{"id":25025,"date":"2016-03-29T14:52:15","date_gmt":"2016-03-29T12:52:15","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=25025"},"modified":"2016-03-29T14:52:28","modified_gmt":"2016-03-29T12:52:28","slug":"jsem-v-id-3-stupne-po-amputaci-obou-nohou-na-jake-prispevky-mam-jeste-narok","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=25025","title":{"rendered":"Jsem v ID 3. stupn\u011b po amputaci obou nohou. Na jak\u00e9 p\u0159\u00edsp\u011bvky m\u00e1m je\u0161t\u011b n\u00e1rok?"},"content":{"rendered":"<p><strong>Dotaz:<\/strong><br \/>\n<strong> M\u00e1m inv.d\u016fchod 3.stupn\u011b po amputaci obou doln\u00edch kon\u010detin. Mohu \u017e\u00e1dat je\u0161t\u011b o n\u011bjak\u00fd p\u0159\u00edsp\u011bvek, p\u0159\u00edp. v jak\u00e9 v\u00fd\u0161i? Je mi 56 let a do t\u00e9to situace jsem se dostala letos a nev\u00edm a nem\u00e1m v\u016fbec pon\u011bt\u00ed, co a jak.<\/strong><br \/>\n<!--more-->ilustra\u010dn\u00ed foto:\u00a0 Flickr.com<\/p>\n<p><strong>Odpov\u011b\u010f:<\/strong><br \/>\nKrom\u011b ID m\u016f\u017eete m\u00edt n\u00e1rok je\u0161t\u011b na p\u0159\u00edsp\u011bvek na p\u00e9\u010di. O ten si m\u016f\u017eete za\u017e\u00e1dat na Va\u0161\u00ed pobo\u010dce \u00da\u0159adu pr\u00e1ce a p\u0159id\u011bluje se na z\u00e1klad\u011b posouzen\u00ed soci\u00e1ln\u00edho pracovn\u00edka a L\u00e9ka\u0159sk\u00e9 posudkov\u00e9 slu\u017eby \u010cSSZ. Zji\u0161\u0165uje se p\u0159i kolika z\u00e1kladn\u00edch \u017eivotn\u00edch pot\u0159eb\u00e1ch pot\u0159ebujete pomoct od jin\u00e9 osoby.<br \/>\nDeset z\u00e1kladn\u00edch \u017eivotn\u00edch pot\u0159eb:<br \/>\nMobilita, orientace, komunikace, stravov\u00e1n\u00ed, obl\u00e9k\u00e1n\u00ed a obouv\u00e1n\u00ed, t\u011blesn\u00e1 hygiena, v\u00fdkon fyziologick\u00e9 pot\u0159eby, p\u00e9\u010de o zdrav\u00ed, osobn\u00ed aktivity, p\u00e9\u010de o dom\u00e1cnost.<br \/>\nP\u0159\u00edsp\u011bvek na p\u00e9\u010di se p\u0159izn\u00e1v\u00e1 ve \u010dty\u0159ech stupn\u00edch:<br \/>\n\u2013 I. stupe\u0148 \u2013 lehk\u00e1 z\u00e1vislost \u2013 ka\u017edodenn\u00ed pomoc nebo dohled z d\u016fvodu dlouhodob\u011b nep\u0159\u00edzniv\u00e9ho zdravotn\u00edho stavu p\u0159i 3 nebo 4 z\u00e1kladn\u00edch \u017eivotn\u00edch pot\u0159eb\u00e1ch (p\u0159\u00edsp\u011bvek ve v\u00fd\u0161i 800, K\u010d m\u011bs\u00ed\u010dn\u011b)<br \/>\n\u2013 II. stupe\u0148 \u2013 st\u0159edn\u011b t\u011b\u017ek\u00e1 z\u00e1vislost \u2013 ka\u017edodenn\u00ed pomoc nebo dohled p\u0159i 5 nebo 6 z\u00e1kladn\u00edch \u017eivotn\u00edch pot\u0159eb\u00e1ch (4.000,\/m\u011bs\u00edc)<br \/>\n\u2013 III. stupe\u0148 \u2013 t\u011b\u017ek\u00e1 z\u00e1vislost \u2013 ka\u017edodenn\u00ed pomoc nebo dohled p\u0159i 7 nebo 8 z\u00e1kladn\u00edch \u017eivotn\u00edch