{"id":32248,"date":"2019-09-15T22:46:34","date_gmt":"2019-09-15T20:46:34","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=32248"},"modified":"2019-09-15T22:53:06","modified_gmt":"2019-09-15T20:53:06","slug":"je-pri-ztp-prispevek-na-dve-naslouchadla","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=32248","title":{"rendered":"Je p\u0159i ZTP p\u0159\u00edsp\u011bvek na dv\u011b naslouchadla?"},"content":{"rendered":"

DOTAZ: m\u00e1 osoba ZTP n\u00e1rok na n\u011bjak\u00fd p\u0159\u00edsp\u011bvek na po\u0159\u00edzen\u00ed naslouchadel na ob\u011b u\u0161i?<\/strong><\/p>\n

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

Vlastnictv\u00ed pr\u016fkazu ZTP samo o sob\u011b n\u00e1rok na p\u0159\u00edsp\u011bvek na po\u0159\u00edzen\u00ed naslouchadel na ob\u011b u\u0161i nezakl\u00e1d\u00e1. Obvykle sluchov\u011b posti\u017een\u00e1 dosp\u011bl\u00e1 osoba dostane p\u0159\u00edsp\u011bvek na pouze jedno sluchadlo jednou za p\u011bt let. V\u00fd\u0161e p\u0159\u00edsp\u011bvku je odstup\u0148ov\u00e1na dle z\u00e1va\u017enosti sluchov\u00e9 ztr\u00e1ty.<\/p>\n

U d\u011bt\u00ed do 18 let je v\u017edy p\u0159\u00edsp\u011bvek na po\u0159\u00edzen\u00ed obou sluchadel. Nad 18 let v\u011bku se ji\u017e poskytuje p\u0159\u00edsp\u011bvek pouze na jedno sluchadlo.<\/p>\n

Jedna v\u00fdjimka v\u0161ak p\u0159ece jen u dosp\u011bl\u00fdch (nad 18 let) existuje, a to u hluchoslep\u00fdch<\/strong>. Pro p\u0159edpis sluchadel pro hluchoslep\u00e9 binaur\u00e1ln\u011b je d\u016fle\u017eit\u00e9 splnit n\u00e1sleduj\u00edc\u00ed krit\u00e9ria pro z\u00e1va\u017enost kombinovan\u00e9ho posti\u017een\u00ed sluchu i zraku.<\/p>\n

Krit\u00e9riem z hlediska ORL pro za\u0159azen\u00ed poji\u0161t\u011bnce mezi hluchoslep\u00e9<\/strong> je oboustrann\u00e1 st\u0159edn\u011b t\u011b\u017ek\u00e1 nedosl\u00fdchavost (ztr\u00e1ta sluchu od 40 dB na frekvenc\u00edch 500, 1000 a 2000 Hz na l\u00e9pe sly\u0161\u00edc\u00edm uchu, ztr\u00e1ta sluchu sly\u0161en\u00ed 40-65%) podle t\u00f3nov\u00e9ho audiogramu.<\/p>\n

Ve v\u00fdjime\u010dn\u00fdch p\u0159\u00edpadech lze \u017e\u00e1dat o p\u0159id\u011blen\u00ed sluchadel podle pravidel pro hluchoslep\u00e9 poji\u0161t\u011bnce i u ztr\u00e1t ni\u017e\u0161\u00edch (od 30 dB na frekvenc\u00edch 500,1000 a 2000 Hz) nebo i u jednostrann\u00fdch ztr\u00e1t (p\u0159i pr\u016fm\u011brn\u00e9 ztr\u00e1t\u011b na posti\u017een\u00e9m uchu 40 dB), jsou-li k tomu z\u00e1va\u017en\u00e9 d\u016fvody (nap\u0159. dal\u0161\u00ed t\u011blesn\u00e9 posti\u017een\u00ed) a m\u00e1-li sluchadlo prokazateln\u00fd efekt. \u017d\u00e1dost v tomto p\u0159\u00edpad\u011b mus\u00ed b\u00fdt velmi podrobn\u011b zdokumentov\u00e1na a zd\u016fvodn\u011bna.<\/p>\n

