{"id":30187,"date":"2018-02-24T18:54:35","date_gmt":"2018-02-24T17:54:35","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=30187"},"modified":"2018-02-24T18:54:35","modified_gmt":"2018-02-24T17:54:35","slug":"praktici-se-nauci-poznat-psychopata-a-zasmat-se-v-ordinaci","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=30187","title":{"rendered":"Praktici se nau\u010d\u00ed poznat psychopata a zasm\u00e1t se v ordinaci"},"content":{"rendered":"<p><strong>L\u00e9ka\u0159 je l\u00e9kem s\u00e1m o sob\u011b \u2013 mus\u00ed se um\u011bt d\u00e1vkovat a zn\u00e1t svoje ne\u017e\u00e1douc\u00ed \u00fa\u010dinky. Toto bude jedna z v\u011bt, kterou usly\u0161\u00ed 1500 l\u00e9ka\u0159\u016f a sester na Kongresu prim\u00e1rn\u00ed p\u00e9\u010de od psychiatra Radkina Honz\u00e1ka. V r\u00e1mci sv\u00e9 p\u0159edn\u00e1\u0161ky Psychopati mezi n\u00e1mi a Humor a sm\u00edch v \u017eivot\u011b a v medic\u00edn\u011b, zkus\u00ed praktick\u00e9 l\u00e9ka\u0159e p\u0159im\u011bt k vyu\u017e\u00edv\u00e1n\u00ed humoru. Na dvoudenn\u00ed akci se do Prahy sjedou l\u00e9ka\u0159i pro dosp\u011bl\u00e9, d\u011bti a dorost a zdravotn\u00ed sestry z cel\u00e9 republiky u\u017e tento p\u00e1tek. Kongres jim nab\u00eddne znalosti ze sv\u011bta kardiologie, akutn\u00ed medic\u00edny, neurologie a \u0159ady dal\u0161\u00edch obor\u016f.<\/strong><br \/>\n<!--more--><br \/>\nAkci odstartuje v\u00e1\u0161niv\u00e1 debata u kulat\u00e9ho stolu, kam se krom\u011b z\u00e1stupc\u016f praktick\u00fdch l\u00e9ka\u0159\u016f pro dosp\u011bl\u00e9 a pro d\u011bti a dorost posad\u00ed z\u00e1stupce veden\u00ed ministerstva zdravotnictv\u00ed a \u0159editel\u00e9 VZP a Svazu zdravotn\u00edch poji\u0161\u0165oven. C\u00edlem diskuze je shodnout se na podob\u011b praktick\u00e9ho l\u00e9ka\u0159stv\u00ed v nejbli\u017e\u0161\u00edch 15ti letech. \u201eProbl\u00e9my prim\u00e1rn\u00ed p\u00e9\u010de p\u0159ipom\u00ednaj\u00ed zauzlovanou \u0161\u0148\u016fru, kterou je t\u0159eba za\u010d\u00edt rozpl\u00e9tat ze spr\u00e1vn\u00e9ho konce. To, co na kulat\u00e9m stolu zazn\u00ed, by se m\u011blo st\u00e1t podkladem pro pracovn\u00ed skupinu pro zm\u011bny v prim\u00e1rn\u00ed p\u00e9\u010di p\u0159i ministerstvu zdravotnictv\u00ed, kter\u00e1 za\u010dala fungovat v \u00fanoru tohoto roku a m\u00e1 p\u0159ipravit zm\u011bny ve financov\u00e1n\u00ed prim\u00e1rn\u00ed p\u00e9\u010de, pos\u00edlit jej\u00ed roli a roz\u0161\u00ed\u0159en\u00ed kompetenc\u00ed praktick\u00fdch l\u00e9ka\u0159\u016f. Oce\u0148ujeme, \u017ee ministr zdravotnictv\u00ed Adam Vojt\u011bch vysly\u0161el na\u0161e vol\u00e1n\u00ed a zab\u00fdv\u00e1 se v\u00e1\u017en\u011b probl\u00e9my prim\u00e1rn\u00ed p\u00e9\u010de a jej\u00edm postaven\u00edm v \u010desk\u00e9m zdravotnictv\u00ed.,\u201c \u0159\u00edk\u00e1 p\u0159edseda Sdru\u017een\u00ed praktick\u00fdch l\u00e9ka\u0159\u016f MUDr. Petr \u0160onka. Na kulat\u00fd st\u016fl plynule nav\u00e1\u017e\u00ed des\u00edtky p\u0159edn\u00e1\u0161ek. <\/p>\n<p>Psychiatr