{"id":23436,"date":"2015-11-10T12:59:06","date_gmt":"2015-11-10T11:59:06","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=23436"},"modified":"2015-11-10T15:02:54","modified_gmt":"2015-11-10T14:02:54","slug":"23436","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=23436","title":{"rendered":"Kdo mi zaplat\u00ed v\u00fd\u017eivov\u00e9ho poradce?"},"content":{"rendered":"<p><strong>OT\u00c1ZKA: M\u00e1m nadv\u00e1hu a\u00a0byl mi zji\u0161t\u011bn n\u00e1b\u011bh na cukrovku \u2013 glyk\u00e9mii m\u00e1m opakovan\u011b trochu nad\u00a06. R\u00e1d bych to zkusil zlep\u0161it dietou, ale cht\u011bl bych ji konzultovat s\u00a0nutri\u010dn\u00edm specialistou. Je n\u00e1v\u0161t\u011bva u\u00a0n\u011bj hrazena poji\u0161\u0165ovnou? A\u00a0pokud ano, mus\u00edm m\u00edt n\u011bjakou \u017e\u00e1danku?<\/strong><\/p>\n<p><!--more--><\/p>\n<p><strong>\u00a0ilustra\u010dn\u00ed foto: PhotoXpress.com<\/strong><\/p>\n<p><strong>ODPOV\u011a\u010e:<\/strong><\/p>\n<p>N\u00e1v\u0161t\u011bva u\u00a0nutri\u010dn\u00edho terapeuta m\u016f\u017ee b\u00fdt hrazena poji\u0161\u0165ovnou, <strong>pokud v\u00e1m ji doporu\u010d\u00ed v\u00e1\u0161 l\u00e9ka\u0159 a\u00a0pokud vyhled\u00e1te nutri\u010dn\u00edho terapeuta, kter\u00fd je skute\u010dn\u011b pracovn\u00edkem ve zdravotnictv\u00ed a\u00a0m\u00e1 smluvn\u00ed vztah s\u00a0poji\u0161\u0165ovnou.<\/strong><\/p>\n<p>Nutri\u010dn\u00ed terapeut je samostatn\u00e1 odbornost a\u00a0na z\u00e1klad\u011b smluvn\u00edho vztahu m\u016f\u017ee poji\u0161\u0165ovn\u011b vykazovat ambulantn\u011b poskytnut\u00e9 v\u00fdkony, kter\u00e9 t\u00e9to odbornosti n\u00e1le\u017e\u00ed, nap\u0159. vy\u0161et\u0159en\u00ed a zhodnocen\u00ed nutri\u010dn\u00edho stavu pacienta, sestaven\u00ed nutri\u010dn\u00edho pl\u00e1nu, edukace nutri\u010dn\u00edm terapeutem aj. Vedle toho nutri\u010dn\u00ed terapeuti funguj\u00ed tak\u00e9 v\u00a0r\u00e1mci nemocnic pro hospitalizovan\u00e9 pacienty.<\/p>\n<p><strong>K nutri\u010dn\u00edmu terapeutovi v\u00e1s m\u016f\u017ee odeslat v\u00e1\u0161 praktick\u00fd l\u00e9ka\u0159. D\u00e1 v\u00e1m p\u00edsemn\u00e9 doporu\u010den\u00ed<\/strong> a\u00a0m\u011bl by v\u00e1m tak\u00e9 poradit, kam se obr\u00e1tit. Doporu\u010den\u00ed m\u016f\u017ee d\u00e1t pacientovi i\u00a0jeho o\u0161et\u0159uj\u00edc\u00ed odborn\u00fd l\u00e9ka\u0159, nap\u0159. diabetikovi jeho diabetolog. P\u0159ipom\u00edn\u00e1me rad\u011bji, \u017ee <strong>nen\u00ed mo\u017en\u00e9, aby poji\u0161\u0165ovna zp\u011btn\u011b proplatila n\u00e1v\u0161t\u011bvu u\u00a0nutri\u010dn\u00edho terapeuta, pro kterou se poji\u0161t\u011bnec s\u00e1m rozhodl a\u00a0s\u00e1m si ji zaplatil<\/strong>.