He aha te Tiaki Pāmua? Te Whāinga, te Aronga & ngā Painga

Ko te tiaki pāmua he tiaki hauora motuhake e arotahi ana ki te whakapai ake i te kounga o te oranga mō ngā tāngata e tū ana ki ngā mate nui. E pā ana ki te whakamarie, te mana, me te āwhina i a koe kia ora pai ana i te wā e whakahaere ana i tō āhuatanga. Whakaarohia he paparanga tautoko anō e mahi tahi ana me ō rongoā auau, ehara i te mea e whakakapi ana i a rātou.

He aha te tiaki pāmua?

Ko te tiaki pāmua he tiaki hauora e arotahi ana ki te whakamarie e āwhina ana i ngā tāngata e mate ana i ngā mate nui kia pai ake te ngākau. I hangaia hei whakaiti i te mamae, te whakahaere i ngā tohumate, me te whakarato tautoko aronganui mō ngā tūroro me ō rātou whānau.

Ka taea e tēnei momo tiaki te tīmata i ngā wā katoa i te wā o tō mate, ahakoa kei te whiwhi tonu koe i ngā rongoā e whai ana ki te rongoa i tō āhuatanga. Ko te whāinga ehara i te mea kia tere ake, kia puhoi ake rānei te tukanga o te mate, engari kia āwhina i a koe kia ora i ia rā me te nui o te whakamarie me te tikanga ka taea.

He rōpū tākuta, nēhi, kaimahi pāpori, me ētahi atu tohunga hauora kua whakangungua motuhake e mahi tahi ana ki te whakarato i tēnei tiaki. E arotahi ana rātou ki tō tangata katoa, ehara i te mea ko tō mate anake, e whakaaro ana ki tō whakamarie tinana, te oranga aronganui, me ngā hiahia wairua.

He aha te take i mahia ai te tiaki pāmua?

Ka āwhina te tiaki pāmua ki te whakahaere i ngā tohumate uaua me ngā pānga taha e puta mai ana i ngā mate nui. E taunakitia ana i te wā e tū ana koe ki ngā āhuatanga pēnei i te mate pukupuku, te ngoikore o te ngākau, te mate tākihi, te warewaretanga, ētahi atu mate e whakawhāiti ana i te oranga.

Ko te whāinga tuatahi ko te whakapai ake i tō kounga o te oranga mā te aro ki te mamae, te whakapairuaki, te ngenge, ngā raruraru manawa, te pouri, me te āwangawanga. E whakaatu ana te rangahau ko ngā tāngata e whiwhi ana i te tiaki pāmua ka pai ake te ngākau, he nui ake te kaha, ā, ka taea te haere tonu ki te mahi i ngā mahi e pai ana ki a rātou mō ngā wā roa ake.

I tua atu i ngā tohumate ā-tinana, ka āwhina te manaaki whakamāui i a koe me tō whānau ki te whakatere i ngā whakatau uaua mō ngā kōwhiringa maimoatanga. Ka tohutohu te rōpū mō ngā mea e tūmanakohia ana, ka āwhina i te whakamārama i ō whāinga me ō uara, me te whakarite kia ōrite tō manaaki ki ngā mea e tino nui ana ki a koe.

He aha te tikanga mō te manaaki whakamāui?

Ka tīmata te manaaki whakamāui mā te arotake whānui i ō tohumate, āwangawanga, me ō whāinga. Ka tūtaki tō rōpū manaaki whakamāui ki a koe ki te mārama ki tō āhuatanga o nāianei me ngā mea e hiahia ana koe kia tutuki.

I te wā o tō haerenga tuatahi, ka pātai te rōpū mō ō taumata mamae, ētahi atu tohumate, me pēhea te pānga o tō mate ki tō oranga o ia rā, me ngā mea e tino nui ana ki a koe. Ka hiahia hoki rātou ki te mōhio mō tō āhuatanga whānau, ngā whakapono wairua, me ngā mataku, āwangawanga rānei kei a koe.

