Nā Kūlana o ka ʻOihana Lāʻau Lapaʻau Halemai
ʻO ke ʻano loina ʻoihana o ka hale kūʻai lāʻau lapaʻau haukapila he mau waiwai, nā loina, a me nā kūlana o ke ʻano e lawelawe ana ma ke ʻano he alakaʻi no nā kauka lāʻau lapaʻau a me nā loea lāʻau lapaʻau i ka hoʻokō ʻana i kā lākou mau kuleana ma kahi haukapila. ʻAʻole wale kēia mau loina he mau lula o ke ʻano loina, akā he kahua ʻoihana e hōʻoiaʻiʻo ana i nā lawelawe lāʻau lapaʻau palekana, kiʻekiʻe, i kau ʻia ma ka mea maʻi, a me ka mālama ʻana i nā kānāwai a me nā kūlana ʻoihana. I waena o ka paʻakikī o nā lāʻau lapaʻau hou, ka nui o nā maʻi me nā maʻi maʻi, a me nā koi no ka hāʻawi ʻana i nā lawelawe kūpono, lawelawe ke ʻano loina ʻoihana ma ke ʻano he panana e kōkua ana i nā kauka lāʻau e hana i nā hoʻoholo naʻauao a kuleana.
Ke kuleana o ka hale kūʻai lāʻau lapaʻau haukapila a me ke koʻikoʻi o nā loina
He kuleana koʻikoʻi ko nā hale kūʻai lāʻau lapaʻau haukapila i ka hōʻoia ʻana i ka loaʻa ʻana o nā lāʻau lapaʻau, kekahi mau mea lapaʻau, a me nā mea hoʻopau, me ka hōʻoia ʻana i kā lākou hoʻohana pono ʻana. ʻAʻole hāʻawi wale nā lāʻau lapaʻau i nā lāʻau lapaʻau, akā pili pū lākou i ke koho ʻana i ka lāʻau lapaʻau, ka nānā ʻana i nā hopena ʻaoʻao, ka pale ʻana i nā hewa lāʻau lapaʻau, a me ka hoʻonaʻauao ʻana i nā mea maʻi. No ka mea hiki i nā hoʻoholo e pili ana i ka lāʻau lapaʻau ke hoʻopilikia pololei i ka palekana o ka mea maʻi, he mea nui nā loina ʻoihana. ʻO nā hewa liʻiliʻi e like me ka heluhelu ʻole ʻana i kahi palapala kauoha, ka hōʻoia ʻole ʻana i kahi palapala kauoha, a i ʻole ka nānā ʻole ʻana i kahi maʻi allergy lāʻau hiki ke alakaʻi i ka hōʻeha nui. Ma ka pili ʻana i nā loina loina, hōʻoia nā limahana lāʻau lapaʻau e hoʻokau mua ke kaʻina hana lawelawe holoʻokoʻa i ka palekana a me ka
Nā loina pono ma ka hana lāʻau lapaʻau haukapila
Ma keʻano laulā, pili pinepine nā loina o ka ʻoihana olakino i nā kumumanaʻo nui ʻehā: ka lokomaikaʻi, ka hewa ʻole, ke kūʻokoʻa, a me ka hoʻopono. I loko o ke kahua o ka hale kūʻai lāʻau lapaʻau haukapila, hiki ke hoʻopili paʻa ʻia kēia mau kumumanaʻo ʻehā.
1. Hana maikaʻi (lokomaikaʻi)
Ua kuleana nā kauka lāʻau lapaʻau e hāʻawi i ka pono nui loa i nā maʻi ma o ke koho ʻana i nā lāʻau lapaʻau kūpono, ka ʻike pololei, a me ka nānā ʻana i ka lāʻau lapaʻau. ʻO ka hoʻokō ʻana i kēia kumumanaʻo e pili ana i ka hōʻoia ʻana i nā dosages kūpono, ka pale ʻana i nā pilina lāʻau lapaʻau weliweli, a me ka ʻōlelo ʻana i nā lāʻau lapaʻau palekana inā pono.
2. Mai hana i ka pōʻino (non-maleficence)
Pono kēia kumumanaʻo i ka akahele loa. Pono nā lawelawe lāʻau lapaʻau e hōʻemi i ka pilikia o nā hewa lāʻau lapaʻau, me ka hōʻoia ʻana i nā "kuleana ʻeono" (pololei ka mea maʻi, ka lāʻau lapaʻau, ka nui o ka lāʻau, ka manawa, ke ala, a me ka palapala) a me ka nānā pālua ʻana i nā lāʻau lapaʻau kiʻekiʻe e like me ka insulin, nā anticoagulants, a me ka chemotherapy.
