haʻi ʻōlelo na ʻoe, e like me ke kahu mālama ola. Inā pēlā, hiki i kēia kanaka a i ʻole kahu mālama kānāwai ke ʻae i kahi kauoha DNR nāu.

Inā ʻaʻole ʻoe i koho i kekahi e ʻōlelo no ʻoe, ma lalo o kekahi mau kūlana, hiki i kahi lālā o ka ʻohana ke ʻae i kahi kauoha DNR nāu, akā ke hiki ʻole iā ʻoe ke hoʻoholo i kāu hoʻoholo ponoʻī.

ʻAʻohe code; Hopena-o-ke ola; Mai hoʻomaha hou; Mai hoʻopau hou i ke kauoha; DNR; Kauoha DNR; Kauoha mālama mua - DNR; Luna mālama ola - DNR; Palapala mālama olakino - DNR; Ka hopena o ke ola - DNR; E ola ana - DNR

ʻO Arnold RM. Mālama pale. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 3.

ʻO Bullard MK. Nā loina olakino. I: Harken AH, Moore EE, eds. Nā huna huna ʻoki a Abernathy. ʻEpekema 7 Piladelapia, PA: Elsevier; 2018: chap 106.

Moreno JD, DeKosky ST. ʻO nā noʻonoʻo kūpono i ka mālama ʻana o nā mea maʻi me ka maʻi neurosurgical. I: Cottrell JE, Patel P, eds. ʻO Cottrell lāua ʻo Patel's Neuroanesthesia. ʻElua huaʻōlelo Piladelapia, PA: Elsevier; 2017: chap 26.

• Nā pilikia o ke ola