Page 7 - Alpha Bylaw 20 pages A4

10. k-t¸mÀ-«v {Kq-¸pIÄ:

am-cI tcm-K§Ä, A-]-I-S§Ä, hmÀ-[-Iy-kw-_-Ôam-b A-kp-J-§Ä F¶n-h aq-ew th-Z-\
bpw Zp-cn-Xhpw A-\p-`-hn-¡p-¶-h-cp-sS- Po-hn-X-¯n-sâ Kp-W-\n-e-hm-cw sa-¨-s¸-Sp-¯p-I-sb-¶
]m-en-tb-äo-hv ]-cn-N-c-W-¯n-sâ A-SnØm-\ {]-am-W-¯n XmÂ-¸-cy-ap-Å P-\§-sf DÄ-s¡m-
Ån-¨v cq-]o-I-cn-¡p-¶-XmIpw k-t¸mÀ-«v {Kq-¸pIÄ. Xm-sg ]-d-bp-¶ hn-`m-K-§Ä-¡m-bn {]-tXy-I
{Kq-¸p-I-fm-Wv hn-`mh-\w sN-¿p-¶Xv:
* ]p-\ÀP-\n sI-bÀ
* do-lm-_n-en-tä-j³
* U-bm-en-kn-kv sI-bÀ
C-h-sbÃmw km-[m-c-W ]m-en-tb-äo-hv sI-bÀ {]-hÀ-¯-\-§-fp-sSbpw Øm-]-\-§-fp-sSbpw `m-K-
aÃm-¯-Xn-\m C-¡m-cy-§-fn XÂ-¸-ccm-b ]p-Xn-b k-¶-²-{]-hÀ-¯I-sc e-`n-¡m³ _p-²n-ap-
«p-≠m-InÃ. ap-I-fn ]-d-ª H-t¶m ct≠m hn-j-b-§-fn XmÂ-¸-cy-ap-Å-h-cm-sW-¦n Iq-Sn-
bpw BÂ-^-bp-sS FÃm {]-hÀ-¯-\-§-fnepw XmÂ-¸-cy-ap-≠mIW-sa-¶nÃ.
10.1. BÂ-^ ]p-\ÀP\n

BÂ-^ ]p-\ÀP-\n sI-bÀ skâÀ B-[p\n-I ^nkn-tbm-sX-dm-¸n ku-I-cy-§-fp-ÅXpw
BÂ-^ en-¦v skâ-dp-I-fpsS A-hn-`m-Py L-S-I-hp-amWv. N-e-\-ti-jn ]-cn-an-X-s¸« tcm-KnI-sf
sskUv Xp-d-¡p-¶ hm-\p-I-fn Cu tI-{µ-¯n-se-¯p-¶-Xn-\v ku-I-cy-taÀ-s¸-Sp-¯nbpw hm-l
\-§-fn B-gv-N-bn H-cpX-h-W-sb-¦nepw FÃm B-gv-N-I-fnepw A-hÀ¡v kzbw F-¯n
{]-tXy-Iw ]-cn-ioe-\w t\Sn-b ^nkn-tbm-sX-dm-¸n-Ìnsâ tkh-\w t\-Sm-hp-¶ X-c-¯n-ep-am-Wv
]p-\ÀP-\n {]-hÀ-¯n-¡p-¶-Xvv. Cu tkh-\w t\-Sp-¶h-sc \m-ep {]-tXy-I {Kq-¸p-I-fm-bn Xn-cn-
¡p-Ibpw Xm-sg-]-d-bp-¶ ¢-_p-I-fn Aw-KXzw sIm-Sp-¡p-Ibpw sN-¿p¶p.

