Amafoto y'abarwayi hagati yicyerekezo gishya gikomeye mumyitozo ya Clarks

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Amashusho atera imbaraga kubantu babaho bakira nabandi bakora mugutezimbere gukira mugihe cyicyorezo kirekire

Scranton, Pa. ubafashe gukira.

Basabye abarwayi n'abakozi gusangira amafoto yabo afite ubusobanuro bwimbitse, ubwoko bwa mashusho ya terefone igendanwa yerekana ibintu bishimishije, umwanya wingenzi mubuzima, intambwe ikomeye. Bashakaga cyane cyane kwakira no kumurika amafoto yabantu bahanganye nibibazo byo gukoresha ibiyobyabwenge, nko kunywa ibiyobyabwenge.

Igisubizo: icyegeranyo cyihuta cyamafoto yerekana ibice byubumuntu dusangiye, kuva mubitekerezo byamarangamutima kugeza icyubahiro cya buri munsi.

Dempsey, umuyobozi mukuru w’ubuvuzi w’ikigo cya Wright akaba n’umuyobozi w’ubuvuzi w’inama ya Clarks Summit Practice agira ati: “Aya mafoto agaragaza igice cyumwuka cyurugendo abarwayi bacu barimo.” Ati: “Turasaba buri muntu utanze ifoto kuvuga amateka yabo. Nubuhe butumwa ifoto yawe itanga? Mugihe wafashe ifoto, ingingo yakubwiraga iki? Icyo ni cyo tugerageza kubona. ”

Ifoto imwe itangaje yegeranya ku butaka butwikiriwe na shelegi hamwe nibintu bike bishobora kwibeshya ko ari imyanda: isupu ya Chunky ya Campbell hamwe n icupa ryamazi ryubusa. Umurwayi yise iyi shusho "Ifunguro ryanjye rya nyuma nk'umuntu wabaswe."

Amafoto agera kuri 40 yarateguwe kandi arashyirwaho kugeza ubu, yerekana icyasezeranijwe kuzaba icyegeranyo kinini cyubuhanzi bushimishije amaso kandi butera ibiganiro. Carlie Kropp, umuyobozi ushinzwe imanza mu kigo cya Wright Centre's Opioid Use Disorder Centre of Excellence agira ati: “Tugiye kuzuza inkuta.

Kropp, wafatanije na Dempsey gutangiza umushinga w'amafoto, arashaka guhita acomeka ibice byinshi ahantu hatagaragara mu gace bategereje abarwayi ndetse na koridoro ndende igana mu byumba by'ibizamini. Igihe kirenze, aba yiteze ko, nkuko bitaravuzwe izina, icyegeranyo kizahora gihindagurika uko ibice bizunguruka kugirango byemere ibyifuzo bishya.

Iyi shusho itangaje, yiswe 'Ifunguro ryanjye rya nyuma nk'umuntu wabaswe ,' ni imwe mu mafoto menshi yatanzwe n'abarwayi agizwe n'ikusanyirizo ry'ubuhanzi rigenda ryiyongera kandi ritera imbaraga mu kigo cya Wright Centre for Community Health's Clarks Summit Practice.
Dr. William Dempsey , umuyobozi w’ubuvuzi w'ikigo cyita ku buzima bw’abaturage cya Clarks Summit Practice, arahamagarira abarwayi, cyane cyane abavuwe n’ibiyobyabwenge, gufata no gusangira amafoto agaragaza iby'umwuka n'icyizere. Amafoto noneho afasha gutera ibiganiro byingenzi bijyanye no gukira.

Umuturage wa Shavertown, Kropp agira ati: "Turashaka ko umuntu wese ushaka kugira uruhare abikora." Ati: "Turashaka ko ivuriro ryumva rishyushye kandi ryakira neza, kandi tugateza imbere umuryango aho twese twita kuri bagenzi bacu."

We na Dempsey bavuga ko umushinga w'amafoto utanga inyungu nyinshi, uhereye ku gutangiza ibiganiro ku ngingo z'ingenzi hamwe n'abarwayi babayeho neza, kugeza kugabanya ipfunwe rishingiye ku biyobyabwenge, kugeza imbere imbere y'iryo vuriro.

Buri foto izerekanwa hamwe na label n'ubutumwa bugufi, biha uwayiremye ijwi ryo gusobanura ishusho n'akamaro kayo. Kropp agira ati: "Ururabo rufite ibara ryijimye n'umuhondo, urugero, rwuzuza ikadiri imwe, byerekana uburambe bw'umurwayi umwe yivugiye ko" Uburabyo bwongeye ".

Kamere ninsanganyamatsiko ihuriweho namafoto menshi: umukororombya ugaragara nyuma yumuyaga, ibiti bigaragarira mumazi meza, izuba rirashe. Hamwe na hamwe, abitabiriye amahugurwa basangiye amafuti atera umunezero, kubabaza umutima ndetse wenda na "H" ikomeye muri byose: ibyiringiro.

Kuri Kropp, umushinga wamafoto urimo gukorwa ushobora kuba salve ikenewe kugirango ifashe kugabanya zimwe mungingo zatewe nicyorezo cya COVID-19. Agira ati: “Iyo ubana n'indwara yo mu mutwe, cyangwa ibiyobyabwenge, kwigunga birashobora kukubabaza.” Ati: “Iyi gahunda yo gufotora ni uburyo bwo gukomeza kunga ubumwe no kuduha kwizera ko ibintu bizahinduka, kandi tuzasubira mu buzima busanzwe.”

Hagati aho, niba inkuta zishobora kuvugira mu myitozo ya Clarks Summit, ibiganiro byerekana amakimbirane hagati yuburwayi nubuzima, aho mumafoto menshi amaze kumanikwa agereranwa numwijima numucyo.

Itandukaniro ryijimye-ryijimye riragaragara, nkurugero, ku ifoto yukwezi kugabanuka. Yiganje kandi ku ishusho yatanzwe na Dempsey kandi ifatwa ku nkombe y’amashyamba y’ikigega cyaho nyuma gato y’umuyaga wangiza. Agira ati: “Inyuma urashobora kubona umwijima, ushushanya ibiyobyabwenge, hanyuma ukabona amazi meza cyane.” “Noneho, iyo foto nayise 'Recovery Itangira.'”