pot\u0159eb\u00e1ch (8.000,\/m\u011bs\u00edc)<br \/>\n\u2013 \u2013 IV. stupe\u0148 \u2013 \u00fapln\u00e1 z\u00e1vislost \u2013 ka\u017edodenn\u00ed pomoc nebo dohled p\u0159i 9 nebo 10 z\u00e1kladn\u00edch \u017eivotn\u00edch pot\u0159eb\u00e1ch (12.000,\/m\u011bs\u00edc)<br \/>\nDal\u0161\u00edm finan\u010dn\u00edm p\u0159ilep\u0161en\u00edm m\u016f\u017ee b\u00fdt p\u0159\u00edsp\u011bvek na mobilitu (400 K\u010d,\/m\u011bs\u00edc). O ten si ale m\u016f\u017eete po\u017e\u00e1dat pouze v p\u0159\u00edpad\u011b, \u017ee jste dr\u017eitelem pr\u016fkazu ZTP nebo ZTP\/P.<br \/>\nZa\u017e\u00e1dat si o pr\u016fkaz ZTP m\u016f\u017eete tak\u00e9 na \u00daP. V tomto p\u0159\u00edpad\u011b posuzuje LPS \u010cSSZ pouze V\u00e1\u0161 zdravotn\u00ed stav na z\u00e1klad\u011b l\u00e9ka\u0159sk\u00e9 zpr\u00e1vy, kterou j\u00ed po vyzv\u00e1n\u00ed za\u0161le V\u00e1\u0161 o\u0161et\u0159uj\u00edc\u00ed l\u00e9ka\u0159.<br \/>\nPro \u00faplnost p\u0159ikl\u00e1d\u00e1m zdravotn\u00ed indikace, na z\u00e1klad\u011b kter\u00fdch se rozhoduje o n\u00e1roku na pr\u016fkaz ZTP.<br \/>\nZa podstatn\u00e9 omezen\u00ed schopnosti pohyblivosti a orientace na \u00farovni t\u011b\u017ek\u00e9ho funk\u010dn\u00edho posti\u017een\u00ed (pr\u016fkaz ZTP) pohyblivosti a orientace lze pova\u017eovat tyto zdravotn\u00ed stavy:<br \/>\na) anatomick\u00e1 ztr\u00e1ta doln\u00ed kon\u010detiny v kolenn\u00edm kloubu nebo v\u00fd\u0161e, exteri\u00e9rov\u00fd u\u017eivatel prot\u00e9zy,<br \/>\nb) anatomick\u00e1 ztr\u00e1ta doln\u00edch kon\u010detin v n\u00e1rtech nebo v n\u00e1rtu a b\u00e9rci,<br \/>\nc) funk\u010dn\u00ed ztr\u00e1ta doln\u00ed kon\u010detiny se ztr\u00e1tou op\u011brn\u00e9 funkce,<br \/>\nd) anatomick\u00e1 ztr\u00e1ta doln\u00ed a horn\u00ed kon\u010detiny v \u00farovni b\u00e9rce a p\u0159edlokt\u00ed,<br \/>\ne) anatomick\u00e1 ztr\u00e1ta horn\u00edch kon\u010detin v \u00farovni p\u0159edlokt\u00ed,<br \/>\nf) t\u011b\u017ek\u00e9 omezen\u00ed funkce dvou kon\u010detin,<br \/>\ng) posti\u017een\u00ed p\u00e1nve prov\u00e1zen\u00e9 t\u011b\u017ek\u00fdmi par\u00e9zami doln\u00edch kon\u010detin nebo z\u00e1va\u017enou nestabilitou p\u00e1nevn\u00edho prstence,<br \/>\nh) posti\u017een\u00ed p\u00e1te\u0159e prov\u00e1zen\u00e9 t\u011b\u017ek\u00fdmi par\u00e9zami kon\u010detin nebo ztuhnut\u00edm t\u0159\u00ed \u00fasek\u016f p\u00e1te\u0159e nebo z\u00e1va\u017en\u00e9 deformity p\u00e1te\u0159e s omezen\u00edm exkurz\u00ed hrudn\u00edku,<br \/>\ni) t\u011b\u017ek\u00e9 posti\u017een\u00ed pohyblivosti a celkov\u00e9 v\u00fdkonnosti ji\u017e p\u0159i lehk\u00e9m zat\u00ed\u017een\u00ed p\u0159i intern\u00edch a onkologick\u00fdch posti\u017een\u00edch,<br \/>\nj) celkov\u00e1 ztr\u00e1ta sluchu podle Fowlera 85% a v\u00edce s neschopnost\u00ed