{"id":31504,"date":"2019-04-12T14:41:30","date_gmt":"2019-04-12T12:41:30","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=31504"},"modified":"2019-04-12T17:03:09","modified_gmt":"2019-04-12T15:03:09","slug":"potrebuji-polohovaci-postel-dostanu-ji","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=31504","title":{"rendered":"Pot\u0159ebuji polohovac\u00ed postel, dostanu ji?"},"content":{"rendered":"<p><strong>DOTAZ: M\u00e1 n\u00e1rok na polohovac\u00ed postel elektrickou pacient s roztrou\u0161enou skler\u00f3zou? Pob\u00edr\u00e1 p\u0159\u00edsp\u011bvek na p\u00e9\u010di 3. stupn\u011b a je pln\u011b imobiln\u00ed. <\/strong><!--more--><\/p>\n<p>ilustra\u010dn\u00ed obr\u00e1zek, autor MorgueFile:<\/p>\n<p>&nbsp;<\/p>\n<p><strong>ODPOV\u011a\u010e:<\/strong><\/p>\n<p>L\u016f\u017eko polohovac\u00ed m\u00e1 dv\u011b indika\u010dn\u00ed krit\u00e9ria:<\/p>\n<p>1. pacient bez schopnosti aktivn\u00edho pohybu zcela odk\u00e1zan\u00fd na pomoc druh\u00e9 osoby<br \/>\n2. pacient trvale upoutan\u00fd na l\u016f\u017eko se zbytkovou schopnost\u00ed aktivn\u00ed hybnosti a z\u00e1rove\u0148\u00a0 s onemocn\u011bn\u00edm v\u00fdrazn\u011b zhor\u0161uj\u00edc\u00edm trofiku k\u016f\u017ee a podko\u017e\u00ed, nap\u0159. transvers\u00e1ln\u00ed leze m\u00ed\u0161n\u00ed, posti\u017een\u00ed centr\u00e1ln\u00edho \u010di perifern\u00edho motoneuronu, polyneuropatie metabolick\u00e9ho p\u016fvodu apod.<\/p>\n<p>Pln\u011b imobiln\u00ed pacient s roztrou\u0161enou skler\u00f3zou t\u011bmto indika\u010dn\u00edm krit\u00e9ri\u00edm orienta\u010dn\u011b odpov\u00edd\u00e1.<\/p>\n<p>Zpravidla se polohovac\u00ed l\u016f\u017eko pro dom\u00e1c\u00ed o\u0161et\u0159ov\u00e1n\u00ed p\u0159edepisuje jen pacientovi trvale upoutan\u00e9mu na l\u016f\u017eku a<strong>\u00a0se zv\u00fd\u0161en\u00fdm rizikem tvorby prole\u017eenin.<\/strong> M\u016f\u017ee se jednat o\u00a0pacienta bez schopnosti aktivn\u00edho pohybu zcela odk\u00e1zan\u00e9ho na pomoc druh\u00e9 osoby, nebo o\u00a0pacienta trvale upoutan\u00e9ho na l\u016f\u017eko sice se zbytkovou schopnost\u00ed aktivn\u00ed hybnosti, ale z\u00e1rove\u0148 s\u00a0n\u011bkter\u00fdm z onemocn\u011bn\u00ed v\u00fdrazn\u011b zhor\u0161uj\u00edc\u00edch stav k\u016f\u017ee a\u00a0podko\u017e\u00ed, co\u017e zvy\u0161uje n\u00e1chylnost k\u00a0prole\u017eenin\u00e1m.<\/p>\n<p>P\u0159edepisuj\u00edc\u00ed l\u00e9ka\u0159 by m\u011bl tedy uznat i zv\u00fd\u0161en\u00e9 riziko vzniku prole\u017eenin. D\u00e1le mus\u00ed b\u00fdt spln\u011bn p\u0159edpoklad dlouhodob\u00e9ho o\u0161et\u0159ov\u00e1n\u00ed pacienta v dom\u00e1c\u00edm prost\u0159ed\u00ed.<\/p>\n<p>Tato kompenza\u010dn\u00ed pom\u016fcka je hrazena zdravotn\u00ed poji\u0161\u0165ovnou.<\/p>\n<p>O p\u0159edeps\u00e1n\u00ed poukazu na polohovac\u00ed l\u016f\u017eko je t\u0159eba po\u017e\u00e1dat smluvn\u00edho l\u00e9ka\u0159e poji\u0161\u0165ovny, jeho\u017e odbornost\u00ed je rehabilitace nebo ortopedie nebo neurologie. P\u0159edpis tohoto poukazu v\u0161ak podl\u00e9h\u00e1 schv\u00e1len\u00ed <strong>revizn\u00edm l\u00e9ka\u0159em.<\/strong><\/p>\n<p>\u00dahrada l\u016f\u017eka je tedy revizn\u00edm l\u00e9ka\u0159em schvalov\u00e1na na z\u00e1klad\u011b \u017e\u00e1dosti navrhuj\u00edc\u00edho odborn\u00e9ho l\u00e9ka\u0159e. <strong>P\u0159ednost m\u00e1 ale v\u017edy zap\u016fj\u010den\u00ed repasovan\u00e9ho l\u016f\u017eka.