Mnoz\u00ed lid\u00e9 v domovech pro seniory na Vyso\u010din\u011b berou zbyte\u010dn\u011b mnoho l\u00e9k\u016f, nebo je berou ve zbyte\u010dn\u011b vysok\u00fdch d\u00e1vk\u00e1ch. Ve velk\u00e9 m\u00ed\u0159e u\u017e\u00edvaj\u00ed hlavn\u011b antidepresiva, naopak jim chyb\u011bj\u00ed vitaminy. <\/p>\n
Ukazuj\u00ed to v\u00fdsledky projektu SENIOR sleduj\u00edc\u00edho medikaci v domovech pro seniory, kter\u00fd zast\u0159e\u0161uje St\u00e1tn\u00ed \u00fastav pro kontrolu l\u00e9\u010div (S\u00daKL). Novin\u00e1\u0159\u016fm to dnes v Jihlav\u011b \u0159ekl \u0159editel S\u00daKL Zden\u011bk Blahuta.<\/p>\n
\u00dakolem projektu bylo p\u0159edstavit v\u00edceoborov\u00fd p\u0159\u00edstup k p\u0159edepisov\u00e1n\u00ed l\u00e9k\u016f v domovech pro seniory. D\u00edl\u010d\u00edmi c\u00edli je nap\u0159\u00edklad zjednodu\u0161en\u00ed l\u00e9kov\u00e9ho re\u017eimu pacient\u016f, sledov\u00e1n\u00ed ne\u017e\u00e1douc\u00edch \u00fa\u010dink\u016f l\u00e9\u010div \u010di pravideln\u00e1 revize u\u017e\u00edvan\u00fdch l\u00e9k\u016f. Mezi t\u0159i nej\u010dast\u011bji zji\u0161t\u011bn\u00e9 probl\u00e9my, kter\u00e9 z l\u00e9kov\u00fdch audit\u016f vyplynuly, pat\u0159ila nejasn\u00e1 \u010di zbytn\u00e1 indikace, nevhodn\u00e9 nastaven\u00ed d\u00e1vkov\u00e1n\u00ed l\u00e9ku a tak\u00e9 zcela chyb\u011bj\u00edc\u00ed l\u00e9\u010dba konkr\u00e9tn\u00edho onemocn\u011bn\u00ed.<\/p>\n
\u010cty\u0159\u010dlenn\u00fd t\u00fdm klinick\u00fdch farmaceut\u016f z Nemocnice Na Homolce nav\u0161t\u00edvil v roce 2016 t\u0159i domovy pro seniory z\u0159izovan\u00e9 Krajem Vyso\u010dina, a to v N\u00e1m\u011b\u0161ti nad Oslavou, T\u0159eb\u00ed\u010di a v On\u0161ov\u011b na Pelh\u0159imovsku. Komplexn\u00ed l\u00e9kovou anal\u00fdzu provedl u 165 pacient\u016f, jejich\u017e pr\u016fm\u011brn\u00fd v\u011bk byl 83 let. Z v\u00fdsledk\u016f anal\u00fdz vze\u0161lo na 381 konkr\u00e9tn\u00edch doporu\u010den\u00ed na \u00fapravu medikace pacient\u016f.<\/p>\n
„Na jednoho klienta podle v\u00fdsledk\u016f anal\u00fdzy v pr\u016fm\u011bru p\u0159ipadlo 8,9 u\u017e\u00edvan\u00fdch l\u00e9k\u016f, a to je skute\u010dn\u011b mnoho. Obecn\u011b je zn\u00e1mo, \u017ee ji\u017e sou\u010dasn\u00e9 u\u017e\u00edv\u00e1n\u00ed p\u011bti l\u00e9k\u016f je vysoce rizikov\u00e9,“ \u0159ekla vedouc\u00ed t\u00fdmu farmaceut\u016f Milada Hala\u010dov\u00e1. Probl\u00e9mem byly tak\u00e9 nejasn\u00e9 nebo zbytn\u00e9 indikace l\u00e9k\u016f. „Ani l\u00e9ka\u0159, ani o\u0161et\u0159uj\u00edc\u00ed person\u00e1l, ani klinick\u00fd farmaceut nena\u0161li d\u016fvod, pro\u010d by takov\u00e9 l\u00e9\u010divo u pacienta m\u011blo b\u00fdt dlouhodob\u011b pod\u00e1v\u00e1no. \u010casto to nev\u011bd\u011bla ani rodina,“ \u0159ekla Hala\u010dov\u00e1.<\/p>\n
Farmaceuti tak\u00e9 zjistili, \u017ee p\u0159edepsan\u00e1 antidepresiva u\u017e\u00edvali n\u011bkte\u0159\u00ed pacienti ve zbyte\u010dn\u011b vysok\u00fdch d\u00e1vk\u00e1ch, kdy hroz\u00ed riziko srde\u010dn\u00ed arytmie. Jako chyb\u011bj\u00edc\u00ed se naopak uk\u00e1zalo pod\u00e1v\u00e1n\u00ed vitaminu D \u010di kalcia, kter\u00e9 je velice d\u016fle\u017eit\u00e9 v prevenci i terapii osteopor\u00f3zy.<\/p>\n
