{"id":22639,"date":"2015-09-18T07:43:06","date_gmt":"2015-09-18T05:43:06","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=22639"},"modified":"2015-09-18T07:43:06","modified_gmt":"2015-09-18T05:43:06","slug":"co-delat-kdyz-praktik-odmita-navstivit-seniora-doma","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=22639","title":{"rendered":"Co d\u011blat, kdy\u017e praktik odm\u00edt\u00e1 nav\u0161t\u00edvit seniora doma?"},"content":{"rendered":"

Na kurzech Diakonie \u010cCE pro pe\u010duj\u00edc\u00ed i v poradn\u00e1ch se st\u00e1le \u010dast\u011bji opakuje dotaz, co d\u011blat, kdy\u017e praktick\u00fd l\u00e9ka\u0159 odm\u00edt\u00e1 nav\u0161t\u00edvit seniora doma. <\/strong><\/p>\n

ilustra\u010dn\u00ed foto: PhotoXpress<\/p>\n

Je skute\u010dnost\u00ed, \u017ee n\u00e1v\u0161t\u011bvn\u00ed slu\u017eba praktick\u00fdch l\u00e9ka\u0159\u016f u senior\u016f v posledn\u00edch letech, podle \u00fadaj\u016f VZP, kles\u00e1 ve v\u0161ech regionech. D\u016fsledkem toho je pak \u010dast\u011bj\u0161\u00ed vol\u00e1n\u00ed z\u00e1chrann\u00e9 slu\u017eby, r\u016fst n\u00e1klad\u016f ve\u0159ejn\u00e9ho zdravotn\u00edho poji\u0161t\u011bn\u00ed a p\u0159epln\u011bn\u00ed intern\u00edch a dal\u0161\u00edch odd\u011blen\u00ed akutn\u00ed p\u00e9\u010de v nemocnic\u00edch.<\/p>\n

Centrum pro podporu laick\u00e9 p\u00e9\u010de (CPLP) Diakonie \u010cCE po\u017e\u00e1dalo pr\u00e1vni\u010dku Mgr. Radku Pe\u0161lovou o zodpov\u011bzen\u00ed v\u00fd\u0161e uveden\u00e9ho dotazu.<\/p>\n

CPLP: Podle na\u0161ich informac\u00ed l\u00e9ka\u0159 nej\u010dast\u011bji \u0159ekne \u201eJ\u00e1 na z\u00e1klad\u011b znalosti pacienta a toho, co mi sd\u011blujete, neshled\u00e1v\u00e1m nyn\u00ed d\u016fvod k n\u00e1v\u0161t\u011bv\u011b. Kdyby se situace zhor\u0161ovala, volejte pohotovost.
\nRadka Pe\u0161lov\u00e1: Je pravda, \u017ee n\u00e1v\u0161t\u011bvn\u00ed slu\u017eba v\u00fdslovn\u011b nen\u00ed uvedena v z\u00e1kon\u011b. Nicm\u00e9n\u011b l\u00e9ka\u0159 k n\u00ed je povinen na z\u00e1klad\u011b dohody se zdravotn\u00ed poji\u0161\u0165ovnou. M\u00e1 tuto p\u00e9\u010di nasmlouvanou ve vlastn\u00edch \u00fakonech. A to kdy\u017e dojde ke zhor\u0161en\u00ed zdravotn\u00edho stavu nebo kdy\u017e pro sv\u016fj dlouhodob\u011b \u0161patn\u00fd zdravotn\u00ed stav pacient nen\u00ed schopen doj\u00edt k l\u00e9ka\u0159i do ordinace. K zaji\u0161t\u011bn\u00ed n\u00e1v\u0161t\u011bvy by m\u011bl zpravidla sta\u010dit telefon\u00e1t. Ale n\u011bkte\u0159\u00ed l\u00e9ka\u0159i odm\u00edtnou slu\u017ebu poskytnout. Toto odm\u00edtnut\u00ed by ov\u0161em m\u011bli zd\u016fvodnit. Jako d\u016fvod by nem\u011bli uv\u00e1d\u011bt, \u017ee p\u00e9\u010de nen\u00ed pot\u0159eba, proto\u017ee po telefonu nemohou u\u010dinit spolehliv\u00fd \u00fasudek o zdravotn\u00edm stavu pacienta. L\u00e9ka\u0159 na d\u00e1lku nem\u016f\u017ee stanovit akutn\u00ed diagn\u00f3zu, tak\u017ee nem\u016f\u017ee argumentovat ani nez\u00e1va\u017enost\u00ed p\u0159\u00edpadu. <\/p>\n

CPLP: Nap\u0159\u00edklad \u0161patn\u00e1 hybnost nebo hore\u010dka jsou d\u016fvodem k n\u00e1v\u0161t\u011bv\u011b l\u00e9ka\u0159e doma?
\nRadka Pe\u0161lov\u00e1: V tomto p\u0159\u00edpad\u011b m\u00e1 pacient nepochybn\u011b pr\u00e1vo na n\u00e1v\u0161t\u011bvu praktick\u00e9ho l\u00e9ka\u0159e, nebo\u0165 s\u00e1m nen\u00ed schopen vyu\u017e\u00edt slu\u017eby l\u00e9ka\u0159e. <\/p>\n