Dempsey yahumekeye kuri iyo shusho kugira ngo atangire kwerekana ifoto rusange y’ivuriro, agamije kubyutsa umwuka n’icyizere mu buzima bw’abarwayi be bahanganye n’ibiyobyabwenge. Agira ati: “Amafoto ampa ingingo yo kugira icyo kiganiro.”

Dempsey agira ati: “Ndagira inama abarwayi banjye: 'Sohoka usange umwuka wawe.' “'Kandi nubikora, shaka ifoto yacyo hanyuma uyisangire natwe.'”

Abarwayi bo mu kigo cya Wright Centre for Health Clarks Summit Pratique barashobora gutanga amafoto kugirango basuzumwe bohereza imeri umuyobozi ushinzwe ibibazo Carlie Kropp, kuri [email protected] . Cyangwa ukamuhamagara kuri 570.507.3608 .

Nyuma yumuyaga wangiza, Dr. William Dempsey yahuye niki kibira cyamashyamba maze afata ifoto ya terefone yise 'Recovery Itangira.' Uyu munsi, iyi shusho iri mu rwego rwo kwagura ibihangano mu kigo cyitwa Wright Centre for Health Health Community's Clarks Summit Practice, aho abarwayi n’abakozi bashishikarizwa gutanga amafoto afite akamaro yo kwerekana ku nkuta z’ivuriro.

Gahunda yo Kwita kuri Alzheimer na Dementia ihitamo ubufasha kubarwayi - n'abarezi

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Throop couple ibona ibisubizo, inkunga na serivisi muguhuza nitsinda rya Wright Centre

Ubwinshi bwibuke bwumugore we bwibukije John P. Warnero mugitondo cya shelegi mumwaka wa 2015 ubwo yasohokaga hanze kugirango akore amasuka.

Yavumbuye imodoka y’abashakanye yari yuzuyeho igitambaro cy’urubura rushya rwaguye, ihagarara mu kayira k’urugo rwabo rwa Throop aho yari yaraye ijoro ryose, moteri yayo iracyakora.

Agira ati: “Yibagiwe kuyifunga. “Yakoze amasaha 12. igororotse.”

Uwahoze akora muri guverinoma, John, ufite imyaka 67, ubu akora nk'umurezi mukuru wa MaryEllen Warnero, afasha ndetse rimwe na rimwe arababara kuko ahanganye n'iterambere ridahwema kandi riteye ubwoba ryo guta umutwe hakiri kare, bikaba bishoboka ko byatewe n'indwara ya Alzheimer.

Ishyirahamwe rya Alzheimer rivuga ko abanya Pennsylvaniya barenga 280.000 babana niyi ndwara, bavuga ko ikibazo cy’umuryango wa Commonwealth “ikibazo cy’ubuzima rusange kigenda cyiyongera” kubera indwara “ziyongera”.

Indwara ya Alzheimer yibasira umuntu kwibuka, ibitekerezo ndetse nururimi. Indwara y'ubwonko igenda yangirika ni imwe mu mpamvu zitera igihugu urupfu. Abantu miliyoni 500 muri Pennsylvania, barimo abashakanye nka John, bakora nk'abashinzwe kwita ku muryango wabo, bakora ibishoboka byose kugira ngo bafashe mu mibereho ya buri munsi kandi batange ubufasha busa n'abaforomo, akenshi nta mushahara.

Gushyigikira imiryango yuburasirazuba bwa Pennsylvania nka Warneros, Ikigo cyita kubuzima bwabaturage umwaka ushize cyatangije an Gahunda yo Kwita kuri Alzheimer na Dementia . Itanga serivisi zitandukanye zubuzima na serivisi zifasha kuzamura imibereho yabantu bafite ikibazo cyo guta umutwe hamwe nabarezi babo.

Abarezi b'abana, nk'urugero, barashobora kwiga uburyo bwiza bwo guteza imbere umutekano murugo, gushishikariza kwiyuhagira bisanzwe no kugabanya ubukana bw'abarwayi. Gucunga imiti nabyo birahari. Itsinda rishinzwe gufasha abarezi riterana kabiri mu kwezi, nk'uko byatangajwe na Nicole Lipinski, RN, umuyobozi wa The Wright Centre's Geriatric Service Line.

Itsinda rya Wright Centre for Health Health Community kandi ryerekeza ku matsinda ashingiye ku baturage bo mu Ntara ya Lackawanna no mu turere tuyikikije, ahuza abantu na serivisi n'ibikoresho (nk'imikandara yo kuzerera hamwe n'udukariso twa incontinence ku buntu) bikenewe mu byiciro bitandukanye.

Kugira uruhare muri gahunda yo kwita kuri Alzheimer na Dementia, ntabwo ari ngombwa ko umuntu ku giti cye ahindukira kwa muganga wa Wright Centre. Umurwayi arashobora kugumana numuganga cyangwa inzobere hanze, ariko akungukirwa nuburyo bwo kuyobora gahunda bushimangira ubuvuzi bwuzuye kandi buhujwe. Ikigo cya Wright ni imwe muri sisitemu umunani z’ubuzima mu gihugu kugira ngo zemeze gahunda ya gahunda yatsindiye ibihembo yakorewe muri kaminuza ya Californiya, Los Angeles (UCLA).

Mu ruzinduko rw’ikigo cyita ku buzima bw’abaturage, MaryEllen Warnero, ikigo, yahawe inkunga n’abakozi bagize uruhare muri gahunda yo kwita kuri Alzheimer na Dementia, barimo, ibumoso, Sharon Wittenbreder, CRNP, umuforomo wemewe w’ubuvuzi, na Nicole Lipinski, RN , CDP, umuyobozi wa Wright Centre ya Geriatric Service Line.

The program offers solutions to caregiver stress and takes into account factors such as each person’s specific medical and behavioral health needs, says Sharon Wittenbreder, C.N.P., a certified registered nurse practitioner at The Wright Center. “We customize the plan of care,” she says, “according to the unique individual – both the patient and the caregiver.”

