{"id":25161,"date":"2016-04-09T20:09:43","date_gmt":"2016-04-09T18:09:43","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=25161"},"modified":"2016-04-09T20:09:43","modified_gmt":"2016-04-09T18:09:43","slug":"ustav-lekoveho-pruvodce-seniori-v-domovech-jsou-casto-ohrozeni-nevhodnymi-leky","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=25161","title":{"rendered":"\u00dastav l\u00e9kov\u00e9ho pr\u016fvodce: Senio\u0159i v domovech jsou \u010dasto ohro\u017eeni nevhodn\u00fdmi l\u00e9ky"},"content":{"rendered":"

Senio\u0159i v za\u0159\u00edzen\u00edch soci\u00e1ln\u00ed p\u00e9\u010de jsou ohro\u017eeni u\u017e\u00edv\u00e1n\u00edm vysok\u00e9ho po\u010dtu l\u00e9k\u016f i kombinacemi nevhodn\u00fdch l\u00e9\u010div vzhledem k jejich v\u011bku. Domovy senior\u016f se toti\u017e pot\u00fdkaj\u00ed s nedostatkem kapacity praktick\u00fdch l\u00e9ka\u0159\u016f a specialist\u016f, kte\u0159\u00ed mohou zdravotn\u00ed stav klient\u016f pravideln\u011b sledovat. <\/strong><\/p>\n

Potvrzuj\u00ed to v\u00fdsledky \u0161et\u0159en\u00ed neziskov\u00e9 organizace \u00dastav l\u00e9kov\u00e9ho pr\u016fvodce a klinick\u00fdch farmaceut\u016f Nemocnice Na Homolce.<\/p>\n

