{"id":28212,"date":"2017-05-15T15:27:39","date_gmt":"2017-05-15T13:27:39","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=28212"},"modified":"2024-07-08T14:39:06","modified_gmt":"2024-07-08T12:39:06","slug":"mohu-dostat-prispevek-na-obe-sluchadla","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=28212","title":{"rendered":"Mohu dostat p\u0159\u00edsp\u011bvek na ob\u011b sluchadla?"},"content":{"rendered":"

Dotaz: M\u00e1m oboustrannou ztr\u00e1tu sluchu do 80 dB a nos\u00edm dv\u011b sluchadla. Pr\u00fd m\u00e1m n\u00e1rok ale pouze na p\u0159\u00edsp\u011bvek na pouze jedno sluchadlo. Je to pravda? <\/strong><\/p>\n

Ano, n\u00e1rok je dosud jen na jedno sluchadlo, p\u0159esto\u017ee pacient \u0161patn\u011b sly\u0161\u00ed na oboje u\u0161i a pot\u0159ebuje ob\u011b sluchadla.<\/p>\n

Jedinou v\u00fdjimkou jsou lid\u00e9, kte\u0159\u00ed maj\u00ed o zna\u010dn\u00e9 zrakov\u00e9 posti\u017een\u00ed a spl\u0148uj\u00ed tak pot\u0159ebn\u00e1 kriteria pro sluchovou i zrakovou vadu.<\/p>\n

Od 1.7.2012 je umo\u017en\u011bna nadstandardn\u00ed \u00fahrada binaur\u00e1ln\u00edch sluchadel pro hluchoslep\u00e9 klienty.<\/strong><\/p>\n

Pro p\u0159edpis sluchadla pro hluchoslep\u00e9ho klienta je prvo\u0159ad\u00e9 stanovisko pov\u011b\u0159en\u00e9ho oftalmologick\u00e9ho pracovi\u0161t\u011b s ozna\u010den\u00edm S4 ( vybran\u00e1 pracovi\u0161t\u011b odbornou spole\u010dnost\u00ed J.E.Purkyn\u011b, kter\u00e1 mohou p\u0159edepisovat drah\u00e9 optick\u00e9 pom\u016fcky slabozrak\u00fdm klient\u016fm) a stanovisko odborn\u00e9ho l\u00e9ka\u0159e S3. pracovi\u0161t\u011b S4 vypln\u00ed I. A III. \u010d\u00e1st tiskopisu ( tiskopis dod\u00e1n pracovi\u0161t\u00edm S4). Sou\u010d\u00e1st\u00ed tiskopisu je i vyj\u00e1d\u0159en\u00ed praktick\u00e9ho l\u00e9ka\u0159e, p\u0159\u00edpadn\u011b dal\u0161\u00edho specialisty, hodnot\u00edc\u00ed dal\u0161\u00ed zdravotn\u00ed posti\u017een\u00ed. Foniatr S3 nebo l\u00e9ka\u0159 ORL S3 po vy\u0161et\u0159en\u00ed sluchu klienta na z\u00e1klad\u011b z\u00e1v\u011bru pov\u011b\u0159en\u00e9ho oftalmologa rozhodne, \u017ee klienta lze pova\u017eovat za hluchoslep\u00e9ho a m\u00e1 n\u00e1rok na sluchadla hrazen\u00e1 z ve\u0159ejn\u00e9ho zdravotn\u00edho poji\u0161t\u011bn\u00ed pro tuto skupinu posti\u017een\u00fdch klient\u016f.<\/p>\n

Sluchadla pro hluchoslep\u00e9 klienty p\u0159edepisuje smluvn\u00ed l\u00e9ka\u0159 poji\u0161\u0165ovny odbornosti ORL a FON, vlastn\u00edc\u00ed Osv\u011bd\u010den\u00ed ORL spole\u010dnosti oprav\u0148uj\u00edc\u00ed jej k p\u0159edpisu a v\u00fddeji sluchadel. Hluchoslep\u00fdm poji\u0161t\u011bnc\u016fm do 18 let sm\u00ed p\u0159edepsat a vydat sluchadlo pouze foniatr vlastn\u00edc\u00ed osv\u011bd\u010den\u00ed S3.<\/p>\n

Hluchoslep\u00fd poji\u0161t\u011bnec m\u00e1 bez ohledu na v\u011bk na n\u00e1rok na oboustranou korekci a kvalitn\u00ed sofistikovan\u00e1 sluchadla s automatick\u00fdm re\u017eimem p\u0159izp\u016fsobov\u00e1n\u00ed k okoln\u00edm zvuk\u016fm, je v\u0161ak bezpodm\u00edne\u010dn\u011b nutn\u00fd souhlas Komise \u0159e\u0161\u00edc\u00ed problematick\u00e9 p\u0159\u00edpady v p\u0159id\u011blov\u00e1n\u00ed sluchadel.<\/p>\n

Krit\u00e9riem pro za\u0159azen\u00ed klienta mezi hluchoslep\u00e9 je oboustrann\u00e1 st\u0159edn\u011b t\u011b\u017ek\u00e1 nedosl\u00fdchavost (ztr\u00e1ta sluchu nad 40dB na 500, 1000 a 2000 Hz na lep\u0161\u00edm uchu, ztr\u00e1ta sluchu sly\u0161en\u00ed 40 \u2013 65 %) podle t\u00f3nov\u00e9ho audiogramu.<\/strong><\/p>\n