John yagize uruhare rukomeye mu kwezi gushize kwa Walk to End Alzheimer mu gikorwa cyo gukusanya inkunga muri PNC Field muri Moosic, aho yashimiye ikipe ya Wright Centre kuba yaramufashije maze ahamagara izina rya muganga wahoze ari MaryEllen, Dr. Linda Thomas-Hemak.

Agira ati: “Itsinda rya Wright Centre rihora ritanga inama zijyanye no gushyikirana neza n'umugore wanjye, guteza imbere kurya neza kugira ngo urwanye iryinyo rye ryiza n'ibindi bibazo abarezi nkanjye bahura nabyo.”

Iyo imirimo yo kwita kuri John igoye cyane cyane, kumara imbaraga cyangwa kugabanya amarangamutima, arashobora no gukoresha ubundi buryo bwo kumufasha: umuryango we.

Abatuye Throop, MaryEllen na John P. Warnero, iburyo, baherutse kwitabira ibirori byo gukusanya inkunga yo mu karere ka Walk to End Alzheimer, aho John yatwaye ururabo rw'umuhondo kugira ngo agaragaze uruhare rwe nk'umuntu wita ku muntu ufite ikibazo cyo guta umutwe.

Umwe wese mu bana babiri b'abashakanye amuha ikiruhuko cy'igihe gito agumana na MaryEllen kugira ngo agerageze kwishyuza, cyangwa byibuze gusubira mu iduka rye rikora ibiti kugira ngo akurikirane ibyo akunda byo gukora imashini zishushanya umuyaga n'amatara. Umunsi umwe muriyi mpeshyi, umukobwa we yamaranye amasaha na MaryEllen mugihe umuhungu we yamujyanye kuroba. Guhaguruka byari bishimishije. John avuga ati: “Ariko iyo ugarutse i muhira, ukuri ni ko biri.”

Ukuri kudashidikanywaho kuri John nuko mugenzi we wimyaka 48 agenda buhoro buhoro, kandi ntakintu siyanse yubuvuzi ishobora gukora kugirango ihagarike. Ibikorwa bimwe bishobora kugabanya umuvuduko windwara ya Alzheimer kubantu bamwe, bikabika kwibuka nibikorwa bya buri munsi mugihe kirekire, ariko ntikiraboneka.

John na MaryEllen bakundana nkingimbi. Yaririmbye mu gihugu / itsinda ryabantu, kandi bombi bitabiriye ibitaramo i Dunmore. Nyuma yimyaka mike, barashyingiranywe. MaryEllen yakoraga imirimo itandukanye akiri muto, harimo nk'umwuga mu biro bishinzwe abakozi ba banki. Igihe yari akiri mu kigero cy'imyaka 50, yatangiye kwerekana ibimenyetso byo guta umutwe.

Mu ikubitiro, ntibyari byumvikana neza ibyarimo biba. Ubwa mbere, kubera ko MaryEllen yari afite ikibazo cyo gukurikiza amabwiriza akurikira, yashyizeho gahunda yo kwipimisha. Yumvise neza. Gusa nyuma, nyuma yo gusurwa numuhanga mu bumenyi bw’imitsi, MaryEllen yakiriye indwara yo guta umutwe. Igihe ayo makuru yatangwaga, yararize. Yohana na we ni ko byagenze.

Indwara irababaza bombi.

Kuri MaryEllen, byateje gucika intege no guhinduka mumiterere. John avuga ati: “Ntekereza ko iyo ari yo ngingo mbi cyane y'indwara ya Alzheimer, ni ukurakarira cyane - umurezi.

Ubu 65, MaryEllen asura ikigo cya Wright nka rimwe mu kwezi. John aramuherekeza kandi akora nka chauffeur, kuko atagishoboye gutwara neza. Vuba aha, itsinda rya Wright Centre ryakoranye naba bombi gutanga inama ningamba zo guhagarika ibimenyetso bya MaryEllen. Bahujije kandi John na Telespond Senior Services, umuryango udaharanira inyungu ukorera muri Scranton ukora ibikorwa byita ku bana bakuze kandi utanga serivisi murugo, byombi bishobora guha abarezi ikiruhuko gikenewe.

MaryEllen Warnero, ufite imyaka 65, ikigo, asura ikigo cya Wright gishinzwe ubuzima bw’abaturage hamwe n’umugabo we John Warnero, iburyo, kugira ngo bahabwe imiti n’imfashanyo yatanzwe binyuze muri gahunda yayo yo kwita kuri Alzheimer na Dementia.

Kugeza ubu, umuyoboro wa John urimo kumufasha kwita kuri MaryEllen murugo rwabo no gukomeza ibitekerezo bye no kwihangana, nubwo ibintu bigoye kandi bikomeretsa umutima.

John avuga ati: “Ukwo kurakara ntigukwiye. Ati: “Ni indwara ikora ibi byose.”

Ukeneye ibisobanuro birambuye kuri gahunda yo kwita kuri Alzheimer na Dementia muri Wright Centre yubuzima bwabaturage, sura TheWrightCenter.org cyangwa uhamagare 570-230-0019.

Imbaraga 'zitangaje' zo kuvura antibody ya monoclonal

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Kuvura COVID-19 bifasha abarwayi ba Wright Centre kumererwa neza no kutaba mubitaro

Intege nke kandi zidashobora kugenda, Kimberly McGoff yageze mu kigo cya Wright Centre gishinzwe ubuzima bw’abaturage bo mu kibaya cya Mid Valley hamwe n’isuzuma ribi rya COVID-19 n'indi mpamvu ikomeye yo guhangayika.

Kimberly ahanganye na lupus hamwe nibibazo bifitanye isano bigabanya cyane ubushobozi bwumubiri we bwo kurwanya indwara, bikamutera ibyago byinshi byo kwandura virusi ishobora guhitana abantu.

