{"id":32047,"date":"2019-08-09T14:23:35","date_gmt":"2019-08-09T12:23:35","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=32047"},"modified":"2019-08-09T14:28:41","modified_gmt":"2019-08-09T12:28:41","slug":"rozviji-se-u-nej-dusevni-nemoc-jak-jej-dostaneme-k-lekari","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=32047","title":{"rendered":"Rozv\u00edj\u00ed se u n\u011bj du\u0161evn\u00ed nemoc. Jak jej dostaneme k l\u00e9ka\u0159i?"},"content":{"rendered":"

DOTAZ: Jde o m\u00e9ho syna, je mu 33 let. M\u00e1me pocit s man\u017eelkou, \u017ee se u n\u011bj vyvinula du\u0161evn\u00ed nemoc. Jednoho dne n\u00e1m ozn\u00e1mil, \u017ee nem\u016f\u017ee chodit ven z bytu, p\u0159estal chodit do pr\u00e1ce, \u017ee ho n\u011bkdo sleduje. Na posledn\u00ed n\u00e1v\u0161t\u011bv\u011b u n\u00e1s \u0161eptal, cht\u011bl zat\u00e1hnout \u017ealuzie a za oknem byly sami agenti, necht\u011bl ani taxi, museli jsme ho dopravit sami. On si mysli, \u017ee je v po\u0159\u00e1dku. Jsme ne\u0161\u0165astn\u00ed a nev\u00edme jak ho donutit, aby nav\u0161t\u00edvil l\u00e9ka\u0159e\/to odm\u00edt\u00e1\/. M\u00e1me obavy, \u017ee si n\u011bco provede. Pora\u010fte n\u00e1m, jak ho donutit na odborn\u00e9 vy\u0161et\u0159en\u00ed.<\/strong><\/p>\n

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ilustra\u010dn\u00ed foto: MorgueFile<\/p>\n

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Odpov\u011b\u010f:<\/strong><\/p>\n

V tomto p\u0159\u00edpad\u011b bude va\u0161e podez\u0159en\u00ed na psychiatrick\u00e9 onemocn\u011bn\u00ed patrn\u011b opr\u00e1vn\u011bn\u00e9.<\/p>\n

B\u011b\u017en\u00e1 praxe je takov\u00e1, \u017ee pokud rodina nen\u00ed schopna nemocn\u00e9ho k l\u00e9\u010db\u011b p\u0159esv\u011bd\u010dit, existuje mo\u017enost nedobrovoln\u00e9 hospitalizace a l\u00e9\u010dby, a to tehdy, kdy\u017e je nemocn\u00fd nebezpe\u010dn\u00fd<\/strong> sob\u011b nebo sv\u00e9mu okol\u00ed. Pak lze zavolat z\u00e1chranku, kter\u00e1 pacienta doprav\u00ed k psychiatrick\u00e9mu vy\u0161et\u0159en\u00ed. Pokud psychiatr shled\u00e1 pacienta nebezpe\u010dn\u00fdm, m\u016f\u017ee na\u0159\u00eddit nedobrovolnou hospitalizaci, kterou ov\u0161em mus\u00ed nahl\u00e1sit soudu.<\/p>\n

Av\u0161ak na\u0159izovat n\u011bkomu, \u017ee se mus\u00ed l\u00e9\u010dit, i kdy\u017e jeho p\u0159\u00edznaky nejsou natolik z\u00e1va\u017en\u00e9, \u017ee by mohl ubl\u00ed\u017eit sob\u011b nebo jin\u00e9mu, nen\u00ed podle sou\u010dasn\u00e9 zdravotnick\u00e9 legislativy mo\u017en\u00e9. Bohu\u017eel dnes je to po\u0159\u00e1d je\u0161t\u011b p\u0159ev\u00e1\u017en\u011b tak, \u017ee se \u010dek\u00e1 na mal\u00e9r a potom situaci \u0159e\u0161\u00ed z\u00e1chranka a policie. P\u0159itom rodiny o probl\u00e9mu v\u011bd\u00ed, ale kdy\u017e pot\u0159ebn\u00fd \u010dlov\u011bk nechce j\u00edt k l\u00e9ka\u0159i, nemaj\u00ed na koho se obr\u00e1tit.<\/p>\n

Psychiatr obvykle nem\u00e1 n\u011bjak\u00e9 mo\u017enosti potenci\u00e1ln\u00edho pacienta do sv\u00e9 ordinace p\u0159iv\u00e9zt, obvykle nem\u00e1 z\u0159\u00edzence, kter\u00fd by d\u011blal v\u00fdjezdy do ter\u00e9nu.<\/p>\n

Psychiatr m\u016f\u017ee v p\u0159\u00edpad\u011b, \u017ee se od p\u0159\u00edbuzn\u00fdch pacienta dozv\u00ed, \u017ee se jeho p\u0159\u00edznaky v\u00fdznamn\u011b zhor\u0161uj\u00ed, po\u017e\u00e1dat praktick\u00e9ho l\u00e9ka\u0159e, aby v rodin\u011b provedl n\u00e1v\u0161t\u011bvu, situaci posoudil a pacientovi l\u00e9\u010den\u00ed na psychiatrii doporu\u010dil. Na pacienta mnohdy autorita l\u00e9ka\u0159e zap\u016fsob\u00ed a psychiatra nav\u0161t\u00edv\u00ed.<\/p>\n