Podle Blahuty pou\u017e\u00edv\u00e1n\u00ed l\u00e9\u010div\u00fdch p\u0159\u00edpravk\u016f u pacient\u016f ve vy\u0161\u0161\u00edm v\u011bku vy\u017eaduje specifick\u00fd p\u0159\u00edstup. Tito lid\u00e9 \u010dasto trp\u00ed v\u00edce onemocn\u011bn\u00edmi, co\u017e souvis\u00ed tak\u00e9 s v\u011bt\u0161\u00edm mno\u017estv\u00edm a spektrem l\u00e9k\u016f, kter\u00e9 u\u017e\u00edvaj\u00ed. „T\u00edm se logicky zvy\u0161uje riziko vzniku ne\u017e\u00e1douc\u00edch l\u00e9kov\u00fdch interakc\u00ed a ne\u017e\u00e1douc\u00edch \u00fa\u010dink\u016f,“ dodal Blahuta. Podle n\u011bj je nevhodn\u00e9 pod\u00e1v\u00e1n\u00ed l\u00e9k\u016f odrazem civiliza\u010dn\u00edho komfortu sou\u010dasn\u00e9 doby. „Nepou\u017e\u00edv\u00e1me selsk\u00fd rozum, chyb\u00ed koordina\u010dn\u00ed funkce n\u011bkoho, kdo by pacient\u016fm poradil,“ m\u00edn\u00ed hejtman Vyso\u010diny a z\u00e1rove\u0148 ortoped Ji\u0159\u00ed B\u011bhounek.<\/p>\n
Podle Hala\u010dov\u00e9 bude program SENIOR pokra\u010dovat v dal\u0161\u00edch soci\u00e1ln\u00edch za\u0159\u00edzen\u00edch jak na Vyso\u010din\u011b, tak i v jin\u00fdch kraj\u00edch. Spolupr\u00e1ce s Krajem Vyso\u010dina je podle Blahuty unik\u00e1tn\u00ed v tom, \u017ee se kraj i S\u00daKL domluvili na zapojen\u00ed lok\u00e1ln\u00edch odborn\u00edk\u016f v oblasti klinick\u00e9 farmacie. U praktick\u00fdch l\u00e9ka\u0159\u016f by se m\u011bla nab\u00edzet slu\u017eba klinick\u00e9ho farmaceuta, kter\u00fd by pacient\u016fm byl schopen l\u00e9\u010dbu jednou za \u010das zrevidovat. „Velmi stoj\u00edme o to, aby spolupr\u00e1ce byla dlouhodob\u00e1,“ dodal B\u011bhounek.<\/p>\n
L\u00e9kov\u00e9 audity v domovech senior\u016f v Kraji Vyso\u010dina v \u010d\u00edslech:
\npo\u010det nav\u0161t\u00edven\u00fdch za\u0159\u00edzen\u00ed pro seniory\t3
\ncelkov\u00fd po\u010det klient\u016f, u kter\u00fdch byl proveden l\u00e9kov\u00fd audit\t165
\npr\u016fm\u011brn\u00fd po\u010det l\u00e9k\u016f, kter\u00e9 u\u017e\u00edval jeden klient\t8,9
\ncelkov\u00fd po\u010det farmako-terapeutick\u00fdch doporu\u010den\u00ed\t381
\npo\u010det klient\u016f bez farmako-terapeutick\u00fdch doporu\u010den\u00ed\t18
\npr\u016fm\u011brn\u00fd po\u010det doporu\u010den\u00ed na jednoho klienta\t2,6
\npr\u016fm\u011brn\u00fd v\u011bk klient\u016f\t83<\/p>\n
Zdroj: St\u00e1tn\u00ed \u00fastav pro kontrolu l\u00e9\u010div<\/p>\n","protected":false},"excerpt":{"rendered":"
Mnoz\u00ed lid\u00e9 v domovech pro seniory na Vyso\u010din\u011b berou zbyte\u010dn\u011b mnoho l\u00e9k\u016f, nebo je berou ve zbyte\u010dn\u011b vysok\u00fdch d\u00e1vk\u00e1ch. Ve velk\u00e9 m\u00ed\u0159e u\u017e\u00edvaj\u00ed hlavn\u011b antidepresiva, […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":14571,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[9],"tags":[],"class_list":["post-27258","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\/27258","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=27258"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/27258\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/14571"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=27258"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=27258"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=27258"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}