Ka waihanga te rōpū i tētahi mahere manaaki whaiaro e whai ana:

• Ngā rongoā hei whakahaere i te mamae me ētahi atu tohumate
• Ngā rongoā pēnei i te rongoā ā-tinana, i te rongoā mahi rānei
• Te tohutohu mō te tautoko ā-whatumanawa
• Te whakatūpō mai i ō tākuta kē atu
• Te āwhina i te whakamahere manaaki i mua
• Ngā ratonga tautoko mō tō whānau

Ka whakatikatikaina tō mahere manaaki i ngā wā katoa i runga i te āhua o tō tū me ngā mea e hiahia ana koe. Ka noho tata te rōpū ki ō tākuta tuatahi ki te whakarite kia mahi ngātahi ana te katoa.

Me pēhea te whakarite mō tō kōrero whakamāui?

Mā te whakarite mō tō hui manaaki whakamāui tuatahi ka āwhina i a koe ki te whai hua nui mai i te wheako. E hiahia ana te rōpū ki te mārama katoa ki tō āhuatanga, nō reira ka whai hua te kohikohi i ētahi mōhiohio i mua.

Whakaarohia te kawe mai i tētahi rārangi o ō rongoā o nāianei katoa, tae atu ki ngā rongoā kaore e hiahiatia he whakahaunga me ngā tāpiringa. Whakaarohia hoki ō tohumate i te wiki kua hipa me te pēhea te pānga o ēnei ki ō mahi o ia rā, te moe, me te āhua.

He mea whai hua te haere mai me tētahi mema o te whānau, hoa pūmau rānei ki te rārangi. Ka taea e rātou te tautoko i a koe i te taha aronganui, ā, ka āwhina i a koe ki te mahara ki ngā kōrero nui i kōrerohia i te wā o te haerenga.

Whakaarohia ngā pātai e hiahia ana koe ki te pātai. Ā, kei te mōhio koe mō ngā kōwhiringa whakahaere mamae, he aha te mea e tūmanakohia ana i te wā e haere ana tō mate, me pēhea te kōrero ki tō whānau mō tō āhuatanga. Mā te tuhi i ēnei pātai ka mōhio koe e kore koe e wareware ki a rātou i te wā o te rārangi.

Me pēhea te mārama ki tō mahere manaaki whakamātau?

Ko tō mahere manaaki whakamātau he mahere i hangaia mō ō hiahia me ō whāinga. Ka whakamāramahia e te rōpū ia wāhanga o tō mahere i roto i ngā kupu māmā, me te whakarite kia mārama koe ki te āwhina o ia rongoā, ratonga rānei ki a koe.

Ko te tikanga, kei roto i te mahere ngā rautaki whakahaere tohu, e pā ana ki ngā rongoā, ngā rongoā, ngā huringa rānei o te oranga. Ka whakamāramahia e tō rōpū te wā ki te tango rongoā, ngā pānga taha hei mātakitaki, me wai hei whakapā atu mēnā he āwangawanga ō.

Ka whiwhi hoki koe i ngā kōrero mō ō ratonga tautoko, pērā i te āwhina mahi pāpori, te manaaki wairua, te tohutohu whānau rānei. Ka whakamāramahia e te rōpū te pēhea te uru atu ki ēnei ratonga me te aha e tūmanakohia ana mai i ia ratonga.

Kia mahara kāore tō mahere i te kōhatu. I te wā e huri ana ō hiahia, ka whakatikatikahia e tō rōpū te mahere. Ka tirotiro rātou i a koe i te wā katoa ki te kite i te mea e pai ana te mahi me te mea e hiahia ana kia whakarerekētia.

Me pēhea te whai hua nui mai i tō manaaki whakamātau?

Ko te whai hua nui mai i te manaaki whakamātau ka tīmata me te kōrero tuwhera, pono ki tō rōpū. Kaua e whakaroa ki te whakapuaki i tō āhua, i te taha tinana me te taha aronganui, ahakoa he iti noa iho ngā tohu.

