I-Mid-Life Conundrum: Nini kunye nendlela yokuNceda abazali abaDala

Bendihambile kule bhlog kule hlobo, ngokuyinxenye kuba bendikwisekethe yokundwendwela izihlobo ezindala: abazali bam, utata wam, notatomncinci, nomalume. Kwindawo nganye yokumisa, bekukho into eninzi yokucinga malunga nemiceli mngeni yemihla ngemihla yabantu abaneminyaka engamashumi asibhozo nangamashumi asithoba angeneyo. Njengokuba siqala ukuziva sisaluphala, uninzi lwethu phakathi kwiminyaka yobomi lukwajongana namaxhala ngabazali abalupheleyo kunye nezinye izalamane kwaye bayazibuza ukuba ingaba bafuna uncedo kwaye baqale njani.

Ukuba baphila ixesha elide ngokwaneleyo, abantu abadala banamava okunciphisa amandla, ukulungelelanisa, ukubona, ukuva, imemori okanye ukuhamba, ngokudibanisa ukuguga kunye nefuthe leemeko ezingapheliyo. Ngeli xesha abantu bakwiminyaka yamashumi asibhozo ukuya kwelisibhozo, kwaye ngamanye amaxesha ngaphambili, ukuzimela kwimisebenzi yemihla ngemihla kungaqala ukubekeka esichengeni, ngakumbi kwimisebenzi ababoneleli bezempilo kunye nabaphandi abayibiza njengezixhobo zokuphila zemihla ngemihla (IADL's), njengokulungiselela ukutya , Ukuthenga, ukuqhuba okanye ukusebenzisa izinto zokuhamba zikawonkewonke, ukuphatha imali nokucoca. Oku kwahlulwe kwizinto ezisisiseko zokuphila kwemihla ngemihla (ii-ADL's), ezibandakanya imisebenzi enjengokuhlamba, ukunxiba, ukuya ngasese kunye nokutya.

Amalungu osapho anokuba nobunzima bokuthatha isigqibo sokuba angene nini kwaye nini ukushiya ngokwaneleyo eyedwa kwizalamane ezigugileyo. Rhoqo iinyani zale meko azothusi okanye azicacanga. Kodwa utshintsho olufihlakeleyo olwenzeka ngokuhamba kwexesha lunokwenza ngokuthe ngcembe ukusebenza ngokuzimeleyo kube nzima ngakumbi okanye kube yingozi ngakumbi. Sifumana imvakalelo ekhathazayo yokuba izinto azifani kwaye mhlawumbi kukho into ekufuneka yenziwe.

Ewe, umzali okanye abazali bakho banokuba sele bekhuthele ekufumaneni uncedo. Kodwa rhoqo, abantu abadala ngokwabo banokungaqiniseki malunga nokuba bafuna uncedo okanye banokuthi basebenzise ntoni. Basenokungazi ukuba iinkonzo zikhona okanye amalungu osapho anokufumaneka ukunceda. Yindawo elungileyo ukuqala ngokunyusa umxholo, "Ngaba ucinga ukuba unokusebenzisa uncedo oluncinci ...?"

Ukuvavanya imeko kunye nabazali abadala umgama omde kunokuba ngumceli mngeni okhathazayo. Iimpawu ezinokuthi zingangabikho kakuhle zibandakanya naluphi na utshintsho olucacileyo ngexesha lokufowuna: ubungqina obungaphezulu bokudideka okanye ukulibala, amaxhala ngakumbi okanye izikhalazo, okanye ukuthula ngakumbi. Naziphi na kwezi zibonisa imeko yokuphila inokuba noxinzelelo ngakumbi okanye enye into isenokuba ayilunganga, ukusuka kwinqanaba lokuqala lesifo sengqondo esiya kwimeko yoxinzelelo.

Umntu okhulileyo ongenanto yokuthetha xa ephendula "Wenze ntoni namhlanje?" inokuba nokushukuma okulinganiselweyo kunye nokonyuka kokuzikhetha eluntwini. Xa abantu abadala bengakwazi ukuhamba kamnandi kwaye ngokuqinisekileyo, baqala ukunciphisa indawo yabo yobomi ngaphandle ukuya kuhambo oluncinci kwaye ngaphakathi ukuya kwindawo encinci yekhaya. Basenokungabikho kwizinyuko, behla ngephaseji ende, okanye benyuka esihlalweni rhoqo.

