{"id":32462,"date":"2019-10-15T12:50:50","date_gmt":"2019-10-15T10:50:50","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=32462"},"modified":"2019-10-15T12:59:07","modified_gmt":"2019-10-15T10:59:07","slug":"zadost-o-pruakz-ztp-byla-zamistnuta-co-muzeme-jeste-udelat","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=32462","title":{"rendered":"\u017d\u00e1dost o pr\u016fkaz ZTP byla zam\u00edtnuta. Co m\u016f\u017eeme je\u0161t\u011b ud\u011blat?"},"content":{"rendered":"<p><strong>DOTAZ: Jak mohu pro svoji dceru, kter\u00e1 je narozena s v\u00fdvojovou vadou a chyb\u00ed ji \u010d\u00e1st lev\u00e9 ruky (od p\u0159edlokt\u00ed) z\u00edskat pr\u016fkaz ZTP, kdy\u017e i p\u0159es ve\u0161kerou snahu, dod\u00e1n\u00ed ve\u0161ker\u00e9 dokumentace, n\u00e1m byla \u017e\u00e1dost zam\u00edtnuta. Dle pr\u00e1vn\u00ed konzultace se specialistou na soci\u00e1ln\u011b pr\u00e1vn\u00ed ochranu d\u011bti dcera m\u00e1 indikaci pro z\u00edsk\u00e1n\u00ed pr\u016fkazu ZTP a j\u00e1 nev\u00edm, co ud\u011blat v\u00edce, aby m\u011bla \u0161anci dostat pr\u016fkaz.<\/strong><!--more--><\/p>\n<p><em>ilustra\u010dn\u00ed sn\u00edmek<\/em><\/p>\n<p><strong>Odpov\u011b\u010f:<\/strong><\/p>\n<p>Va\u0161e \u017e\u00e1dost byla jist\u011b zam\u00edtnuta s n\u011bjak\u00fdm od\u016fvodn\u011bn\u00edm. V n\u011bm by m\u011bli posudkov\u00ed l\u00e9ka\u0159i uv\u00e9st, pro\u010d nepova\u017euj\u00ed posti\u017een\u00ed dcery za natolik z\u00e1va\u017en\u00e9, aby vyhovovalo indika\u010dn\u00edm krit\u00e9ri\u00edm stanoven\u00fdm pro n\u00e1rok na pr\u016fkaz ZTP.<\/p>\n<p>N\u00ed\u017ee uv\u00e1d\u00edme p\u0159ehled indikac\u00ed pro p\u0159izn\u00e1n\u00ed pr\u016fkazu ZTP, kde jsou kompletn\u011b pojmenov\u00e1ny v\u0161echny zdravotn\u00ed stavy, kter\u00e9 odpov\u00eddaj\u00ed t\u011b\u017ek\u00e9mu funk\u010dn\u00edmu posti\u017een\u00ed, kde by m\u011bly b\u00fdt poskytnuty v\u00fdhody spojen\u00e9 s pr\u016fkazem ZTP.<\/p>\n<p>Uv\u00e1d\u00edte, \u017ee dcera m\u00e1 anatomickou ztr\u00e1tu lev\u00e9 ruky od p\u0159edlokt\u00ed. P\u0159i konzultaci n\u00ed\u017ee uveden\u00e9ho p\u0159ehledu zjist\u00edme, \u017ee nejv\u00edce se dan\u00e9mu zdravotn\u00edmu stavu dcery bl\u00ed\u017e\u00ed bod e) anatomick\u00e1 ztr\u00e1ta horn\u00edch kon\u010detin v \u00farovni p\u0159edlokt\u00ed. Bohu\u017eel definice tohoto bodu je koncipov\u00e1na tak, \u017ee se mus\u00ed jednat o takto z\u00e1va\u017en\u00e9 posti\u017een\u00ed u obou horn\u00edch kon\u010detin, nikoli u pouze jedn\u00e9 kon\u010detiny. Z toho d\u016fvodu posti\u017een\u00ed dcery zcela neodpov\u00edd\u00e1 p\u0159ehledu, j\u00edm\u017e se posudkov\u00ed l\u00e9ka\u0159i mus\u00ed \u0159\u00eddit.