Posouzen\u00ed vady zraku:<\/strong>
\na) visus s\u00a0optim\u00e1ln\u00ed korekc\u00ed 6\/60 na lep\u0161\u00edm oku a hor\u0161\u00ed
\nb) koncentrick\u00e9 z\u00fa\u017een\u00ed zorn\u00e9ho pole na lep\u0161\u00edm oku ke 30 stup\u0148\u016fm bez ohledu na visus
\nc) visus s\u00a0optim\u00e1ln\u00ed korekc\u00ed 6\/60 \u2013 6\/24 na lep\u0161\u00edm oku
\nd) zm\u011bny na zorn\u00e9m poli v\u00e1\u017en\u011bj\u0161\u00edho charakteru (kvadrantov\u00e9 v\u00fdpady, hemianopsie, apod.) bez ohledu na visus
\ne) visus s\u00a0optim\u00e1ln\u00ed korekc\u00ed 6\/18 na lep\u0161\u00edm oku nebo m\u00e9n\u011b v\u00e1\u017en\u00e9 zm\u011bny na zorn\u00e9m poli bez ohledu na visus.<\/p>\n

Pro p\u0159edpis sluchadel pro hluchoslep\u00e9ho je prvo\u0159ad\u00e9 stanovisko pov\u011b\u0159en\u00e9ho oftalmologick\u00e9ho pracovi\u0161t\u011b s ozna\u010den\u00edm S4 \u2013 vybran\u00e1 pracovi\u0161t\u011b \u010ceskou odbornou oftalmologickou spole\u010dnost\u00ed J. E. Purkyn\u011b, kter\u00e1 mohou p\u0159edepisovat n\u00e1kladn\u00e9 optick\u00e9 pom\u016fcky slabozrak\u00fdm klient\u016fm, stanovisko odborn\u00e9ho l\u00e9ka\u0159e FON, OTO S3.<\/p>\n

Pracovi\u0161t\u011b S4 vypln\u00ed I. a III. \u010d\u00e1st tiskopisu (tiskopis dod\u00e1n pracovi\u0161t\u00edm S4). Sou\u010d\u00e1st\u00ed tiskopisu je i vyj\u00e1d\u0159en\u00ed praktick\u00e9ho l\u00e9ka\u0159e, p\u0159\u00edpadn\u011b dal\u0161\u00edho specialisty, hodnot\u00edc\u00ed dal\u0161\u00ed zdravotn\u00ed posti\u017een\u00ed. Foniatr (FON) nebo l\u00e9ka\u0159 OTO S3 po vy\u0161et\u0159en\u00ed sluchu na z\u00e1klad\u011b z\u00e1v\u011bru pov\u011b\u0159en\u00e9ho oftalmologa rozhodne, \u017ee poji\u0161t\u011bnce lze pova\u017eovat za hluchoslep\u00e9ho a maj\u00edc\u00edho n\u00e1rok na p\u0159id\u011blen\u00ed binaur\u00e1ln\u00edch sluchadel hrazen\u00fdch z ve\u0159ejn\u00e9ho zdravotn\u00edho poji\u0161t\u011bn\u00ed.<\/p>\n