Wari umunsi ukabije muri Kanama 2021. Nyamara Kimberly yinjiye cyane mu ikoti ry'itumba, yizeye ko umubiri we utajegajega. Umugabo we hamwe n’abakozi bake bahangayikishijwe na Wright Centre bamufashije kwivanga mu ivuriro rya Jermyn, aho yari afite gahunda yo kwivuza, ku Kimberly n’abandi barwayi bafite ibyago byinshi, bishobora gusa nkigitangaza.

Yiswe COVID-19 ivura infusion , byagaragaye ko igabanya ubukana bwibimenyetso kubarwayi bamwe, bishobora kwihutisha gukira kwabo, kubuza ibitaro no kurokora ubuzima. Ikigo cya Wright cyatangiye gutanga ubuvuzi hagati muri Mutarama 2021 kandi kugeza ubu kimaze kwinjiza abarwayi barenga 200 - benshi muri bo bavuga ko bagize iterambere ritunguranye kandi ritangaje.

Kimberly utuye ahitwa Brook Brook yibuka ati: “Nahise numva meze neza. “Sinashoboraga kwinjira mu cyumba jyenyine, ariko nashoboye kubyuka, mfata ikiringiti cyanjye cya Wright Centre ndasohoka. Ubuvuzi bwa Infusion nikintu gitangaje. Sinzi ibirimo, ariko biratangaje. ”

Ubuvuzi bwa COVID-19 burimo poroteyine zirwanya virusi zizwi nka antibodiyite za monoclonal. Izi antibodies zakozwe muri laboratoire yibasira umuntu runaka, muriki gihe, igitabo cyitwa coronavirus. Nyamara, antibodiyite za monoclonal zikora umurimo wo kwirwanaho nka antibodiyite zumuntu zisanzwe zibaho: kumenya abateye, hanyuma ukizirika no kuzisenya.

Ubuvuzi nubuvuzi bwigihe kimwe. Yatanzwe binyuze mumitsi itwara imitsi, irashobora gutangwa muburyo bworoshye mubitaro nko kwa muganga. Ubusanzwe umurwayi azamara igihe kinini muri gahunda yicaye kumeza yikizamini cyangwa ku ntebe nziza, bitandukanye no gusura ikigo gitanga amaraso. Gahunda yose muri rusange ifata amasaha abiri.

Mu bemerewe guhabwa imiti harimo abakuze, imyaka 65 nayirenga, bafite ibimenyetso bya COVID byoroheje kandi bitagereranywa. Abarwayi bakiri bato, kuva ku myaka 12 kugeza kuri 64, na bo ni abakandida niba bafite ubuzima bw’ibanze nk'indwara y'ibihaha idakira (harimo na asima itagereranywa ikabije, fibrosis ya cystic na COPD), indwara z'umutima n'imitsi cyangwa hypertension, indwara z'impyiko zidakira, diyabete, selile umuhoro indwara n'umubyibuho ukabije. Ikigo cya Wright cyahinduye uburyo bwo kohereza kugira ngo niba umurwayi yipimishije COVID-19 aho ariho hose dukorera ubuvuzi bwibanze mu majyaruguru y'uburasirazuba bwa Pennsylvania, umuntu ashobora guhita ateganijwe kuvurwa.

Urugero rumwe, ikigo cya Wright cyatanze imiti ivura COVID-19 ahantu hatari - kuvura abaturage icyenda bo mu gace ka Scranton gatuye mu munsi umwe. Sheila Ford, RN, visi perezida wungirije w’ubuvuzi bw’umutekano n’umutekano w’abarwayi, yibuka ko abo baturage bose bafite ikibazo cyo guta umutwe, ndetse bamwe bakaba bafite uburambe bwo guhungabana, bikaba byateje ibibazo by’itsinda ryita ku barwayi.

Agira ati: “Nta n'umwe muri abo barwayi wakomeretse mu bitaro.” Yavuze ko iki kibazo ari “amateka yabaye kuri Centre ya Wright ndetse n'ubufatanye bwacu mu baturage.”

Ubuyobozi bw’ibiribwa n’ibiyobyabwenge muri Amerika bwatanze uruhushya rwo gukoresha byihutirwa hagati y’icyorezo cya COVID-19 ivura antibody ya monoclonal. Kimwe n'imiti iyo ari yo yose, izana n'ingaruka zishobora kubaho, zirimo reaction ya allergique ndetse no kwandura aho imitsi iva.

Bryan Refice, umuforomo w’ubuzima w’abakozi ba Wright Centre akaba n’umuhuzabikorwa w’impamyabumenyi, agira inama abo bakorana ibijyanye n’ubuvuzi niba bapimishije COVID. Agira ati: “Kuva twatangira gutanga imiti mu ntangiriro z'uyu mwaka, ntabwo twigeze twihutirwa.” “Rimwe na rimwe, abantu baratubwiye bati: 'Nizera ko warokoye ubuzima bwanjye.'”

Ubuvuzi bwa infusion bugomba gutangwa muminsi 10 nyuma yuko ibimenyetso byumurwayi bigaragaye bwa mbere na / cyangwa nyuma yo gusuzuma neza COVID-19. Bryan agira ati: "Duhitamo kukwinjiza mu masaha 48 ya mbere nyuma yo kwipimisha neza, kugira ngo ibimenyetso byawe bitiyongera."

'Nagize ubwoba bwinshi'

Kuri Kimberly w'imyaka 50, akaba ari umukozi wa Wright Centre akaba yararangije amashuri yisumbuye ya Pocono y'Amajyaruguru, ibimenyetso bye byatangiye byoroheje mu gitondo cyo kuri uyu wa mbere, afite amaso yuzuye amazi, bidatinze aragenda. Kuri uwo mugoroba, yari afite umutwe. Noneho umunaniro. Ijoro ryose, yabyutse akonje maze afata ubushyuhe bwe: dogere 102.9.