Tangohia ō rongoā i te mea i whakaritea, me te aroturuki i te pānga ki ō tohu. Mēnā kāore tētahi mea e mahi ana, e pā ana rānei ki ngā pānga taha, whakamōhio atu ki tō rōpū i te wā tonu. Ka taea e rātou te whakatika i ngā horopeta, te whakamātau rānei i ngā huarahi rerekē.

Kia mau ki ngā mahi e hari ai koe, e whai tikanga ai hoki i te wā e pai ana tō hauora. Ka taea e tō rōpū tiaki whakamāui i a koe te āwhina i a koe ki te kimi huarahi ki te haere tonu i ngā mea e arohaina ana e koe, ahakoa me whakarerekē.

Kaua e wareware ki te whakauru i tō whānau ki tō tiaki i te wā e tika ana. Ka taea e rātou te whakarato tautoko nui me te āwhina i a koe ki te whai i tō mahere tiaki i te kāinga.

He aha ngā hua pai rawa atu me te tiaki whakamāui?

Ko ngā hua pai rawa atu me te tiaki whakamāui ka puta i te wā ka tīmata te tangata ki te whiwhi i te tiaki i te wā wawe i roto i tā rātou haerenga mate. E whakaatu ana te rangahau i ngā wā katoa ko te tiaki whakamāui i te wā wawe ka arahi ki te pai ake o te whakahaere tohu, te pai ake o te kounga o te oranga, me te nui ake o te ngākau nui ki te tiaki.

Ko te hunga e whiwhi ana i te tiaki whakamāui he maha ngā wā ka iti ake te mamae, te whakapairuaki, me te ngenge. He maha ngā wā ka iti ake ngā haerenga ki te ruma ohorere me ngā noho i te hōhipera, ā, he nui ake te tūpono ka taea e rātou te noho ki te kāinga i te wā e pai ana ki a rātou.

I tua atu i ngā painga tinana, ka āwhina te tiaki whakamāui i te tangata ki te pupuri i tō rātou mana me te mana motuhake. He maha ngā tāngata e kī ana kei te nui ake te mana whakahaere i tō rātou āhuatanga me te pai ake ki te arotahi ki ngā mea e tino nui ana ki a rātou.

He nui hoki te whai hua o ngā whānau mai i ngā ratonga tiaki whakamāui. He maha ngā wā ka nui ake te rite mō te mea kei mua i a rātou, ā, e kī ana ka iti ake te āwangawanga me te pōuri i te wā o te mate o tō rātou hoa aroha.

He aha ngā āhuatanga tūpono mō te hiahia ki te tiaki whakamāui?

Ko ētahi āhuatanga hauora me ngā āhuatanga ka whai hua te tiaki whakamāui. Ehara ēnei i te āhuatanga tūpono i te tikanga tuku iho, engari he āhuatanga ka taea e tēnei momo tiaki te whakarato i te whakawātea me te tautoko nui.

He maha ngā wā ka whai hua te hunga e mate ana i te mate pukupuku matatau mai i te tiaki whakamāui, ina koa i te wā e pā ana ki te mamae, te whakapairuaki mai i te rongoā matū, te ngenge rānei. Ka kitea pea e ngā tūroro ngoikore o te ngākau te whakawātea mai i te poto o te manawa me ngā tohu pupuri wai.

Ko ētahi atu āhuatanga e whai hua ana mai i te tiaki whakamāui ko:

• Te mate tākihi tawhito e hiahia ana ki te tātai
• Ngā mate pūkahukahu matatau pēnei i te COPD
• Te warewaretanga me ētahi atu āhuatanga neurodegenerative
• Te mate ate matatau
• Te whiu me ngā raruraru nui
• HIV/AIDS me ngā raruraru

Kāore te pakeke anake e whakatau ana ko wai e hiahia ana ki te manaaki whakaiti, engari ko ngā pakeke ake me te maha o ngā āhuatanga tawhito ka kitea he āwhina. Ko te whai i ngā hōhipera auau, i ngā haerenga rānei ki te ruma ohorere ka tohu hoki ka whai hua pea te manaaki whakaiti.

