{"id":23478,"date":"2015-11-13T09:10:18","date_gmt":"2015-11-13T08:10:18","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=23478"},"modified":"2015-11-13T09:10:18","modified_gmt":"2015-11-13T08:10:18","slug":"v-nemocnici-rudolfa-a-stefanie-davaji-stop-prolezeninam","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=23478","title":{"rendered":"V nemocnici Rudolfa a Stefanie d\u00e1vaj\u00ed stop prole\u017eenin\u00e1m"},"content":{"rendered":"

Nemocnice Rudolfa a Stefanie Bene\u0161ov se v tomto roce p\u0159ipoj\u00ed k podpo\u0159e Sv\u011btov\u00e9ho dne STOP dekubit\u016fm (prole\u017eenin\u00e1m), kter\u00fdm je v leto\u0161n\u00edm roce vyhl\u00e1\u0161en 19. listopad.<\/strong> <\/p>\n

Bene\u0161ov \u2013 V r\u00e1mci tohoto dne bude z\u0159\u00edzeno stanovi\u0161t\u011b pro pe\u010duj\u00edc\u00ed osoby a laickou ve\u0159ejnost, kde budou v\u0161eobecn\u00e9 sestry zodpov\u00eddat ot\u00e1zky z\u00e1jemc\u016fm o tuto problematiku. Na stanovi\u0161ti bude k dispozici na uk\u00e1zku l\u016f\u017eko s antidekubitn\u00ed matrac\u00ed, antidekubitn\u00ed pom\u016fcky a pom\u016fcky pro preventivn\u00ed o\u0161et\u0159en\u00ed k\u016f\u017ee. K dispozici bude ochutn\u00e1vka dopl\u0148k\u016f stravy k podpo\u0159e hojen\u00ed prole\u017eenin.<\/p>\n

„Dekubity p\u0159edstavuj\u00ed probl\u00e9m, se kter\u00fdm se pot\u00fdkaj\u00ed zdravotn\u00edci na cel\u00e9m sv\u011bt\u011b. Je nutn\u00e9 zd\u016fraznit, \u017ee dekubity nevznikaj\u00ed jen u dlouhodob\u011b hospitalizovan\u00fdch pacient\u016f. Podle \u00fadaj\u016f N\u00e1rodn\u00edho referen\u010dn\u00edho centra je v\u00edce ne\u017e t\u0159icet procent pacient\u016f p\u0159ivezeno do zdravotnick\u00e9ho za\u0159\u00edzen\u00ed ji\u017e s dekubitem,“ uvedla Eva La\u017eanov\u00e1, mana\u017eerka pro kontinuitu poskytovan\u00e9 p\u00e9\u010de Nemocnice Rudolfa a Stefanie Bene\u0161ov, kter\u00e1 z\u00e1rove\u0148 vysv\u011btlila, co to dekubity jsou.<\/p>\n

„Dekubity neboli prole\u017eeniny jsou r\u016fzn\u011b rozs\u00e1hl\u00e9 r\u00e1ny vyvolan\u00e9 dlouhodob\u011bj\u0161\u00edm lok\u00e1ln\u00edm tlakem na k\u016f\u017ei. Vznikaj\u00ed v\u011bt\u0161inou v m\u00edstech s malou vrstvou tukov\u00e9 tk\u00e1n\u011b.“<\/p>\n

V\u00fdznamnou roli v prevenci dekubit\u016f m\u00e1 pravideln\u00e9 polohov\u00e1n\u00ed, kter\u00e9 je sou\u010d\u00e1st\u00ed preventivn\u00edch opat\u0159en\u00ed spole\u010dn\u011b s hygienickou p\u00e9\u010d\u00ed, spr\u00e1vnou v\u00fd\u017eivou, odstran\u011bn\u00edm nep\u0159\u00edzniv\u00fdch mechanick\u00fdch vliv\u016f vn\u011bj\u0161\u00edho prost\u0159ed\u00ed a normalizac\u00ed celkov\u00e9ho stavu.<\/p>\n

„Polohov\u00e1n\u00edm doch\u00e1z\u00ed ke sn\u00ed\u017een\u00ed tlaku na k\u016f\u017ei, ke zlep\u0161en\u00ed prokrven\u00ed k\u016f\u017ee, br\u00e1n\u00ed vzniku svalov\u00fdch atrofi\u00ed, kontraktur a deformac\u00ed kloub\u016f, eliminuje bolest a zlep\u0161uje psychick\u00fd stav pacient\u016f. Prokrven\u00ed k\u016f\u017ee pak podporuje hojen\u00ed a spr\u00e1vn\u00fd metabolismus,“ vysv\u011btlila Eva La\u017eanov\u00e1.<\/p>\n