Ukuba ufunda ngokuwa, unobangela oqhelekileyo wokonzakala kwabantu abadala, uya kufuna ukubuza ukuba kwenzeke nini kwaye nini ixesha lasemini okanye ebusuku. Ngaba umntu omdala wayezama ukufikelela kwinto ethile? Ngaba wayesela okanye exuba amayeza notywala ngaphambi kokuwa? Ngaba kungenzeka ukuba kukho ingxaki yokuphelelwa ngamanzi emzimbeni okanye ukungondleki (okunokubangela ukuba nesiyezi okanye ukutyhafa)? Ngaba wayenxibe izihlangu ezifanelekileyo okanye wayesebenzisa induku? Ngaba iingubo ezincinane ezilahliweyo okanye iimethi zomgangatho zamkhupha?

Kuhlala kulula ukufumana uvavanyo olufanelekileyo ngemeko yomntu. Ukutyelela kunika umbono okhawulezileyo ngemeko yomntu osele ekhulile kwaye unokukhulisa ubunzima belungu losapho lwakho, ukuhamba, ukuzilungisa, isimilo, kunye nomoya. Iiflegi ezibomvu eziza kujongwa endlwini okanye eflethini zibandakanya ukunqongophala kokutya okutsha kwifriji okanye kwiikhabhathi, inkunkuma engakhange ikhutshwe ixesha elide, izitya ezininzi ezingcolileyo okanye impahla ehlanjiweyo, izilwanyana zasekhaya ezingafumani ngqwalaselo zifunekayo, okanye imiqondiso yokungalawuleki kakuhle.

Ukuba awukho kufutshane, unokucinga ngokusebenzisa iinkonzo zoMphathi woKhathalelo lweeGeriatric (jonga uluhlu lwezixhobo eziphakanyisiweyo ngezantsi) ukuya ekhayeni kwaye wenze uvavanyo lobungcali kunye nelungu losapho oludala.

Utshintsho olukhulu ekusebenzeni lunokubangela ukuba kufudukelwe kwindawo ekhuselekileyo apho kuhlala khona ukhathalelo kunye neenkonzo. Kodwa okuninzi "kokhathalelo lwexesha elide" kwenzeka emakhayeni abantu, endaweni yamaziko, kubandakanya neenkonzo ezi-odolwe ngoogqirha abanjengoNyango loMzimba kunye nonyango lwasemsebenzini. Kwaye abantu abadala abaninzi banokukwazi ukuhlala emakhayeni abo ngoncedo nje oluncinci kwimisebenzi yemihla ngemihla kunye namaxesha.

Ezinye zezona mfuno zixhaphakileyo zomntu "ogugileyo endaweni" zibandakanya uncedo ekucwangcisweni kwesidlo kunye nasekuthengeni iivenkile zokutya, ukwenza imisebenzi ethile, ukucwangcisela ukuya nokuya kudokotela (kubandakanya ugqirha wamehlo, ugqirha wamayeza, ugqirha wamazinyo, kunye nokunye ukutyelelwa rhoqo), ulawulo lwamayeza, ukutshintsha izinto zokulala, ukuhlamba impahla, nokucoca amakhaya ngamaxesha athile kunye nemisebenzi yonyaka. Nokuba uhlela kwaye ulawule i-imeyile kunokuba ngumthwalo wokwenene kubantu abadala.

Nje ukuba iintsapho zichonge ukuba kukho iimfuno ezingafezekiswanga, zinokukwazi ukulawula ngokungacwangciswanga, umzekelo ngokundwendwela rhoqo, ukujonga rhoqo, ukwenza umhla oqhelekileyo wokufumana ukutya, okanye ukulungiselela umntu ukuba acoce okanye ancede eminye imisebenzi. Ngumbono olungileyo ukwabelana ngenkxalabo kunye neemfuno ozibonayo namanye amalungu osapho, nditsho nabo bengahlali kufutshane; cela abamelwane apho kunokwenzeka, kwaye uthethe nomntu okhulileyo kuyo yonke indlela ukuze anikwe ilizwi ekucwangciseni. Umzali wakho unokuba nemibono ngezinye izinto onokungazazi.

Xa ngokungqongqo uncedo olungekho sesikweni oluvela kusapho okanye kubahlobo lungenakwenzeka okanye lungonelanga, ezinye iindlela zokuqalisa ngokunceda isizalwane esidala zibandakanya oku kulandelayo:

• Ilizwe ngalinye lineSebe elijongene neeNdawo zokuGuga kunye neeArhente zeNgingqi ezinokubonelela ngokudluliselwa kwiinkonzo ezahlukeneyo, ezinye kuvavanywa iindlela (zifumaneka kuphela kubadala abanemivuzo ephantsi) kwaye ezinye zifumaneka simahla kuye nabani na ongaphezulu kweminyaka engama-60 okanye 65. Umzekelo, isidlo sasemini esinamavili sokuhambisa isidlo sasemini esishushu emakhaya siyafumaneka phantse kuwo wonke uluntu e-US kwaye sinikezelwa ngexabiso eliphantsi kakhulu okanye ngesibonelelo. Ukufumana iSebe lakho lokwaluphala, jonga apha: http://aoa.gov/AoARoot/AoA_Programs/OAA/How_To_Find/Agencies/find_agencies.aspx