He pai ake te tīmata i te manaaki whakaiti i te wā wawe, i te wā mutunga rānei?

Ko te tīmata i te manaaki whakaiti i te wā wawe i tō haerenga mate he pai ake i te tatari kia tae ki ngā wā mutunga. Ka taea e te manaaki whakaiti wawe te hanga hononga ki tō rōpū manaaki i te wā e pai ana koe, ā, ka taea e koe te whai wāhi kaha ki te whakamahere.

Inā tīmata koe i te wā wawe, he nui ake te wā ki te ako mō tō āhuatanga, ki te mārama ki ō kōwhiringa maimoatanga, me te whakaaro mō ō whāinga me ō hiahia. Ka arataki tēnei ki te whakatau whakatau pai ake me te manaaki e whakaatu ana i te mea nui ki a koe.

Ka āwhina hoki te manaaki whakaiti wawe ki te aukati, ki te whakaiti rānei i te kaha o ngā tohumate i mua i te pōuri. He māmā ake te whakahaere i te mamae i te wā e ngawari ana i te wā e kaha ana.

E mōhio ana ētahi tāngata ko te tīmata i te manaaki whakaiti ko te tuku i te maimoatanga, te whakaae rānei ki te hinga. Kāore tēnei i te tika. Ko te manaaki whakaiti wawe ka āwhina i a koe ki te aro ki ngā maimoatanga pai ake, ā, ka taea e koe te noho roa me te kounga o te ora pai ake.

He aha ngā painga ka taea o te manaaki whakaiti?

He maha ngā painga e tukuna ana e te manaaki whakaiti ka taea te whakapai ake i tō wheako ki te mate nui. Ka toro atu ēnei painga i tua atu i te whakahaere i ngā tohumate tinana ki te whānui o tō oranga me tō whānau.

Ko ngā painga tonu e puta ana ko te whakahaere pai ake i te mamae me te whakahaere tohu. Ka whakamahi tō rōpū i ngā huarahi rerekē hei āwhina i a koe kia pai ake te tū, tae atu ki ngā rongoā, ngā rongoā, me ngā whakarerekētanga o te oranga.

Ko ngā painga ā-tinana ka pā ki a koe ko:

• Te whakaiti i te mamae me te raruraru
• Te whakahaere pai ake i te whakapairuaki me te ruaki
• Te kounga moe pai ake
• He iti ake te ngenge me te ngoikore
• Te manawa pai ake me te whakaiti i te poto o te manawa
• Te pai ake o te hiahia me te kai

He mea nui te painga o te ngākau me te hinengaro. He maha ngā tāngata e kī ana he iti ake te āwangawanga me te pōuri i muri i te tīmatanga o te manaaki whakaiti. Ka āwhina te tautoko i a koe ki te aro ki ngā wehi mō tō mate me te anamata.

Ka whai hua anō tō whānau, he maha ngā wā ka mōhio ake rātou kua rite, kua tautokona hoki i roto i tō haerenga mate. Ka whiwhi rātou i te mātauranga mō tō āhuatanga me te arataki mō te āwhina i a koe i te kāinga.

He aha ngā wero ka puta mai i te manaaki whakaiti?

Ahakoa he nui ngā painga o te manaaki whakaiti, ka raru ētahi tāngata ki te uru atu, ki te whakatika rānei ki tēnei momo manaaki. Mā te māramatanga ki ēnei arai ka āwhina i a koe ki te whakatere i a rātou.

Ko tētahi wero noa ko te whakaaro he manaaki whakaiti te tikanga o te whakamutu i te tūmanako, i te whakamutu rānei i te rongoā. Ka ātete ētahi tāngata ki te tīmata i te manaaki whakaiti nā te mea e whakaaro ana rātou he mea anake mō ngā tāngata e mate ana, ehara i te mea tika.

