{"id":28524,"date":"2017-06-23T12:14:53","date_gmt":"2017-06-23T10:14:53","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=28524"},"modified":"2017-06-23T12:14:53","modified_gmt":"2017-06-23T10:14:53","slug":"jak-mam-napsat-odvolani-proti-zamitnuti-prukazu-ztp","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=28524","title":{"rendered":"Jak m\u00e1m napsat odvol\u00e1n\u00ed proti zam\u00edtnut\u00ed pr\u016fkazu ZTP?"},"content":{"rendered":"<p><strong>Dotaz:<\/strong><br \/>\n<strong> Pros\u00edm jak m\u00e1m napsat odvol\u00e1n\u00ed. Posudkov\u00fd l\u00e9ka\u0159 mi zam\u00edtl \u017e\u00e1dost na ZTP.<\/strong><br \/>\n<strong> Posudkov\u00fd z\u00e1v\u011br ozna\u010dil typ posti\u017een\u00ed takto: posti\u017een\u00ed p\u00e1te\u0159e s \u010dasto reciduj\u00edc\u00edmi projevy nervosvalov\u00e9ho dr\u00e1\u017ed\u011bn\u00ed a porucha svalov\u00e9ho korzetu nebo se ztuhnut\u00edm dvou \u00fasek\u016f p\u00e1te\u0159e. Podstatn\u00e9 omezen\u00ed schopnosti pohyblivosti nebo orientace na \u00farovni st\u0159edn\u011b t\u011b\u017ek\u00e9ho funk\u010dn\u00edho posti\u017een\u00ed pohyblivosti nebo orientace.<\/strong><br \/>\n<strong> Z l\u00e9ka\u0159sk\u00fdch zpr\u00e1v vypl\u00edv\u00e1: jsem po 2 operac\u00edch p\u00e1te\u0159e, nejsem schopna vykon\u00e1vat pravidelnou pracovn\u00ed \u010dinnost, od 2016 l\u00e9\u010dena na Psychiatrick\u00e9 ambulanci pro \u00fazkostnou depresivn\u00ed poruchu vyprovokovanou bolestmi p\u00e1te\u0159e, l\u00e9\u010dena v Centru l\u00e9\u010dby bolesti opi\u00e1tov\u00fdmi l\u00e9ky, vpichy do nerv\u016f.<\/strong><br \/>\n<strong> Byl mi p\u0159izn\u00e1n stupe\u0148 TP. Je to pro mne nepot\u0159ebn\u00e9, z d\u016fvodu bydlen\u00ed na vesnici. Man\u017eel m\u011b voz\u00ed a doprov\u00e1z\u00ed do 50km vzd\u00e1len\u00fdch nemocnic. Podala jsem si \u017e\u00e1dost, aby m\u011bl uleh\u010den\u00e9 st\u00e1n\u00ed na auto a mohl m\u011b doprovodit k l\u00e9ka\u0159i. Nevydr\u017e\u00edm dlouho sed\u011bt ani st\u00e1t.<\/strong><br \/>\n<!--more--><br \/>\nOdpov\u011b\u010f:<\/p>\n<p>Krom\u011b samotn\u00e9ho odvol\u00e1n\u00ed m\u016f\u017ee z\u00e1sadn\u011b pomoci, kdy\u017e p\u0159i posuzov\u00e1n\u00ed odvol\u00e1n\u00ed obdr\u017e\u00ed L\u00e9ka\u0159sk\u00e1 posudkov\u00e1 slu\u017eba \u010cSSZ n\u011bjakou novou l\u00e9ka\u0159skou zpr\u00e1vu, kter\u00e1 by konkr\u00e9tn\u011bji popisovala stav Va\u0161\u00ed p\u00e1te\u0159e. M\u016f\u017ee se jednat o n\u011bjak\u00e9 odborn\u00e9 vy\u0161et\u0159en\u00ed apod.