Ngā Tikanga Paerewa i roto i te Tapuhi Pokanga
Ko te nēhi pokanga he peka o te umanga nēhi e arotahi ana ki te tiaki tūroro i mua, i te wā, me muri i ngā tikanga pokanga. Me whai tohungatanga motuhake tēnei umanga me te māramatanga hōhonu ki ngā tikanga me ngā kawa o te pokanga. Mā te nēhi pokanga ka whakarite te haumaru o te tūroro me te angitu o te pokanga mā te huarahi whānui me te matatau.
He Kupu Whakataki ki te Tapuhi Pokanga
Ko te nēhi pokanga, e kiia ana ko te nēhi perioperative, e toru ngā wāhanga matua: i mua i te pokanga, i roto i te pokanga, me muri i te pokanga. He tūranga me he kawenga motuhake kei ia wāhanga hei whakarite i te tiaki pai rawa atu o te tūroro me te whakaiti i te mōrearea o ngā raruraru.
Wāhanga i mua i te pokanga
Ka tīmata te wāhanga i mua i te pokanga ina whakatauhia te mahi pokanga, ā, ka haere tonu kia haria rā anō te tūroro ki te rūma pokanga. Ko ngā tikanga tapuhi pokanga paerewa i tēnei wāhanga ko:
1. Aromatawai i mua i te pokanga: Me arotake e ngā nēhi te hauora o te tūroro, tae atu ki ngā hītori hauora, ngā mate pāwera, te whakamahinga rongoā, me te āhua hinengaro. Ko te whakamātautau tinana me ngā whakamātautau tātaritanga pērā i ngā whakamātautau toto, EKG, me te hihi-X he wāhanga nui o tēnei aromatawai.
2. Te Whakaakoranga mō te Tūroro me te Whānau: He mahi nui mā ngā nēhi te whakarato i ngā mōhiotanga mārama, whānui hoki mō te pokanga, ōna mōrearea, ōna painga, me ngā mahi whakarite e tika ana, pērā i te nohopuku i mua i te pokanga. Kei roto hoki i te mātauranga te whakamārama i te tukanga whakamoe me ngā mea hei tumanakohia i te wā whakaora.
3. Te whakarite tinana: He mea nui te whakarite kia rite te tūroro mō te pokanga. Kei roto pea i tēnei ko te whakarite kiri, pērā i te kaukau paturopi, te heu rānei i ngā wāhi pokanga, me te mau i ngā aho IV, i ngā catheter rānei mēnā e tika ana.
4. Manatoko me te Tuhituhi: Me manatoko me te tuhi taipitopito i ngā mōhiohio katoa a te tūroro. Kei roto i tēnei ko te tuakiri o te tūroro, te momo pokanga ka mahia, te wāhi pokanga, me te puka whakaaetanga pokanga kua hainatia.
Wāhanga Pokanga (I te wā o te pokanga)
Ko te wāhanga i mua i te pokanga e kapi ana i ngā mahi katoa mai i te pokanga tae noa ki te whakawhiti i te tūroro ki te rūma whakaora. He maha ngā kawenga nui a ngā nēhi rūma pokanga:
1. Te Whakahoromata me te Whakakorenga i ngā Mate Pukupuku: Me whakarite e ngā nēhi he parakore ngā taputapu pokanga katoa me te wāhi pokanga hei ārai i te mate. Kei roto i tēnei ko te whakarite i te moenga o te rūma pokanga, te whakatakoto i ngā taputapu parakore, me te pupuri i te taiao pokanga kia parakore.
2. Te Aroturuki i te Haumaru o te Tūroro: Me aro turuki tonu i ngā tohu ora o te tūroro, pērā i te toto totoka, te tere o te manawa, me ngā taumata hāora, puta noa i te mahi pokanga. Me noho rite hoki ngā nēhi mō ngā āhuatanga ohorere ka puta i te wā pokanga.
3. Te Mahi Tahi a te Tākuta Pokanga: Me mahi tahi ngā nēhi pokanga i roto i te rūma pokanga me te taote pokanga, te tohunga whakamoe, me ētahi atu mema o te tīma kia pai ai te haere o te mahi. Ko ētahi o ngā mahi motuhake ko te āwhina i te whakarite i ngā taputapu pokanga, te whakarite taputapu, me te whakarato i ngā taputapu, i ngā taonga rānei e hiahiatia ana e te taote pokanga.
4. Ngā Tuhinga i te Wā o te Tākutatanga: Me tuhi taipitopito ngā mahi katoa i te wā o te pokanga. Kei roto i tēnei ko ngā wā tīmatanga me ngā wā mutunga o te pokanga, ngā momo me ngā rahinga o ngā rongoā e tukuna ana, me ngā huringa haumanu katoa ka puta ki te tūroro.