P\u0159\u00ed\u010dinou prole\u017eenin je tlak, kter\u00fd p\u016fsob\u00ed mezi k\u016f\u017e\u00ed a postel\u00ed, jen\u017e zp\u016fsobuje stla\u010den\u00ed tk\u00e1n\u00ed. Tk\u00e1n\u011b tak nejsou prokrvov\u00e1ny a okysli\u010dov\u00e1ny, doch\u00e1z\u00ed k odum\u00edr\u00e1n\u00ed tk\u00e1n\u011b odborn\u011b naz\u00fdvan\u00e9 nekr\u00f3za. K t\u00e9to nekr\u00f3ze se pot\u00e9 p\u0159id\u00e1vaj\u00ed infekce. K nejvy\u0161\u0161\u00edmu tlaku doch\u00e1z\u00ed na kostn\u00edch v\u00fd\u010dn\u011blc\u00edch, jako jsou ky\u010deln\u00ed klouby, sakr\u00e1ln\u00ed v\u00fdb\u011b\u017eky, paty, k\u0159\u00ed\u017eov\u00e1 kost \u010di kostr\u010d. D\u016fle\u017eit\u011bj\u0161\u00ed ne\u017e intenzita tlaku je pro vznik prole\u017eenin doba jeho p\u016fsoben\u00ed. Vznikaj\u00ed toti\u017e velmi rychle, asi mezi 1 a\u017e 6 hodinami. Z tohoto d\u016fvodu jsou nejv\u00edce ohro\u017eeni dlouhodob\u011b le\u017e\u00edc\u00ed pacienti, lid\u00e9 v bezv\u011bdom\u00ed, pacienti s demenc\u00ed, osoby nad sedmdes\u00e1t let a osoby s po\u0161kozen\u00edm m\u00edchy.<\/p>\n

„Pro star\u0161\u00ed osoby jsou dekubity rizikov\u011bj\u0161\u00ed kv\u016fli zm\u011bn\u011b vlastnost\u00ed k\u016f\u017ee. Kles\u00e1 elasticita vl\u00e1ken, zhor\u0161uje se vn\u00edm\u00e1n\u00ed bolesti, zvy\u0161uje se propustnost k\u016f\u017ee, nedoch\u00e1z\u00ed k dobr\u00e9 p\u0159em\u011bn\u011b k\u016f\u017ee a sni\u017euje se mno\u017estv\u00ed krevn\u00edch c\u00e9v. Vy\u0161\u0161\u00ed riziko maj\u00ed pacienti s nedostate\u010dnou v\u00fd\u017eivou, jeliko\u017e maj\u00ed sn\u00ed\u017eenou p\u0159irozenou schopnost hojen\u00ed ran. Proto je nutn\u00e9 db\u00e1t na kalorickou hodnotu stravy, dostatek vitam\u00edn\u016f a miner\u00e1l\u016f. Tak\u00e9 obezita je spojen\u00e1 se zv\u00fd\u0161en\u00fdm v\u00fdskytem prole\u017eenin, proto\u017ee ob\u00e9zn\u00ed pacient p\u016fsob\u00ed na podlo\u017eku v\u011bt\u0161\u00ed tlakovou silou, a tud\u00ed\u017e doch\u00e1z\u00ed k v\u011bt\u0161\u00edmu \u00fatlak\u016f tk\u00e1n\u00ed,“ poznamenala mana\u017eerka pro kontinuitu poskytovan\u00e9 p\u00e9\u010de bene\u0161ovsk\u00e9 nemocnice.<\/p>\n

Dal\u0161\u00edmi rizikov\u00fdmi faktory je deprese, sn\u00ed\u017een\u00ed imunity, zm\u011bny pr\u016ftoku krve, t\u011b\u017ek\u00e9 poopera\u010dn\u00ed a po\u00farazov\u00e9 stavy. Mezi nep\u0159\u00edzniv\u00e9 vlivy d\u00e1le pat\u0159\u00ed chudokrevnost, dehydratace, diabetes, jatern\u00ed choroby, selh\u00e1n\u00ed ledvin, n\u00e1dory, c\u00e9vn\u00ed onemocn\u011bn\u00ed, poruchy mozkov\u00e9 \u010dinnosti, intoxikace l\u00e9ky, \u00farazy mozku a m\u00edchy.<\/p>\n

