{"id":29380,"date":"2017-10-26T17:20:44","date_gmt":"2017-10-26T15:20:44","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=29380"},"modified":"2017-10-26T17:20:44","modified_gmt":"2017-10-26T15:20:44","slug":"o-umirani-deti-se-ostychaji-mluvit-i-lekari-potreba-je-vzdelani","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=29380","title":{"rendered":"O um\u00edr\u00e1n\u00ed d\u011bt\u00ed se ost\u00fdchaj\u00ed mluvit i l\u00e9ka\u0159i, pot\u0159eba je vzd\u011bl\u00e1n\u00ed"},"content":{"rendered":"

O um\u00edr\u00e1n\u00ed d\u011bt\u00ed se s rodinami ost\u00fdchaj\u00ed mluvit i l\u00e9ka\u0159i. Pot\u0159eba je podle odborn\u00edk\u016f vzd\u011bl\u00e1n\u00ed v oblasti p\u00e9\u010de o um\u00edraj\u00edc\u00ed a jejich rodiny, tedy paliativn\u00ed medic\u00edny, nejl\u00e9pe u\u017e na l\u00e9ka\u0159sk\u00fdch fakult\u00e1ch. Informace dnes zazn\u011bly na semin\u00e1\u0159i na 1. l\u00e9ka\u0159sk\u00e9 fakult\u011b Univerzity Karlovy v Praze. <\/strong><\/p>\n

Paliativn\u00ed p\u00e9\u010de se t\u00fdk\u00e1 pacient\u016f, kte\u0159\u00ed trp\u00ed nevyl\u00e9\u010ditelnou chorobou v pokro\u010dil\u00e9m stadiu. Podle odhad\u016f ro\u010dn\u011b v \u010cesku zem\u0159e 2000 d\u011bt\u00ed, kter\u00fdm by takov\u00e1 p\u00e9\u010de mohla pomoci.<\/p>\n

„Systematicky se v\u00fdukou paliativn\u00ed p\u00e9\u010de n\u00e1\u0161 vzd\u011bl\u00e1vac\u00ed syst\u00e9m nezab\u00fdv\u00e1 ani u sester, ani u l\u00e9ka\u0159\u016f. Situace se u\u017e ale trochu lep\u0161\u00ed,“ \u0159ekla v debat\u011b Irena Z\u00e1vadov\u00e1, odborn\u00e1 asistentka na onkologick\u00e9 klinice 1. l\u00e9ka\u0159sk\u00e9 fakulty Univerzity Karlovy a V\u0161eobecn\u00e9 fakultn\u00ed nemocnice v Praze.<\/p>\n

Na n\u011bkter\u00fdch l\u00e9ka\u0159sk\u00fdch fakult\u00e1ch se t\u00e9ma u\u010d\u00ed jako voliteln\u00fd nebo povinn\u011b voliteln\u00fd p\u0159edm\u011bt. Zejm\u00e9na o povinn\u011b voliteln\u00fd, za kter\u00fd studenti z\u00edskaj\u00ed v\u00edce kredit\u016f, je podle \u0159editele Centra paliativn\u00ed p\u00e9\u010de Martina Lou\u010dky obrovsk\u00fd z\u00e1jem. Vzd\u011bl\u00e1v\u00e1ni by podle odborn\u00edk\u016f, kte\u0159\u00ed na diskusi vystupovali, m\u011bli b\u00fdt i ostatn\u00ed zdravotni\u010dt\u00ed pracovn\u00edci a ve\u0159ejnost. Rodiny, kter\u00e9 p\u00e9\u010di pot\u0159ebuj\u00ed, o n\u00ed \u010dasto ani nev\u011bd\u00ed. „Nemoc a smrt d\u011bt\u00ed je ve spole\u010dnosti tabuizovan\u00e1,“ dodal Lou\u010dka.<\/p>\n

Nedostatky si uv\u011bdomuje i d\u011bkan 1. l\u00e9ka\u0159sk\u00e9 fakulty UK Aleksi \u0160edo. „Paliativn\u00ed medic\u00edna m\u00e1 ur\u010ditou sv\u00edzel v tom, \u017ee si lid\u00e9 uv\u011bdomuj\u00ed svoji bezmoc a choulostivost. T\u00e9ma vymaz\u00e1v\u00e1me, m\u00e1me z n\u011bho ostych,“ uvedl. Podle Lou\u010dky pr\u00e1v\u011b vzd\u011bl\u00e1n\u00ed pom\u00e1h\u00e1 s t\u00edm pocitem bezmoci pracovat. „Pokud jste v situaci, \u017ee rodin\u011b nem\u00e1te co nab\u00eddnout, tak se s nimi opravdu \u0161patn\u011b komunikuje. Bezmoc l\u00e9ka\u0159e v takov\u00e9 situaci je produkt toho, \u017ee nem\u00e1 dostate\u010dnou zku\u0161enost a informace,“ dodal.<\/p>\n

