{"id":28274,"date":"2017-05-22T09:58:50","date_gmt":"2017-05-22T07:58:50","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=28274"},"modified":"2017-05-22T09:58:59","modified_gmt":"2017-05-22T07:58:59","slug":"kdy-s-osteoporozou-do-lazni","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=28274","title":{"rendered":"Kdy s osteopor\u00f3zou do l\u00e1zn\u00ed?"},"content":{"rendered":"<p><strong>OT\u00c1ZKA :<br \/>\nPou\u017e\u00edv\u00e1 se l\u00e1ze\u0148sk\u00e1 l\u00e9\u010dba p\u0159i osteopor\u00f3ze? Kdo a za jak\u00fdch podm\u00ednek by ji mohl p\u0159edepsat?<\/strong><!--more--><\/p>\n<p>ODPOV\u011a\u010e:<\/p>\n<p>L\u00e1ze\u0148sk\u00e1 l\u00e9\u010debn\u011b rehabilita\u010dn\u00ed p\u00e9\u010de m\u016f\u017ee b\u00fdt z ve\u0159ejn\u00e9ho zdravotn\u00edho poji\u0161t\u011bn\u00ed hrazena jen u osteopor\u00f3zy s komplikacemi, pokud soustavn\u00e1 ambulantn\u00ed rehabilita\u010dn\u00ed p\u00e9\u010de del\u0161\u00ed ne\u017e 3 m\u011bs\u00edce nen\u00ed efektivn\u00ed, nebo v n\u00e1vaznosti na hospitalizaci pro komplikaci osteopor\u00f3zy. Jedn\u00e1 se o indika\u010dn\u00ed skupinu v r\u00e1mci nemoc\u00ed pohybov\u00e9 soustavy (VII\/5). Ostatn\u00ed p\u0159\u00edpady osteopor\u00f3zy nejsou indikac\u00ed k l\u00e1ze\u0148sk\u00e9 l\u00e9\u010db\u011b.<\/p>\n<p>M\u011bli bychom p\u0159ipomenout, \u017ee l\u00e1ze\u0148skou l\u00e9\u010debn\u011b rehabilita\u010dn\u00ed p\u00e9\u010di lze hradit z prost\u0159edk\u016f ve\u0159ejn\u00e9ho zdravotn\u00edho poji\u0161t\u011bn\u00ed jako nezbytnou sou\u010d\u00e1st l\u00e9\u010debn\u00e9ho procesu, pokud jsou napln\u011bny podm\u00ednky stanoven\u00e9 pro poskytov\u00e1n\u00ed l\u00e1ze\u0148sk\u00e9 p\u00e9\u010de z\u00e1konem o ve\u0159ejn\u00e9m zdravotn\u00edm poji\u0161t\u011bn\u00ed a vyhl\u00e1\u0161kou Ministerstva zdravotnictv\u00ed \u010cR o stanoven\u00ed odborn\u00fdch krit\u00e9ri\u00ed a dal\u0161\u00edch n\u00e1le\u017eitost\u00ed pro poskytov\u00e1n\u00ed l\u00e1ze\u0148sk\u00e9 l\u00e9\u010debn\u011b rehabilita\u010dn\u00ed p\u00e9\u010de. P\u0159\u00edmo z\u00e1kon stanov\u00ed nemoci a stavy, u nich\u017e lze l\u00e1ze\u0148skou p\u00e9\u010di poskytnout, a z\u00e1rove\u0148 i zp\u016fsoby poskytov\u00e1n\u00ed l\u00e1ze\u0148sk\u00e9 l\u00e9\u010debn\u011b rehabilita\u010dn\u00ed p\u00e9\u010de samostatn\u011b pro jednotliv\u00e9 indikace, d\u00e9lku z\u00e1kladn\u00edho a opakovan\u00e9ho l\u00e9\u010debn\u00e9ho pobytu, \u010detnost a interval opakov\u00e1n\u00ed l\u00e9\u010debn\u00fdch pobyt\u016f, lh\u016ftu pro n\u00e1stup l\u00e9\u010debn\u00e9ho pobytu (je-li d\u016fvodn\u00e9 ji stanovit z hlediska l\u00e9\u010debn\u00e9ho efektu), mo\u017enost prodlou\u017een\u00ed pobytu podle jednotliv\u00fdch indikac\u00ed, zp\u016fsob poskytov\u00e1n\u00ed p\u00e9\u010de (komplexn\u00ed, p\u0159\u00edsp\u011bvkov\u00e1) a dal\u0161\u00ed odborn\u00e1 krit\u00e9ria. Podm\u00ednky a odborn\u00e1 krit\u00e9ria vztahuj\u00edc\u00ed se ke konkr\u00e9tn\u00edm indikac\u00edm jsou p\u0159itom nastaveny na z\u00e1klad\u011b odborn\u00e9ho n\u00e1zoru a vyj\u00e1d\u0159en\u00ed odborn\u00e9 l\u00e9ka\u0159sk\u00e9 spole\u010dnosti dan\u00e9ho oboru zdravotn\u00ed p\u00e9\u010de.