Ngā wero arorau ka uru:

• Te iti o te wātea o ngā tohunga manaaki whakaiti i ētahi wāhi
• Ngā here inihua
• Ngā uaua ki te kawe i ngā whakaritenga
• Ngā wero whakatikatika i waenga i ngā kaiwhakarato hauora maha
• Ngā arai reo mēnā ehara te reo Pākehā i tō reo matua

He maha ngā tāngata e pā ana ki ngā wero aronganui i te tīmatanga o te manaaki whakamāui. Ka pōuri pea te whakaae ki te kaha o tō mate, ki te kōrero rānei mō ngā hiahia mō te mutunga o te ora.

Ka puta ētahi pānga kino o ngā rongoā i ētahi wā, ahakoa e mahi ana tō rōpū kia iti ake ai ēnei. Ka puta pea ngā wero kōrero mēnā kāore koe i te pai ki te whakaputa i ō hiahia, mēnā rānei he rerekē ngā whakaaro o ngā mema o te whānau mō tō manaaki.

Ko te nuinga o ēnei wero ka taea te whakatika mā te kōrero tuwhera me te manawanui i a koe me tō rōpū e mahi ngātahi ana ki te kimi otinga.

Āhea au e pātai ai mō te manaaki whakamāui?

Ko te wā pai ki te pātai mō te manaaki whakamāui i te wā tuatahi ka tātai koe ki tētahi mate nui, kaua e tatari kia tino māui koe. Mā te kōrero wawe e nui ake ai ngā kōwhiringa me te whakarite pai ake.

Whakaarohia te pātai ki tō tākuta mō te manaaki whakamāui mēnā kei te pā koe i ngā tohu e raru ana i tō oranga o ia rā, pērā i te mamae tonu, te whakapairuaki, te ngenge, te poto rānei o te manawa. Mēnā kei te pōuri koe i tō mate, i ngā whakatau rānei mō te rongoā, ka taea e te manaaki whakamāui te whakarato tautoko nui.

Ētahi atu āhuatanga ka whai hua pea te manaaki whakamāui ko:

• Kei te maha ngā hōhiperatanga, ngā haerenga rānei ki te ruma ohorere
• Kei te pā ngā pānga kino uaua ki ō rongoā o nāianei
• Kei te raru koe i te pōuri, i te āwangawanga rānei e pā ana ki tō mate
• Kei te uaua tō whānau ki te aro ki tō mate
• Kei te hiahia koe i te āwhina ki te whakatau whakatau mō tō manaaki
• Kei te whakaaro koe ki te whakamutu i ētahi rongoā

Kaua e tatari kia tūpono koe ki te raru nui ki te pātai mō te manaaki whakamāui. Ko te wawe ka tīmata koe, ka nui ake te painga ka whiwhi koe.

Ngā pātai e pātai pinepine ana mō te manaaki whakamāui

Q.1 He rite te manaaki whakamāui ki te manaaki hōhipera?

He momo manaakitanga e pā ana te manaakitanga whakamāui me te manaakitanga hōhipera, engari he rerekē. Ka taea te whakarato manaakitanga whakamāui i ngā wā katoa o te mate nui, ahakoa kei te whiwhi tonu koe i ngā maimoatanga e whai ana ki te whakaora i tō āhuatanga.

Ko te manaakitanga hōhipera, i tērā taha, he mea motuhake mō te hunga e tūmanakohia ana kia ora mō te ono marama, iti iho rānei, ā, kua whakatau ki te arotahi ki te whakamarie, kaua ki te whakaora. He momo manaakitanga whakamāui te hōhipera, engari he whānui ake te manaakitanga whakamāui.

Ka taea e koe te whiwhi manaakitanga whakamāui i ngā hōhipera, ngā whare haumanu tūroro, i te kāinga rānei, i te wā e haere tonu ana āu maimoatanga auau. He maha ngā tāngata e whiwhi ana i te manaakitanga whakamāui mō ngā marama, tau rānei, i te wā e whakahaere ana i ō rātou mate tawhito.

Q.2 E tohu ana te tīmatanga o te manaakitanga whakamāui kei te whakamutu ahau i te maimoatanga?

