Te raupapa-kore-whakaoranga

Ko te ota-kore-whakaoranga, he ota DNR ranei, he ota rongoa i tuhia e te taakuta. Kei te tohutohu i nga kaitautoko hauora kia kaua e mahi i te whakaoranga Cardiopulmonary (CPR) mena ka mutu te manawa o te tuuroro, ki te mutu ranei te pupuhi o te ngakau o te manawanui.

Ko te mea pai, ka hangaia he ota DNR, ka whakaarahia ranei, i mua i te puta o te aitua. Ma te ota DNR koe e ahei ki te whiriwhiri mena ka hiahia koe ki te CPR i te wa ohorere ranei. He motuhake mo te CPR. Kaore he tohutohu mo etahi atu maimoatanga, penei i te rongoa mamae, etahi atu rongoa, te kai totika ranei.

Ka tuhia e te taakuta te ota i muri noa iho o tana korero ki taua manawanui (mena ka taea), te takawaenga, te whanau ranei o te tuuroro.

Ko te CPR te rongoa ka whiwhi koe ina ka rere to toto, to manawa ranei. Ka uru atu pea ki:

• Nga mahi ngawari penei i te manawa o te waha-ki-te-waha me te pehi i te pouaka
• Te hiko hiko ki te whakaara ano i te ngakau
• Ngongo manawa ki te whakatuwhera i te huarahi
• Nga rongoa

Mena kua tata koe ki te mutunga o to raanei he mate koe kaore e pai ake, ka taea e koe te tohu mena ka hiahia koe kia whakamutua te CPR.

• Mena kei te hiahia koe ki te whiwhi CPR, kaua e mahi i tetahi mea.
• Mena kaore koe e hiahia ki te CPR, korero ki to taakuta mo te ota DNR.

Koinei pea he kowhiringa uaua maau me te hunga e piri tata ana ki a koe. Kaore he ture uaua, tere hoki mo nga mea hei kowhiringa maau.

Whakaarohia te take i a koe e kaha ana ki te whakatau maau ake.

• Ako atu mo to hauora me nga mea e tatari ana a muri ake nei.
• Korero ki to taakuta mo te pai me te kino o te CPR.

Ko te ota DNR pea tetahi waahanga o te mahere manaaki manaaki. Ko te kaupapa o tenei manaaki ehara ko te whakaroa i te ora, engari ko te whakaora i nga tohu o te mamae me te poto o te manawa, kia mau tonu te whakamarie.

Mena he ota a DNR koe, kei a koe tonu te tika ki te whakarereke i to hinengaro me te tono CPR.

Mena ka whakatau koe kei te hiahia koe i tetahi ota DNR, korero atu ki to taakuta me te roopu tiaki hauora te mea e hiahia ana koe. Me whai to taakuta ki o hiahia, ki te:

• Ka tukuna pea e to taakuta to atawhai ki te taakuta e whakatutuki ana i o hiahia.
• Mena he manawanui koe i te hohipera, i te whare atawhai ranei, me whakaae to taakuta ki te whakatau i nga tautohe katoa kia ea ai o hiahia.

Ka taea e te taakuta te whakakii i te pepa mo te ota DNR.

• Ka tuhia e te taakuta te ota DNR ki o rekoata hauora mena kei te hohipera koe.
• Ka taea e to taakuta te korero ki a koe me pehea te tiki kaari putea, poroporo, etahi atu tuhinga DNR ranei kia waiho i te kaainga, i nga waahi kaore ranei i te hōhipera.
• Ko nga puka paerewa ka waatea mai i te Tari Hauora o to kawanatanga.

Tirohia te:

• Whakauruhia o hiahia ki roto i te tohu manaaki mo mua (te waatea ora)
• Korerohia to kaihoko hauora (e kiia ana ko te takawaenga tiaki hauora) me to whanau mo to whakatau

Mena kua rereke to whakaaro, korero wawe atu ki to taakuta, ki to roopu tiaki hauora ranei. Korerohia hoki ki to whanau me nga kaitiaki mo to whakatau. Whakangaromia o tuhinga kei roto i a koe e whakauru ana i te ota DNR.

Na te mate me te whara, kaore pea i taea e koe te whakaatu i o hiahia mo te CPR. I tenei keehi:

• Mena kua tuhia e to taakuta te ota DNR i runga i to tono, kaore pea to whanau e takahi.
• Akene kua tapaina e koe tetahi hei korero maau, penei i te tari tiaki hauora. Mena ana, ka taea e tenei tangata, tetahi kaitiaki ture ranei te whakaae ki te ota DNR maau.

Mena kaore i whakaingoatia e koe tetahi hei korero maau, i etahi waa, ka taea e tetahi mema o te whanau te whakaae ki te ota DNR maau, engari kaare e taea e koe te whakatau i a koe ake whakatau hauora.

Kaore he waehere; Whakamutunga-o-te-ora; Kaua e whakaora; Kaua e whakaora i te ota; DNR; Ota DNR; Aronga tiaki atawhai - DNR; Kaitohu tiaki hauora - DNR; Takawaenga tiaki hauora - DNR; Te mutunga-o-te ora - DNR; Kaainga Ora - DNR

Arnold RM. Tiaki Palliative. I roto i: Goldman L, Schafer AI, eds. Te rongoa Goldman-Cecil. 26th ed. Philadelphia, PA: Elsevier; 2020: chap 3.

Bullard MK. Matatika hauora. I roto i: Harken AH, Moore EE, eds. Nga muna muna a Abernathy. Ed 7. Philadelphia, PA: Elsevier; 2018: chap 106.

Moreno JD, DeKosky ST. Nga tirohanga matatika i te atawhai o nga tuuroro e pangia ana e te mate neurosurgical. I roto i: Cottrell JE, Patel P, eds. Cottrell me Patel's Neuroanesthesia. 6 ed. Philadelphia, PA: Elsevier; 2017: chap 26.

• Tuhinga o mua