Agira ati: “Mu buryo bwikora, nahise mpaguruka, mfata umusego wanjye, njya mu kindi cyumba mfunga umuryango.” “Mu gitondo, nohereje umugabo wanjye ubutumwa bugufi mvuga nti: 'Nzi neza ko mfite COVID.' Nagize ubwoba bwinshi. ”

Ageze kwa gahunda yo kuvura infusion, Kimberly yashoboraga kumva ubuzima bwe bumeze nabi. Muri make yumvise asa nkaho ashobora kurengana. Hanyuma, inzira yo gushiramo yatangiye. Agira ati: “Inzira iroroshye kandi yihuse. “Igihe infusion yarangiraga, numvise meze neza cyane. Ku gipimo cya zeru kugeza ku 100, nari mfite imyaka 20 igihe ninjiraga mu ivuriro. Maze kugenda, numvise meze nka 50. ”

Kimberly kuva yakira asubira ku kazi, aha bagenzi be kwibutsa buri munsi ko, kubera inkingo, imiti ivura indwara ndetse n’ubundi buvuzi, badakingira icyorezo.

Kubindi bisobanuro bijyanye no kuvura infashanyo ya COVID-19 cyangwa guteganya gahunda, sura TheWrightCenter.org/covid-19/ cyangwa uhamagare 570-230-0019.

Kubara Uruhinja rushya, Ibisekuru bine byumuryango Byakorewe na Wright Centre

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'Inzu y'ubuvuzi' ihuza abarwayi, abaganga mu kwizerana

Amy Cortazzo amaze kwibaruka umwana w’umuhungu muzima muri Mutarama, yandikiye ubutumwa bushimishije ku mwana we wa mbere ku muryango we wa hafi hanyuma yandikira umuntu, nubwo adafitanye isano, ari byo byatumye Amy atwita neza.

Uwahawe iyi nyandiko ni Dr. Linda Thomas-Hemak, perezida akaba n'umuyobozi mukuru w'ikigo cya Wright gishinzwe ubuzima.

Azwi nka “Dr. Linda ”kwa Amy n'umuryango we, Dr. Thomas-Hemak amaze igihe kinini ari umuganga w’ibanze w’umuryango akaba n’umujyanama wizewe igihe agendaga mu bihe bishya by’ubuzima, nko kwita ku babyeyi bageze mu za bukuru, cyangwa mu rubanza Amy aherutse, agerageza gusama. .

Ku wa gatandatu, umwana Kristov, yinjiye mu isi saa tatu n'iminota 38 za mu gitondo, ahagarariye igisekuru cya kane cy'umuryango ugomba kwitabwaho mu kigo cya Wright, cyane cyane nk'abarwayi ba Dr. Thomas-Hemak.

Amy agira ati: “Kristov, mu by'ukuri, ni ikimenyetso kizima kimufasha.” Ati: "Kubera ko tutari kumubona, sinkeka ko iyo ataba we." 

Amy yashyingiwe mu 2018, mu gihe yari afite imyaka 40, kandi nyuma y'umwaka urenga “uharanira gusama” yasabye ubufasha bw'inzobere mu bijyanye n'uburumbuke. Avuga ko nta n'umwe wari uhuye neza n'ibibazo akeneye. Kubera kwiheba, yahamagaye Dr. Thomas-Hemak.

Amy agira ati: “Navuze nti: 'Dore, nzi ko utari OB, ariko nkeneye inama.' Ati: "Ntabwo yakoze byose mubushobozi bwe bwumwuga kugirango adufashe. Ariko ndumva nkaho hari hafi yubuyobozi bwumwuka; gusa rwose yari afite inzira ituje cyane. Cyane cyane ko icyo gihe nari amarangamutima cyane; Nifuzaga rwose kubyara. Yari umuhanga cyane mu gushyira ibitekerezo byacu mu mutuzo no kudufasha gutekereza neza. ”

Hashingiwe ku bushakashatsi bwa Dr. Kristov, ufite ibiro 8, 5, yavukiye mu bitaro bya Moses Taylor muri Scranton, ageze ku isabukuru ya gatanu y'itariki nyina na se bahuye bwa mbere. Kuva icyo gihe, Amy n'umuhungu we w'uruhinja bagiye basura inshuro nyinshi kugira ngo basuzume abana buri gihe muri Wright Center's Mid Valley Practice i Jermyn - ahantu umuryango uzi neza, kandi aho itsinda ryita ku bakozi n'abakozi bunganira babamenya.

Amy agira ati: "Mu byukuri ni ibidukikije mu muryango kubera amasano yose twagize, atari umuganga gusa ahubwo n'abakozi be."

Iyo mibanire ya hafi hagati y’abarwayi n’abatanga ni ngombwa ku ruhare rwa Wright Centre mu baturage nk’ubuvuzi bushingiye ku barwayi; ijambo "inzu yubuvuzi" ntabwo ryerekeza cyane ahantu runaka ahubwo ni uburyo bwihariye bwo gutanga ubuvuzi.

Under the medical home model of care, each patient is viewed as an important member of the health care team, and the individual’s unique needs, values, and preferences help to shape the treatment plan. The patient visits a single site for comprehensive care, which may include physical, behavioral health, and dental care, plus other services, such as prevention/wellness education. The patient gets to know the doctor, and vice versa. This trusting relationship can give a patient the confidence to talk openly about health concerns and personal issues, resulting in many cases, in earlier treatment of potentially serious conditions and in better health outcomes.

Kuri Amy, umuturage wo mu mujyi wa Dickson akaba n'umwarimu w’ishuri, Centre ya Wright irenze intambwe irenze “ishingiye ku barwayi.” Nubusanzwe umuryango wibiti. Kristov na Amy basanzwe babitaho muri Wright Center. Nyina wa Amy, Joanie Rummerfield na we arajyayo. Kandi n'ababyeyi ba Joanie, ubu bapfuye.

Mubyukuri, Joanie ashimira ubwitonzi ababyeyi be bayobowe na Dr. Thomas-Hemak ubigiranye impuhwe zo kongera kuramba. Joanie wahoze ari umuforomo agira ati: “Nzi ko yabahaye indi myaka. “Banyuze kuri 91 na 92.”