Kāore rawa. Ko te tīmatanga o te manaakitanga whakamāui kāore i te kī kei te whakamutu koe i te maimoatanga, kei te ngaro rānei te tūmanako. Inaha, he maha ngā tāngata e whiwhi ana i te manaakitanga whakamāui i te wā e haere tonu ana ngā maimoatanga e whai ana ki te whakaora, ki te whakahaere rānei i ō rātou mate.

I hangaia te manaakitanga whakamāui hei mahi tahi me ō atu maimoatanga rongoā, kaua hei whakakapi i a rātou. Ka āwhina i a koe ki te aro ki ngā pānga taha me ngā tohumate, ka taea te āwhina i a koe kia noho roa ake i runga i te maimoatanga.

Ko te whāinga kia āwhina i a koe kia ora pai ai i te wā e aro ana koe ki tō mate, ahakoa te wā e noho ana koe, ā, ahakoa ngā maimoatanga e whiwhi ana koe.

Q.3 Ka whai wāhi tonu āku tākuta auau ki taku manaakitanga?

Āe, ka haere tonu āu tākuta auau ki te whai wāhi ki tō manaakitanga i te wā e tīmata ana koe i te manaakitanga whakamāui. Ka mahi tahi te rōpū manaakitanga whakamāui me tō tākuta tuatahi, ngā tohunga, me ētahi atu kaiwhakarato hauora ki te whakatikatika i tō manaakitanga.

Whakaarohia te manaakitanga whakamāui hei paparanga tautoko anō, kaua hei whakakapinga mō tō rōpū rongoā o nāianei. Ka whakahaere tonu tō tākuta onkoloji, tākuta ngākau, ētahi atu tohunga rānei i ō maimoatanga motuhake ki te mate.

He whakapāpāpā tonu te rōpū manaaki whakamāui ki ō tākuta kē atu kia mōhio ai te katoa kei te mahi ngātahi ki ō whāinga. Ko te mahi tahi nei te nuinga ka pai ake te manaaki whānui, ā, he iti ake ngā hē rongoā.

Q.4 Ka taea e te manaaki whakamāui te āwhina i tō whānau hoki?

Āe, he nui te tautoko e whakaratohia ana e te manaaki whakamāui mō ngā mema o te whānau me ngā kaitiaki. E mōhio ana te rōpū e pā ana te mate nui ki te whānau katoa, ehara i te tūroro anake.

Ka taea e ngā mema o te whānau te whiwhi tohutohu, te mātauranga mō tō āhuatanga, me te aratohu mō te āwhina i te kāinga. Ka taea hoki e rātou te āwhina ki te whakamahere i mua i te wā, me te whakatau i ngā whakataunga uaua mō te rongoā.

He maha ngā hōtaka manaaki whakamāui e tuku ana i ngā rōpū tautoko mō ngā mema o te whānau, ngā ratonga manaaki whakatā, me te tautoko i te wā o te mate. Ka taea hoki e te rōpū te āwhina ki te whakatikatika i ngā ratonga atu pērā i te tuku kai, te āwhina rānei i te kawe.

Q.5 Ka utua te manaaki whakamāui e te inihua?

Ko te nuinga o ngā mahere inihua, tae atu ki te Medicare me te Medicaid, e utu ana i ngā ratonga manaaki whakamāui. Heoi, ka rerekē te utu i runga i tō mahere motuhake me te momo ratonga e hiahia ana koe.

Ko te tikanga ka utua e te inihua ngā whiriwhiringa manaaki whakamāui, ngā rongoā mō te whakahaere tohu, me ētahi rongoā. Ka rerekē pea te utu mō ngā ratonga pērā i te mahi pāpori, te manaaki wairua rānei i runga i te mahere.

Ko te nuinga o te wā kei roto i tō rōpū manaaki whakamāui tētahi tangata ka āwhina i a koe ki te mārama ki tō inihua me te whakatere i ngā whakaritenga whakamana. Kaua e waiho ngā āwangawanga inihua e aukati i a koe ki te tūhura i ngā kōwhiringa manaaki whakamāui.