Kv\u016fli lep\u0161\u00ed zdravotn\u00ed p\u00e9\u010di jsou dekubity rozd\u011bleny do \u010dty\u0159 stup\u0148\u016f podle z\u00e1va\u017enosti. Prvn\u00ed stupe\u0148 je, \u017ee v m\u00edst\u011b p\u016fsob\u00edc\u00edho tlaku se objevuje m\u00edrn\u00fd otok a za\u010derven\u00e1n\u00ed k\u016f\u017ee. Tyto projevy jsou zcela vratn\u00e9, tak\u017ee p\u0159i zm\u011bn\u011b polohy pacienta, otok zmiz\u00ed. Druh\u00fd stupe\u0148 lze poznat podle toho, \u017ee v posti\u017een\u00e9 oblasti vznikaj\u00ed puch\u00fd\u0159e a m\u00edsty m\u016f\u017ee b\u00fdt povrchov\u011b obna\u017een\u00e1 vrchn\u00ed vrstva k\u016f\u017ee. Poko\u017eka b\u00fdv\u00e1 otekl\u00e1, namodral\u00e1 a zatvrdl\u00e1. T\u0159et\u00ed stupe\u0148 se vyzna\u010duje poru\u0161en\u00edm podko\u017e\u00ed a \u010d\u00e1ste\u010dn\u011b i svalstva. M\u016f\u017ee b\u00fdt viditeln\u00fd podko\u017en\u00ed tuk, m\u016f\u017ee se vyskytovat nekrotick\u00fd povlak. P\u0159i \u010dtvrt\u00e9m stupni, tedy nejt\u011b\u017e\u0161\u00edm p\u0159\u00edpad\u011b prole\u017eenin, kter\u00e9 sahaj\u00ed a\u017e na kost, doch\u00e1z\u00ed k po\u0161kozen\u00ed svalstva, \u0161lach, obna\u017eov\u00e1n kost\u00ed, nekr\u00f3za, v r\u00e1n\u011b se mohou vyskytovat v\u0159edy a dutiny, m\u016f\u017ee doch\u00e1zet k infek\u010dn\u00edmu z\u00e1n\u011btu kost\u00ed a kloub\u016f.<\/p>\n

„V na\u0161em zdravotnick\u00e9m za\u0159\u00edzen\u00ed se problematikou vzniku prole\u017eenin zab\u00fdv\u00e1me dlouhodob\u011b. Funguje zde eduka\u010dn\u00ed (vyu\u010dovac\u00ed) t\u00fdm sester pro hojen\u00ed ran. Tento t\u00fdm zaji\u0161\u0165uje edukaci pacienta, eventu\u00e1ln\u011b rodinn\u00fdch p\u0159\u00edslu\u0161n\u00edk\u016f v p\u00e9\u010di o r\u00e1nu, prov\u00e1d\u00ed konzultace p\u0159i p\u00e9\u010di o r\u00e1nu na l\u016f\u017ekov\u00fdch odd\u011blen\u00edch, spolupracuje s ambulanc\u00ed pro hojen\u00ed ran, spolupracuje s nutri\u010dn\u00edmi terapeutkami, d\u00e1le prov\u00e1d\u00ed \u0161kolen\u00ed zam\u011bstnanc\u016f na semin\u00e1\u0159\u00edch zam\u011b\u0159en\u00fdch na p\u00e9\u010di o r\u00e1ny a sleduje novinky v p\u00e9\u010di o r\u00e1ny,“ dodala Eva La\u017eanov\u00e1.<\/p>\n

MARTINA K\u0158E\u010cKOV\u00c1 JANA HELM MUSILOV\u00c1
\nBene\u0161ovsk\u00fd den\u00edk
\nhttp:\/\/www.benesovsky.denik.cz\/<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"

Nemocnice Rudolfa a Stefanie Bene\u0161ov se v tomto roce p\u0159ipoj\u00ed k podpo\u0159e Sv\u011btov\u00e9ho dne STOP dekubit\u016fm (prole\u017eenin\u00e1m), kter\u00fdm je v leto\u0161n\u00edm roce vyhl\u00e1\u0161en 19. listopad.<\/p>\n<\/div>","protected":false},"author":1,"featured_media":14574,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[9],"tags":[],"class_list":["post-23478","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-zpravy"],"_links":{"self":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/23478","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=23478"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/23478\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/14574"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=23478"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=23478"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=23478"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}