<\/p>\n<p>Vzor pro odvol\u00e1n\u00ed by mohl vypadat nap\u0159\u00edklad n\u011bjak takto:<\/p>\n<p>Ministerstvo pr\u00e1ce a soci\u00e1ln\u00edch v\u011bc\u00ed<br \/>\nadresa<br \/>\nprost\u0159ednictv\u00edm<br \/>\nKrajsk\u00e9 pobo\u010dky \u00da\u0159adu pr\u00e1ce\u2026\u2026..<br \/>\nadresa<br \/>\nV\u2026\u2026\u2026\u2026\u2026\u2026. dne\u2026\u2026\u2026\u2026\u2026\u2026..<br \/>\nOdvol\u00e1n\u00ed proti rozhodnut\u00ed o nep\u0159izn\u00e1n\u00ed (odebr\u00e1n\u00ed) pr\u016fkazu osoby se zdravotn\u00edm posti\u017een\u00edm ZTP<br \/>\nRozhodnut\u00edm krajsk\u00e9 pobo\u010dky \u00da\u0159adu pr\u00e1ce v \u2026\u2026\u2026\u2026 \u010d.j. \u2026\u2026\u2026\u2026..ze dne\u2026\u2026\u2026\u2026\u2026..bylo na z\u00e1klad\u011b posudku posudkov\u00e9ho l\u00e9ka\u0159e zam\u00edtnuto p\u0159izn\u00e1n\u00ed pr\u016fkazu osob se zdravotn\u00edm posti\u017een\u00edm ZTP.<br \/>\nPosudkov\u00fd l\u00e9ka\u0159 ve sv\u00e9m z\u00e1v\u011bru dosp\u00edv\u00e1 k n\u00e1zoru, \u017ee m\u016fj stav neodpov\u00edd\u00e1 posti\u017een\u00ed uveden\u00e9mu v odst. 2) p\u00edsm. H) p\u0159\u00edlohy \u010d. 4 k vyhl\u00e1\u0161ce \u010d. 388\/2011 Sb., kde je uvedeno:<br \/>\nh) posti\u017een\u00ed p\u00e1te\u0159e prov\u00e1zen\u00e9 t\u011b\u017ek\u00fdmi par\u00e9zami kon\u010detin nebo ztuhnut\u00edm t\u0159\u00ed \u00fasek\u016f p\u00e1te\u0159e nebo z\u00e1va\u017en\u00e9 deformity p\u00e1te\u0159e s omezen\u00edm exkurz\u00ed hrudn\u00edku,<br \/>\nTento z\u00e1v\u011br komise je v rozporu se skute\u010dnost\u00ed, nebo\u0165 ze zdravotn\u00ed dokumentace, kterou LPS \u010cSSZ obdr\u017eela od m\u00e9ho o\u0161et\u0159uj\u00edc\u00edho l\u00e9ka\u0159e, jsem pro\u0161la dv\u011bma operacemi p\u00e1te\u0159e, nejsem schopna soustavn\u00e9 v\u00fdd\u011ble\u010dn\u00e9 \u010dinnosti, nevydr\u017e\u00edm dlouho sed\u011bt ani st\u00e1t a bolesti v oblasti p\u00e1te\u0159e jsou tak nesnesiteln\u00e9, \u017ee se l\u00e9\u010d\u00edm v centru bolesti, kde mi jsou injek\u010dn\u011b aplikov\u00e1ny opi\u00e1ty p\u0159\u00edmo do nerv\u016f. Kv\u016fli nesnesiteln\u00fdm bolestem se nav\u00edc od roku 2016 l\u00e9\u010d\u00edm na psychiatrick\u00e9 klinice s depresivn\u00ed poruchou.<br \/>\nS ohledem na v\u00fd\u0161e uveden\u00e9 skute\u010dnosti, v\u011b\u0159\u00edm, \u017ee m\u00e9mu odvol\u00e1n\u00ed bude vyhov\u011bno.<br \/>\nS pozdravem<br \/>\nJm\u00e9no a p\u0159\u00edjmen\u00ed<br \/>\nDatum narozen\u00ed<br \/>\nAdresa<br \/>\nP\u0159\u00edloha:<br \/>\nKopie l\u00e9ka\u0159sk\u00e9 zpr\u00e1vy<br \/>\n(nen\u00ed nutn\u00e9, sta\u010d\u00ed ozna\u010dit d\u016fle\u017eit\u00e9 l\u00e9ka\u0159sk\u00e9 zpr\u00e1vy k Va\u0161emu zdravotn\u00edmu stavu, nap\u0159.