He aha ka mālama pale?

Kōkua ka mālama Palliative i ka poʻe me nā maʻi koʻikoʻi e ʻoi aku ka maikaʻi ma o ka pale ʻana a mālama ʻana paha i nā hōʻailona a me nā hopena o ka maʻi a me ka mālama ʻana.

ʻO ka pahuhopu o ka mālama palliative e kōkua i ka poʻe me nā maʻi koʻikoʻi e ʻoi aku ka maikaʻi. Pale a mālama ʻole ia i nā hōʻailona a me nā hopena o ka maʻi a me ka lāʻau. Mālama pū ka mālama Palliative i nā pilikia o ka naʻau, ka pilikanaka, hiki, a me ka ʻuhane i hiki i nā maʻi ke lawe mai. Ke maikaʻi ka manaʻo o ke kanaka i kēia mau wahi, ua hoʻomaikaʻi lākou i ke ola.

Hiki ke hāʻawi ʻia i ka mālama Palliative i ka manawa like e like me nā mālama ʻana i mea e hōʻola a mālama ai i ka maʻi. Hiki ke hāʻawi ʻia i ka mālama Palliative ke ʻike ʻia ka maʻi, ma loko o ka mālama ʻana, i ka wā o ka ukali ʻana, a i ka hopena o ke ola.

Hāʻawi ʻia ka mālama pale no nā poʻe me nā maʻi, e like me:

• Kanesa
• Maʻi maʻi puʻuwai
• Nā maʻi lolo
• Hewa ʻole nā ​​hakuʻala
• Dementia
• HIV / AIDS
• ALS (amyotrophic lateral sclerosis)

ʻOiai ke loaʻa nei ka mālama palliative, hiki i nā poʻe ke noho ma lalo o ka mālama a ko lākou lawelawe mālama ola maʻamau a loaʻa mau ka lāʻau no ko lākou maʻi.

Hiki i kekahi mea mālama ola ke hāʻawi i ka mālama palliative. Akā hoʻolauna kekahi mau mea hoʻolako i ia. Hāʻawi ʻia ka mālama pale e:

• He hui kauka
• Nā kahu maʻi a me nā kahu maʻi
• Nā mea kōkua kauka
• Nā dietitians i hoʻopaʻa ʻia
• Nā limahana kaiaulu
• Nā kālaihonua
• Nā mea hoʻoponopono lomilomi
• Nā Halepule

Hāʻawi ʻia ka mālama Palliative e nā haukapila, nā keʻena mālama home, nā kikowaena maʻi ʻaʻai, a me nā wahi mālama wā lōʻihi. Hiki i kāu mea hoʻolako a haukapila paha ke hāʻawi iā ʻoe i nā inoa o nā loea mālama palliative kokoke iā ʻoe.

Hāʻawi ka mālama palliative ʻelua a me ka mālama hale hoʻokipa i hōʻoluʻolu. Akā hiki i ka mālama palliative ke hoʻomaka i ka hōʻailona, ​​a i ka manawa like me ka lāʻau. Hoʻomaka ka mālama Hospice ma hope o ka pau ʻana o ka mālama ʻana i ka maʻi a ke maopopo leʻa ʻaʻole e ola ke kanaka i ka maʻi.

Hāʻawi pinepine ʻia ka mālama ʻana ʻo Hospice ke manaʻo wale ʻia e ola ke kanaka 6 mau mahina a ʻoi iki paha.

Hoʻopilikia kahi maʻi koʻikoʻi ma mua o ke kino. Hoʻopā ia i nā wahi āpau o ke ola o ke kanaka, a me nā ola o nā ʻohana o kēlā kanaka. Hiki i ka mālama Palliative ke hoʻoponopono i kēia mau hopena o ka maʻi o ke kanaka.

