{"id":40070,"date":"2023-07-04T07:13:00","date_gmt":"2023-07-04T05:13:00","guid":{"rendered":"https:\/\/www.invarena.cz\/?p=40070"},"modified":"2023-07-04T07:13:14","modified_gmt":"2023-07-04T05:13:14","slug":"vznikne-sit-specializovanych-center-pro-lidi-s-demenci","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=40070","title":{"rendered":"Vznikne s\u00ed\u0165 specializovan\u00fdch center pro lidi s demenc\u00ed?"},"content":{"rendered":"\n<pre class=\"wp-block-preformatted\">Lid\u00ed s demenc\u00ed v \u010cesku setrvale p\u0159ib\u00fdv\u00e1. St\u00e1t proto \u0159e\u0161\u00ed, jak se o n\u011b postarat. M\u00e1 vzniknout s\u00ed\u0165 specializovan\u00fdch center   \n\nZa\u010dalo to jako roztomil\u00e9 zapom\u00edn\u00e1n\u00ed. Po p\u00e1r m\u011bs\u00edc\u00edch ale choroba t\u0159iaosmdes\u00e1tiletou Irenu Markovou docela pohltila. \"Babi\u010dka se bez vysv\u011btlen\u00ed svl\u00e9kala a vyb\u00edhala na ulici. Ka\u017edou chv\u00edli cht\u011bla dom\u016f \u2013 do staven\u00ed, ve kter\u00e9m jako mal\u00e1 vyr\u016fstala a na jeho\u017e m\u00edst\u011b dnes stoj\u00ed supermarket,\" popisuje vnu\u010dka seniorky. Sotva rodina odnesla tal\u00ed\u0159 od ob\u011bda, babi\u010dka cht\u011bla nov\u00fd. V\u016fbec si nepamatovala, \u017ee u\u017e jednu porci knedl\u00edk\u016f spo\u0159\u00e1dala. \"Kdyby p\u0159i\u0161el do domu n\u011bkdo ciz\u00ed, myslel by si, \u017ee ji snad t\u00fdr\u00e1me hladem,\" popisuje \u00fatrapy mlad\u00e1 \u017eena.   \n\nPodobn\u00fdmi probl\u00e9my trp\u00ed v \u010cesku st\u00e1le v\u00edce lid\u00ed. Dle posledn\u00edch odhad\u016f se s demenc\u00ed pot\u00fdk\u00e1 asi183 tis\u00edc obyvatel. P\u0159ed patn\u00e1cti lety to byla polovina. \"A b\u011bhem n\u00e1sleduj\u00edc\u00edch dvaceti let se \u0159ady nemocn\u00fdch je\u0161t\u011b roz\u0161\u00ed\u0159\u00ed. Progn\u00f3zy ukazuj\u00ed, \u017ee tady budeme m\u00edt asi 383 tis\u00edc takov\u00fdch p\u0159\u00edpad\u016f,\" upozor\u0148uje Iva Holmerov\u00e1 z 1. l\u00e9ka\u0159sk\u00e9 fakulty Univerzity Karlovy.   \n\nZdaleka p\u0159itom nep\u016fjde jen o star\u00e9 lidi. Podle odborn\u00edk\u016f se v\u011bk nemocn\u00fdch neust\u00e1le sni\u017euje. Mezi lidmi posti\u017een\u00fdmi demenc\u00ed u\u017e se pr\u00fd b\u011b\u017en\u011b najdou i pades\u00e1tn\u00edci a \u0161edes\u00e1tn\u00edci. \"Vzpom\u00edn\u00e1m si t\u0159eba na p\u0159\u00edpad jednoho t\u0159iapades\u00e1tn\u00edka, u kter\u00e9ho se porucha intelektu, pam\u011bti a osobnosti rozvinula po prod\u011blan\u00e9 mrtvici. A\u010dkoliv byl do t\u00e9 doby pom\u011brn\u011b zdatn\u00fd, najednou pot\u0159eboval pomoc okol\u00ed,\" popisuje jeden z konkr\u00e9tn\u00edch p\u0159\u00edpad\u016f Lenka Mikleti\u010dov\u00e1, kter\u00e1 na Vyso\u010din\u011b vedla pilotn\u00ed projekt zam\u011b\u0159en\u00fd na st\u00e1rnut\u00ed populace a p\u0159\u00edpravu syst\u00e9mu na zm\u011bny s t\u00edm souvisej\u00edc\u00ed.   \nJej\u00ed slova potvrzuje i \u010derstv\u00e1 anal\u00fdza fondu <strong>Property Fund for Living<\/strong>, kter\u00fd investuje do v\u00fdstavby domov\u016f pro seniory a Alzheimer center. \"Pr\u016fm\u011brn\u00fd v\u011bk na\u0161ich klient\u016f se jen za posledn\u00ed dek\u00e1du sn\u00ed\u017eil o p\u011bt let,\" uv\u00e1d\u00ed Martin Fojt\u00edk z tohoto fondu. Ro\u010denka \u010cesk\u00e9 alzheimerovsk\u00e9 spole\u010dnosti pak up\u0159es\u0148uje, \u017ee demence u\u017e postihne dokonce ka\u017ed\u00e9ho t\u0159in\u00e1ct\u00e9ho \u010cecha, kter\u00fd stihl oslavit p\u011bta\u0161edes\u00e1t\u00e9 narozeniny.   \n\nPodle docentky Ivy Holmerov\u00e9 stoj\u00ed za vy\u0161\u0161\u00edm v\u00fdskytem choroby u mlad\u0161\u00edch ro\u010dn\u00edk\u016f hlavn\u011b lep\u0161\u00ed diagnostika. \"Zat\u00edmco d\u0159\u00edve by tito lid\u00e9 skon\u010dili na psychiatrii kv\u016fli podivn\u00fdm zm\u011bn\u00e1m chov\u00e1n\u00ed a n\u00e1lad, dnes u\u017e l\u00e9ka\u0159e napadne, \u017ee by je m\u011bl poslat na hlub\u0161\u00ed neurologick\u00e9 a gerontologick\u00e9 vy\u0161et\u0159en\u00ed,\" \u0159\u00edk\u00e1. \n\u0158ada lid\u00ed, kte\u0159\u00ed se d\u0159\u00edv l\u00e9\u010dili s chybn\u011b stanovenou psych\u00f3zou, tak dle n\u00ed kone\u010dn\u011b dost\u00e1v\u00e1 spr\u00e1vnou p\u00e9\u010di. \"To plat\u00ed hlavn\u011b pro frontotempor\u00e1ln\u00ed demenci a degeneraci sp\u00e1nkov\u00e9ho laloku, p\u0159i n\u00ed\u017e jsou lid\u00e9 zni\u010dehonic popudliv\u00ed, rozt\u011bkan\u00ed a ztr\u00e1cej\u00ed nad sebou kontrolu,\" up\u0159es\u0148uje. Tato porucha podle n\u00ed m\u016f\u017ee za demenci asi u p\u011bti procent pacient\u016f. \"V\u011bt\u0161inou jde pr\u00e1v\u011b o mlad\u0161\u00ed lidi,\" l\u00ed\u010d\u00ed Holmerov\u00e1.   \n\n\nBude-li ale po\u010det pacient\u016f s demenc\u00ed nad\u00e1le r\u016fst, bude pro n\u011b nutn\u00e9 zajistit slu\u017eby. T\u011bch se u\u017e p\u0159itom dnes nedost\u00e1v\u00e1. Pro pades\u00e1tn\u00edky to plat\u00ed dvojn\u00e1sob \u2013 \u0159ada za\u0159\u00edzen\u00ed m\u00e1 toti\u017e pro p\u0159\u00edjem nov\u00fdch klient\u016f stanovenou v\u011bkovou hranici. \"T\u0159eba do domov\u016f se zvl\u00e1\u0161tn\u00edm re\u017eimem jsou \u010dasto p\u0159ij\u00edm\u00e1ni a\u017e klienti od \u0161edes\u00e1ti \u010di p\u011bta\u0161edes\u00e1ti let v\u011bku,\" potvrzuje \u0159editelka Asociace poskytovatel\u016f soci\u00e1ln\u00edch slu\u017eeb \u010cR Alice \u0160vehlov\u00e1.   \n\nPodle Ivy Holmerov\u00e9 v\u0161ak situace nen\u00ed r\u016f\u017eov\u00e1 ani u star\u0161\u00edch pacient\u016f. \"Situace v \u010cesku v\u016fbec nen\u00ed dobr\u00e1. Zat\u00edmco v \u0158ecku se dostane ofici\u00e1ln\u00ed p\u00e9\u010de a\u017e 95 procent\u016fm lid\u00ed s demenc\u00ed a ve \u0160v\u00e9dsku ji m\u00e1 skoro polovina takto nemocn\u00fdch senior\u016f, u n\u00e1s je postar\u00e1no jen o desetinu pacient\u016f s demenc\u00ed,\" uv\u00e1d\u00ed.   \n\nJak velk\u00fd je po t\u011bchto slu\u017eb\u00e1ch hlad, p\u0159itom podle n\u00ed ukazuje \"oblo\u017eenost\" domov\u016f pro seniory a domov\u016f se zvl\u00e1\u0161tn\u00edm re\u017eimem pr\u00e1v\u011b lidmi s demenc\u00ed. \"Takto nemocn\u00ed klienti tvo\u0159\u00ed asi 70 a\u017e 90 procent obyvatel t\u011bchto za\u0159\u00edzen\u00ed,\" upozor\u0148uje. Dal\u0161\u00ed lid\u00e9 na m\u00edsta v domovech marn\u011b \u010dekaj\u00ed \u2013 podle Institutu pro soci\u00e1ln\u00ed politiku a v\u00fdzkum se do domov\u016f pro seniory nedostane v\u00edce ne\u017e 61 tis\u00edc t\u011bch, kte\u0159\u00ed si kv\u016fli tomu podali \u017e\u00e1dost. Do domov\u016f se zvl\u00e1\u0161tn\u00edm re\u017eimem zase z kapacitn\u00edch d\u016fvod\u016f nep\u0159ijmou p\u0159es 22 tis\u00edc z\u00e1jemc\u016f.   \n\nSt\u00e1t u\u017e proto \u0159e\u0161\u00ed, co s t\u00edm. Ministerstvo pr\u00e1ce a soci\u00e1ln\u00edch v\u011bc\u00ed spolu s resortem zdravotnictv\u00ed sepisuj\u00ed zm\u011bnov\u00e9 z\u00e1kony, podle kter\u00fdch by m\u011bla v \u010cesku do t\u0159\u00ed let vzniknout speci\u00e1ln\u00ed s\u00ed\u0165 za\u0159\u00edzen\u00ed poskytuj\u00edc\u00edch dlouhodobou p\u00e9\u010di.   \n\n\"Bude to \u00fapln\u011b nov\u00fd typ slu\u017eby, kter\u00fd tady doposud chyb\u011bl. Zahrne v sob\u011b jak p\u00e9\u010di zdravotn\u00ed, tak soci\u00e1ln\u00ed,\" p\u0159ibli\u017euje \u0161\u00e9fka sekce rodinn\u00e9 politiky a soci\u00e1ln\u00edch slu\u017eeb ministerstva pr\u00e1ce a soci\u00e1ln\u00edch v\u011bc\u00ed Zdislava Odstr\u010dilov\u00e1.   \n\nV za\u0159\u00edzen\u00ed podle n\u00ed najdou pomoc pr\u00e1v\u011b takov\u00ed lid\u00e9, kte\u0159\u00ed se pot\u00fdkaj\u00ed s dlouhodob\u00fdm chronick\u00fdm onemocn\u011bn\u00edm a jejich\u017e stav se bez o\u0161et\u0159ovatelsk\u00e9 p\u00e9\u010de zhor\u0161uje. Tedy i lid\u00e9 s demenc\u00ed. K dispozici jim tam bude \u0161irok\u00e1 \u0161k\u00e1la slu\u017eeb, je\u017e senior\u016fm zprost\u0159edkuj\u00ed nejen zdravotn\u00ed sestry a o\u0161et\u0159ovatelky, ale i fyzioterapeuti, nutri\u010dn\u00ed terapeuti \u010di ergoterapeuti.   \n\nNep\u016fjde ale jen o organizaci pr\u00e1ce. Oba resorty cht\u011bj\u00ed zaveden\u00edm nov\u00e9 slu\u017eby vy\u0159e\u0161it i letit\u00fd \u010desk\u00fd probl\u00e9m s placen\u00edm podobn\u00fdch slu\u017eeb. Dnes toti\u017e jednotn\u00e1 pravidla chyb\u00ed. O seniory bu\u010f pe\u010duje l\u00e9\u010debna dlouhodob\u011b nemocn\u00fdch, kde pobyt lidem pln\u011b uhrad\u00ed poji\u0161\u0165ovna, nebo domov d\u016fchodc\u016f. \"Tam naopak lid\u00e9 zaplat\u00ed. D\u016fchodci si na pobyt v takov\u00e9m za\u0159\u00edzen\u00ed p\u0159isp\u00edvaj\u00ed a\u017e p\u011btaosmdes\u00e1ti procenty sv\u00e9ho p\u0159\u00edjmu, a je\u0161t\u011b p\u0159idaj\u00ed cel\u00fd sv\u016fj p\u0159\u00edsp\u011bvek na p\u00e9\u010di,\" popisuje Ji\u0159\u00ed Horeck\u00fd z Asociace poskytovatel\u016f soci\u00e1ln\u00edch slu\u017eeb \u010cR. Podle Asociace \u010desk\u00fdch a moravsk\u00fdch nemocnic je v\u00fdsledkem obrovsk\u00e1 nerovnost mezi pacienty a tak\u00e9 finan\u010dn\u00ed ztr\u00e1ty nemocnic.   \n\n\"Je pravda, \u017ee legislativa dnes \u017eije tak trochu v bludu. P\u0159edpokl\u00e1d\u00e1, \u017ee v domovech senior\u016f a za\u0159\u00edzen\u00edch soci\u00e1ln\u00edch slu\u017eeb \u017eij\u00ed perfektn\u011b zdrav\u00ed lid\u00e9, kte\u0159\u00ed nepot\u0159ebuj\u00ed \u017e\u00e1dnou zdravotn\u00ed p\u00e9\u010di. \u00dahrady jak\u00fdchkoliv zdravotn\u00edch \u00fakon\u016f jsou tam proto jen velmi omezen\u00e9,\" potvrzuje n\u00e1m\u011bstek ministra zdravotnictv\u00ed V\u00e1clav Pl\u00e1ten\u00edk. \"Na nemocni\u010dn\u00edch l\u016f\u017ek\u00e1ch zase po\u010d\u00edt\u00e1 jen s takov\u00fdmi pacienty, kter\u00fdm ke spokojenosti sta\u010d\u00ed jen nemocni\u010dn\u00ed ko\u0161ile a stolek na l\u00e9ky. Tak to ale nen\u00ed,\" dopl\u0148uje.   \n\nNov\u00e1 soci\u00e1ln\u011b-zdravotn\u00ed slu\u017eba se proto bude platit kombinovan\u011b. \"Na zdravotn\u00ed p\u00e9\u010di klient\u016fm p\u0159isp\u011bj\u00ed poji\u0161\u0165ovny, a to podle sazby za nov\u011b vytvo\u0159en\u00fd o\u0161et\u0159ovac\u00ed den. Jeho v\u00fd\u0161i prozat\u00edm nezn\u00e1me, u\u017e se ale kalkuluje,\" \u0159\u00edk\u00e1 Pl\u00e1ten\u00edk. Do za\u0159\u00edzen\u00ed podle n\u011bj poplyne i p\u0159\u00edsp\u011bvek na p\u00e9\u010di, kter\u00fd klientovi p\u0159iklepl posudkov\u00fd l\u00e9ka\u0159. \"Na pobyt si ale p\u0159isp\u011bj\u00ed i samotn\u00ed klienti. Po\u010d\u00edt\u00e1me s t\u00edm, \u017ee by si m\u011bli sami uhradit takzvan\u00e9 hotelov\u00e9 slu\u017eby, tedy l\u016f\u017eko a stravu,\" dodal ministersk\u00fd n\u00e1m\u011bstek.   \n\nO jakou \u010d\u00e1stku p\u016fjde a zda bude st\u00e1tem limitovan\u00e1, prozat\u00edm nedok\u00e1zal odpov\u011bd\u011bt. Podle Petra Fialy z Asociace \u010desk\u00fdch a moravsk\u00fdch nemocnic ale dnes poji\u0161\u0165ovny plat\u00ed \u0161pit\u00e1l\u016fm za takzvan\u00e9 hotelov\u00e9 slu\u017eby v pr\u016fm\u011bru 641,20 koruny za jeden o\u0161et\u0159ovac\u00ed den. Pokud by tedy byla platba nastaven\u00e1 podobn\u011b, p\u0159iplatil by si klient za pobyt n\u011bco m\u00e1lo p\u0159es 19 tis\u00edc korun m\u011bs\u00ed\u010dn\u011b.   \n\nAv\u0161ak pen\u00edze od lid\u00ed nebude moci vyb\u00edrat ka\u017ed\u00fd. \"V\u0161echna za\u0159\u00edzen\u00ed, je\u017e se rozhodnou nov\u00fd typ slu\u017eby nab\u00edzet, budou muset m\u00edt povolen\u00ed od kraje. Budou tak\u00e9 muset b\u00fdt registrovan\u00e1. To samoz\u0159ejm\u011b bude vy\u017eadovat, aby splnila p\u0159\u00edsn\u00e9 po\u017eadavky na person\u00e1ln\u00ed a materi\u00e1ln\u00ed vybaven\u00ed,\" uv\u00e1d\u00ed Zdislava Odstr\u010dilov\u00e1. Soci\u00e1ln\u011b-zdravotn\u00ed slu\u017ebu cht\u011bj\u00ed ministerstva spustit na konci roku 2027, za jej\u00ed pl\u00e1nov\u00e1n\u00ed a dostupnost budou zodpov\u011bdn\u00e9 kraje.   \n\n\"Spole\u010dn\u011b s kolegy ze zdravotnictv\u00ed nyn\u00ed finalizujeme podklady a v bl\u00edzk\u00e9 dob\u011b bude zah\u00e1jeno p\u0159ipom\u00ednkov\u00e9 \u0159\u00edzen\u00ed,\" uv\u00e1d\u00ed mluv\u010d\u00ed ministerstva pr\u00e1ce Jakub Augusta.   \n\n<\/pre>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>Lid\u00ed s demenc\u00ed v \u010cesku setrvale p\u0159ib\u00fdv\u00e1. St\u00e1t proto \u0159e\u0161\u00ed, jak se o n\u011b postarat. M\u00e1 vzniknout s\u00ed\u0165 specializovan\u00fdch center Za\u010dalo to jako roztomil\u00e9 zapom\u00edn\u00e1n\u00ed. <a class=\"mh-excerpt-more\" href=\"https:\/\/www.invarena.cz\/?p=40070\" title=\"Vznikne s\u00ed\u0165 specializovan\u00fdch center pro lidi s demenc\u00ed?\">[&#8230;]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":17517,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[7],"tags":[],"class_list":["post-40070","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-spolecnost"],"_links":{"self":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/40070","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=40070"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/40070\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/17517"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=40070"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=40070"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=40070"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}