3. E mahalo i ke kūʻokoʻa o ka mea maʻi
Loaʻa i nā maʻi ke kuleana e ʻike i ka ʻike e pili ana i ka lāʻau lapaʻau a lākou e loaʻa nei, me nā pono, nā pilikia, pehea e hoʻohana ai, a me nā hopena ʻaoʻao. Pono nā kauka lāʻau lapaʻau e hāʻawi i ka hoʻonaʻauao ma ka ʻōlelo maʻalahi e hoʻomaopopo, e mahalo i nā koho a ka mea maʻi, a pale i nā ʻano hana hoʻokau. No nā mea maʻi me ka hiki ke hoʻoholo palena ʻia, pono e kamaʻilio me nā ʻohana a i ʻole nā kahu, e like me ka mea kūpono.
4. Hoʻopono
Pili ke kaulike i ka hoʻokaʻawale ʻana o nā kumuwaiwai lāʻau lapaʻau i kaupalena pinepine ʻia, ʻoiai i nā kūlana o ka nele. Pono nā kauka lāʻau lapaʻau haukapila e hoʻonohonoho i nā mea nui ma muli o ka pono olakino, nā alakaʻi lapaʻau, a me nā kulekele haukapila—ʻaʻole ma ke kūlana pilikanaka, ka kokoke, a i ʻole nā kuleana kūikawā.
Ka hūnā ʻana o ka mea maʻi a me ka palekana ʻikepili
ʻO kekahi o nā ʻano koʻikoʻi o ke kuleana, ʻo ia ka mālama ʻana i ka pilikino o ka ʻike o ka mea maʻi. He ʻike koʻikoʻi nā ʻikepili e pili ana i nā lāʻau lapaʻau, nā hōʻailona, nā hopena o ka hale hana, a me ka mōʻaukala lapaʻau. Pono nā kauka lāʻau lapaʻau a me nā limahana lāʻau lapaʻau ʻē aʻe e komo a kaʻana like i kēia ʻike inā pono a me nā ʻaoʻao i ʻae ʻia. ʻO ke kūkākūkā ʻana i ke kūlana o ka mea maʻi ma ka lehulehu, ka kaʻana like ʻana i nā kiʻi kauka ma nā pāpili kaiapili, a i ʻole ka hōʻike ʻana i nā moʻolelo lapaʻau me ka ʻole o ka ʻae ʻia, he hana ia e uhaki i ke kuleana a hiki ke hopena i nā hopena kānāwai.
I ke au kikohoʻe, ke koʻikoʻi nei nā pilikia pilikino ma muli o ka hoʻohana ʻana i nā ʻōnaehana ʻike haukapila, nā noi kamaʻilio kūloko, a me ka mālama ʻikepili uila. Pono ke akahele i nā loina ʻoihana: ka hoʻohana ʻana i nā ʻōlelo huna palekana, ke komo ʻana i kaupalena ʻia e like me nā kuleana, a me ke akahele i ka wā e kūkākūkā ai i nā hihia maʻi ma o nā pāpaho kamaʻilio.
ʻO ka ʻoiaʻiʻo, ka pono, a me ke kuleana
ʻO ke kūpaʻa ke kikowaena o ka ʻoihana. Pono nā kauka lāʻau lapaʻau e ʻoiaʻiʻo i kā lākou palapala, hōʻike ʻana i ka hoʻohana ʻana i nā lāʻau lapaʻau, a me nā moʻolelo waihona. ʻO ka hoʻopunipuni, e like me ka hoʻopunipuni ʻana i nā waihona, ka hoʻohuli ʻana i nā lāʻau lapaʻau no ka loaʻa kālā pilikino, a i ʻole nā hōʻailona kūʻai, he mau hana hewa koʻikoʻi ia e hoʻohaʻahaʻa ana i ka hilinaʻi o ka lehulehu. Eia kekahi, ʻo ke kuleana ke ʻano o ka mākaukau e lawe i ke kuleana no nā hana ʻoihana, me ka ʻae ʻana i nā hewa i ka wā e hana ʻia ai a me ka hāʻawi ʻana i nā hoʻomaikaʻi ʻana i ka ʻōnaehana e pale aku i ka hana hou ʻana.
