Te Tūranga o te Whare Rongoā Hōhipera i roto i ngā Ratonga Hauora
He mahi nui tā te whare rongoā hōhipera ki te whakarite kia haumaru, kia whai hua, kia kounga teitei hoki ngā ratonga hauora. I waenganui i te uaua o te rongoā tūroro, te whānuitanga o ngā rongoā, me te mōrearea o ngā hapa rongoā, ko te noho o tētahi wāhanga whare rongoā hōhipera (IFRS) he pou matua o te pūnaha ratonga. Ehara i te mea ko te hoko me te rokiroki rongoā anake te arotahi a te whare rongoā hōhipera, engari ko te whai wāhi kaha hoki ki ngā ratonga haumanu, te whakahaere kounga, te whakaako i ngā tūroro, me ngā mahi ki te aukati i ngā pānga kino o ngā rongoā. E matapakihia ana e tēnei tuhinga te tūranga whānui o te whare rongoā hōhipera me tana takoha ki ngā putanga o te tūroro.
1. Te whare rongoā hōhipera hei taurangi mō te wātea me te urunga atu ki ngā rongoā
Ko te mahi tino rongonui a te whare rongoā hōhipera ko te whakarite kia wātea ngā rongoā me ngā taonga rongoā. Ehara i te mea ko te "whai taonga" anake tēnei e wātea ana, engari kei roto hoki ko te tika o te momo, te rahinga, te kounga, me te ōrite ki ngā hiahia haumanu. Ka whakamahere te whare rongoā hōhipera i ngā hiahia rongoā i runga i ngā tauira mate, ngā reiti noho tūroro, ngā au whakamahinga rongoā, me ngā paerewa rongoā e tika ana. Mā te whakamahere tika, ka taea e ngā hōhipera te karo i te korenga o ngā rongoā ka raru pea i te rongoā, ā, ka ārai i te maumauria nā te nui rawa, te pau rānei o ngā taonga.
Hei tāpiritanga, ko ngā kaimahi rongoā o te hōhipera te kawenga mō te whakarite kia ōrite te urunga atu ki ngā rongoā. Ko te tikanga tēnei ka whai wāhi ngā tūroro ki te tiki i ngā rongoā e hiahiatia ana e rātou i runga anō i ngā tohu hauora me ngā paerewa ratonga, me te whai whakaaro anō hoki ki ngā kaupapa here utu me te pūtea pēnei i te Inihuarangatia Hauora ā-Motu (JKN). He taputapu nui te whakahaere i te tātai rongoā hōhipera hei pupuri i te urunga atu me te whai huatanga.
2. Te whakahaere haumaru i ngā mahi whakahaere me te mekameka tuku
He tairongo ngā rongoā ki te pāmahana, te haumākū, me te mārama, ā, he nui te tūponotanga o te whakamahi hē. Nō reira, me whakatinana e ngā whare rongoā hōhipera te whakahaere whakahaere rawaka: mai i te whiriwhiri a te kaiwhakarato me te whiwhinga o ngā taonga, ki te rokiroki kia rite ki ngā whakaritenga, me te tohatoha ki ngā wāhanga ratonga pēnei i ngā tūroro noho, ngā tūroro waho, te tari ohorere (ER), te wāhanga tiaki nui (ICU), me ngā rūma pokanga. Kei roto i tētahi pūnaha rokiroki pai te whakatinanatanga o te FEFO (tuatahi ka pau, tuatahi ka puta), te wehewehe i ngā rongoā mataara-nui, te rokiroki i ngā narcotics me ngā psychotropics kia rite ki ngā ture, me te pupuri tuhinga kia pai, kia taea te arotake.
Kei roto hoki i tētahi mekameka tuku haumaru te aukati i ngā rongoā rūpahu me te whakarite i te kounga o te hua. Me whakarite ngā kaiwhakaora rongoā o te hōhipera kia ahu mai ngā rongoā i ngā puna whai mana, kia whai whakaaetanga tohatoha, kia piri hoki ki ngā whakaritenga rokiroki i te wā e kawe ana. Mā te kaha o ngā mahi whakahaere, ka taea e ngā hōhipera te pupuri i te haere tonu o te ratonga me te whakaiti i te mōrearea o ngā hapa rongoā, o ngā kino rānei.
