A Clinician’s BPSD Guide

Ukweseka abantu ababhekana nokuziphatha okushintshile okuhambisana nokuwohloka komqondo

Lolu hlelo lokusebenza lugxile ekuqondeni nasekusizeni abantu abahlangabezana nokuziphatha okushintshile kanye nezimpawu ezingokwengqondo ezihlobene nokuwohloka komqondo. Le nguqulo yenzelwe ukunikeza isiqondiso kubahlengikazi. Uhlelo lokusebenza lozakwethu i-CareForDementia lwenzelwe abalingani bokunakekelwa, imindeni kanye nabasebenzi bokunakekela. I-UNSW Sydney ithole uxhaso kuMnyango Wezempilo Kahulumeni wase-Australia kanye Nokunakekela Abadala ukuze kuthuthukiswe zombili izinhlelo zokusebenza.

Ngokulanda lolu hlelo lokusebenza uyavumelana nomshwana wokuzihlangula ongezansi.

Uhlelo lokusebenza luhlinzeka ngolwazi olufingqiwe olufanele ekuziphatheni okuvame kakhulu ukwethula nezimpawu ezingokwengqondo ezihlobene nokuwohloka komqondo (BPSD)*:

&inkunzi;Incazelo yophawu nendlela evezwa ngayo ekuwohlokeni komqondo

&inkunzi;Izimbangela ezingaba khona kanye/noma izici ezinomthelela

&inkunzi;Ukuxilongwa okuhlukile

&inkunzi;Amathuluzi okuhlola

&inkunzi;Izimiso zokunakekela noma iziphetho ezisekelwe ekubuyekezweni kwezincwadi ezitholakalayo

&inkunzi;Izinyathelo zokuqapha

&inkunzi;Ukungenelela okuphakanyisiwe kwezengqondo, ezemvelo, ezebhayoloji kanye nezemithi ngekhwalithi yocwaningo kanye nemiphumela yobufakazi obutholakalayo

&inkunzi;Isimo somtholampilo esifushane

Okuqukethwe kwalolu hlelo lokusebenza kusekelwe kumbhalo othi A umhlahlandlela we-BPSD kadokotela: Ukuqonda nokusiza abantu ababhekana nokuziphatha okushintshile nezimpawu ezingokwengqondo ezihlobene nokuwohloka komqondo (Umhlahlandlela we-BPSD Womtholampilo, 2023) osathuthukiswa yi-Center for Healthy Brain Aging (CHEBA), ozo buyisela idokhumenti yamanje Ukuphathwa Kokuziphatha - Umhlahlandlela Wokwenza Okuhle: Ukulawula Izimpawu Zokuziphatha Nezengqondo Zokuwohloka Komqondo (Umhlahlandlela we-BPSD, 2012). Yomibili imibhalo engafingqiwe ihlinzeka ngobufakazi obuphelele kanye nokubukezwa okuphelele okusekelwe ezenzweni zezimiso, amasu angokoqobo kanye nokungenelela ukuze kusekelwe abantu abaphila nokuwohloka komqondo.

Umshwana wokuzihlangula
Lolu hlelo lokusebenza lwenzelwe ukuhlinzeka ngomhlahlandlela osheshayo ozosiza odokotela emkhakheni lapho bethulwa ngokuziphatha nezimpawu ezingokwengqondo ezihlobene nokuwohloka komqondo (BPSD). Lolu hlelo lokusebenza luhlinzekelwe ulwazi olujwayelekile kuphela futhi alusho ukuthi lubonisa konke ukucatshangelwa. Kunconywa ukuthi odokotela babheke imibhalo engafingqiwe, Umhlahlandlela we-BPSD kadokotela (2023) noma Umhlahlandlela we-BPSD (2012) ukuze uthole imininingwane eyengeziwe. Njengazo zonke iziqondiso, izincomo zingase zingafanelekile ukusetshenziswa kuzo zonke izimo.

Kutuswa kakhulu ukuthi labo abahlinzeka ngokunakekelwa kumuntu onokuwohloka komqondo bafune ukuhlolwa nesiqondiso kuchwepheshe wezempilo ofanele ngaphambi kokusebenzisa amasu aphakanyiswe kulolu hlelo lokusebenza. Kuhloswe ukuthi ulwazi olufakwe kulolu hlelo lokusebenza lufundwe luhlanganiswe futhi lube ngaphansi kwezeluleko ezivela kochwepheshe bezempilo abanokuhlangenwe nakho ekusekeleni abantu abethula i-BPSD. Bona uhlelo lokusebenza ukuthola umshwana wokuzihlangula ogcwele.

*Itemu nezifinyezo zokuziphatha kanye nezimpawu ezingokwengqondo ezihambisana nokuwohloka komqondo (BPSD) zisetshenziswa ngenhlonipho ekuxhumaneni phakathi kochwepheshe abasekela abantu abanokuwohloka komqondo. Amagama afana nokuziphatha okushintshile, indlela yokusabela, ukuziphatha okukhathazayo, izimpawu ze-neuropsychiatric (NPS), izinguquko zokuziphatha nezingokwengqondo ekuwohlokeni komqondo nokunye asetshenziselwa ukuchaza i-BPSD futhi kungase kube amagama akhethwa abantu abanokuwohloka komqondo.