<br \/>\nV\u00fd\u0161e uveden\u00e9 argumenty si lze potvrdit v l\u00e9ka\u0159sk\u00e9 zpr\u00e1v\u011b MUDr. Slav\u00ed\u010dka s\u00eddlem\u2026\u2026\u2026\u2026\u2026\u2026.)<\/p>\n<p>Podot\u00fdk\u00e1m, \u017ee se jedn\u00e1 o pouh\u00fd vzor, mo\u017en\u00e1, \u017ee bude pot\u0159eba n\u011bkter\u00e9 informace poupravit podle rozhodnut\u00ed, kter\u00e9 V\u00e1m p\u0159i\u0161lo a doplnit ve\u0161ker\u00e9 chyb\u011bj\u00edc\u00ed informace.<\/p>\n<p>Pro \u00faplnost uv\u00e1d\u00edm tak\u00e9 zdravotn\u00ed krit\u00e9ria, na z\u00e1klad\u011b kter\u00fdch rozhoduje LPS \u010cSSZ o n\u00e1roku na pr\u016fkaz ZTP:<\/p>\n<p>2. Za podstatn\u00e9 omezen\u00ed schopnosti pohyblivosti a orientace na \u00farovni t\u011b\u017ek\u00e9ho funk\u010dn\u00edho posti\u017een\u00ed pohyblivosti a orientace (pr\u016fkaz ZTP) lze pova\u017eovat tyto zdravotn\u00ed stavy:<br \/>\na) anatomick\u00e1 ztr\u00e1ta doln\u00ed kon\u010detiny v kolenn\u00edm kloubu nebo v\u00fd\u0161e, exteri\u00e9rov\u00fd u\u017eivatel prot\u00e9zy,<br \/>\nb) anatomick\u00e1 ztr\u00e1ta doln\u00edch kon\u010detin v n\u00e1rtech nebo v n\u00e1rtu a b\u00e9rci,<br \/>\nc) funk\u010dn\u00ed ztr\u00e1ta doln\u00ed kon\u010detiny se ztr\u00e1tou op\u011brn\u00e9 funkce,<br \/>\nd) anatomick\u00e1 ztr\u00e1ta doln\u00ed a horn\u00ed kon\u010detiny v \u00farovni b\u00e9rce a p\u0159edlokt\u00ed,<br \/>\ne) anatomick\u00e1 ztr\u00e1ta horn\u00edch kon\u010detin v \u00farovni p\u0159edlokt\u00ed,<br \/>\nf) t\u011b\u017ek\u00e9 omezen\u00ed funkce dvou kon\u010detin,<br \/>\ng) posti\u017een\u00ed p\u00e1nve prov\u00e1zen\u00e9 t\u011b\u017ek\u00fdmi par\u00e9zami doln\u00edch kon\u010detin nebo z\u00e1va\u017enou nestabilitou p\u00e1nevn\u00edho prstence,<br \/>\nh) posti\u017een\u00ed p\u00e1te\u0159e prov\u00e1zen\u00e9 t\u011b\u017ek\u00fdmi par\u00e9zami kon\u010detin nebo ztuhnut\u00edm t\u0159\u00ed \u00fasek\u016f p\u00e1te\u0159e nebo z\u00e1va\u017en\u00e9 deformity p\u00e1te\u0159e s omezen\u00edm exkurz\u00ed hrudn\u00edku,<br \/>\ni) t\u011b\u017ek\u00e9 posti\u017een\u00ed pohyblivosti a celkov\u00e9 v\u00fdkonnosti ji\u017e p\u0159i lehk\u00e9m zat\u00ed\u017een\u00ed p\u0159i intern\u00edch a onkologick\u00fdch posti\u017een\u00edch,<br \/>\nj) celkov\u00e1 ztr\u00e1ta sluchu podle Fowlera 85% a v\u00edce s neschopnost\u00ed sly\u0161et zvuky a rozum\u011bt \u0159e\u010di i p\u0159es nejlep\u0161\u00ed korekci (oboustrann\u00e1 praktick\u00e1 nebo \u00fapln\u00e1 hluchota) u osoby star\u0161\u00ed 18 let v\u011bku,<br \/>\nk) kombinovan\u00e9 posti\u017een\u00ed sluchu a zraku (hluchoslepota) funk\u010dn\u011b v rozsahu oboustrann\u00e9 st\u0159edn\u011b t\u011b\u017ek\u00e9 nedosl\u00fdchavosti, kterou se rozum\u00ed ztr\u00e1ta sluchu podle Fowlera 40 a\u017e 65%, a oboustrann\u00e9 siln\u00e9 slabozrakosti, kterou se rozum\u00ed zrakov\u00e1 ostrost s nejlep\u0161\u00ed mo\u017enou korekc\u00ed na lep\u0161\u00edm oku, kdy maximum je men\u0161\u00ed ne\u017e 6\/60 a minimum rovn\u00e9 nebo lep\u0161\u00ed ne\u017e 3\/60, nebo oboustrann\u00e9 koncentrick\u00e9 z\u00fa\u017een\u00ed zorn\u00e9ho pole v rozsahu 30 a\u017e 10 stup\u0148\u016f, i kdy\u017e centr\u00e1ln\u00ed ostrost nen\u00ed posti\u017eena,<br \/>\nl) oboustrann\u00e1 t\u011b\u017ek\u00e1 ztr\u00e1ta zraku, kterou se rozum\u00ed zrakov\u00e1 ostrost s korekc\u00ed, kdy maximum je men\u0161\u00ed ne\u017e 3\/60, minimum lep\u0161\u00ed ne\u017e 1\/60,<br \/>\nm) psychick\u00e9 posti\u017een\u00ed s \u010dasto se opakuj\u00edc\u00edmi z\u00e1va\u017en\u00fdmi poruchami komunikace a orientace v exteri\u00e9ru v\u010detn\u011b st\u0159edn\u011b funk\u010dn\u00edho typu autismu,<br \/>\nn) neurodegenerativn\u00ed posti\u017een\u00ed s mnoho\u010detn\u00fdmi hybn\u00fdmi komplikacemi typu rigidity, hypokin\u00e9zy, tremoru, ataxie, mimovoln\u00fdch pohyb\u016f.<\/p>\n<p>Ji\u0159\u00ed Marek<br \/>\ninvArena<\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>Dotaz: Pros\u00edm jak m\u00e1m napsat odvol\u00e1n\u00ed. Posudkov\u00fd l\u00e9ka\u0159 mi zam\u00edtl \u017e\u00e1dost na ZTP. Posudkov\u00fd z\u00e1v\u011br ozna\u010dil typ posti\u017een\u00ed takto: posti\u017een\u00ed p\u00e1te\u0159e s \u010dasto reciduj\u00edc\u00edmi projevy <a class=\"mh-excerpt-more\" href=\"https:\/\/www.invarena.cz\/?p=28524\" title=\"Jak m\u00e1m napsat odvol\u00e1n\u00ed proti zam\u00edtnut\u00ed pr\u016fkazu ZTP?\">[&#8230;]<\/a><\/p>\n<\/div>","protected":false},"author":3,"featured_media":5390,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[18],"tags":[],"class_list":["post-28524","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\/28524","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\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=28524"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/28524\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/5390"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=28524"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=28524"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=28524"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}