<\/p>\n<p>Je mo\u017en\u00e9 sice podat \u017e\u00e1dost znovu a doplnit ji o aktu\u00e1ln\u00ed l\u00e9ka\u0159sk\u00e9 zpr\u00e1vy se zam\u011b\u0159en\u00edm na posti\u017een\u00ed dcery, ale p\u0159edpokl\u00e1d\u00e1m, \u017ee by byla znovu zam\u00edtnuta z v\u00fd\u0161e uveden\u00e9ho d\u016fvodu. Jedin\u00e1 mo\u017enost, kter\u00e1 by va\u0161i \u017e\u00e1dost mohla zpr\u016fchodnit, je novelizace p\u0159edpisu, v n\u011bm\u017e je tento p\u0159ehled uveden, a to tak, aby k jeho z\u00edsk\u00e1n\u00ed posta\u010dovala anatomick\u00e1 ztr\u00e1ta i jen jedn\u00e9 horn\u00ed kon\u010detiny od p\u0159edlokt\u00ed. To ov\u0161em p\u0159edstavuje obrovskou pr\u00e1ci s nejist\u00fdm v\u00fdsledkem, kdy je t\u0159eba anga\u017eovat nap\u0159\u00edklad m\u00edstn\u00edho poslance i vrcholnou organizaci, je\u017e h\u00e1j\u00ed z\u00e1jmy zdravotn\u011b posti\u017een\u00fdch, nebo\u0165 tato novelizace se mus\u00ed schv\u00e1lit na p\u016fd\u011b parlamentu, kde je t\u0159eba pro ni z\u00edskat dostate\u010dnou podporu.<\/p>\n<h4 class=\"design-heading--level-1 design-heading\">P\u0159izn\u00e1v\u00e1n\u00ed pr\u016fkazu ZTP se \u0159\u00edd\u00ed z\u00e1konem \u010d. 329\/2011 Sb. o poskytov\u00e1n\u00ed d\u00e1vek osob\u00e1m se zdravotn\u00edm posti\u017een\u00edm &#8211; HLAVA V &#8211; PR\u016eKAZ OSOBY SE ZDRAVOTN\u00cdM POSTI\u017dEN\u00cdM<\/h4>\n<p><strong>Indikace pro z\u00edsk\u00e1n\u00ed pr\u016fkazu ZTP<\/strong><br \/>\nZa podstatn\u00e9 omezen\u00ed schopnosti pohyblivosti a orientace na \u00farovni t\u011b\u017ek\u00e9ho funk\u010dn\u00edho posti\u017een\u00ed pohyblivosti a orientace lze pova\u017eovat tyto zdravotn\u00ed stavy:<\/p>\n<p>a) anatomick\u00e1 ztr\u00e1ta doln\u00ed kon\u010detiny v kolenn\u00edm kloubu nebo v\u00fd\u0161e, exteri\u00e9rov\u00fd u\u017eivatel prot\u00e9zy,<\/p>\n<p>b) anatomick\u00e1 ztr\u00e1ta doln\u00edch kon\u010detin v n\u00e1rtech nebo v n\u00e1rtu a b\u00e9rci,<\/p>\n<p>c) funk\u010dn\u00ed ztr\u00e1ta doln\u00ed kon\u010detiny se ztr\u00e1tou op\u011brn\u00e9 funkce,<\/p>\n<p>d) anatomick\u00e1 ztr\u00e1ta doln\u00ed a horn\u00ed kon\u010detiny v \u00farovni b\u00e9rce a p\u0159edlokt\u00ed,<\/p>\n<p>e) anatomick\u00e1 ztr\u00e1ta horn\u00edch kon\u010detin v \u00farovni p\u0159edlokt\u00ed,<\/p>\n<p>f) t\u011b\u017ek\u00e9 omezen\u00ed funkce dvou kon\u010detin,<\/p>\n<p>g) posti\u017een\u00ed p\u00e1nve prov\u00e1zen\u00e9 t\u011b\u017ek\u00fdmi par\u00e9zami doln\u00edch kon\u010detin nebo z\u00e1va\u017enou nestabilitou p\u00e1nevn\u00edho prstence,<\/p>\n<p>h) posti\u017een\u00ed p\u00e1te\u0159e prov\u00e1zen\u00e9 t\u011b\u017ek\u00fdmi par\u00e9zami kon\u010detin nebo ztuhnut\u00edm t\u0159\u00ed \u00fasek\u016f p\u00e1te\u0159e nebo z\u00e1va\u017en\u00e9 deformity p\u00e1te\u0159e s omezen\u00edm exkurz\u00ed hrudn\u00edku,<\/p>\n<p>i) t\u011b\u017ek\u00e9 posti\u017een\u00ed pohyblivosti a celkov\u00e9 v\u00fdkonnosti ji\u017e p\u0159i