I ka hana maoli, paipai kahi moʻomeheu palekana o ka mea maʻi i ka hōʻike ʻana i nā hanana me ka ʻole o ka hoʻopiʻi ʻana i nā kānaka (he "moʻomeheu ʻaʻohe hewa"), akā koi mau i ke kuleana. ʻO ke ʻano kēia, inā loaʻa kahi hewa hāʻawi a lawelawe lāʻau paha, ʻo ka mea nui ka hoʻopakele ʻana i ka mea maʻi, hōʻike pololei, noiʻi i ke kumu kumu, a hoʻoikaika i nā kaʻina hana.
Ka mākaukau ʻoihana a me ke aʻo mau ʻana
ʻAʻole hiki ke hoʻokaʻawale ʻia nā loina ʻoihana mai ka mākaukau. Pono nā kauka lāʻau lapaʻau e hana i loko o ko lākou mana a me nā hiki, a hoʻomau i ka hoʻonui ʻana i ko lākou ʻike i nā lāʻau lapaʻau hou, nā alakaʻi therapeutic, a me nā lula. Ma nā haukapila, wikiwiki ka holomua ʻepekema—mai nā biologics a me nā therapies i kuhikuhi ʻia a hiki i nā protocols antimicrobial. ʻO ka nele o nā hoʻonui mākaukau hiki ke alakaʻi i nā ʻōlelo aʻoaʻo kūpono ʻole a i ʻole ka hiki ʻole ke ʻike i nā hopena ʻino.
Ma waho aʻe o ke akamai lapaʻau, pono pū nā loina i nā mākau kamaʻilio maikaʻi. Hiki i ka hoʻonaʻauao maopopo ʻole o ka mea maʻi ke alakaʻi i ka hoʻokō ʻole ʻana a me ka hāʻule ʻana o ka lāʻau lapaʻau. Pono pū nā pilina me nā kauka a me nā kahu maʻi i ke kamaʻilio like ʻana, ka mahalo like, a me ka nānā ʻana i nā pono maikaʻi loa o ka mea maʻi.
Nā paio o ka hoihoi a me nā pilina me ka ʻoihana
Hana pū nā kauka lāʻau lapaʻau haukapila me ka ʻoihana lāʻau lapaʻau, nā mea hoʻolaha, a me nā keʻena kūʻai. Loaʻa i kēia mau pilina nā paio o ka hoihoi, e like me nā makana, nā kākoʻo, a i ʻole nā mea hoʻoikaika e hiki ke hoʻohuli i ke koho ʻana i nā lāʻau. Pono nā loina ʻoihana e hoʻokumu ʻia nā hoʻoholo kūʻai a me nā formulary ma nā hōʻike ʻepekema, ka pono, ka palekana, nā pono o ka mea maʻi, a me ka pono o ke kumukūʻai—ʻaʻole ka loaʻa kālā pilikino.
He mea nui ka moakāka. Inā he paio hoihoi paha, pono e hōʻike ʻia e like me ke kulekele o ka haukapila. Pono ke komite lāʻau lapaʻau a me nā therapeutics (PFT) e hana ma muli o ka ʻikepili a me ka loiloi kūʻokoʻa. ʻAe kēia ʻano hana i ka haukapila e mālama i ka maikaʻi o ka lawelawe a me ka hilinaʻi o ka lehulehu.
Nā loina i ka hoʻokele lāʻau lapaʻau: mai ke kūʻai ʻana a hiki i ka hāʻawi ʻana
Hōʻike pū ʻia nā loina ʻoihana i ka hoʻokele lāʻau. Pono ke kūʻai ʻana e noʻonoʻo i ka maikaʻi o ka huahana a me ke kānāwai, e pale ana i ke komo ʻana o nā lāʻau hoʻopunipuni a i ʻole nā lāʻau lapaʻau i hoʻopaʻa inoa ʻole ʻia. Pono ka mālama ʻana e kūlike me nā kūlana e mālama ai i ke kūpaʻa o ka lāʻau, me ka mahana, ka makū, a me ka palekana narcotic/psychotropic. Pono e hoʻolaha ʻia i nā ʻāpana lawelawe i ka manawa kūpono a palapala ʻia, i ʻole e hōʻeha nā lohi a i ʻole nā hewa i nā mea maʻi.
I kekahi mau kūlana, e like me ka nele o nā lāʻau lapaʻau, pono nā kauka lāʻau e hana i nā pani therapeutic e like me nā alakaʻi a me ka laulima ʻana me nā kauka. Kuhikuhi nā loina e hoʻomau nā mea maʻi i ka loaʻa ʻana o ka lāʻau lapaʻau maikaʻi loa, me ka wehewehe maopopo ʻana i ka hoʻololi lāʻau lapaʻau a pehea e hoʻohana ai.
