Mālama Palliative - ka mālama ʻana i ka ʻeha

Ke loaʻa ʻoe i kahi maʻi koʻikoʻi, ʻeha paha ʻoe. ʻAʻole hiki i kekahi ke nānā iā ʻoe a ʻike i ka nui o kou ʻeha. Hiki iā ʻoe ke ʻike a wehewehe i kou ʻeha. Nui nā mālama ʻana no ka ʻeha. E haʻi i kāu poʻe mālama ola e pili ana i kou ʻeha i hiki iā lākou ke hoʻohana i ka lāʻau kūpono no ʻoe.

ʻO ka mālama Palliative kahi ala holoʻokoʻa i ka mālama e nānā ana i ka mālama ʻana i ka ʻeha a me nā hōʻailona a me ka hoʻomaikaʻi ʻana i ka maikaʻi o ke ola i ka poʻe me nā maʻi koʻikoʻi a me ka lōʻihi o ke ola.

ʻO ka ʻeha e mau a kokoke paha i nā manawa āpau ke alakaʻi i ka nele o ka hiamoe, kaumaha, a hopohopo paha. Hiki i kēia mau mea ke paʻakikī i ka hana ʻana i nā mea a i ʻole ka hele ʻana i nā wahi, a ʻoi aku ka paʻakikī e hauʻoli i ke ola. Hiki i ke kaumaha ke kaumaha ma muli ou a me kou ʻohana. Akā me ka mālama ʻana, hiki ke mālama ʻia ka ʻeha.

ʻO ka mea mua, e ʻike kāu mea hāʻawi:

• He aha ke kumu o ka ʻeha
• ʻEhia kou ʻeha
• Pehea kou ʻeha
• He aha ka mea e ʻeha ai kou ʻeha
• He aha ka mea e hoʻomaikaʻi ai i kou ʻeha
• Ke loaʻa ʻoe ka ʻeha

Hiki iā ʻoe ke haʻi i kāu mea hāʻawi i ka nui o kou ʻeha ma ke ana ʻana iā ia ma kahi pālākiō mai 0 (ʻaʻohe ʻeha) a 10 (ʻehaʻeha loa paha). Koho ʻoe i ka helu e wehewehe i ka nui o kou ʻeha i kēia manawa. Hiki iā ʻoe ke hana i kēia ma mua a ma hope o nā mālama ʻana, no laila hiki iā ʻoe a me kāu hui mālama olakino ke haʻi i ka maikaʻi o kāu hana.

Nui nā mālama ʻana no ka ʻeha. ʻO ka lāʻau hea ka mea kūpono loa iā ʻoe e pili ana i ke kumu a me ka nui o kou ʻeha. Hiki ke hoʻohana ʻia i kekahi mau ʻano lapaʻau i ka manawa like no ke kōkua ʻeha maikaʻi loa. Pākuʻi ʻia kēia mau mea:

• Ke noʻonoʻo nei i kahi mea ʻē aʻe no laila ʻaʻole ʻoe e noʻonoʻo e pili ana i ka ʻeha, e like me ka pāʻani ʻana i kahi pāʻani a i ʻole ke nānā ʻana i ke kīwī
• ʻO nā hoʻolauleʻa noʻonoʻo-kino e like me ka hanu hohonu, hoʻomaha ʻana, a i ʻole ka noʻonoʻo ʻana
• Nā ʻeke hau, nā pale hoʻomehana, biofeedback, acupuncture, a i ʻole ka lomilomi

Hiki iā ʻoe ke lawe i nā lāʻau, e like me:

• Acetaminophen (Tylenol)
• ʻO nā lāʻau anti-inflammatory non-steroidal (NSAIDs) e like me aspirin, naproxen (Aleve), ibuprofen (Advil, Motrin), a me diclofenac
• Nā Narcotics (opioids), e like me codeine, morphine, oxycodone, a i ʻole fentanyl
• Nā lāʻau lapaʻau e hana ma nā aʻalolo, e like me gabapentin a i ʻole pregabalin

Hoʻomaopopo i kāu mau lāʻau, pehea ka nui e lawe ai, a i ka wā hea e lawe ai.

• Mai lawe i ka lāʻau ʻoi aku a ʻoi aku paha o ka lāʻau i kauoha ʻia.
• Mai lawe pinepine i kāu mau lāʻau.
• Inā ʻoe e noʻonoʻo e pili ana i ka lawe ʻole ʻana i ka lāʻau, e kamaʻilio mua me kāu mea hāʻawi. Hiki paha iā ʻoe ke lawe i kahi lāʻau ma lalo o ka manawa ma mua o kou hiki ke kū palekana.

Inā he hopohopo kāu e pili ana i kāu lāʻau ʻeha, e kamaʻilio me kāu mea hāʻawi.

• Inā ʻaʻole hoʻomaha ka lāʻau āu e lawe ai i kou ʻeha, hiki i kahi ʻokoʻa ke kōkua.
• ʻO nā hopena, e like me ka hiamoe, e ʻoi aku paha ma mua o ka manawa.
• Hiki ke mālama ʻia nā hopena ʻē aʻe, e like me nā noho maloʻo maloʻo.

ʻO kekahi poʻe e lawe i ka narcotics no ka ʻeha e lilo i kaukaʻi iā lākou. Inā pili ʻoe i kēia, e kamaʻilio me kāu mea hāʻawi.

Kāhea i kāu mea hāʻawi inā ʻaʻole mālama maikaʻi ʻia kou ʻeha a i ʻole inā loaʻa iā ʻoe nā hopena ʻaoʻao mai kāu mau ʻehaʻeha.

Ka hopena o ke ola - ka mālama ʻeha; Hospice - mālama ʻeha

Colvin LA, Fallon M. Pain a me ka mālama palliative. I: Ralston SH, Penman ID, Strachan MWJ, Hobson RP, eds. Nā Kumuhana a Davidson a me ka hana o ka lāʻau. 23rd Ed. Piladelapia, PA: Elsevier; 2018: chap 34.

Hale SA. Mālama palliative a me ka hopena o ke ola. I: Kellerman RD, Rakel DP, eds. ʻO Conn's Current Therapy 2020. Piladelapia, PA: Elsevier 2020: 43-49.

Nānā BL, Von Gunten CF. Ke hoʻokokoke i ka mālama ʻana i ka maʻi ʻaʻai. I: Benzon HT, Raja SN, Liu SS, Fishman SM, Cohen SP, eds. Nā mea nui o ka lāʻau lapaʻau ʻeha. ʻEhā ed. Piladelapia, PA: Elsevier; 2018: chap 34.

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.

• ʻEha
• Mālama Palliative