( 0 Votes ) 
Created on 26 November 2014 Written by Dr Christian Ntizimira
Hits: 5
Print

When I was student at University of Rwanda College of Medicine and Health Sciences, one of our lectures used to say: “a good physician is not judged by the scores but by the eyes of their patients”. He was right; I have seen peace, hope and dignity in the eyes of patients when they are treated as human beings not as a bur- den of the society.

Most physicians and health providers have been trained to manage curable diseases and provide care to all patients but the realities showed that some of the diseases could not be cured. When the doctors pronounce, “there is nothing we can do”, the patient is referred for “palliative care”.

The World Health Organization in 2002 defined palliative care as “an approach that improves the quality of life of patients and their families facing the problems associated with life-threatening illness, through the prevention and relief of suffering by means of early identification and im- peccable assessment and treatment of pain and other problems, physical, psychosocial and spiritual.
Palliative care starts at the diagnosis of the lethal diseases, provision of care until death and even after the death of the patients because it includes families. It provides relief from pain and other distressing symptoms, affirms life and regards dying as a normal process. It neither hastens nor postpones death but it integrates the psychological and spiritual aspects of patient care into patient management.

In palliative care, we never say “there is nothing we can do”. It is care be- yond cure, a concept of humanity and a backbone of modern medicine. Patients with life-limiting illnesses have so many problems that health workers feel overwhelmed and powerless to help. It is a multidisciplinary team fo- cus to care for the person beyond the disease.


We cannot cure the incurable but we can control many of the symptoms, which cause distress. We cannot take away the pain of loss but we can stand with those who are grieving and share their sadness. We do not have all the answers, but we can listen to all the questions. TSM


Dr. Christian NTIZIMIRA, Palliative care Expert & Educator
Kibagabaga Hospital, Palliative Medicine Fellow, OhioHealth

 

 

  User Rating:  / 0
( 0 Votes ) 
Created on 23 June 2014 Written by Faustin Niyigena
Hits: 169
Print

Abananyarwanda n’abanyamahanga bakora akazi ko guha serivisi ababagana biteguye kwakira neza abashyitsi . bazitabira inama ngarukamwaka ya Banki Nyafurika Itsura Amajyambere (AfDB).

Iyi nama igiye kuba ku nshuro ya 49 izabera i Kigali mu Rwanda kuva tariki byanditswe na Faustin Niyigena ya 19 kugeza ku ya 23 aho izahuriramo abantu bari hagati y’ibihumbi 2 na magana atanu n’ibihumbi 3 (2,500- 3,000).

Ubuyobozi bw’iyi Banki buvuga ko muri iyi minsi 5, abazaba bari muri iyi nama bazakorana ibiganiro ku ntego igira iti: “Afurika dukeneye mu myaka 50 iri imbere.”
Kimwe mu bikenewe na Afurika ni ugutanga serivisi neza kandi n’u Rwanda ni kimwe mu bihugu bikinengwa imitangire ya serivisi mu nzego zakira abantu ariko kuri iyi nshuro abatanga serivisi bavuga ko bazakira ababagana neza ndetse ku rwego mpuzamahanga nkuko babisabwa n’ikigo cy’igihugu gishinzwe iterambere (RDB).

Umuyobozi w’ishami ry’ubukerarugendo mu Rwanda (tourism chamber), Bart Gasana avuga ko imyiteguro yo kwakira abo bashyitsi irimbanyije kandi ko ibintu byose birimo bigenda neza.

Uko kwakira abantu bizakorwa Mu bijyane n’amafunguro ndetse no guhaha utuntu dutandukanye, urwego rw’ubukerarugendo rutangaza ko uberaiyinamaya49yaAfDBhateguwe ahantu hagari hazaba harimo resitora na za butike abo bashyitsi bashobora kwifashisha mu gihe bari mu biganiro cyangwa bari mu karuhuko.

