{"id":33093,"date":"2020-01-08T16:45:17","date_gmt":"2020-01-08T15:45:17","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=33093"},"modified":"2020-01-09T11:33:40","modified_gmt":"2020-01-09T10:33:40","slug":"jsem-tezce-nedoslychavy-mam-narok-na-id","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=33093","title":{"rendered":"Jsem t\u011b\u017ece nedosl\u00fdchav\u00fd, m\u00e1m n\u00e1rok na ID?"},"content":{"rendered":"\n<p><strong>DOTAZ: Byl jsem projedn\u00e1n a moje \u017e\u00e1dost byla zam\u00edtnuta. ID jsem si \u017e\u00e1dal z d\u016fvodu, \u017ee na lev\u00fd ucho nesly\u0161\u00edm 100% a na prav\u00fd 70,3%, celkov\u00e1 ztr\u00e1ta sluchu je 77,7%. ztr\u00e1tu sluchu m\u00e1m od d\u011btstv\u00ed, m\u00e1m n\u00e1rok na ID?<\/strong><\/p>\n\n\n\n\n\n<p><strong>Odpov\u011b\u010f:<\/strong><\/p>\n\n\n\n<p> Sluchov\u011b posti\u017een\u00fd je invalidn\u00ed, jestli\u017ee z d\u016fvodu dlouhodob\u011b nep\u0159\u00edzniv\u00e9ho zdravotn\u00edho stavu nastal pokles jeho pracovn\u00ed schopnosti nejm\u00e9n\u011b o 35 %.<br> Jestli\u017ee pracovn\u00ed schopnost poji\u0161t\u011bnce poklesla:<br> a. nejm\u00e9n\u011b o 35 %, av\u0161ak nejv\u00edce o 49 %, jedn\u00e1 se o invaliditu prvn\u00edho stupn\u011b,<br> b. nejm\u00e9n\u011b o 50 %, av\u0161ak nejv\u00edce o 69 %, jedn\u00e1 se o invaliditu druh\u00e9ho stupn\u011b,<br> c. nejm\u00e9n\u011b o 70 %, jedn\u00e1 se o invaliditu t\u0159et\u00edho stupn\u011b.\u201a<br><\/p>\n\n\n\n<p>Z \u00fadaje o ztr\u00e1t\u011b 70 % podle FW odhaduji, \u017ee m\u00e1te na lep\u0161\u00edm uchu ztr\u00e1tu mezi 65 dB a\u017e 70 dB ve frekvenc\u00edch 500Hz, 1000 Hz a 2000 Hz. Spad\u00e1 tak do kategorie t\u011b\u017ek\u00e9 nedosl\u00fdchavosti. <\/p>\n\n\n\n<p>P\u0159i znalosti pouze \u010d\u00e1ste\u010dn\u00fdch informac\u00ed, lze orienta\u010dn\u011b uv\u00e9st, \u017ee byste mohl m\u00edt n\u00e1rok na invalidn\u00ed d\u016fchod 1. stupn\u011b. Na tento ID maj\u00ed n\u00e1rok osoby s oboustrannou praktickou hluchotou, s oboustrannou t\u011b\u017ekou nedosl\u00fdchavost\u00ed p\u0159i pou\u017e\u00edv\u00e1n\u00ed sluchadel s omezen\u00fdmi komunika\u010dn\u00edmi mo\u017enostmi, bez odez\u00edr\u00e1n\u00ed rozum\u011bn\u00ed pouze b\u011b\u017en\u00fdm komunika\u010dn\u00edm fr\u00e1z\u00edm a frekventovan\u00fdm slovn\u00edm spojen\u00edm, je zachov\u00e1na schopnost identifikovat obecn\u00e9 zvuky.  <\/p>\n\n\n\n<p>Z\u00e1le\u017eelo tedy na tom, jak s korekc\u00ed sluchadlem dopadne slovn\u00ed audiometrie, jak\u00e9 budou va\u0161e komunika\u010dn\u00ed schopnosti p\u0159i korekci sluchadly.  