{"id":28447,"date":"2017-06-13T10:58:18","date_gmt":"2017-06-13T08:58:18","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=28447"},"modified":"2017-06-13T10:58:18","modified_gmt":"2017-06-13T08:58:18","slug":"dustojne-umirani-dustojny-zaver-zivota-s-nevylecitelnou-nemoci","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=28447","title":{"rendered":"D\u016fstojn\u00e9 um\u00edr\u00e1n\u00ed &#8211; D\u016fstojn\u00fd z\u00e1v\u011br \u017eivota s nevyl\u00e9\u010ditelnou nemoc\u00ed"},"content":{"rendered":"<p><strong>Dne 6. \u010dervna 2017 \u010cesk\u00e1 l\u00e9ka\u0159sk\u00e1 komora uspo\u0159\u00e1dala pod z\u00e1\u0161titou prezidenta \u010cesk\u00e9 republiky ing. Milo\u0161e Zemana konferenci \u201eD\u016fstojn\u00e9 um\u00edr\u00e1n\u00ed &#8211; D\u016fstojn\u00fd z\u00e1v\u011br \u017eivota s nevyl\u00e9\u010ditelnou nemoc\u00ed\u201c.\u00a0 \u010cesk\u00e1 l\u00e9ka\u0159sk\u00e1 komora chce upozornit na celospole\u010densky mimo\u0159\u00e1dn\u011b z\u00e1va\u017en\u00fd probl\u00e9m, kter\u00fdm je p\u00e9\u010de poskytovan\u00e1 osob\u00e1m s nevyl\u00e9\u010ditelnou nemoc\u00ed v z\u00e1v\u011bru jejich \u017eivota.<\/strong><!--more--><\/p>\n<p>Pro mnoh\u00e9 je mo\u017en\u00e1 p\u0159ekvapiv\u00e9, \u017ee i p\u0159i sou\u010dasn\u00e9 \u00farovni medic\u00edny a soci\u00e1ln\u00edch slu\u017eeb se jedn\u00e1 o ne\u0159e\u0161enou a velmi zanedbanou oblast, kter\u00e1 stoj\u00ed na okraji spole\u010densk\u00e9ho z\u00e1jmu, p\u0159esto\u017ee se m\u016f\u017ee t\u00fdkat v podstat\u011b ka\u017ed\u00e9ho z n\u00e1s.<\/p>\n<p>D\u016fstojn\u00fd z\u00e1v\u011br \u017eivota s nevyl\u00e9\u010ditelnou nemoc\u00ed a slu\u0161n\u00e9 um\u00edr\u00e1n\u00ed jsou velk\u00e9 v\u00fdzvy sou\u010dasn\u00e9 doby. Modern\u00ed medic\u00edna prok\u00e1zala, \u017ee je mo\u017en\u00e9 efektivn\u011b zm\u00edrnit bolest a dal\u0161\u00ed t\u011blesn\u00e9 i psychick\u00e9 symptomy. A nab\u00eddnout pacient\u016fm i jejich bl\u00edzk\u00fdm komplexn\u00ed podporu tak, aby mohl b\u00fdt z\u00e1v\u011br \u017eivota v\u0161emi z\u00fa\u010dastn\u011bn\u00fdmi vn\u00edm\u00e1n jako d\u016fstojn\u00fd. Takov\u00e1 p\u00e9\u010de u n\u00e1s ale nen\u00ed \u0159ad\u011b pacient\u016f bohu\u017eel dostupn\u00e1. Jedn\u00edm z c\u00edl\u016f konference bylo identifikovat, kte\u0159\u00ed pacienti pot\u0159ebuj\u00ed v z\u00e1v\u011bru \u017eivota paliativn\u00ed p\u00e9\u010di, jak\u00e9 pot\u0159eby a kter\u00e1 dilemata jsou v t\u00e9to f\u00e1zi pot\u0159eba \u0159e\u0161it. Diskutov\u00e1ny byly tak\u00e9 mo\u017enosti a limity paliativn\u00ed p\u00e9\u010de v r\u016fzn\u00fdch segmentech zdravotn\u00edho a soci\u00e1ln\u00edho syst\u00e9mu v\u010detn\u011b p\u00e9\u010de hospicov\u00e9. \u0158e\u0161eny byly t\u00e9\u017e ot\u00e1zky o pr\u00e1vn\u00edch a ekonomick\u00fdch aspekt\u016f paliativn\u00ed p\u00e9\u010de. Krom\u011b p\u0159\u00edsp\u011bvk\u016f p\u0159edn\u00edch odborn\u00edk\u016f z oblasti paliativn\u00ed p\u00e9\u010de, l\u00e9ka\u0159sk\u00e9 etiky a zdravotnick\u00e9ho pr\u00e1va byl na konferenci v\u011bnov\u00e1n v\u00fdznamn\u00fd t\u00e9\u017e prostor mezioborov\u00e9 diskusi.