Nez\u00e1visl\u00e9 \u0161et\u0159en\u00ed prob\u011bhlo v sedmi domovech pro seniory po cel\u00e9 \u010cR. Formou anonymn\u00edch dotazn\u00edk\u016f se do n\u011bj zapojilo p\u0159es 850 klient\u016f. Ve t\u0159ech za\u0159\u00edzen\u00edch n\u00e1sledn\u011b prob\u011bhl tzv. audit, v r\u00e1mci kter\u00e9ho vyhodnotil t\u00fdm klinick\u00fdch farmaceut\u016f farmakoterapii ze zdravotn\u00ed dokumentace celkem 151 klient\u016f.
\n \u201eV\u00fdsledky zji\u0161t\u011bn\u00ed ukazuj\u00ed, \u017ee senio\u0159i v domovech u\u017e\u00edvaj\u00ed v pr\u016fm\u011bru 6 a\u017e 8 r\u016fzn\u00fdch druh\u016f l\u00e9k\u016f na p\u0159edpis denn\u011b. Jde o kritickou hranici, kdy by m\u011bli b\u00fdt klienti pravideln\u011b sledov\u00e1ni l\u00e9ka\u0159em z d\u016fvod\u016f p\u0159ehodnocen\u00ed \u00fa\u010delnosti a bezpe\u010dnosti pod\u00e1van\u00e9 medikace. Praxe v\u0161ak ukazuje, \u017ee v\u011bt\u0161ina klient\u016f se dost\u00e1v\u00e1 ke konzultaci s praktick\u00fdm l\u00e9ka\u0159em a\u017e v okam\u017eiku, kdy se objev\u00ed probl\u00e9m. Proaktivn\u00ed p\u0159\u00edstup a pravideln\u00e1 revize medikace nen\u00ed v podstat\u011b z kapacitn\u00edch d\u016fvod\u016f mo\u017en\u00e1,\u201c shrnuje vedouc\u00ed Odd\u011blen\u00ed klinick\u00e9 farmacie Nemocnice Na Homolce, PharmDr. Milada Hala\u010dov\u00e1.
\nKlienty za\u0159\u00edzen\u00ed soci\u00e1ln\u00ed p\u00e9\u010de jsou ve v\u011bt\u0161in\u011b p\u0159\u00edpad\u016f lid\u00e9 star\u0161\u00ed 80 let. \u010casto jde o nemohouc\u00ed seniory, kte\u0159\u00ed trp\u00ed v\u00edce nemocemi a pot\u0159ebuj\u00ed p\u00e9\u010di r\u016fzn\u00fdch specialist\u016f jako je kardiolog, urolog, diabetolog nebo psychiatr. A\u017e 80 % z nich je p\u0159i u\u017e\u00edv\u00e1n\u00ed l\u00e9k\u016f zcela z\u00e1visl\u00e1 na o\u0161et\u0159uj\u00edc\u00edm person\u00e1lu, a to vlivem sn\u00ed\u017een\u00fdch rozhodovac\u00edch schopnost\u00ed nebo demence.
\n \u201eNej\u010dast\u011bji jsme p\u0159i studiu zdravotnick\u00e9 dokumentace klient\u016f narazili na to, \u017ee lid\u00e9 u\u017e\u00edvaj\u00ed l\u00e9ky nevhodn\u00e9 vzhledem k jejich v\u011bku \u010di diagn\u00f3ze, naopak chyb\u011bla l\u00e9\u010diva s jasn\u011b prok\u00e1zan\u00fdm pozitivn\u00edm vlivem na v\u00fdvoj jejich nemoci \u010di d\u00e9lku p\u0159e\u017eit\u00ed nebo byly voleny nevhodn\u00e9 d\u00e1vky l\u00e9k\u016f, kter\u00e9 n\u00e1sledn\u011b zp\u016fsobovaly rozvoj ne\u017e\u00e1douc\u00edch vedlej\u0161\u00edch \u00fa\u010dink\u016f,\u201c doplnila Hala\u010dov\u00e1.
\nAktivity projektu podporuje tak\u00e9 St\u00e1tn\u00ed \u00fastav pro kontrolu l\u00e9\u010div: \u201eJako kontroln\u00ed a regula\u010dn\u00ed org\u00e1n v oblasti l\u00e9\u010div\u00fdch p\u0159\u00edpravk\u016f podporujeme aktivity, kter\u00e9 p\u0159isp\u00edvaj\u00ed k v\u011bt\u0161\u00ed bezpe\u010dnosti a \u00fa\u010delnosti u\u017e\u00edv\u00e1n\u00ed l\u00e9k\u016f. Po\u010det senior\u016f bude st\u00e1le nar\u016fstat, nav\u00edc jde o velmi k\u0159ehkou a zranitelnou skupinu, kter\u00e1 pot\u0159ebuje na\u0161i ochranu, a proto pova\u017eujeme za d\u016fle\u017eit\u00e9 na situaci upozornit,\u201c \u0159ekl \u0159editel PharmDr. Zden\u011bk Blahuta.
\n\u00dastav l\u00e9kov\u00e9ho pr\u016fvodce se chce p\u0159i \u0159e\u0161en\u00ed probl\u00e9mu inspirovat \u00fasp\u011b\u0161n\u00fdmi p\u0159\u00edklady v zahrani\u010d\u00ed. Jednou z mo\u017enost\u00ed je vytvo\u0159it speci\u00e1ln\u00ed t\u00fdmy odborn\u00edk\u016f, kte\u0159\u00ed budou konzultovat slo\u017eit\u011bj\u0161\u00ed pacientsk\u00e9 p\u0159\u00edpady. \u201eV zahrani\u010d\u00ed pom\u00e1haj\u00ed domov\u016fm pro seniory speci\u00e1ln\u00ed t\u00fdmy, ve kter\u00fdch je vedle p\u0159edepisuj\u00edc\u00edho l\u00e9ka\u0159e zapojen tak\u00e9 geriatr a tzv. klinick\u00fd farmaceut. Jde o odborn\u00edka, kter\u00fd \u00fazce spolupracuje s o\u0161et\u0159uj\u00edc\u00edm l\u00e9ka\u0159em a sleduje celkovou medikaci pacienta, v\u010detn\u011b mo\u017en\u00fdch ne\u017e\u00e1douc\u00edch \u00fa\u010dink\u016f. Model s \u00fasp\u011bchem funguje ve Velk\u00e9 Brit\u00e1nii, n\u011bco podobn\u00e9ho bychom proto cht\u011bli zkusit tak\u00e9 u n\u00e1s, v prvn\u00ed f\u00e1zi t\u0159eba formou telefonick\u00e9 konzultace. Z\u00e1jem o pilotn\u00ed projekt potvrdilo u\u017e n\u011bkolik domov\u016f,\u201c \u0159ekla \u0159editelka \u00dastavu l\u00e9kov\u00e9ho pr\u016fvodce, PhDr. Ivana Plechat\u00e1.
\n\u00dastav l\u00e9kov\u00e9ho pr\u016fvodce
\n\u00dastav l\u00e9kov\u00e9ho pr\u016fvodce je nez\u00e1visl\u00e1 neziskov\u00e1 organizace, jej\u00edm posl\u00e1n\u00edm je komunikovat probl\u00e9my spojen\u00e9 s dostupnost\u00ed l\u00e9\u010dby, s bezpe\u010dn\u00fdm u\u017e\u00edv\u00e1n\u00edm l\u00e9k\u016f a l\u00e9kovou politikou obecn\u011b. Na sv\u00fdch str\u00e1nk\u00e1ch provozuje zdarma tak\u00e9 on-line Poradnu bezpe\u010dn\u00e9ho u\u017e\u00edv\u00e1n\u00ed l\u00e9k\u016f. V\u00edce na www.lekovypruvodce.cz<\/p>\n

Tiskov\u00e1 zpr\u00e1va<\/p>\n","protected":false},"excerpt":{"rendered":"

Senio\u0159i v za\u0159\u00edzen\u00edch soci\u00e1ln\u00ed p\u00e9\u010de jsou ohro\u017eeni u\u017e\u00edv\u00e1n\u00edm vysok\u00e9ho po\u010dtu l\u00e9k\u016f i kombinacemi nevhodn\u00fdch l\u00e9\u010div vzhledem k jejich v\u011bku. Domovy senior\u016f se toti\u017e pot\u00fdkaj\u00ed s […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":23101,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11,9],"tags":[],"class_list":["post-25161","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\/25161","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=25161"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/25161\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/23101"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=25161"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=25161"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=25161"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}