Proto\u017ee v\u0161ak byla korekce sluchadlem p\u0159i vy\u0161et\u0159en\u00ed z\u0159ejm\u011b dobr\u00e1 a p\u0159i korekci sluchadlem jste patrn\u011b rozum\u011bl i m\u00e9n\u011b b\u011b\u017en\u00fdm a m\u00e9n\u011b frekventovan\u00fdm komunika\u010dn\u00edm fr\u00e1z\u00edm a spojen\u00edm, nebyl v\u00e1m n\u00e1rok p\u0159izn\u00e1n. Z\u00e1le\u017e\u00ed i na tom, jak\u00e9 je va\u0161e pracovn\u00ed prost\u0159ed\u00ed dle va\u0161\u00ed kvalifikace. Pokud se jedn\u00e1 o relativn\u011b nehlu\u010dn\u00e9 kancel\u00e1\u0159sk\u00e9 prost\u0159ed\u00ed, kde m\u00e1te dobr\u00e9 komunika\u010dn\u00ed mo\u017enosti, pak sn\u00ed\u017een\u00ed pracovn\u00edho potenci\u00e1lu nedosahuje takov\u00e9 \u00farovn\u011b, aby vznikl n\u00e1rok na ID.       <\/p>\n\n\n\n<p>Ob\u011b prvn\u00ed podm\u00ednky spl\u0148ujete. Jde tedy o to, zda i s mo\u017enost\u00ed odez\u00edr\u00e1n\u00ed m\u00e1te komunika\u010dn\u00ed probl\u00e9my a zda m\u00e1te n\u011bjak\u00e9 probl\u00e9my v pracovn\u00edm prost\u0159ed\u00ed.  <\/p>\n\n\n\n<p> Podle m\u00fdch zku\u0161enost\u00ed i osoby s oboustrannou hluchotou, komunikuj\u00edc\u00ed v\u00fdhradn\u011b znakovkou, maj\u00ed ID pouze 1. stupn\u011b, tak\u017ee zam\u00edtnut\u00ed va\u0161\u00ed \u017e\u00e1dosti nen\u00ed p\u0159ekvapiv\u00e9. .<\/p>\n\n\n\n<p>Nicm\u00e9n\u011b doporu\u010duji, jakmile dojde i k jen m\u00edrn\u00e9mu zhor\u0161en\u00ed sluchu na lep\u0161\u00edm uchu nap\u0159. v d\u016fsledku st\u00e1\u0159\u00ed nebo u\u0161n\u00edho onemocn\u011bn\u00ed, abyste si o invalidn\u00ed d\u016fchod za\u017e\u00e1dal znovu s p\u0159edlo\u017een\u00edm aktu\u00e1ln\u00ed l\u00e9ka\u0159sk\u00e9 zpr\u00e1vy, pokud mo\u017eno s vy\u0161et\u0159en\u00edm slovn\u00ed audiometrie s patrn\u00fdm zhor\u0161en\u00edm ve v\u00fdsledku. .<\/p>\n\n\n\n<p>Bohu\u017eel nem\u00e1te ani n\u00e1rok na pr\u016fkaz ZTP a na p\u0159\u00edsp\u011bvek na mobilitu, proto\u017ee tento n\u00e1rok vznik\u00e1 a\u017e p\u0159i celkov\u00e9 ztr\u00e1t\u011b podle Fowlera 85% a v\u00edce (va\u0161e celkov\u00e1 ztr\u00e1ta \u010din\u00ed 77,7 %, je tedy mo\u017en\u00e9, \u017ee p\u0159i dal\u0161\u00edm zhor\u0161en\u00ed sluchu byste u\u017e na tuto hranici mohl dos\u00e1hnout).  K t\u00e9to skute\u010dnosti z\u0159ejm\u011b posudkov\u00e1 komise rovn\u011b\u017e p\u0159ihl\u00ed\u017e\u00ed.   <\/p>\n\n\n\n<p>P\u0159ikl\u00e1d\u00e1m druhy posti\u017een\u00ed a s nimi spojenou m\u00edru poklesu pracovn\u00ed schopnosti:<br> M\u00edra poklesu pracovn\u00ed schopnosti v %<br> 1.  Oboustrann\u00e1 praktick\u00e1 hluchota<br> ztr\u00e1ta sluchu p\u0159i t\u00f3nov\u00e9 audiometrii v rozsahu 70-90 dB, zbytkov\u00fd sluch se ztr\u00e1tou sly\u0161en\u00ed 85-90%,  sluchov\u011b posti\u017een\u00fd je schopen vn\u00edmat zvuk mluven\u00e9 \u0159e\u010di jen se sluchadlem, ale rozum\u00ed mu jen minim\u00e1ln\u011b (z 10-15%) 40<br> 2  Oboustrann\u00e1 \u00fapln\u00e1 hluchota, neschopnost sly\u0161et zvuky a rozum\u011bt \u0159e\u010di ani s nejv\u00fdkonn\u011bj\u0161\u00edm sluchadlem<br> 50-60<br> 3  Oboustrann\u00e1 \u00fapln\u00e1 nebo praktick\u00e1 hluchota, se z\u00e1va\u017en\u00fdm posti\u017een\u00edm intelektu nebo zraku na \u00farovni t\u011b\u017ek\u00e9 slabozrakosti obou o\u010d\u00ed<br> 70-80<br> 4 Hluchota s poruchami komunikace po implantaci kochle\u00e1rn\u00ed nebo kmenov\u00e9 neuroprot\u00e9zy (kmenov\u00fd implant\u00e1t)<br> 4a  schopnost rozum\u011bn\u00ed \u0159e\u010di bez odez\u00edr\u00e1n\u00ed, telefonov\u00e1n\u00ed, komunikace na \u00farovni lehk\u00e9 nedosl\u00fdchavosti<br> 15<br> 4b  schopnost bez odez\u00edr\u00e1n\u00ed rozum\u011bt b\u011b\u017en\u00fdm fr\u00e1z\u00edm a frekventovan\u00fdm slovn\u00edm spojen\u00edm, identifikovat obecn\u00e9 zvuky, komunikace na \u00farovni st\u0159edn\u011b t\u011b\u017ek\u00e9 a\u017e t\u011b\u017ek\u00e9 nedosl\u00fdchavosti, podle rozsahu poruchy<br> 20-35<br> 4c  diferenciace jen obecn\u00fdch zvuk\u016f, detekce zvuku, minim\u00e1ln\u00ed rozum\u011bn\u00ed \u0159e\u010di, komunikace na \u00farovni praktick\u00e9 hluchoty nebo neschopnost sly\u0161et zvuky a rozum\u011bt \u0159e\u010di, komunikace na \u00farovni \u00fapln\u00e9 hluchoty, podle rozsahu poruchy<br> 40-60<br> 5  Oboustrann\u00e1 t\u011b\u017ek\u00e1 nedosl\u00fdchavost <br> ztr\u00e1ta sluchu v rozsahu 56-69 dB, ztr\u00e1ta sly\u0161en\u00ed 65-84%<br> 5a  p\u0159i pou\u017e\u00edv\u00e1n\u00ed sluchadel s dobr\u00fdmi komunika\u010dn\u00edmi schopnostmi<br> 25<br> 5b  p\u0159i pou\u017e\u00edv\u00e1n\u00ed sluchadel s omezen\u00fdmi komunika\u010dn\u00edmi schopnostmi, bez odez\u00edr\u00e1n\u00ed rozum\u011bn\u00ed pouze b\u011b\u017en\u00fdm fr\u00e1z\u00edm a frekventovan\u00fdm slovn\u00edm spojen\u00edm, schopnost identifikovat obecn\u00e9 zvuky<br> 35 <br> 6  Oboustrann\u00e1 st\u0159edn\u011b t\u011b\u017ek\u00e1 nedosl\u00fdchavost<br> ztr\u00e1ta sluchu v rozsahu 41-55 dB, ztr\u00e1ta sly\u0161en\u00ed 40-64%<br> 20<br> 7  Oboustrann\u00e1 lehk\u00e1 nedosl\u00fdchavost<br> ztr\u00e1ta sluchu v rozsahu 20-40 dB, ztr\u00e1ta sly\u0161en\u00ed 10-39%<br> 10<\/p>\n\n\n\n<p>Jan \u010cin\u010dura<br>redakce invArena<\/p>\n\n\n<p><!--EndFragment--><\/p>\n\n\n<p><br><\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>DOTAZ: Byl jsem projedn\u00e1n a moje \u017e\u00e1dost byla zam\u00edtnuta. ID jsem si \u017e\u00e1dal z d\u016fvodu, \u017ee na lev\u00fd ucho nesly\u0161\u00edm 100% a na prav\u00fd 70,3%, <a class=\"mh-excerpt-more\" href=\"https:\/\/www.invarena.cz\/?p=33093\" title=\"Jsem t\u011b\u017ece nedosl\u00fdchav\u00fd, m\u00e1m n\u00e1rok na ID?\">[&#8230;]<\/a><\/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-33093","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\/33093","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=33093"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/33093\/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=33093"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=33093"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=33093"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}