Feem ntau tsev neeg tos ntev dhau los nug txog kev kho mob palliative, thiab feem ntau nws yog los ntawm ib qho kev nkag siab yuam kev. Muaj ntau tus neeg hnov lo lus "palliative" thiab xav tias nws txhais tau tib yam li hospice, lossis hais tias kev coj nws txhais tau tias tso tseg kev kho mob. Tsis muaj qhov tseeb. Kev kho mob palliative tuaj yeem pib tib lub lim tiam raws li kev kuaj mob, khiav ua ke nrog chemotherapy lossis dialysis lossis kev kho mob plawv, thiab muaj nyob tsuas yog ua kom yooj yim dua rau kev nyob nrog mob hnyav. Kev paub thaum twg yuav nug nws, thiab yuav xav li cas thaum koj ua, tuaj yeem ua qhov sib txawv tiag tiag hauv kev tswj hwm lub hlis tom ntej zoo li cas.
Kev Saib Xyuas Palliative thiab Hospice tsis yog tib yam
Kev saib xyuas Hospice tsuas yog rau cov neeg mob uas muaj mob hnyav li rau lub hlis lossis tsawg dua uas tsis tau kho kom zoo. Nws yog ib qho kev pabcuam tseem ceeb thiab muaj kev khuv leej, tab sis nws tsuas yog ib feem ntawm daim duab xwb. Tshuaj palliative ua haujlwm txawv. Nws muaj nyob rau txhua lub sijhawm tom qab kuaj pom tias muaj mob hnyav thiab tuaj yeem khiav tib lub sijhawm nrog kev kho mob uas tsom mus rau kev kho lossis tswj tus kab mob. Tus neeg mob tuaj yeem tawm tsam mob qog noj ntshav nrog chemotherapy thiab tseem muaj pab pawg palliative tswj lawv qhov mob, xeev siab, thiab qaug zog tom qab. Kev xa mus rau palliative tsis yog lub cim qhia tias tus kws kho mob tau khiav tawm ntawm cov kev xaiv. Nws yog ib txheej ntxiv ntawm kev txhawb nqa tshwj xeeb vim tias tseem muaj cov kev xaiv tsim nyog ua raws li kev nplij siab.
Cov Cim Qhia Dav Dav uas Tsim Nyog Saib Xyuas
Tsis tshua muaj ib lub sijhawm uas ua rau pom tseeb tias xav tau kev kho mob palliative. Feem ntau, nws yog kev sib sau ua ke ntawm tej yam me me, nyuaj. Qee cov cim qhia meej tshaj plaws suav nrog kev mus pw hauv tsev kho mob ntau zaus lossis mus ntsib kws kho mob thaum muaj xwm txheej ceev uas cuam tshuam nrog tib yam mob, mob lossis ua tsis taus pa uas tsis teb zoo rau kev kho mob tam sim no, kev poob qis hauv kev muaj peev xwm ua haujlwm txhua hnub xws li da dej, ua noj, lossis mus rau qhov teem sijhawm, daim ntawv teev tshuaj thiab daim ntawv teev cov kws tshwj xeeb uas nyuaj rau ua kom ncaj, thiab tus neeg saib xyuas thawj zaug uas qaug zog, ntxhov siab, lossis tsis paub tseeb tias yuav npaj li cas rau qhov tom ntej. Txhua lub cim ntawm nws tus kheej yuav tsis txhais tau ntau. Tus qauv ntawm ntau, tshwj xeeb tshaj yog dhau ob peb lub hlis, feem ntau txhais tau tias nws tsim nyog tham.
Qhov no zoo li cas rau cov xwm txheej tshwj xeeb
Kev kho mob palliative tsis yog ib qho loj uas haum rau txhua tus, thiab cov cim qhia uas yuav tsum tau saib xyuas feem ntau nyob ntawm tus kab mob nws tus kheej.
Lub plawv tsis ua haujlwm thiab mob plawv. Ua tsis taus pa, o ntawm ob txhais ceg lossis ko taw, thiab qaug zog tas li yog cov cim qhia tias kev kho mob palliative uas tsom mus rau lub plawv yuav pab tau. Carolina Caring's Advanced Cardiac Care Program muab kev kho mob tam sim no nrog kev tswj cov tsos mob uas tsom mus rau kev pab cov neeg mob uas muaj lub plawv tsis ua haujlwm hnyav kom lawv nyob twj ywm thiab xis nyob li sai tau.
COPD thiab lwm yam mob ntsws. Thaum COPD zuj zus tuaj, kev ua pa nyuaj thiab lub zog tsis muaj zog pib txwv tsis pub ua neej txhua hnub ntau dua li qhov uas cov tshuaj nqus pa thiab kev kho mob ib txwm muaj peev xwm daws tau tag nrho. Txoj kev kho mob palliative ntxiv kev tswj cov tsos mob tshwj xeeb uas tsim los txhim kho kev ua pa xis nyob thiab lub peev xwm ua haujlwm kom cov neeg mob tuaj yeem ua ntau yam tseem ceeb rau lawv.
Mob qog noj ntshav. Kev kho mob palliative thaum lub sijhawm kho mob qog noj ntshav tuaj yeem pib thaum kuaj pom tias muaj mob, tsis yog tom qab kev kho mob tsis ua haujlwm xwb. Nws muaj txiaj ntsig zoo rau kev tswj hwm qhov mob, xeev siab, thiab kev puas siab puas ntsws ntawm kev kho mob. Cov neeg mob qog noj ntshav muaj feem yuav muaj kev nyuaj siab ntau dua li cov pej xeem feem ntau, thiab pab pawg palliative tuaj yeem pab daws qhov ntawd nrog rau cov tsos mob ntawm lub cev.