Postup p\u0159i p\u0159edepisov\u00e1n\u00ed sluchadel binaur\u00e1ln\u011b<\/h3>\n
    \n
  1. Praktick\u00fd l\u00e9ka\u0159 a oftalmolog vybav\u00ed pacienta p\u0159\u00edslu\u0161nou zdravotn\u00ed dokumentac\u00ed (o\u010dn\u00ed vy\u0161et\u0159en\u00ed a popis celkov\u00e9ho zdravotn\u00edho stavu pacienta) a doporu\u010d\u00ed k\u00a0opr\u00e1vn\u011bn\u00e9mu o\u010dn\u00edmu l\u00e9ka\u0159i S4 v\u00a0p\u0159\u00edslu\u0161n\u00e9m kraji nebo do CZV FN Motol.<\/li>\n
  2. Tiskopis \u2013 \u201eDoporu\u010den\u00ed specialist\u016f k\u00a0p\u0159edpisu kompenza\u010dn\u00edch pom\u016fcek pro hluchoslep\u00e9<\/b>\u201c (ve dvou vyhotoven\u00edch) obdr\u017e\u00ed pacient u p\u0159\u00edslu\u0161n\u00e9ho krajsk\u00e9ho opr\u00e1vn\u011bn\u00e9ho oftalmologa S4 nebo v\u00a0Centru zrakov\u00fdch vad, kde oftalmolog pacienta vy\u0161et\u0159\u00ed, vypln\u00ed \u010d\u00e1st I. a III. tiskopisu. Origin\u00e1l a jednu kopii p\u0159ed\u00e1 pacientovi k\u00a0dopln\u011bn\u00ed v\u00fdsledk\u016f dal\u0161\u00edch vy\u0161et\u0159en\u00ed. P\u0159\u00edpadn\u011b m\u016f\u017ee rozhodnout, zda je nutn\u00fd je\u0161t\u011b posudek klinick\u00e9ho psychologa z\u00a0CZV FN Motol. (V p\u0159\u00edpad\u011b vady zraku dle bodu e) s\u00a0ji\u017e vypln\u011bnou \u010d\u00e1st\u00ed I., II., III., psycholog dopln\u00ed \u010d\u00e1st IV.)<\/li>\n
  3. S takto vypln\u011bn\u00fdm tiskopisem nav\u0161t\u00edv\u00ed pacient foniatra nebo odborn\u00e9ho l\u00e9ka\u0159e ORL, kter\u00fd rozhodne na z\u00e1klad\u011b p\u0159edchoz\u00edch vy\u0161et\u0159en\u00ed a na z\u00e1klad\u011b sv\u00e9ho vy\u0161et\u0159en\u00ed, zda pacient m\u00e1 n\u00e1rok na sluchadla hrazen\u00e1 poji\u0161\u0165ovnou ve v\u00fd\u0161i ur\u010den\u00e9 pro hluchoslep\u00e9. Vypln\u00ed odd\u00edl V. a vystav\u00ed na tato sluchadla poukaz a za\u0161le spolu s\u00a0kopi\u00ed tiskopisu \u2013 \u201eDoporu\u010den\u00ed specialist\u016f k\u00a0p\u0159edpisu kompenza\u010dn\u00edch pom\u016fcek pro hluchoslep\u00e9<\/b>\u201c p\u0159\u00edslu\u0161n\u00e9mu revizn\u00edmu l\u00e9ka\u0159i k\u00a0odsouhlasen\u00ed podle s\u00eddla zdravotnick\u00e9ho za\u0159\u00edzen\u00ed p\u0159edepisuj\u00edc\u00edho sluchadla. Origin\u00e1l \u201etiskopisu\u201c bude ponech\u00e1n pacientovi.<\/li>\n
  4. Revizn\u00ed l\u00e9ka\u0159 ZP sv\u00e9 vyj\u00e1d\u0159en\u00ed postoup\u00ed Komisi \u0159e\u0161\u00edc\u00ed problematick\u00e9 p\u0159\u00edpady v\u00a0p\u0159id\u011blov\u00e1n\u00ed sluchadel; rozhodnut\u00ed Komise obdr\u017e\u00ed zp\u011bt p\u0159edepisuj\u00edc\u00ed foniatr nebo ORL l\u00e9ka\u0159.\n

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

    DOTAZ: m\u00e1 osoba ZTP n\u00e1rok na n\u011bjak\u00fd p\u0159\u00edsp\u011bvek na po\u0159\u00edzen\u00ed naslouchadel na ob\u011b u\u0161i?<\/p>\n<\/div>","protected":false},"author":1,"featured_media":16054,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[18],"tags":[],"class_list":["post-32248","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\/32248","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=32248"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/32248\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/16054"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=32248"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=32248"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=32248"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}