Nā pilikia o ke kino. Nā ʻōuli a i ʻole nā ​​hopena ʻē aʻe e:

• ʻEha
• Pilikia hiamoe
• Pokole o ka hanu
• Loaʻa ka ʻai ʻole, a maʻi i ka ʻōpū

Hiki i nā mālama ke hoʻopili:

• Lapaʻau
• Alakaʻi Nutritional
• Hoʻoikaika kino
• ʻOihana lapaʻau
• Nā hoʻoponopono hoʻohui

Nā pilikia pili i ka naʻau, ka pilikanaka, a me ka hoʻoponopono ʻana. Kū ka poʻe maʻi a me ko lākou mau ʻohana i ke koʻikoʻi i ka wā maʻi e hiki ai i ka makaʻu, ka hopohopo, ka manaʻolana ʻole, a i ʻole ke kaumaha. Lawe paha nā lālā o ka ʻohana i ka hāʻawi mālama ʻana, inā paha he hana a me nā hana ʻē aʻe kekahi.

Hiki i nā mālama ke hoʻopili:

• ʻLelo aʻoaʻo
• Nā pūʻulu kākoʻo
• Nā hālāwai ʻohana
• Nā mea kuhikuhi i nā mea mālama ola noʻonoʻo

Nā pilikia kūpono. ʻO kekahi o nā pilikia i lawe ʻia e ka maʻi he mea hiki, e like me nā pilikia pili kālā a i ʻole nā ​​hana, nā nīnau ʻinikua, a me nā pilikia kū kānāwai. Hiki i kahi kime mālama palliative ke:

• E wehewehe i nā ʻano olakino paʻakikī a kōkua paha i nā ʻohana e hoʻomaopopo i nā koho lapaʻau
• Hāʻawi a kuhikuhi paha i nā ʻohana i ka ʻōlelo aʻoaʻo kālā
• Kōkua e hoʻohui iā ʻoe i nā kumuwaiwai no ka halihali a i ʻole ka hale

Nā pilikia ʻuhane. Ke ʻaʻa ʻia ka poʻe e ka maʻi, nānā paha lākou i ke ʻano a nīnau paha i ko lākou manaʻoʻiʻo. Hiki i kahi hui mālama palliative ke kōkua i nā mea maʻi a me nā ʻohana e ʻimi i ko lākou mau manaʻoʻiʻo a me nā waiwai i hiki ai iā lākou ke neʻe i ka ʻae a me ka maluhia.

E haʻi i kāu mea hoʻolako i nā mea e hoʻopilikia a hopohopo nui nei iā ʻoe, a he aha nā pilikia e nui iā ʻoe. E hāʻawi i kāu mea hāʻawi i kope o kāu makemake ola a i ʻole proxy mālama ola.

E noi i kāu mea hāʻawi i nā lawelawe mālama pale palliative i loaʻa iā ʻoe. ʻAneʻane uhi mau ʻia ka mālama Palliative e ka ʻinikua olakino, me Medicare a i ʻole Medicaid. Inā ʻaʻohe ou ʻinikua olakino, e kamaʻilio me kahi limahana kaiaulu a i ʻole kākāʻōlelo kālā aʻoaʻo.

E aʻo e pili ana i kāu koho. E heluhelu e pili ana i nā ʻōkuhi mua, e hoʻoholo ana e pili ana i ka lāʻau e hoʻolōʻihi ai i ke ola, a me ke koho ʻana ʻaʻole e loaʻa ka CPR (mai hoʻopau hou i nā kauoha).

Mālama hōʻoluʻolu; Ka hopena o ke ola - mālama palliative; Hospice - mālama palliative

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 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.

ʻO Schaefer KG, Abrahamm JL, Wolfe J. Mālama Palliative. I: Hoffman R, Benz EJ, Silberstein LE, et al, eds. Hematology: Nā Kumumanaʻo a me ka Hoʻomeheu. ʻEpekema 7 Piladelapia, PA: Elsevier; 2018: chap 92.

• Mālama Palliative