• Enye indawo yokuqala yokufumana iinkonzo zalapha ekhaya zabantu abadala kunye neenkcukacha ezininzi eziluncedo zilapha: www.eldercare.gov. Le webhusayithi inekhonkco luluhlu lwezixhobo zikarhulumente ezikwi-Intanethi ezikwizempilo eziphezulu, izindlu, kunye nezibonelelo, ulwazi kubanonopheli, kwaye, okona kubaluleke kakhulu, yindlela yokufumana iinkonzo ngedolophu okanye ikhowudi ye-zip.

• Ugqirha wokunyamekela umntu omdala angavavanya imiba emininzi yempilo kunye nokusebenza komntu kwaye angamnika ukuhanjiswa kwezinye iimvavanyo zobungcali, umz. kuvavanyo lonyango kwimeko apho ukuhamba okanye ukulinganisela kube ngumcimbi, okanye ugqirha wezifo zengqondo, ugqirha wezifo zengqondo, okanye enye ingcali kwezonyango kwezinye izinto ezixhalabisayo. I-crème de la crème yoochwephesha kwezonyango kubantu abadala inguGeriatrician, ugqirha wezonyango ojolise kwimicimbi yokwaluphala. Izibhedlele ezinkulu zibonelela ngeqela lovavanyo lokujonga iingxaki ezinomdla kubantu abadala.

• Ukuba umntu omdala ebesandula ukulaliswa esibhedlele, ungaqhagamshelana nabacwangcisi bokukhulula / isebe lentlalontle ukufumana iingcebiso nokudluliselwa nokuba sele ebuyile ekhaya umntu omdala.

• Umphathi woKhathalelo lweGeriatric, uhlala eyi-RN okanye unontlalontle we-MSW, angaqeshwa kwiziko labucala ukuvavanya iimfuno zabantu abadala kunye nemeko yekhaya. Ngaphandle kokuba oku kulungiselelwe ngenkonzo enengeniso ephantsi, kuyakubakho intlawulo ngeyure yokwenza uvavanyo, kodwa ezinye zeenkonzo abazicebisayo zinokuhlawulwa yi-inshurensi okanye zingafumaneka ngexabiso eliphantsi okanye ngaphandle kwendleko kubantu abadala. Ungamfumana umphathi oQhelekileyo woKhathalelo lweeGeriatric ngale webhusayithi: www.caremanager.org

• Ii-arhente zezeMpilo yaseKhaya (ezihlala zenzelwe ukwenza inzuzo) kunye neMibutho yooNesi abaNdwendweleyo (ihlala ingeyoyenzuzo) ibonelela ngoncedo lwasekhaya lwabongikazi kunye namaqabane abantu abadala nabakhubazekileyo, ukubhatala i-inshurensi ekhoyo kunye nemithombo yokuhlawula yabucala. Ezi arhente zahlukile kwinqanaba lovavanyo abalwenzileyo: abanye bathumela iGeriatric Care Manager ukuvavanya ngononophelo imeko esekhaya, ngelixa abanye bethumela nje abasebenzi ngayo nayiphi na inkonzo kunye neeyure ozifunayo. Njengearhente yengqesho yexeshana, ezi arhente ziqokelela ireyithi ephezulu yeyure kunokuba zihlawula abasebenzi, kodwa zikwenza konke ukuvavanywa, ukhuseleko, ukongamela kunye nokucwangciswa kwabasebenzi.

• Umbutho we-Alzheimer's Association (www.alz.org) unentabalala yezixhobo kwiintsapho ezinomntu onesifo sengqondo esiyingozi-ulwazi oluku-intanethi, amaqela enkxaso asekuhlaleni kunye nokudluliselwa kwiinkonzo. Eminye imibutho ezinikele kwiimeko ezithile ezichaphazela abantu abadala, ezinjengeParkinson's kunye nesifo samathambo, zineewebhusayithi zazo ezinolwazi, amaqela enkxaso kunye nezixhobo zokudlulisela, ngokunjalo.

Olu luhlu nje lwezinto onokucinga ngazo kunye nezixhobo onokuzihlola. Kwiposi yam elandelayo yebhlog, ndiza kuxoxa ngolwalamano oluqhelekileyo kunye nemicimbi yeemvakalelo enokuhamba nale nkqubo yokulungiselela uncedo kumalungu osapho akhulileyo.