* D-Zbw (kv-ss]-\Â tIm-Uv C³-Ppdn)
* ]p-e-cn (kv-t{Sm-¡v AY-hm a-kv-Xn-jvIm-Lm-Xw kw-`-hn-¨hÀ)
* B-im-In-c¬ (]mÀ-¡n³-tkm-Wnkw, aÄ-«n-¸nÄ kvs¢-tdm-kn-kv Xp-S§n-b
\m-Vo-kw-_-Ô-am-b tcm-K-§-fp-ÅhÀ)
* sd-bn³-t_m (sk-dn-{_Â ]mÄ-kn t]m-epÅ tcm-K-§-fp-Å Ip-«nIÄ)
ZoÀ-LIm-e ]-cn-Nc-Ww th-≠ Cu hn-`m-K-¯n s]-«-hÀ im-cocn-I shÃp-hn-fn-IÄ-¡p ]pd-sa
km-aqln-I am-\kn-I {]-iv-\-§fpw Bßo-b th-Z-\-Ifpw t]-dp-¶-h-cmWv. ^nkn-tbm-sX-dm-
¸n-Ìpw A-kn-Ìâp-amcpw C-h-cp-sS N-e-\-ti-jn-bn ]p-tcm-K-Xn D-≠m-¡m³ {i-an-¡p-t¼mÄ
k-t¸mÀ-«v {Kq-¸v Aw-K-§fm-b I-ayq-Wn-än h-f-≠n-bÀ-amÀ C-h-cp-sS a-äp {]-iv-\-§Ä-¡v
]-cn-lm-cw Im-Wm³ {i-an-¡Ww.
10.2. U-bm-en-knkv

C-´y-bn 65 Z-ie-£w t]-cp-sS In-Uv-\n-I-fp-sS {]-hÀ¯-\w a-µo-`-hn-¨p-h-cp-¶p-sh¶pw {Ita-
W C-hÀ t{Im-Wn-Iv In-Uv-\n Un-ko-kv (Chronic Kidney Disease - CKD) D-Å-h-cm-bn
am-dp-sa¶pw I-W-¡m-¡-s¸-Sp-¶p. 30 i-X-am-\w t]À¡v U-b-_-än-kpw 20 i-X-am-\w t]À¡v
c-àm-Xnk-½À-±-hp-am-Wv Im-c-W-§-fm-bn Nq-≠n-¡m-Wn-¡-s¸-Sp-¶-Xv. a-äp tI-kp-I-fn-emI-s«
C-XnÂ-\n-¶p hy-Xy-kv-X-am-b H-cp-Iq-«w Im-c-W-§-fpw.

C-´y-bp-sS 3 i-X-am-\w h-cp-¶ P-\-kw-Jy-bp-Å tI-c-f-¯n 1.8 Z-ie-£w t]À t{Im-Wn-Iv
In-Uv-\n Un-ko-kv D-Å-h-cm-sW¶pw A-Xn 10 i-X-am-\w t]À¡pw B-gv-N-bn aq-¶p XhW
U-bm-en-kn-kv B-h-iy-ap-Å-h-cm-sW¶pw I-cp-X-s¸-Sp¶p. F-¶mÂ, U-bm-en-kn-kv skâ-dp-I-fp-
sS A-]-cym-]v-X-Xbpw Xm-§m-\m-hm-¯ sN-ehpw aq-ew `q-cn-`m-K-¯n\pw B-h-iy-ap-Å k-ab¯v
Cu tkh\w e-`y-am-Ip-¶nÃ.

BÂ-^ ]m-en-tb-äo-hv sIbÀ 16 U-bm-en-kn-kv sa-jo-\p-IÄ F-S-ap-«w tlm-kv-]o-kn Xp-S-¡-
¯n Øm-]n-¨v Cu henb {]-iv-\-s¯ t\-cnSm-s\m-cp-§p-I-bm-Wv. sa-jo-\p-I-fp-sS F-®w
hÀ-[n-¸n-¡p-¶-tXm-sSm¸w BÂ-^-bp-sS a-äp tlm-kv-]o-kp-I-fnepw en-¦v skâ-dp-I-fnepw U-bm-
en-kn-kv ku-I-cyw DÄ-s¸-Sp-¯n ]²Xn hn-]p-eo-I-cn-¡p-Ibpw sN-¿pw.

U-bm-en-kn-kv t]-jyâ v-kn-s\bpw A-h-sc ]-cn-N-cn-¡p-¶-h-sc-bpw DÄ-s¸-Sp-¯n U-bm-en-kn-kv
¢-_p-IÄ cq-]o-I-cn-¨v saw-_À-jn-¸v \Â-In A-h-À t\-cn-Sp-¶ km-¼-¯n-I-{]-iv-\-§fpw km-aqln-
I am-\kn-I Bßo-b {]-iv-\-§fpw ]Tn-¡m\pw H-ä-bv¡pw Iq-«mbpw ]-cn-lm-cw I-s≠-¯m\pw
{i-an-¡pw.

Alpha Palliative Care BYLAW 7