MUDr. Radkin Honz\u00e1k, CSc. upozorn\u00ed na l\u00e9\u010debn\u00fd efekt sm\u00edchu. \u201eDesetiminutov\u00fd hur\u00f3nsk\u00fd sm\u00edch vyvol\u00e1 dvouhodinov\u00fd protibolestiv\u00fd efekt, povzbud\u00ed za\u017e\u00edv\u00e1n\u00ed, aktivuje krevn\u00ed ob\u011bh, p\u016fsob\u00ed jako prevence infarktu, podporuje imunitu. L\u00e9ka\u0159, kter\u00fd um\u00ed zvl\u00e1dnout humor, m\u00e1 v rukou mocn\u00fd n\u00e1stroj, kter\u00fd mu pom\u016f\u017ee s l\u00e9\u010dbou. Krom\u011b toho smysl pro humor l\u00e9ka\u0159e v o\u010d\u00edch pacienta zlid\u0161\u0165uje a usnad\u0148uje komunikaci, je\u017e je podstatnou a, bohu\u017eel, podce\u0148ovanou sou\u010d\u00e1st\u00ed ka\u017ed\u00e9 terapie,\u201c prozrazuje \u010d\u00e1st p\u0159edn\u00e1\u0161ky psychiatr. \u010ce\u0161t\u00ed l\u00e9ka\u0159i si podle n\u011bj dosud zakl\u00e1daj\u00ed v\u00edce na sv\u00e9m um\u011bn\u00ed l\u00e9\u010dit ne\u017e na v\u0159elosti. \u201eP\u0159itom pr\u00e1v\u011b to druh\u00e9 pacienti nejv\u00edce vn\u00edmaj\u00ed a oce\u0148uj\u00ed, z\u00e1jem okol\u00ed \u010dlov\u011bka pozved\u00e1 a pom\u00e1h\u00e1 v uzdraven\u00ed,\u201c dopl\u0148uje MUDr. Honz\u00e1k. Ve druh\u00e9 \u010d\u00e1sti sv\u00e9 p\u0159edn\u00e1\u0161ky se zam\u011b\u0159\u00ed na rozezn\u00e1n\u00ed psychopat\u016f v ordinaci l\u00e9ka\u0159\u016f a nast\u00edn\u00ed, jak s takov\u00fdmi lidmi jednat. <\/p>\n<p>Dal\u0161\u00ed z aktu\u00e1ln\u00edch t\u00e9mat \u2013 Role praktick\u00e9ho l\u00e9ka\u0159e v p\u00e9\u010di o pacienty s demenc\u00ed \u2013 otev\u0159e uzn\u00e1van\u00e1 gerontolo\u017eka doc. MUDr. Iva Holmerov\u00e1, Ph.D. \u201eLid\u00ed s r\u016fzn\u00fdmi formami demence p\u0159ib\u00fdv\u00e1 a prakti\u010dt\u00ed l\u00e9ka\u0159i jsou prvn\u00ed, kte\u0159\u00ed mohou odhalit po\u010d\u00ednaj\u00edc\u00ed p\u0159\u00edznaky choroby u sv\u00fdch pacient\u016f,\u201c \u0159\u00edk\u00e1 doc. Holmerov\u00e1. \u201eP\u0159ibli\u017en\u011b t\u0159etina lid\u00ed se tuto diagn\u00f3zu dozv\u00ed se zpo\u017ed\u011bn\u00edm. N\u011bkdy m\u00e1 okol\u00ed i l\u00e9ka\u0159 tendence u mlad\u0161\u00edch senior\u016f p\u0159isuzovat ob\u010dasnou zmatenost stresu, u star\u0161\u00edch zase v\u011bku. Existuje \u0159ada test\u016f, jak po\u010d\u00ednaj\u00edc\u00ed demenci odhalit. T\u00edm nejjednodu\u0161\u0161\u00edm je nechat nakreslit pacienta hodiny a zakreslit konkr\u00e9tn\u00ed \u010das. Tak lze odhalit kognitivn\u00ed poruchu, nap\u0159\u00edklad po\u010d\u00ednaj\u00edc\u00ed Alzheimerovu nemoc,\u201c \u0159\u00edk\u00e1 doc. Holmerov\u00e1. V r\u00e1mci t\u00e9to p\u0159edn\u00e1\u0161ky se \u00fa\u010dastn\u00edci dozv\u011bd\u00ed, co je a nen\u00ed demence, a jak\u00e9 p\u0159\u00edznaky by nem\u011bli u sv\u00fdch pacient\u016f podce\u0148ovat. \u201ePraktick\u00fd l\u00e9ka\u0159 by m\u011bl \u010d\u00e1ste\u010dn\u011b \u0159e\u0161it i soci\u00e1ln\u00ed aspekty, poradit p\u0159\u00edbuzn\u00fdm, co d\u00e1l. M\u011bl by tak\u00e9 v\u011bd\u011bt, kam