CPLP: Je stanoveno, jak \u010dasto mohou n\u00e1v\u0161t\u011bvy doma prob\u00edhat?
\nRadka Pe\u0161lov\u00e1: \u017d\u00e1dn\u00e9 minimum ani maximum stanoveno nen\u00ed, ale p\u0159edpokl\u00e1d\u00e1 se, \u017ee n\u00e1v\u0161t\u011bva m\u00e1 b\u00fdt vykon\u00e1na aspo\u0148 jednou za p\u016fl roku. Toto dovozujeme z d\u016fvodu nutnosti shl\u00e9dnout pacienta, kdy\u017e jsou mu p\u0159edepisov\u00e1ny l\u00e9ky. Velk\u00e1 \u010d\u00e1st senior\u016f l\u00e9ky bere dlouhodob\u011b a jejich p\u0159edeps\u00e1n\u00ed nen\u00ed \u010dasto spojeno se skute\u010dn\u00fdm vy\u0161et\u0159en\u00edm pacienta. L\u00e9ky se mohou za p\u0159edpokladu pou\u017eit\u00ed tzv. opakovan\u00e9ho receptu vypsat nej\u010dast\u011bji pouze na dobu p\u016fl roku. <\/p>\n

CPLP: Co byste doporu\u010dila, kdy\u017e l\u00e9ka\u0159 p\u0159esto odm\u00edtne?
\nRadka Pe\u0161lov\u00e1: Pokud m\u00e1 pe\u010duj\u00edc\u00ed pocit, \u017ee situace skute\u010dn\u011b vy\u017eaduje urgentn\u00ed \u0159e\u0161en\u00ed, nezb\u00fdv\u00e1 ne\u017e volat z\u00e1chrannou slu\u017ebu. Pokud n\u00e1v\u0161t\u011bva snese n\u011bjak\u00fd den odkladu, doporu\u010duji l\u00e9ka\u0159e obeslat doporu\u010den\u00fdm dopisem s p\u00edsemnou \u017e\u00e1dost\u00ed. Dosta\u010duje k tomu jednoduch\u00e9: \u201eV\u00e1\u017een\u00fd pane doktore, z d\u016fvodu sv\u00e9 imobility (dlouhodob\u011b \u0161patn\u00e9ho zdravotn\u00edho stavu, n\u00e1hl\u00e9ho t\u011b\u017ek\u00e9ho zhor\u0161en\u00ed zdravotn\u00edho stavu apod.) V\u00e1s \u017e\u00e1d\u00e1m o n\u00e1v\u0161t\u011bvu v m\u00edst\u011b m\u00e9ho pobytu, a to tehdy a tehdy, kdy V\u00e1m bude moci n\u011bkdo otev\u0159\u00edt, proto\u017ee u\u017e to s\u00e1m tak\u00e9 nezvl\u00e1dnu.\u201c<\/p>\n

CPLP: Pokud l\u00e9ka\u0159 nereaguje na tento dopis, co pak? M\u00e1 b\u00fdt pacient pr\u016fbojn\u00fd a trvat na sv\u00e9m pr\u00e1vu?
\nRadka Pe\u0161lov\u00e1: Ano a z\u00e1le\u017e\u00ed na n\u011bm, jestli jej vyu\u017eije nebo ne. Ale rodiny pacient\u016f by se s takov\u00fdm jedn\u00e1n\u00edm praktick\u00fdch l\u00e9ka\u0159\u016f nem\u011bly smi\u0159ovat a m\u011bly by podat st\u00ed\u017enost nad\u0159\u00edzen\u00e9mu l\u00e9ka\u0159i, samoz\u0159ejm\u011b je-li n\u011bjak\u00fd, a n\u00e1sledn\u011b na krajsk\u00fd \u00fa\u0159ad. St\u00ed\u017enost mohou sm\u011b\u0159ovat i na zdravotn\u00ed poji\u0161\u0165ovnu nebo pro zanedb\u00e1n\u00ed p\u00e9\u010de na \u010ceskou l\u00e9ka\u0159skou komoru.<\/p>\n

Anton\u00edn Ho\u0161\u0165\u00e1lek
\nTiskov\u00e1 zpr\u00e1va \u2013 Diakonie \u010cCE<\/p>\n","protected":false},"excerpt":{"rendered":"

Na kurzech Diakonie \u010cCE pro pe\u010duj\u00edc\u00ed i v poradn\u00e1ch se st\u00e1le \u010dast\u011bji opakuje dotaz, co d\u011blat, kdy\u017e praktick\u00fd l\u00e9ka\u0159 odm\u00edt\u00e1 nav\u0161t\u00edvit seniora doma.<\/p>\n<\/div>","protected":false},"author":1,"featured_media":14726,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11,9],"tags":[],"class_list":["post-22639","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-zdravi","category-zpravy"],"_links":{"self":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/22639","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=22639"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/22639\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/14726"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=22639"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=22639"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=22639"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}