lehk\u00e9m zat\u00ed\u017een\u00ed p\u0159i intern\u00edch a onkologick\u00fdch posti\u017een\u00edch,<\/p>\n<p>j) celkov\u00e1 ztr\u00e1ta sluchu podle Fowlera 85% a v\u00edce s neschopnost\u00ed sly\u0161et zvuky a rozum\u011bt \u0159e\u010di i p\u0159es nejlep\u0161\u00ed korekci (oboustrann\u00e1 praktick\u00e1 nebo \u00fapln\u00e1 hluchota) u osoby star\u0161\u00ed 18 let v\u011bku,<\/p>\n<p>k) kombinovan\u00e9 posti\u017een\u00ed sluchu a zraku (hluchoslepota) funk\u010dn\u011b v rozsahu oboustrann\u00e9 st\u0159edn\u011b t\u011b\u017ek\u00e9 nedosl\u00fdchavosti, kterou se rozum\u00ed ztr\u00e1ta sluchu podle Fowlera 40 a\u017e 65%, a oboustrann\u00e9 siln\u00e9 slabozrakosti, kterou se rozum\u00ed zrakov\u00e1 ostrost s nejlep\u0161\u00ed mo\u017enou korekc\u00ed na lep\u0161\u00edm oku, kdy maximum je men\u0161\u00ed ne\u017e 6\/60 a minimum rovn\u00e9 nebo lep\u0161\u00ed ne\u017e 3\/60, nebo oboustrann\u00e9 koncentrick\u00e9 z\u00fa\u017een\u00ed zorn\u00e9ho pole v rozsahu 30 a\u017e 10 stup\u0148\u016f, i kdy\u017e centr\u00e1ln\u00ed ostrost nen\u00ed posti\u017eena,<\/p>\n<p>l) oboustrann\u00e1 t\u011b\u017ek\u00e1 ztr\u00e1ta zraku, kterou se rozum\u00ed zrakov\u00e1 ostrost s korekc\u00ed, kdy maximum je men\u0161\u00ed ne\u017e 3\/60, minimum lep\u0161\u00ed ne\u017e 1\/60,<\/p>\n<p>m) psychick\u00e9 posti\u017een\u00ed s \u010dasto se opakuj\u00edc\u00edmi z\u00e1va\u017en\u00fdmi poruchami komunikace a orientace v exteri\u00e9ru v\u010detn\u011b st\u0159edn\u011b funk\u010dn\u00edho typu autismu,<\/p>\n<p>n) neurodegenerativn\u00ed posti\u017een\u00ed s mnoho\u010detn\u00fdmi hybn\u00fdmi komplikacemi typu rigidity, hypokin\u00e9zy, tremoru, ataxie, mimovoln\u00fdch pohyb\u016f.<\/p>\n<p>redakce invArena<\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>DOTAZ: Jak mohu pro svoji dceru, kter\u00e1 je narozena s v\u00fdvojovou vadou a chyb\u00ed ji \u010d\u00e1st lev\u00e9 ruky (od p\u0159edlokt\u00ed) z\u00edskat pr\u016fkaz ZTP, kdy\u017e i <a class=\"mh-excerpt-more\" href=\"https:\/\/www.invarena.cz\/?p=32462\" title=\"\u017d\u00e1dost o pr\u016fkaz ZTP byla zam\u00edtnuta. Co m\u016f\u017eeme je\u0161t\u011b ud\u011blat?\">[&#8230;]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":4465,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[18],"tags":[],"class_list":["post-32462","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\/32462","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=32462"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/32462\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/4465"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=32462"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=32462"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=32462"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}