Nā loina o nā lawelawe lapaʻau: ka hoʻonaʻauao, ke aʻo ʻana, a me ka nānā ʻana i ka lāʻau lapaʻau
ʻO nā lawelawe lāʻau lapaʻau lapaʻau ma nā haukapila e komo pū ana me ka hoʻoponopono ʻana i ka lāʻau lapaʻau ma ke komo ʻana o ka mea maʻi, ka hoʻoili ʻana, a i ʻole ka hoʻokuʻu ʻia ʻana; ka loiloi ʻana i ka lāʻau lapaʻau; ka nānā ʻana i nā hopena ʻaoʻao; a me ke aʻo ʻana i ka lāʻau lapaʻau. Pono nā kauka lāʻau lapaʻau e mahalo i ke kūlana o ka mea maʻi, me nā kumu moʻomeheu, ka ʻōlelo, a me ka pae o ka hoʻomaopopo ʻana. Pono e hāʻawi ʻia ka ʻike lāʻau lapaʻau me ke aloha, ka hoʻohewa ʻole, a me ka ʻole o ka makaʻu nui.
I nā maʻi ma waho o ka haukapila, hiki i ke aʻo kūpono ke pale aku i ka hoʻohana hewa ʻana i nā lāʻau lapaʻau. I nā maʻi ma loko o ka haukapila, hiki i ka hoʻopili ʻana me ka hui lapaʻau ke hōʻemi i ka pilikia o nā pilina lāʻau, ka hana pālua ʻana o ka lāʻau lapaʻau, a i ʻole nā contraindications. ʻO kēia mau hana a pau ke hōʻike nei i kahi kuleana pono e pale i ka palekana o ka mea maʻi.
Nā pilikia loina maʻamau i ka hale kūʻai lāʻau lapaʻau haukapila
I ka hana maoli, kū pinepine nā kauka lāʻau lapaʻau i nā pilikia, no ka laʻana:
– Noi no ka lāʻau lapaʻau me ka ʻole o kahi palapala kauoha kūpono akā aia ka mea maʻi i loko o ke kūlana wikiwiki.
– ʻAʻohe waihona lāʻau lapaʻau koʻikoʻi no laila pono e hoʻoholo ʻia nā mea nui.
– Nā ʻokoʻa o ka manaʻo me ke kauka e pili ana i nā koho lapaʻau maikaʻi loa.
– Ke kaomi hoʻomalu no ka hoʻohana pono ʻana i ke kumukūʻai i hiki ke hōʻemi i ka maikaʻi.
I ke alo ʻana i kēia pilikia, pono nā kauka lāʻau lapaʻau e kuhikuhi i nā alakaʻi lapaʻau, nā lula, nā kūlana ʻoihana, a me nā kulekele haukapila, me ka hoʻokau mua ʻana i ka palekana o ka mea maʻi. ʻO nā kūkākūkā interprofessional a me ke kūkākūkā ʻana me kahi kōmike ethics a i ʻole PFT he mau hana naʻauao pinepine.
Pani
ʻO nā loina o ka ʻoihana lāʻau lapaʻau haukapila ke kumu nui no ka hāʻawi ʻana i nā lawelawe lāʻau lapaʻau palekana, kiʻekiʻe, a me ke kanaka. Pono e loaʻa nā kumumanaʻo o ka hana maikaʻi, ʻaʻole e hana ʻino, mahalo i ke kūʻokoʻa o ka mea maʻi, a me ke kaulike i kēlā me kēia pae o ka hana—mai ka hoʻokele lāʻau lapaʻau a hiki i nā lawelawe lapaʻau pololei. Ma ka mālama ʻana i ka pilikino, ka pono, ka mākaukau, a me ke kūʻokoʻa mai nā hakakā hoihoi, hiki i nā kauka lāʻau a me nā limahana lāʻau lapaʻau ʻē aʻe ke hoʻoikaika i ka hilinaʻi o ka lehulehu me ka hoʻomaikaʻi ʻana i ka palekana o ka mea maʻi. ʻO ka mea hope loa, ʻaʻole nā loina i kākau ʻia wale nō, akā he kūpaʻa i kēlā me kēia lā e kau i nā mea maʻi ma ke kikowaena o ka mālama a me ka mālama ʻana i ka hanohano o ka ʻoihana.