\u00a0<\/strong><\/p>\n<p>\u00dahrada jednoho l\u016f\u017eka je schvalov\u00e1na revizn\u00edm l\u00e9ka\u0159em maxim\u00e1ln\u011b jednou za<strong> 10 let<\/strong>, tedy a\u017e po 10 letech m\u016f\u017eete \u017e\u00e1dat o nov\u00e9. Nemus\u00edte ale dostat poukaz na nov\u00e9 l\u016f\u017eko, p\u0159ednost m\u00e1 op\u011bt v\u017edy zap\u016fj\u010den\u00ed repasovan\u00e9ho l\u016f\u017eka.<\/p>\n<p>Jsou dva typy polohovac\u00edch l\u016f\u017eek &#8211;\u00a0 bu\u010f s mo\u017enost\u00ed<strong> mechanick\u00e9ho nebo elektrick\u00e9ho nastaven\u00ed<\/strong>.<\/p>\n<p>\u00dahrada elektrick\u00e9ho polohovac\u00edho l\u016f\u017eka je mo\u017en\u00e1 v\u00a0p\u0159\u00edpad\u011b, \u017ee pacient je schopen s\u00e1m se polohovat pomoc\u00ed elektrick\u00e9ho nastaven\u00ed l\u016f\u017eka.<\/p>\n<p>V\u00a0ostatn\u00edch p\u0159\u00edpadech je schvalov\u00e1na \u00fahrada polohovac\u00edho l\u016f\u017eka mechanick\u00e9ho. V\u00fdjimkou je situace, kdy ani osoba, kter\u00e1 o pacienta pe\u010duje, nen\u00ed pro svoji poruchu hybnosti prokazateln\u011b schopna obsluhovat polohovac\u00ed l\u016f\u017eko mechanick\u00e9 &#8211; pak m\u00e1 v tomto p\u0159\u00edpad\u011b n\u00e1rok na l\u016f\u017eko elektrick\u00e9. Ov\u0161em tato porucha hybnosti u pe\u010dovatele mus\u00ed b\u00fdt navrhuj\u00edc\u00edm l\u00e9ka\u0159em dolo\u017eena.<\/p>\n<p>Poukaz m\u00e1 platnost 30 dn\u016f; v\u00a0t\u00e9to lh\u016ft\u011b je t\u0159eba ho p\u0159edlo\u017eit dodavateli (nap\u0159. v\u00fddejn\u011b zdravotnick\u00fdch prost\u0159edk\u016f). Polohovac\u00ed l\u016f\u017eko pak bude vyd\u00e1no v s\u00eddle dodavatele, pokud s\u00a0n\u00edm nen\u00ed dohodnuto jinak (dodavatelsk\u00e1 firma zajist\u00ed dopravu na adresu poji\u0161t\u011bnce). Sou\u010d\u00e1st\u00ed p\u0159ed\u00e1n\u00ed je i pou\u010den\u00ed o\u00a0zp\u016fsobu u\u017e\u00edv\u00e1n\u00ed zdravotnick\u00e9ho prost\u0159edku a seps\u00e1n\u00ed Smlouvy o v\u00fdp\u016fj\u010dce s klientem.<\/p>\n<p>Polohovac\u00ed l\u016f\u017eka pat\u0159\u00ed mezi ty zdravotnick\u00e9 prost\u0159edky, kter\u00e9 se pacientovi zap\u016fj\u010duj\u00ed a z\u016fst\u00e1vaj\u00ed majetkem poji\u0161\u0165ovny; p\u0159\u00edpadn\u00e9 poz\u00e1ru\u010dn\u00ed opravy v\u00a0tomto p\u0159\u00edpad\u011b hrad\u00ed poji\u0161\u0165ovna.<\/p>\n<p>Doporu\u010duji prov\u011b\u0159it, zda byste nepot\u0159ebovali tak\u00e9 zved\u00e1k, ten je dod\u00e1v\u00e1n ve t\u0159ech typech:\u00a0 mechanick\u00fd, hydraulick\u00fd, elektrick\u00fd. I zde p\u0159edpis podl\u00e9h\u00e1 schv\u00e1len\u00ed revizn\u00edm l\u00e9ka\u0159em. M\u016f\u017ee b\u00fdt tak\u00e9 vystaven poukaz na polohovac\u00ed za\u0159\u00edzen\u00ed.<\/p>\n<p>MUDr. Ja \u010cin\u010dura<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>DOTAZ: M\u00e1 n\u00e1rok na polohovac\u00ed postel elektrickou pacient s roztrou\u0161enou skler\u00f3zou? Pob\u00edr\u00e1 p\u0159\u00edsp\u011bvek na p\u00e9\u010di 3. stupn\u011b a je pln\u011b imobiln\u00ed.<\/p>\n<\/div>","protected":false},"author":1,"featured_media":31505,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[18],"tags":[],"class_list":["post-31504","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\/31504","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=31504"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/31504\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/31505"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=31504"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=31504"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=31504"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}