se obr\u00e1tit pro radu \u2013 nap\u0159\u00edklad do specializovan\u00e9 ordinace \u010di poradny, kontaktn\u00edho m\u00edsta \u010cesk\u00e9 alzheimerovsk\u00e9 spole\u010dnosti,\u201c dod\u00e1v\u00e1 doc. Holmerov\u00e1. Demence se v\u011bt\u0161inou projevuje u star\u0161\u00edch lid\u00ed a t\u011bch neust\u00e1le p\u0159ib\u00fdv\u00e1. Odhady hovo\u0159\u00ed o 10 % populace star\u0161\u00edch 80ti let do poloviny tohoto stolet\u00ed. <\/p>\n<p>V \u010d\u00e1sti v\u011bnovan\u00e9 kazuistik\u00e1m, tedy konkr\u00e9tn\u00edm p\u0159\u00edklad\u016fm z praxe, \u010dek\u00e1 l\u00e9ka\u0159e dokonce hereck\u00e9 vystoupen\u00ed. Ke sv\u00e9 kazuistice s n\u00e1zvem Je n\u011bjak divnej &#8230; si je objednala MUDr. Leonora Gregorov\u00e1. \u201eMy l\u00e9ka\u0159i, obzvl\u00e1\u0161t\u011b pak pediat\u0159i, m\u00e1me pocit, \u017ee mus\u00edme sv\u00e9 mal\u00e9 pacienty l\u00e9\u010dit za ka\u017edou cenu a odhalovat p\u0159\u00ed\u010diny obt\u00ed\u017e\u00ed. A po\u0159\u00e1d se tr\u00e1p\u00edme, kdy\u017e se n\u00e1m pacient nezd\u00e1 v norm\u011b. N\u011bkdy je nutn\u00e9 se zamyslet i nad t\u00edm, zda na\u0161e pomoc \u017eivot pacienta zlep\u0161\u00ed anebo jestli je l\u00e9pe ho nechat \u017e\u00edt tak, jak je, \u0161\u0165astn\u011b a spokojen\u011b. Mn\u011b moc pomohl v m\u00e9m tr\u00e1pen\u00ed Oskar \u2013 hlavn\u00ed hrdina novely Erica Schmitta Oskar a r\u016f\u017eov\u00e1 pan\u00ed, kter\u00fd sv\u00e9mu l\u00e9ka\u0159i u\u0161t\u011bd\u0159il lekci pokory. O tento z\u00e1\u017eitek se pod\u011bl\u00edm s kolegy s pomoc\u00ed Vladim\u00edra Hausera herce Divadla Husa na prov\u00e1zku,\u201c \u0159\u00edk\u00e1 l\u00e9ka\u0159ka.<\/p>\n<p>Kongres prim\u00e1rn\u00ed p\u00e9\u010de kon\u010d\u00ed v sobotu odpoledne. V\u00edce informac\u00ed je na http:\/\/ahou.cz\/kongres\/.<\/p>\n<p>Tiskov\u00e1 zpr\u00e1va<\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>L\u00e9ka\u0159 je l\u00e9kem s\u00e1m o sob\u011b \u2013 mus\u00ed se um\u011bt d\u00e1vkovat a zn\u00e1t svoje ne\u017e\u00e1douc\u00ed \u00fa\u010dinky. Toto bude jedna z v\u011bt, kterou usly\u0161\u00ed 1500 l\u00e9ka\u0159\u016f <a class=\"mh-excerpt-more\" href=\"https:\/\/www.invarena.cz\/?p=30187\" title=\"Praktici se nau\u010d\u00ed poznat psychopata a zasm\u00e1t se v ordinaci\">[&#8230;]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":15130,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-30187","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-zdravi"],"_links":{"self":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/30187","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=30187"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/30187\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/15130"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=30187"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=30187"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=30187"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}