sly\u0161et zvuky a rozum\u011bt \u0159e\u010di i p\u0159es nejlep\u0161\u00ed korekci (oboustrann\u00e1 praktick\u00e1 nebo \u00fapln\u00e1 hluchota) u osoby star\u0161\u00ed 18 let v\u011bku,<br \/>\nk) kombinovan\u00e9 posti\u017een\u00ed sluchu a zraku (hluchoslepota) funk\u010dn\u011b v rozsahu oboustrann\u00e9 st\u0159edn\u011b t\u011b\u017ek\u00e9 nedosl\u00fdchavosti, kterou se rozum\u00ed ztr\u00e1ta sluchu podle Fowlera 40 a\u017e 65%, a oboustrann\u00e9 siln\u00e9 slabozrakosti, kterou se rozum\u00ed zrakov\u00e1 ostrost s nejlep\u0161\u00ed mo\u017enou korekc\u00ed na lep\u0161\u00edm oku, kdy maximum je men\u0161\u00ed ne\u017e 6\/60 a minimum rovn\u00e9 nebo lep\u0161\u00ed ne\u017e 3\/60, nebo oboustrann\u00e9 koncentrick\u00e9 z\u00fa\u017een\u00ed zorn\u00e9ho pole v rozsahu 30 a\u017e 10 stup\u0148\u016f, i kdy\u017e centr\u00e1ln\u00ed ostrost nen\u00ed posti\u017eena,<br \/>\nl) oboustrann\u00e1 t\u011b\u017ek\u00e1 ztr\u00e1ta zraku, kterou se rozum\u00ed zrakov\u00e1 ostrost s korekc\u00ed, kdy maximum je men\u0161\u00ed ne\u017e 3\/60, minimum lep\u0161\u00ed ne\u017e 1\/60,<br \/>\nm) psychick\u00e9 posti\u017een\u00ed s \u010dasto se opakuj\u00edc\u00edmi z\u00e1va\u017en\u00fdmi poruchami komunikace a orientace v exteri\u00e9ru v\u010detn\u011b st\u0159edn\u011b funk\u010dn\u00edho typu autismu,<br \/>\nn) neurodegenerativn\u00ed posti\u017een\u00ed s mnoho\u010detn\u00fdmi hybn\u00fdmi komplikacemi typu rigidity, hypokin\u00e9zy, tremoru, ataxie, mimovoln\u00fdch pohyb\u016f.<\/p>\n<p>Ji\u0159\u00ed Marek<br \/>\ninvArena<\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>Dotaz: M\u00e1m inv.d\u016fchod 3.stupn\u011b po amputaci obou doln\u00edch kon\u010detin. Mohu \u017e\u00e1dat je\u0161t\u011b o n\u011bjak\u00fd p\u0159\u00edsp\u011bvek, p\u0159\u00edp. v jak\u00e9 v\u00fd\u0161i? Je mi 56 let a do <a class=\"mh-excerpt-more\" href=\"https:\/\/www.invarena.cz\/?p=25025\" title=\"Jsem v ID 3. stupn\u011b po amputaci obou nohou. Na jak\u00e9 p\u0159\u00edsp\u011bvky m\u00e1m je\u0161t\u011b n\u00e1rok?\">[&#8230;]<\/a><\/p>\n<\/div>","protected":false},"author":3,"featured_media":4719,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[18],"tags":[],"class_list":["post-25025","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\/25025","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\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=25025"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/25025\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/4719"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=25025"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=25025"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=25025"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}