3. Ngā ratonga rongoā haumanu: arotahi ki te haumaru me ngā putanga rongoā
Nā te whanaketanga o te whare rongoā hōhipera hou, ka whakanohohia ngā kaiwhakaora rongoā ehara i te mea hei kaiwhakahaere rongoā anake engari hei tohunga hauora hoki e aro ana ki te whakaora tūroro. Kei roto i ngā ratonga rongoā haumanu ngā mahi pēnei i te arotake whakahaunga, te aroturuki i te rongoā, te tautuhi i te taunekeneke rongoā, te aromatawai i te horopeta, me ngā whakatikatika ki ngā āhuatanga motuhake. Hei tauira, ko ngā tūroro he mate tākihi, he mate ate rānei, ngā tamariki, ngā kaumātua, ngā tūroro hapū, ngā tūroro rānei e tango ana i ngā rongoā maha (polypharmacy). I roto i ēnei rōpū, ka piki ake te mōrearea o ngā pānga taha me ngā hapa horopeta, ka nui te mahi a te kaiwhakaora rongoā ki te aromatawai i te haumaru o te rongoā.
Ka taea hoki e ngā kaiwhakaora rongoā te whai wāhi atu ki ngā wāhanga haumanu me ngā tākuta me ngā nēhi, e tuku ana i ngā taunakitanga mō te whiriwhiri rongoā whaitake, e whakaaro ana i ngā whakakapinga rongoā ina hiahiatia, me te āwhina ki te aroturuki i ngā urupare a ngā tūroro. Kua whakaatuhia e ēnei takoha te whakaiti i ngā hapa rongoā, te whakanui ake i te piri ki ngā aratohu whakaora, me te whakapai ake i ngā putanga haumanu.
4. Te ārai i ngā hapa rongoā me te whakapai ake i te haumaru o te tūroro
Ka puta pea ngā hapa rongoā i ngā wāhanga maha: te whakahaunga rongoā, te tuhi, te tohatoha, te whakahaere, me te aroturuki. He mahi tā ngā kaiwhakahaere rongoā hōhipera i te nuinga o ēnei wāhanga nui. Ko te arotake whakahaunga rongoā me te manatoko i ngā rongoā i mua i te whakahaere he mahi nui hei kite i ngā horopeta hē, te tāruarua o te rongoā, ngā taunekeneke rongoā morearea, ngā mate pāwera, me ngā hapa i roto i te ahua horopeta, i te ara whakahaere rānei.
Ka whakawhanakehia hoki e ngā kaiwhakaora rongoā hōhipera ngā rautaki haumaru, pērā i te tapanga i ngā rongoā mataara nui (hei tauira, te insulin, te heparin, ngā electrolytes kukū), te whakatinana i ngā tirotiro rua, te whakamahi i ngā takai me ngā tapanga mārama, me te whakaako i ngā kaimahi mō ngā rongoā mōrearea nui. I ētahi hōhipera, ko te tautoko hangarau pērā i te e-prescribing, te whakahaere rongoā waehere pae, me ngā pūnaha mōhiohio rongoā whakauru ka whakapakari ake i te aukati hapa.
5. Ngā ratonga mōhiohio rongoā me te mātauranga tūroro
He maha ngā raruraru hauora e puta ake ana ehara i te mea kāore e wātea ana ngā rongoā, engari nā te mea he hē te whakamahinga. Ka whakaratohia e ngā whare rongoā hōhipera ngā ratonga mōhiohio rongoā mā ngā tākuta, ngā nēhi, me ngā tūroro. Kei roto i ngā mōhiohio e whakaratohia ana ko te whakamahinga o ngā rongoā, ngā pānga taha, ngā taunekeneke, te rokiroki, me te aha me mahi mēnā ka wareware koe ki te tango.
He mea nui rawa te ako i ngā tūroro mō ngā tūroro kei waho o te hōhipera me ngā tūroro kua tukuna ki te hōhipera. Ina hoki mai ngā tūroro i te hōhipera, ka rerekē te maha o ngā wā ka whakaritea ki te wā i mua i te whakaurunga. Ka taea e ngā kaiwhakaora te tuku tohutohu, kia mārama ai ngā tūroro ki ngā tohu mō ia rongoā, te kaupapa, me ngā tohu whakatūpato hei tūpato. Ko ngā kaupapa whakatikatika rongoā i te wā whakaurunga, te whakawhiti rūma, me te tukunga ki te hōhipera he mahi nui anō hoki o te whare rongoā hōhipera hei ārai i ngā rongoā i ngaro, i tāruarua rānei.