Amy na Joanie bombi barashima ko amavuriro ya Wright Centre, uretse gutanga ubuvuzi bw’ibanze bwo mu rwego rwo hejuru, anakora nk'ahantu ho guhugura abaganga biyandikishije mu kigo cya Wright Centre for Graduate Medical Education gutura hamwe na gahunda z’ubusabane. Joanie agira ati: “Mu myigishirize nk'iyo, burigihe ubona ubuvuzi bwiza, bwuzuye.” Ati: “Abaganga bari ku birenge kuko bigisha. Kandi ubona amaso n'amatwi menshi nk'umurwayi kuruta uko wasanzwe ubona. ”

Amy na nyina batangiye guteganya gahunda yo kubonana na muganga na Dr. Thomas-Hemak nyuma gato yuko atangira imyitozo mu majyaruguru y'uburasirazuba bwa Pennsylvania, yinjizwa mu rugo rwe na nyakwigendera Dr. Tucker Clauss. Umubano w’umuryango na we, ugera no mu minsi ye y’ishuri mbere y’ubuvuzi, ubwo yakoraga muri resitora yo mu gace umuryango wasangaga kenshi mu gitondo cyo ku cyumweru.

Mu myaka yashize, bahindukiriye umuganga wabo wibanze kugirango bakemure ibibazo bya buri munsi - harimo ibizamini byumubiri bijyanye nakazi, gusurwa neza hamwe nudusimba duto nindwara - kimwe nibyingenzi mubuzima, nko gupfa bafite icyubahiro.

“Dr. Linda yaje kureba sogokuru, aterefona mu myaka yabo ya nyuma, ”Amy. “Ubu ni bwo bwoko bw'umuntu. Kandi ubwo ni ubwoko bwumuntu twamumenye kuba muri iyo myaka yose ishize ubwo twamusangaga bwa mbere muri resitora. Byarangiye muri ubu bucuti buhebuje dufitanye ubu. ”

Umuganga wa Amy, ubu uri muri byinshi inshuti yumuryango, yabanye nabo mugihe baririra mu birori byo kwibuka. Yagabanije ibibazo byabo. Yashubije ibibazo byabo. Yabagiriye inama yo kuzana ubuzima bushya ku isi kandi bizihiza ivuka. Mu nzira, yasize ibintu byoroheje, bikiza ibisekuru bine.

Joanie aseka ati: “Kandi Dr. Linda aracyari muto bihagije, kugira ngo akemure igisekuru cya gatanu.”

Umuturage utuye ahamagara inkingo Sura Ubuzima

Written by

Linda of Throop

Linda Marhelski yageze ahitwa Wright mugihe gikwiye kugirango bamenye umuvuduko ukabije wamaraso

Linda Marhelski yasaze cyane kugira ngo akingirwe COVID-19 yamujyanye mu kigo cyitwa Wright Centre for Health Health, kikaba ari impinduramatwara avuga ko yarokoye ubuzima bwe.

Umuturage wa Throop yageze mu myitozo yacu yo mu kibaya cya Mid Valley muri Jermyn, ashishikajwe cyane n'urukingo rwa coronavirus ruherutse gusohoka ruzatanga uburinzi kuri we n'umuryango we, cyane cyane umugabo we, kubera ko indwara y'umusonga iherutse kuba bombi bari bafite impungenge. Umutwe wa Linda wari umaze iminsi umutesha umutwe; yarayikurikiranye kugeza impagarara. Indwara y'ibyorezo birashoboka.

Ariko igihe Linda yicaraga mu cyumba cy’ibizamini hagati muri Werurwe - kandi ibimenyetso by’ingenzi byafashwe mbere y’iraswa ryari ritegerejwe na benshi - umuganga wahamagaye asoma umuvuduko w’amaraso: hejuru cyane biteye ubwoba “212 hejuru ya 97.”

Urwego rw'umuvuduko w'amaraso muri urwo rwego rwerekana “ikibazo cya hypertension” kandi byerekana ko umurwayi agomba guhita ahuza na muganga kugira ngo asuzume uko ibintu bimeze mbere yuko byihutirwa mu buvuzi nka stroke.

Agira ati: “Iyo nza kujya gukingira ahandi hantu, aho batigeze bafata umuvuduko w'amaraso, hanyuma nkasohoka ngenda hirya no hino.” Uyu munsi nashoboraga gupfa. ”

Uku kubitekerezaho ntibyakubise Linda kugeza nyuma. Ku nshuro ya mbere umurwayi wa Wright Centre, ntabwo yari afite akamenyero ko gusura buri gihe kwa muganga cyangwa kwikurikiranira hafi umuvuduko w'amaraso. Amaze kumva numero 212, ntabwo yiyandikishije nkikimenyetso cyo kuburira. (Indwara ya hypertension yari yarasuzumwe mbere, ariko yari yarayifashe imiti kandi yizeraga ko igenzurwa.)

Umunsi ikibazo cye cyagaragaye mucyumba cy’ibizamini cya Wright Centre, Linda yakurikiranwe hafi kugeza igihe igitutu cye cyagabanutse. Yashoboye kwakira urukingo rwa COVID. Avuga kandi ko yavuyeho yandikiwe imiti igabanya umuvuduko wa kabiri w'amaraso, amabwiriza yo gufata ibinini bya mbere ASAP ndetse n'ubuyobozi bwo gukurikirana vuba na muganga w'umuryango we.

Bidatinze, Linda byaje kugaragara ko ubuzima bwe, aramutse butavuwe, bwashoboraga kuviramo ubumuga cyangwa se indwara y'umutima yica cyangwa inkorora. Amaze gusubira mu kigo cya Wright nyuma y'ibyumweru bike kugira ngo akire inshuro ya kabiri y'urukingo, ntiyashoboye kwihanganira. Yabwiye itsinda ryita ku bana ati: “Wakijije ubuzima bwanjye!”

Amushimira no gutabarwa kwe byiyongereye ubwo yabonaga isasu rya kabiri, akababara ukuboko gusa mu gihe byongera ubudahangarwa bw'umubiri wa virusi ya COVID-19. Kugeza icyo gihe, icyorezo cyari cyarababaje cyane Linda n'umugabo we, Walter Marhelski, wahoze mu ntambara yo muri Vietnam.   