Hospicov\u00e1 p\u00e9\u010de v \u010cesku vznikla po revoluci jako produkt neziskov\u00fdch organizac\u00ed, teprve v sou\u010dasn\u00e9 dob\u011b se podle Lou\u010dky sna\u017e\u00ed za\u010dlenit do zdravotnick\u00e9ho syst\u00e9mu. D\u011btsk\u00e1 paliativn\u00ed p\u00e9\u010de je v \u010cesku zat\u00edm m\u00e1lo dostupn\u00e1, zejm\u00e9na ta dom\u00e1c\u00ed. Ro\u010dn\u011b ji vyu\u017e\u00edvaj\u00ed jen des\u00edtky lid\u00ed, p\u0159itom by ji pot\u0159ebovalo kolem 2000 t\u011b\u017ece nemocn\u00fdch a um\u00edraj\u00edc\u00edch d\u011bt\u00ed a jejich rodin.<\/p>\n

V sou\u010dasn\u00e9 dob\u011b je p\u011bt takzvan\u00fdch mobiln\u00edch hospic\u016f, kter\u00e9 pom\u00e1haj\u00ed rodi\u010d\u016fm starat se o nemocn\u00e9 d\u011bti doma. Situaci by mohlo pomoci propl\u00e1cen\u00ed jejich p\u00e9\u010de z ve\u0159ejn\u00e9ho zdravotn\u00edho poji\u0161t\u011bn\u00ed. Je sou\u010d\u00e1st\u00ed n\u00e1vrhu \u00fahradov\u00e9 vyhl\u00e1\u0161ky na p\u0159\u00ed\u0161t\u00ed rok. Propl\u00e1cen\u00ed p\u00e9\u010de je podle prim\u00e1\u0159ky d\u011btsk\u00e9ho odd\u011blen\u00ed Nemocnice Ho\u0159ovice Mahuleny Moj\u017e\u00ed\u0161ov\u00e9 obt\u00ed\u017en\u00e9, proto\u017ee hodiny rozhovor\u016f lze t\u011b\u017eko ocenit tabulkami.<\/p>\n

Zat\u00edmco mezi dosp\u011bl\u00fdmi vyu\u017e\u00edvaj\u00ed paliativn\u00ed medic\u00ednu zejm\u00e9na pacienti s rakovinou, d\u011bt\u00ed s n\u00e1dory je mezi klienty jen asi p\u011btina. P\u00e9\u010de u jednotliv\u00fdch diagn\u00f3z se li\u0161\u00ed, stejn\u011b jako jej\u00ed trv\u00e1n\u00ed. U n\u011bkter\u00fdch nemoc\u00ed jde o dny \u010di t\u00fddny, jinde o roky. Spole\u010dn\u00e9 je prodlou\u017een\u00ed kvalitn\u00edho \u017eivota a p\u00e9\u010de o rodinu.<\/p>\n

„Z \u010dist\u011b medic\u00ednsk\u00e9ho hlediska \u0159e\u0161\u00edme mo\u017en\u00e1 v\u00edce dilemat ne\u017e pe\u010duj\u00edc\u00ed o dosp\u011bl\u00e9, ale nejv\u011bt\u0161\u00ed rozd\u00edl je psychick\u00e1 z\u00e1t\u011b\u017e pro t\u00fdm a rodinu,“ dodala Z\u00e1vozdov\u00e1, kter\u00e1 je z\u00e1rove\u0148 prim\u00e1\u0159kou mobiln\u00edho hospice Cesta dom\u016f.<\/p>\n

P\u0159esn\u00fd po\u010det d\u011bt\u00ed, kter\u00e9 by paliativn\u00ed p\u00e9\u010di pot\u0159ebovaly, experti neznaj\u00ed. Asi polovina z nich um\u00edr\u00e1 na novorozeneck\u00fdch odd\u011blen\u00edch do jednoho roku v\u011bku. \u017d\u00e1dn\u00fd registr neexistuje, informace z\u00edsk\u00e1vaj\u00ed od pacientsk\u00fdch organizac\u00ed. L\u016f\u017eka paliativn\u00ed p\u00e9\u010de vznikaj\u00ed i ve v\u011bt\u0161\u00edch nemocnic\u00edch. Podle Lou\u010dky ale studie prok\u00e1zaly, \u017ee d\u011btem se l\u00e9pe da\u0159\u00ed doma ne\u017e v nemocnici, by\u0165 tam maj\u00ed \u0161pi\u010dkovou p\u00e9\u010di.<\/p>\n","protected":false},"excerpt":{"rendered":"

O um\u00edr\u00e1n\u00ed d\u011bt\u00ed se s rodinami ost\u00fdchaj\u00ed mluvit i l\u00e9ka\u0159i. Pot\u0159eba je podle odborn\u00edk\u016f vzd\u011bl\u00e1n\u00ed v oblasti p\u00e9\u010de o um\u00edraj\u00edc\u00ed a jejich rodiny, tedy paliativn\u00ed […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":18793,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[9],"tags":[],"class_list":["post-29380","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\/29380","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=29380"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/29380\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/18793"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=29380"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=29380"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=29380"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}