Aho hantu hatunganyijwe ni ahazwi ku izina rya Camp Kigali, hakaba haratoranijwe kuko ari hagari kandi hegeranye na hoteli Serena izaba iri kuberamo ibiganiro. Gasana ati “Camp Kigali ni nka conference village kuko hazaba hari urukurikirane rw’amaresitora atandukanye ushobora gusangamo ibyo kurya by’ubwoko bwose byaba ibyo muri Afurika, u Bushinwa, Amerika, Aziya n’ahandi ndetse hakazaba harimo n’aho kugurira ikawa n’icyayi by’u Rwanda hamwe n’amaduka azaba acuruza ibintu bitandukanye cyane ibikoresho by’ubugeni (object d’art).”

Umuyobozi wa Serena Hotels mu Rwanda akaba na visi perezida w’ishyirahamwe ry’abanyamahoteli, Charles Muia yemeza ko urwego rw’amahoteli ruzaba ruri gutanga serivisi ziri ku rwego rukenewe.

Ubu buryo bwo gukoresha Camp Kigali buzatuma hatabaho akajagari ko gushaka kujya kurira muri hoteli ucumbitsemo cyangwa ujya gushakisha ibyo ugura mu masoko atandukanye yo mu mujyi wa Kigali kuko ibyo byose bizaba biri hamwe kandi hafi yawe.
Kubijyane n’amacumbi yo kuraramo, amahoteli yatoranijwe n’itsinda ryishyiriweho na Banki ubwayo ko azakira abo bashyitsi, ubu yatangiye kumenyeshwa abashyitsi izakira n’icyumba buri wese azararamo.

Bart Gasana ati: “kugeza ku itariki ya 12, buri hoteli iri kugenda ihabwa izina ry’umuntu, igihugu aturutsemo, umwirondoro we nkuko uri kuri credit card ye n’ibindi.”

Gasana avuga ko ubu buryo nabwo buzaca akajagari muri za hoteli kuko banasaba abari barakoze reservations (abishyuye mbere) ko iyo myanya yabo ariyo bazashyirwamo mu buryo buzwi n’urwego rw’ubukerarugendo na AfDB ku buryo nta cyumba uzasanga cyateganyirijwe (reserved) inshuro 2 n’umuntu 1 cyangwa abantu 2 batandukanye.
Iri tsinda rya AfDB n’urwego rw’ubukerarugendo biri kuyoborwa na Minisiteri y’imari n’igenamigambi (MINECOFIN).

Usibye iyi nama mpuzamahanga ya 49 yateguwe na AfDB, u Rwanda muri Nzeri nabwo ruzanakira inama ya 14 yiga ku iterambere n’ubucuruzi nayo iri ku rwego mpuzamahanga. Iyo nama yitwa International Trade World Centre ifatanywa n’indi yitwa International Trade Centre’s Women Vendors Exhibition and Forum.

 Usibye izi nama zose ziteganyijwe kubera mu Rwanda muri uyu mwaka, u Rwanda ruherutse no kwakira izindi nama 2 mpuzamahanga; imwe ikaba yaritwaga Transform Africa yakurikiwe n’iyitwa ICT for Agriculture kandi izi zose bazakiriye neza.

Umuyobozi ushinzwe ubuziranenge muri RDB, Emmanuel Werabee avuga ko urwego ayoboye ruri gukorana n’inzego (sectors) zose bireba kugira ngo buri kimwe cyose kizabe kiri mu buryo bwiza mu gihe cyo kwakira ibi bihumbi by’abashyitsi.

Zimwe muri izo nzego harimo urwego rwo gutwara abantu n’ibintu hakoreshejwe imodaka cyangwa indege, inzego z’umutekano n’abandi bose bireba barimo n’abikorera.

U Rwanda kuba rutoranywa kwakira izi nama nini zihuriramo ibihumbi by’abanyacyubahiro biba bigaragaza ishema u Rwanda rufite mu ruhando rw’amahanga kuko izi nama ikintu cya mbere gisabwa kugira ngo zizanwe mu gihugu runaka ari umutekano. TSM

Byanditswe na Faustin Niyigena
This email address is being protected from spambots. You need JavaScript enabled to view it.

  User Rating:  / 0

Page 1 of 19

<< Start < Prev 1 2 3 4 5 6 7 8 9 10 Next > End >>