6. Te whakaranu, te whakarite i ngā whakaritenga parakore, me ngā ratonga motuhake
He maha ngā wā ka whakahaerehia e ngā kaiwhakaora rongoā hōhipera te whakarite rongoā e hiahia ana kia tino tika, tae atu ki te whakaranu me te whakarite i ngā whakaritenga parakore. Hei tauira, ko te whakaranu i ngā rongoā ā-uaua, te whakarite i te kai parenteral, te whakaranu i ētahi paturopi, me te whakahaere i ngā rongoā cytotoxic mō te chemotherapy. Me piri ēnei tukanga ki ngā paerewa aseptic me ngā tikanga kounga kia kore ai e poke, kia tika ai hoki te horopeta.
Ko ētahi atu ratonga motuhake ko te tiaki i ngā paturopi. I roto i tēnei kaupapa, ka mahi tahi ngā kaiwhakaora rongoā me ngā tīma haumanu ki te whakarite kia tika te whakamahinga o ngā paturopi, tae atu ki ngā tohu e tika ana, te horopeta, te roa, me te kōwhiringa momo, ā, mā reira ka whakaitihia te ātete ki ngā paturopi, he tūmomo riri ā-ao.
7. Te whakahaere kounga, ngā arotake me te tutuki i ngā ture
He mahi anō tā te whare rongoā hōhipera ki te whakahaere kounga, tae atu ki te whakawhanake i ngā tikanga whakahaere paerewa (SOP), te arotake i te whakamahinga rongoā, te aroturuki i ngā tohu mahi, me te ripoata i ngā tauhohenga kino me ngā hapa rongoā. Mā roto i ēnei mahi, ka taea e ngā hōhipera te whakatinana i te whakapai tonu i te kounga.
He kawenga nui te ū ki ngā ture e pā ana ki ngā raau taero, ngā matū hinengaro-whakaaro, me ētahi rongoā whakahaunga, tae atu ki ngā whakaritenga rokiroki me te tohatoha. Mā te whakahaere tika, te pupuri tuhinga, me te tuku pūrongo ka āwhina i ngā hōhipera ki te pupuri i te kawenga me te whakaiti i te whakamahinga hē.
8. Te whai huatanga o te pūtea me te pumau o te ratonga
I roto i ngā pūnaha hauora, he mea nui te utu rongoā. Ka whai wāhi te whare rongoā hōhipera ki te whai huatanga mā te whakahaere i te whare rongoā, te arotake i te whakamahinga rongoā, ngā whiriwhiringa hoko, me te whiriwhiri i ngā maimoatanga utu-whai hua me te kore e whakararu i te kounga. Ka taea hoki e te whare rongoā te āwhina ki te aukati i te moumou moni nā te whakahaunga koretake, te whakamahi nui i ngā paturopi, te whakamahi rānei i ngā rongoā waitohu ina wātea ngā rongoā rite.
He mea nui tēnei whai huatanga kia taea ai e ngā hōhipera te pupuri i te pumau o ngā ratonga, inā koa i roto i ngā whare hauora he nui ngā tūroro me ngā herenga tahua.
Whakamutunga
Ko te tūranga o te whare rongoā hōhipera i roto i te hauora he whānui atu i te hoko me te tohatoha rongoā. He mea nui te whare rongoā hōhipera ki te whakarite i te haumaru, te whai hua, me te whai whakaaro ki te rongoā tūroro mā roto i ngā ratonga whare rongoā haumanu, te aukati i ngā hapa rongoā, te mātauranga tūroro, te whakarite i ngā whakaritenga motuhake, me te whakahaere kounga me te tutuki i ngā ture. Mā te mahi tahi kaha me ngā tākuta, ngā nēhi, me ētahi atu tohunga hauora, ka taea e te whare rongoā hōhipera te whakarei ake i te haumaru o te tūroro, te whakapai ake i ngā putanga haumanu, me te tautoko i te whai huatanga o te pūnaha hauora whānui. I tēnei wā o te hauora uaua haere, ko te whakapakari i te tūranga o te whare rongoā hōhipera he haumitanga nui ki te kounga me te angitu o te rongoā tūroro.