Wāhanga Whai muri i te Tātaritanga
Ko te wāhanga muri i te pokanga e kapi ana i te wā mai i te otinga o te pokanga tae noa ki te tino ora o te tūroro. Ko ngā tikanga paerewa i tēnei wāhanga me whakarite kia ora haumaru, kia whai hua hoki te tūroro:
1. Te Aroturuki me te Whakapūmau: Ka whakawhitia te tūroro ki te rūma whakaora, ki te wāhanga tiaki nui rānei, kia aro turukihia ai ngā tohu ora. Me aro turuki ngā nēhi i te mamae, te māramatanga, te āhua o te manawa, me te tohanga toto. He mea nui te aromatawai tuatahi i roto i te rūma whakaora hei ārai i ngā raruraru.
2. Te Whakahaere Mamae: He raruraru noa te mamae i muri i te pokanga, ā, me whakahaere pai mā te whakamahi i ngā momo tikanga, arā, ngā rongoā (ngā rongoā whakamamae mamae) me ngā tikanga kore-rongoa. Me arotake e ngā nēhi te kaha o te mamae o te tūroro, me te whakarerekē i te rongoā ina hiahiatia.
3. Whakaora Mahi: Ko te whakatenatena i te nekehanga wawe, ngā mahi manawa, me te tiaki patunga he kaupapa matua hei āwhina i te whakaora. Me whakarite hoki e ngā nēhi kei te mahi tika ngā waikeri pokanga, ngā katitere rānei, me te aroturuki hoki i ngā tohu o te mate.
4. Mātauranga Tukunga: I mua i te tukunga o te tūroro ki te hōhipera, he mea nui kia whakaratohia e te nēhi he mātauranga mō te tiaki kāinga, ngā tohu o ngā raruraru hei tirotiro mā rātou, ngā wātaka whakamātautau whai muri, me ngā mōhiohio e pā ana ki te maimoatanga me haere tonu ki te kāinga.
Te Whakawhitiwhiti Kōrero me te Mahi Ngātahi
Ko ngā wāhanga katoa o te tukanga tiaki pokanga e whakawhirinaki nui ana ki te whakawhitiwhiti kōrero whai hua i waenga i ngā mema o te tīma hauora, te tūroro, me te whānau o te tūroro. He mea nui te mahi tahi whai hua i waenga i ngā nēhi, ngā taote pokanga, ngā tohunga whakamoe, me ētahi atu tohunga hauora ki te whakarato i te tiaki pokanga haumaru me te whai hua.
Ehara i te mea ko te whakawhitiwhiti kōrero pai anake te āwhina ki te whakaiti i ngā hapa hauora, engari ka tautoko hoki i ngā kare ā-roto mō ngā tūroro me ō rātou whānau. Ehara i te mea ko ngā pūkenga hangarau anake te kaupapa o te nēhi pokanga, engari me whai aroha, manaaki, me ngā pūkenga whakawhitiwhiti kōrero pai anō hoki.
Whakapai Tonu
Kei te whanake tonu te ao hauora me te hangarau pokanga, nō reira me hihiri, me urutau hoki ngā tikanga paerewa i roto i te nēhi pokanga ki ēnei huringa. He mea nui te whakangungu tonu, ngā akoranga whakahou, me ngā tiwhikete tāpiri kia mau tonu ai te mōhio o ngā nēhi pokanga ki ngā mahi hou me ngā mahi pai rawa atu o te ao.
Kua tāpirihia atu ki te uauatanga o te mahi nēhi pokanga ngā auahatanga hou pērā i te pokanga karetao, te pokanga iti rawa te whakaekenga, me ngā tikanga whakaora ake i muri i te pokanga (ERAS). Nō reira, ko te whakapai ake i te pūkenga me ngā pūkenga me noho hei kaupapa matua mā ngā nēhi pokanga katoa.
Whakamutunga
Ko ngā tikanga whakahaere paerewa i roto i te nēhi pokanga he mahi kua whakatūria me whai pūmau kia mau ai te haumaru me te whai huatanga o te tukanga pokanga. Mā te aromatawai whānui i mua i te pokanga, te aroturuki tata i roto i te pokanga, me te whakahaere whai hua i muri i te pokanga, ka whai wāhi nui ngā nēhi pokanga ki te haerenga pokanga a te tūroro. Ko te kī ki te angitu o te nēhi pokanga kei roto i te mahi tahi a te tīma, te whakawhitiwhiti kōrero whai hua, me te whakapau kaha ki te ako tonu kia urutau ki ngā whanaketanga hauora hou.
I te mōhio ki te uauatanga me ngā tono o tēnei umanga, he mea nui kia whai tonu ngā nēhi pokanga ki te whakapai ake i te kounga o te tiaki me te whakanoho i te oranga o te tūroro hei kaupapa matua.