Ve vyj\u00edme\u010dn\u00fdch p\u0159\u00edpadech lze po\u017e\u00e1dat o p\u0159id\u011blen\u00ed sluchadel podle pravidel pro hluchoslep\u00e9 klienty i u ztr\u00e1t ni\u017e\u0161\u00edch<\/strong> ( nad 30dB na frekvenc\u00edch 500, 1000 a 2000 Hz) nebo i u jednostrann\u00fdch ztr\u00e1t ( p\u0159i pr\u016fm\u011brn\u00e9 ztr\u00e1t\u011b na posti\u017een\u00e9m uchu 40dB), jsou-li k tomu z\u00e1va\u017en\u00e9 d\u016fvody ( nap\u0159.dal\u0161\u00ed t\u011blesn\u00e9 posti\u017een\u00ed ) a m\u00e1-li sluchadlo prokazateln\u00fd efekt. \u017d\u00e1dost v tomto p\u0159\u00edpad\u011b mus\u00ed b\u00fdt velmi podrobn\u011b zdokumentov\u00e1na a zd\u016fvodn\u011bna.<\/p>\n

Povolen\u00ed zv\u00fd\u0161en\u00e9 \u00fahrady u vysoce sofistikovan\u00fdch digit\u00e1ln\u00edch sluchadel, lze umo\u017enit pouze bylo-li prok\u00e1z\u00e1no signifikantn\u00ed zlep\u0161en\u00ed srozumitelnosti \u0159e\u010di srovn\u00e1vac\u00ed zkou\u0161kou s analogov\u00fdm nebo digit\u00e1ln\u00edm sluchadlem. U hluchoslep\u00fdch klient\u016f, kde spr\u00e1vn\u011b nastaven\u00e9 standardn\u00ed analogov\u00e9 \u010di digit\u00e1ln\u00ed sluchadlo s kvalitn\u011b zhotovenou u\u0161n\u00ed tvarovkou pln\u011b poskytuje po\u017eadovanou korekci, nen\u00ed pln\u00e1 \u00fahrada vysoce sofistikovan\u00e9ho digit\u00e1ln\u00edho sluchadla opodstatn\u011bn\u00e1.<\/p>\n

\u017d\u00e1dost o povolen\u00ed v\u00fdjimky pro hluchoslep\u00e9 klienty mus\u00ed obsahovat:<\/p>\n

1. vypln\u011bn\u00fd tiskopis \u201e \u017d\u00e1danka specialist\u016f k p\u0159edpisu kompenza\u010dn\u00edch pom\u016fcek pro hluchoslep\u00e9\u201c,<\/p>\n

2. vypln\u011bn\u00fd tiskopis \u201e \u017d\u00e1danka o zv\u00fd\u0161en\u00ed \u00fahrady \u2013 v\u00fdkonu \u2013 l\u00e9\u010diva \u2013PZT \u2013 ostatn\u00ed,<\/p>\n

3. stanovisko revizn\u00edho l\u00e9ka\u0159e OP VZP, pop\u0159\u00edpad\u011b revizn\u00edho l\u00e9ka\u0159e oborov\u00e9 zdravotn\u00ed poji\u0161\u0165ovny,<\/p>\n

4. p\u0159edepsan\u00e1 audiometrick\u00e1 vy\u0161et\u0159en\u00ed v\u010detn\u011b slovn\u00ed audiometrie bez a se zkou\u0161en\u00fdmi sluchadly dle pokyn\u016f uveden\u00fdch v I.,<\/p>\n

5. v p\u0159\u00edpad\u011b navrhovan\u00e9ho vysoce sofistikovan\u00e9ho digit\u00e1ln\u00edho sluchadla n\u00e1zev a k\u00f3d, v\u0161e dle pokyn\u016f uveden\u00fdch v II.. Podrobn\u00e9 zd\u016fvodn\u011bn\u00ed v\u00fdb\u011bru je nutn\u00e9 zvl\u00e1\u0161t\u011b v p\u0159\u00edpadech ztr\u00e1t nespl\u0148uj\u00edc\u00edch krit\u00e9ria hluchoslepoty pro jedince star\u0161\u00ed 18 let ( men\u0161\u00ed ne\u017e st\u0159edn\u011b t\u011b\u017ek\u00e1 nedosl\u00fdchavost, jednostrann\u00e1 sluchov\u00e1 porucha). U poji\u0161t\u011bnc\u016f od 0 do 2 let objektivn\u00ed audiometrii nejl\u00e9pe SSEP v kombinaci s BERA vy\u0161et\u0159en\u00edm.<\/p>\n

Jan Gniesdo<\/p>\n","protected":false},"excerpt":{"rendered":"

Dotaz: M\u00e1m oboustrannou ztr\u00e1tu sluchu do 80 dB a nos\u00edm dv\u011b sluchadla. Pr\u00fd m\u00e1m n\u00e1rok ale pouze na p\u0159\u00edsp\u011bvek na pouze jedno sluchadlo. Je to […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":16054,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[18],"tags":[],"class_list":["post-28212","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\/28212","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=28212"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/28212\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/16054"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=28212"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=28212"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=28212"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}