<\/p>\n<p>Doc. RNDr. Ladislav Du\u0161ek, Ph.D., \u0159editel \u00dastav zdravotnick\u00fdch informac\u00ed a statistiky \u010cesk\u00e9 republiky ve sv\u00e9m p\u0159\u00edsp\u011bvku uvedl, \u017ee ro\u010dn\u011b v \u010cR um\u00edr\u00e1 cca 105 \u2013 110 tis. lid\u00ed, p\u0159i\u010dem\u017e cca 64 \u2013 66% tvo\u0159\u00ed pacienti chroni\u010dt\u00ed, u nich\u017e lze p\u0159edpokl\u00e1dat pot\u0159ebu paliativn\u00ed p\u00e9\u010de. Jde tedy o velk\u00fd segment medic\u00edny, kter\u00fd by nem\u011bl b\u00fdt opom\u00edjen. V t\u00e9to souvislosti MUDr. Irena Pechanov\u00e1, anesteziolog a specialista pro paliativn\u00ed medic\u00ednu a l\u00e9\u010dbu bolesti doplnila, \u017ee kritickou ot\u00e1zkou je p\u0159edev\u0161\u00edm dobr\u00e9 na\u010dasov\u00e1n\u00ed zah\u00e1jen\u00ed paliativn\u00ed p\u00e9\u010de, kter\u00e9 m\u016f\u017ee v\u00fdznamn\u011b zkvalitnit komfort do\u017eit\u00ed nemocn\u00e9ho, p\u0159esto\u017ee pr\u00e1v\u011b tato mo\u017enost je ze syst\u00e9mov\u00fdch d\u016fvod\u016f v \u010cesk\u00e9 republice v\u00fdznamn\u011b omezena. To potvrdila i Prof. PhDr. RNDr. Helena Ha\u0161kovcov\u00e1, CSc., kter\u00e1 ve sv\u00e9m p\u0159\u00edsp\u011bvku zd\u016fraznila nutnost implementace paliativn\u00edch strategi\u00ed do sou\u010dasn\u00e9ho zdravotnick\u00e9ho syst\u00e9mu (nemocnic) a roz\u0161\u00ed\u0159it kvalitn\u00ed vzd\u011bl\u00e1n\u00ed v paliativn\u00ed a hospicov\u00e9 p\u00e9\u010di.<\/p>\n<p>Konference \u010cesk\u00e9 l\u00e9ka\u0159sk\u00e9 komory otev\u0159ela mimo\u0159\u00e1dn\u011b z\u00e1va\u017en\u00e9 t\u00e9ma um\u00edr\u00e1n\u00ed pacient\u016f s nevyl\u00e9\u010ditelnou nemoc\u00ed, kter\u00e9 je v \u010cesk\u00e9 republice zcela zanedban\u00e9 a stoj\u00ed na okraji z\u00e1jmu. Konference pouk\u00e1zala nejen na akutn\u00ed pal\u010divost tohoto probl\u00e9mu, ale t\u00e9\u017e nutnosti \u0159ady zm\u011bn v \u0159ad\u011b oblast\u00ed \u2013 nejen ve zdravotnictv\u00ed, ale t\u00e9\u017e syst\u00e9mu zdravotn\u00edho poji\u0161t\u011bn\u00ed, soci\u00e1ln\u00edch slu\u017eb\u00e1ch, ale t\u00e9\u017e, a to mo\u017en\u00e1 p\u0159edev\u0161\u00edm v oblasti celospole\u010densk\u00e9ho uva\u017eov\u00e1n\u00ed, \u00facty k \u017eivotu a osob\u00e1m, kter\u00e9 jsou na konci sv\u00e9ho \u017eivota. \u010cesk\u00e1 l\u00e9ka\u0159sk\u00e1 komora bude ve sv\u00e9 snaze, \u0159e\u0161it tuto ot\u00e1zku v nej\u0161ir\u0161\u00edch souvislostech, ve spolupr\u00e1ci s p\u0159edn\u00edmi odborn\u00edky pokra\u010dovat.<\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>Dne 6. \u010dervna 2017 \u010cesk\u00e1 l\u00e9ka\u0159sk\u00e1 komora uspo\u0159\u00e1dala pod z\u00e1\u0161titou prezidenta \u010cesk\u00e9 republiky ing. Milo\u0161e Zemana konferenci \u201eD\u016fstojn\u00e9 um\u00edr\u00e1n\u00ed &#8211; D\u016fstojn\u00fd z\u00e1v\u011br \u017eivota s nevyl\u00e9\u010ditelnou <a class=\"mh-excerpt-more\" href=\"https:\/\/www.invarena.cz\/?p=28447\" title=\"D\u016fstojn\u00e9 um\u00edr\u00e1n\u00ed &#8211; D\u016fstojn\u00fd z\u00e1v\u011br \u017eivota s nevyl\u00e9\u010ditelnou nemoc\u00ed\">[&#8230;]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[9],"tags":[],"class_list":["post-28447","post","type-post","status-publish","format-standard","hentry","category-zpravy"],"_links":{"self":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/28447","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=28447"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/28447\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=28447"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=28447"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=28447"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}