<\/p>\n<p>U osteopor\u00f3zy tak lze komplexn\u00ed l\u00e1ze\u0148skou l\u00e9\u010debn\u011b rehabilita\u010dn\u00ed p\u00e9\u010di hradit v n\u00e1vaznosti na hospitalizaci po patologick\u00e9 fraktu\u0159e p\u00e1te\u0159e v bezprost\u0159edn\u00ed n\u00e1vaznosti na ukon\u010den\u00ed imobilizace na l\u016f\u017eku nebo sejmut\u00ed korzetu. D\u00e9lka pobytu je stanovena na 21 dn\u016f. Do 24 m\u011bs\u00edc\u016f od za\u010d\u00e1tku z\u00e1kladn\u00edho pobytu lze hradit i opakovan\u00fd pobyt, op\u011bt jako komplexn\u00ed l\u00e1ze\u0148skou p\u00e9\u010di.<\/p>\n<p>P\u0159\u00edsp\u011bvkovou l\u00e1ze\u0148skou l\u00e9\u010debn\u011b rehabilita\u010dn\u00ed p\u00e9\u010di je mo\u017eno jedenkr\u00e1t (ne opakovan\u011b) uhradit v ostatn\u00edch p\u0159\u00edpadech osteopor\u00f3zy s komplikacemi, kdy soustavn\u00e1 ambulantn\u00ed rehabilita\u010dn\u00ed p\u00e9\u010de del\u0161\u00ed ne\u017e 3 m\u011bs\u00edce nen\u00ed efektivn\u00ed. I zde je d\u00e9lka pobytu 21 dn\u016f.<\/p>\n<p>L\u00e1ze\u0148skou l\u00e9\u010debn\u011b rehabilita\u010dn\u00ed p\u00e9\u010di mus\u00ed v\u017edy doporu\u010dit o\u0161et\u0159uj\u00edc\u00ed l\u00e9ka\u0159 a potvrdit revizn\u00ed l\u00e9ka\u0159 poji\u0161\u0165ovny; n\u00e1vrh vystavuje na formul\u00e1\u0159i zdravotn\u00ed poji\u0161\u0165ovny registruj\u00edc\u00ed praktick\u00fd l\u00e9ka\u0159 nebo p\u0159\u00edmo o\u0161et\u0159uj\u00edc\u00ed l\u00e9ka\u0159 p\u0159i hospitalizaci. L\u00e1ze\u0148skou l\u00e9\u010dbu ve zm\u00edn\u011bn\u00e9 indika\u010dn\u00ed skupin\u011b doporu\u010duje l\u00e9ka\u0159 odbornosti revmatologie, endokrinologie a diabetologie, vnit\u0159n\u00ed l\u00e9ka\u0159stv\u00ed, klinick\u00e1 osteologie, ortopedie a traumatologie pohybov\u00e9ho \u00fastroj\u00ed, pracovn\u00ed l\u00e9ka\u0159stv\u00ed, rehabilita\u010dn\u00ed a fyzik\u00e1ln\u00ed medic\u00edna.<\/p>\n<p>Mgr. Old\u0159ich Tich\u00fd vedouc\u00ed tiskov\u00e9ho odd\u011blen\u00ed a tiskov\u00fd mluv\u010d\u00ed <\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>OT\u00c1ZKA : Pou\u017e\u00edv\u00e1 se l\u00e1ze\u0148sk\u00e1 l\u00e9\u010dba p\u0159i osteopor\u00f3ze? Kdo a za jak\u00fdch podm\u00ednek by ji mohl p\u0159edepsat?<\/p>\n<\/div>","protected":false},"author":1,"featured_media":5279,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[18],"tags":[],"class_list":["post-28274","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\/28274","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=28274"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/28274\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/5279"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=28274"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=28274"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=28274"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}