Kab mob raum. Kev qaug zog, o, tsis xav noj mov, thiab kev puas tsuaj ntawm kev tswj hwm tus mob ntev xws li kab mob raum hnyav yog txhua qhov chaw uas kev txhawb nqa palliative tuaj yeem ua rau lub neej yooj yim dua, txawm tias kev ntxuav ntshav lossis hloov pauv tseem yog ib feem ntawm txoj kev npaj.
Kev puas hlwb. Vim tias kev puas hlwb yog ib yam mob uas nce zuj zus, cov theem thaum ntxov tshaj plaws yog lub sijhawm zoo tshaj plaws los coj kev txhawb nqa palliative. Kev pib thaum ntxov muab sijhawm rau tsev neeg los npaj rau yam uas yuav tshwm sim ua ntej kev saib xyuas yuav dhau los ua qhov nyuaj heev, thiab nws qhib lub qhov rooj rau cov kev pabcuam zoo li GUIDE Model ntawm kev saib xyuas kev puas hlwb, uas muab kev kuaj xyuas tsis tu ncua thiab kev nkag mus rau kev txhawb nqa kev kho mob 24/7.
Lwm yam kab mob loj. Kev kho mob palliative kuj tseem tuaj yeem pab cov neeg mob uas muaj ALS, Parkinson's kab mob, multiple sclerosis, kab mob siab, kev rov zoo los ntawm mob stroke, thiab lwm yam kab mob neurological lossis mob ntev. Yog tias muaj kab mob cuam tshuam rau lub neej zoo, qhov ntawd feem ntau yog qhov laj thawj txaus los nug seb kev kho mob palliative puas tuaj yeem pab tau, tsis hais qhov kev kuaj mob tshwj xeeb.
Cov cim qhia kom saib xyuas ua tus neeg saib xyuas
Kev saib xyuas mob nkeeg tsis yog hais txog tus neeg mob xwb. Nws kuj nyob ntawd rau cov neeg uas saib xyuas lawv. Yog tias koj yog tus uas tswj kev teem sijhawm, tshuaj, thiab cov kev xav tau txhua hnub rau ib tus neeg koj hlub, saib xyuas koj tus kheej cov cim ceeb toom thiab: xav tias nws nyias dhau los ua tsis tau raws li, kev ntshai ntxiv txog txhua yam tsos mob tshiab lossis mus ntsib tsev kho mob, pw tsaug zog tsis taus, lossis kev paub tias koj tsis tau so ntev dua li koj nco qab. Cov pab pawg neeg saib xyuas mob nkeeg yog tsim los txhawb nqa tag nrho tsev neeg, tsis yog tus neeg mob xwb, thiab kev thov kev pab rau tus neeg saib xyuas kuj yog ib qho laj thawj zoo rau kev hu xov tooj.
Yuav Muaj Dab Tsi Tshwm Sim Thaum Koj Tiv Tauj
Kev pib yooj yim dua li feem ntau tsev neeg xav tau. Koj tuaj yeem nug koj tus kws kho mob kom xa koj mus, lossis hu rau Carolina Caring ncaj qha thiab thov koj tus kheej. Thaum muaj kev xa mus, pab neeg feem ntau yuav ncav cuag koj hauv peb txog tsib hnub kom pib txheej txheem nkag mus. Los ntawm qhov ntawd, tus kws saib xyuas neeg mob feem ntau tuaj xyuas lub tsev li ib hlis ib zaug, feem ntau yog tias cov tsos mob xav tau kev saib xyuas ze dua, thiab ua haujlwm ncaj qha nrog tus neeg mob cov kws kho mob uas twb muaj lawm es tsis yog hloov lawv. Ib pab neeg dav dua, suav nrog cov neeg ua haujlwm pabcuam zej zog thiab cov xibhwb, muaj los txhawb nqa sab kev xav thiab sab ntsuj plig ntawm tus kab mob hnyav.
Feem ntau cov phiaj xwm pov hwm, suav nrog Medicare thiab Medicaid, them tag nrho lossis ib feem ntawm cov kev pabcuam saib xyuas palliative. Carolina Caring kuj yeej tsis tso ib tsev neeg tseg vim yog kev pov hwm lossis muaj peev xwm them taus, ua tsaug rau kev txhawb nqa los ntawm Carolina Caring Foundation.
Koj Tsis Tas Yuav Tos Txog Lub Caij Muaj Kev Kub Ntxhov
Muaj ib qho kev nkag siab yuam kev uas feem ntau hais tias kev kho mob palliative tsuas yog ib yam uas yuav tsum xav txog thaum muaj teeb meem loj zuj zus. Hauv kev xyaum, tsev neeg thov sai dua, nws yuav pab tau ntau dua. Kev pib sai dua txhais tau tias muaj sijhawm ntau dua los tswj cov tsos mob ua ntej lawv loj hlob tuaj, muaj chaw ntau dua los npaj es tsis txhob teb, thiab muaj kev txhawb nqa ntau dua thaum muaj mob hnyav uas nyuaj rau nqa ib leeg.
Yog tias koj xav paub seb puas yog lub sijhawm los nug txog kev saib xyuas palliative rau koj tus kheej lossis ib tus neeg koj hlub, cov lus nug ntawd feem ntau yog qhov laj thawj txaus los hu xov tooj. Hu rau Carolina Caring ntawm 828.466.0466 lossis mus saib carolinacaring.org/palliative-medicine kom paub ntau ntxiv txog kev txhawb nqa rau koj tsev neeg.