Walter yihanganira ibibazo byumutima nibihaha avuga ko biterwa no guhura n’imiti igihe akorera mu mahanga. Old Forge kavukire yarwaye umusonga maze yinjira mu bitaro by'akarere muri Mutarama 2020. Nyuma y'ibyumweru bike, ubwo icyorezo cya coronavirus cyatangiraga mu majyaruguru y'uburasirazuba bwa Pennsylvania, yagiriwe inama yo kuva mu kigo ngororamuco no kuguma mu rugo kugira ngo hatabaho kwandura. Linda yibuka ati: “Bavuze ko aramutse abonye virusi, atazayikora.”

Abashakanye bafatanye uburemere imiburo y’ubuzima kandi bahiga, bakurikiza ubuyobozi bw’umutekano ku gukaraba intoki, kugira isuku, guhisha no gutandukanya imibereho. Walter aseka ati: "Ntabwo yari kureka ngo umuposita aze muri metero 30 z'agasanduku k'iposita."

Yibutse intege nke z'umugabo we, Linda yakoze ibishoboka byose muri iyo minsi yo hambere kugirango amurinde. Igihe cyose yaguraga ibiribwa, yasubiraga mu rugo, kwiyuhagira no kwambara imyenda isukuye. Agira ati: “Ndetse nahanaguye amabaruwa n'ibindi byose. “Twagize ubwoba.”

Umwaka urangiye, igihe inkingo za COVID-19 zimaze gutangira kuboneka, Linda na Walter bari biteguye kuzunguza amaboko. Agira ati: “Ntabwo twashoboraga gutegereza kubona ishoti.

Ariko gusaba hakiri kare inkingo byatumye bisa nkaho bidashoboka ko babonana na gahunda. Amaherezo Walter yakiriye urukingo abinyujije mu kigo cy’ubuvuzi cya VA. Mu kugerageza gukingiza Linda na we, yaterefonnye kandi asura imbuga za interineti kugira ngo agaragaze urutonde rwuzuye rw'ahantu: urunigi rwinshi na farumasi zigenga, ikigo cyo guhamagarira akarere 2-1-1 ndetse n'Ikigo gishinzwe kurwanya no gukumira indwara (CDC). Nta mahirwe; nta kindi yabonye uretse urutonde.

Hanyuma, abashakanye bamenye ko inkingo zaboneka muri Wright Center . Linda agira ati: “Nyuma yo guhamagara, ntabwo nagombaga gutegereza igihe kirekire mbere yuko mbonana. Byihuse. ”

Mubenshi mubuzima bwa Linda bukuze, uwahoze ari Inn mumukozi wa Nichols Village yitaga kubantu bamuba hafi, barimo abana n'abuzukuru, atitaye cyane kubuzima bwe. Uruzinduko rwe mugihe cya Wright Centre rwamuhamagaye.

Avuga ko ubu Linda asuzuma buri gihe umuvuduko w'amaraso mu rugo. Afite gahunda kuri kalendari ye kugirango yongere abone umuganga we. Kandi azi ko niba hari ibimenyetso bidasanzwe cyangwa afite impungenge, amabwiriza yo kwa muganga arasobanutse: Nyamuneka uduhamagare. Ntutegereze.

Kubusaza Ann, Ntahantu nka Murugo

Written by

Umwaka wa Archbald

Serivise yacu ya Geriatrics ishigikira abakuru b'akarere bafite intego yo kubaho mu bwigenge

Ahantu hose Ann yagiye mu myaka 95, kuva kumurongo wa casino ya Atlantique kugera muri Californiya izuba ryinshi, ahitamo umwanya umwe kuruta ahandi - inzu ye i Archbald, PA.

Kavukire yavukiye mu rugo rwumuryango, kandi nyuma yikinyejana niho atuye kandi afite intego yo kuguma. “Yoo, bashakaga ko nimuka; bifuzaga ko njya ahirengeye. "

Avuga avuye aho yicaye kuri televiziyo, yagize ati: “Sinshaka kujya ahantu hose. Ati: "Navukiye hano kandi ndashaka gupfa hano, niba bibaye gutya. Ntushobora kubimenya. ”

Muri Wright Centre yubuzima bwabaturage, twubaha ibyifuzo nkibi byagaragajwe nabakuze benshi bavuga ko bahitamo kuguma ahantu hamenyerewe kandi hahumuriza amazu yabo, babaho bigenga. Mubyukuri, Serivise yacu ya Geriatrics yashyizweho kugirango ishoboze kandi ishyigikire gusaza mu gutanga serivisi zita ku buzima mu baturage, harimo guhamagarira amazu no guhuza umutungo w’abaturage ushyira imbere icyubahiro, umutekano n’ubushobozi bwo kubaho mu bwigenge.

Ku bijyanye na Ann, imbogamizi ikomeye yo kuguma mu rugo ni intambwe ndende ikenewe kugira ngo yinjire mu bwogero bwe. Ati: "Nari mfite akabari ko gufata, ariko narumiwe", akomeza avuga ko ivi rye rya rubagimpande rimwe na rimwe ryagoraga inzira. “Sinifuzaga kugwa.”

Ann yatangaje ko ahangayikishijwe na rimwe mu mirimo ye isanzwe yita ku buzima hamwe na Dr. Linda Thomas-Hemak, umuyobozi mukuru w'ikigo cyita ku buzima bw’abaturage akaba na Perezida w’ikigo cya Wright gishinzwe ubuvuzi bw’ubuvuzi. Amanda Vommaro, Umukozi Ushinzwe Ubuzima Rusange mu kigo cya Wright Centre cya Mid Valley Pratique i Jermyn , bidatinze yiyandikishije kugira ngo amufashe avugana n’imiryango ifatanyabikorwa ikorera mu Ntara ya Lackawanna ndetse anaharanira izina rya Ann kugira ngo avugurure ubwiherero bukenewe harimo no gushyiraho igihe cyo kwiyuhagiriramo. A Hasi.