Obdobnou n\u00e1v\u0161t\u011bvu m\u016f\u017ee prov\u00e9st i psycholo\u017eka, pokud j\u00ed tento v\u00fdkon zdravotn\u00ed poji\u0161\u0165ovna zaplat\u00ed a pokud j\u00ed to vyt\u00ed\u017een\u00fd program dovol\u00ed.<\/p>\n

V posledn\u00ed dob\u011b se v\u0161ak hovo\u0159\u00ed o zaveden\u00ed ter\u00e9nn\u00ed slu\u017eby jako jedn\u00edm z c\u00edl\u016f p\u0159ipravovan\u00e9 reformy p\u00e9\u010de o lidi s du\u0161evn\u00edmi probl\u00e9my. M\u011bly by vzniknout t\u00fdmy, kter\u00e9 za pacienty zam\u00ed\u0159\u00ed p\u0159\u00edmo dom\u016f. Jde o takzvanou \u010dasnou intervenci, aby lid\u00e9 dostali podporu co nejd\u0159\u00edve po objeven\u00ed p\u0159\u00edznak\u016f. Nap\u0159\u00edklad v Praze ji\u017e existuj\u00ed dva pilotn\u00ed t\u00fdmy, jeden v Podskal\u00ed a druh\u00fd v Praze 8.<\/p>\n

Se \u017e\u00e1dost\u00ed o radu se doporu\u010duji obr\u00e1tit p\u0159edev\u0161\u00edm na nejbli\u017e\u0161\u00edho psychiatra a nechat si poradit postup, jak m\u00e1 rodina posti\u017een\u00e9ho p\u0159im\u011bt k l\u00e9\u010db\u011b. Stejn\u011b tak V\u00e1m m\u016f\u017ee poradit i psycholo\u017eka.<\/p>\n

D\u016fle\u017eitou roli maj\u00ed tak\u00e9 asociace rodinn\u00fdch p\u0159\u00edslu\u0161n\u00edk\u016f du\u0161evn\u011b nemocn\u00fdch, co\u017e jsou sdru\u017een\u00ed lid\u00ed s podobn\u00fdm osudem, jako m\u00e1te Vy, kde V\u00e1m mohou pomoci radou a vlastn\u00edmi zku\u0161enostmi. Sdru\u017een\u00ed pomoci du\u0161evn\u011b nemocn\u00fdm \u010cR z.s.<\/strong> m\u00e1 \u0159adu region\u00e1ln\u00e1\u00edch spolk\u016f.<\/p>\n

Pomoci m\u016f\u017ee i tzv. peer konzultant<\/strong> \u010di peer pracovn\u00edk, kter\u00fd pracuje v soci\u00e1ln\u00edch slu\u017eb\u00e1ch a m\u00e1 stejnou zku\u0161enost nebo probl\u00e9m jako du\u0161evn\u011b nemocn\u00fd. Funguje jako jak\u00fdsi d\u016fv\u011brn\u00edk, poradce, n\u011bkdo, kdo m\u00e1 stejn\u00e9 onemocn\u011bn\u00ed, ale \u00fasp\u011b\u0161n\u011b se l\u00e9\u010d\u00ed. Vhodn\u00e9 je tedy obr\u00e1tit se na n\u011bkterou z organizac\u00ed soci\u00e1ln\u00edch slu\u017eeb<\/strong> zam\u011b\u0159en\u00fdch na c\u00edlovou skupinu lid\u00ed s du\u0161evn\u00edm onemocn\u011bn\u00edm.<\/p>\n

Mo\u017enosti k \u0159e\u0161en\u00ed tedy existuj\u00ed, je t\u0159eba kontaktovat m\u00edstn\u00ed p\u0159\u00edslu\u0161n\u00e9 odborn\u00edky, nechat si od nich poradit a vyu\u017e\u00edt v maxim\u00e1ln\u00ed m\u00ed\u0159e slu\u017eeb, kter\u00e9 jsou v regionu va\u0161eho bydli\u0161t\u011b poskytov\u00e1ny, v\u010detn\u011b asistence.<\/div>\n
<\/div>\n
MUDr. Jan \u010cin\u010dura<\/div>\n

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 <\/p>\n","protected":false},"excerpt":{"rendered":"

DOTAZ: Jde o m\u00e9ho syna, je mu 33 let. M\u00e1me pocit s man\u017eelkou, \u017ee se u n\u011bj vyvinula du\u0161evn\u00ed nemoc. Jednoho dne n\u00e1m ozn\u00e1mil, \u017ee […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":21147,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[18],"tags":[],"class_list":["post-32047","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\/32047","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=32047"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/32047\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/21147"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=32047"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=32047"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=32047"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}