<\/p>\n<p>Konzultaci l\u00e9ka\u0159 doporu\u010duje na z\u00e1klad\u011b pacientova zdravotn\u00edho stavu, p\u0159i\u010dem\u017e popsan\u00e1 situace (nadv\u00e1ha, opakovan\u011b zv\u00fd\u0161en\u00e1 glyk\u00e9mie) m\u016f\u017ee b\u00fdt indikac\u00ed pro odesl\u00e1n\u00ed k\u00a0nutri\u010dn\u00edmu terapeutovi. Edukace nutri\u010dn\u00edm terapeutem o\u00a0skladb\u011b a\u00a0syst\u00e9mu stravov\u00e1n\u00ed se prov\u00e1d\u00ed mj. pr\u00e1v\u011b po zji\u0161t\u011bn\u00e9m riziku onemocn\u011bn\u00ed. N\u00e1sledovat pak m\u016f\u017ee i\u00a0reedukace, kter\u00e1 nap\u0159. \u0159e\u0161\u00ed zji\u0161t\u011bn\u00e9 chyby ve stravov\u00e1n\u00ed. Tento v\u00fdkon m\u016f\u017ee nutri\u010dn\u00ed terapeut vyk\u00e1zat poji\u0161\u0165ovn\u011b k\u00a0\u00fahrad\u011b na jednoho pacienta a\u017e 3x za \u010dtvrtlet\u00ed (v\u00fdkon edukace jen 1x v\u00a0roce). O\u00a0pot\u0159eb\u011b reedukace by ale musel op\u011bt rozhodnout v\u00e1\u0161 l\u00e9ka\u0159.<\/p>\n<p>Nutri\u010dn\u00ed terapeut by m\u011bl pacientovi, kter\u00fd pot\u0159ebuje zhubnout, poradit i\u00a0v\u00a0p\u0159\u00edpad\u011b, \u017ee trp\u00ed dal\u0161\u00edm onemocn\u011bn\u00edm vy\u017eaduj\u00edc\u00edm zm\u011bnu stravy, jako je nap\u0159\u00edklad pr\u00e1v\u011b cukrovka, nebo choroby ledvin \u010di jater, zv\u00fd\u0161en\u00fd cholesterol apod. Proto je konzultace u\u00a0odborn\u00edka v\u00fdhodn\u00e1 zejm\u00e9na pro pacienty, kte\u0159\u00ed se o\u00a0sv\u00e9 nemoci nov\u011b dozv\u011bd\u011bli a\u00a0pot\u0159ebuj\u00ed se nau\u010dit, jak ji zvl\u00e1dat, aby se jejich stav nezhor\u0161oval.<\/p>\n<p>&nbsp;<\/p>\n<p><strong>Mgr. Old\u0159ich Tich\u00fd<br \/>\n<\/strong>vedouc\u00ed tiskov\u00e9ho odd\u011blen\u00ed a tiskov\u00fd mluv\u010d\u00ed<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>OT\u00c1ZKA: M\u00e1m nadv\u00e1hu a\u00a0byl mi zji\u0161t\u011bn n\u00e1b\u011bh na cukrovku \u2013 glyk\u00e9mii m\u00e1m opakovan\u011b trochu nad\u00a06. R\u00e1d bych to zkusil zlep\u0161it dietou, ale cht\u011bl bych ji <a class=\"mh-excerpt-more\" href=\"https:\/\/www.invarena.cz\/?p=23436\" title=\"Kdo mi zaplat\u00ed v\u00fd\u017eivov\u00e9ho poradce?\">[&#8230;]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":16678,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[18],"tags":[],"class_list":["post-23436","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-poradna"],"_links":{"self":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/23436","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=23436"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/23436\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/16678"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=23436"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=23436"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=23436"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}