Ibikorwa bimaze amezi byasojwe muri Mata, tubikesheje imbaraga n’ubutunzi by’ikigo cy’akarere ka Lackawanna gishinzwe gusaza hamwe n’imiryango idaharanira inyungu, iteza imbere abaturanyi izwi ku izina rya NeighborWorks Amajyaruguru y’Amajyaruguru ya Pennsylvania.

NeighborWorks ikora gahunda yo gusaza mu mwanya wa banyiri amazu bafite imyaka 60 no hejuru yayo, itanga abemerewe gusaba serivisi no guhindura amazu kugirango ibafashe gukomeza kubaho neza kandi bafite icyubahiro mumazu yabo no mubaturage.

Mugihe cyiminsi mike, Ann yogejeje ya Ann yashaje yakuweho asimburwa no kwiyuhagira. Asubiza inyuma umwenda wo kwiyuhagiriramo kugirango abashyitsi babone umushinga mushya urangiye, arabaza ati: "Ntabwo ari byiza?"

Usibye ubwiherero bwa mini-remodel, umukozi yashyizeho urumuri rushya rutara kandi rucana urumuri kugira ngo Ann arusheho kumvikana neza uburyo bwo kuryama nijoro adafashijwe n’itara cyangwa gukenera kugera ku kaga kari hejuru yintambwe. gufata urunigi rwo hejuru.

Tuvugishije ukuri, inzu ya Ann, yizera ko yubatswe mu 1917, ntabwo imaze iminsi ivugururwa rikomeye. Inyuma isa nkaho imeze neza, tuyikesha urumuri rwerurutse rwashizweho igihe Ann na mushiki we, ubu bapfuye, basangiye umutungo. Inzu ituye imbere yumuhanda, itandukanijwe gusa ninkombe ihanamye cyane hamwe nuruhererekane rwintambwe za beto hamwe na gari ya moshi. “Ntabwo ari byiza. Ntabwo ari byiza cyane. ” “Ariko ni inzu yanjye.”

Umwe mu bavandimwe 10 barerewe aho hantu, Ann yize mu ishuri ryisumbuye rya Archbald kugeza mu mwaka wa 11 (kubireka, kubera ko yataye umutwe ku barimu “babora kuri njye”) hanyuma atangira umwuga w'imyaka 50 muri inganda. Yabanje gukora mu ruganda i Archbald, aho yagendaga buri munsi w'akazi, nyuma akajya mu ruganda rwa Carbondale, ahindura imyenda y'abana. Ati: "Nari mfite akazi keza."

Yazengurutse igihugu inshuro nke, atembera muri Hawaii kandi agerageza amahirwe i Las Vegas. Yahoze yishimira ingendo za bisi buri kwezi yerekeza mu mujyi wa Atlantique ndetse rimwe na rimwe akinisha igitekerezo cyo kuzenguruka Ubutaliyani. (Yahagaritse urugendo rw’i Burayi kubera ko adakunda ingendo zo mu kirere.)

Uyu munsi, Ann aracyatwara imodoka, akora ingendo ngufi mu mujyi, nubwo icyorezo cyahagaritse gusohoka asanzwe kugira ngo abonane n'inshuti i McDonald's. Urusobe rwe rwa pals rurimo abahoze bakorana, abo baziranye bamaze imyaka myinshi muri santere nkuru yaho ndetse nabandi bitabiriye misa yo ku cyumweru.

Abifashijwemo na mushiki we, mwishywa hamwe nabandi bavandimwe n'incuti magara, wongeyeho abarezi bakora imirimo yo mu rugo kabiri mu cyumweru, Ann agumana inzu ye - kimwe nubuzima bwe - muburyo bwiza cyane. Mu minsi ishize yagize ati: "Nari maze gusuzuma amaso yanjye." Ati: “Yambwiye ko ntakeneye ibirahure; amaso yanjye aratunganye. ”

Utabanje gusuzuma kalendari, Ann azi amatariki azashyirwaho n'abashinzwe gukurikirana ubuzima bwe muri rusange, imikorere y'impyiko n'umutima.

Kubibazo byose byubuzima bugaragara, Ann akomeza gukoresha nimero ya terefone ya Kari Machelli, RN, Umuyobozi wungirije wa Wright Centre wungirije wa serivisi z’ubuzima bwibanze. Bombi bamenyanye hafi imyaka makumyabiri. Hamwe na hamwe, babika hafi yumuvuduko wamaraso wa Ann.

Serivisi ishinzwe ubuvuzi bwa Wright Centre ishingiye ku myizerere ivuga ko ubuvuzi bwihariye, buri gihe - aho gukemura ibibazo - impuhwe zizamura imibereho y’abarwayi bakuze. Hashyizweho ingufu zo kugabanya ingaruka mbi ziterwa no kwigunga, nko kugabanuka kwubwenge cyangwa kwiheba.

Mu ruzinduko aherutse gusura kwa Ann, Kari yatanze igitekerezo ko, nk'ubundi buryo bwo kureba televiziyo, Ann ashobora gushaka kugerageza iPad iboneka ku nguzanyo ibinyujije mu kigo cya Wright kugira ngo ikine imikino, ibara kandi ikore ibisubizo. Mu buryo nk'ubwo, yabajije niba Ann yifuza gusurwa rimwe na rimwe na Mushikiwabo Maureen Marion, umufasha wo mu mwuka wa Wright Centre.

Ann yakiriye ibyo bitekerezo byombi. Uruzinduko rwabo rurangiye, bombi bahanahana ngo "Ndagukunda." Igihe Kari yasohokaga mu nzu, yamuhamagaye ku rutugu, agira ati: “Ann, nzaguhamagara nyuma yerekeye gahunda yo gusura Mushikiwabo Maureen, kandi ukomeze umenyeshe umuvuduko w'amaraso wawe.”

Ageze hanze, Kari atangira kumanuka ku kayira maze avuga ati: “Mana yanjye, nkunda Ann. Ndashaka kumujyana iwe. ”

Ibyo nibitekerezo byifuzwa gusa, byanze bikunze, kuko Ann ntabwo yagenda. Yishimiye rwose kuguma aho ari.