P\u00e9\u010di sester, kter\u00e9 chod\u00ed za pacienty dom\u016f, obvazuj\u00ed jim r\u00e1ny, p\u00edchaj\u00ed injekce nebo se t\u0159eba staraj\u00ed o nemocn\u00e9 s plicn\u00ed ventilac\u00ed, v \u010cesku ro\u010dn\u011b vyu\u017e\u00edv\u00e1 asi 150 tis\u00edc lid\u00ed. Dom\u00e1c\u00ed p\u00e9\u010di p\u0159edepisuje l\u00e9ka\u0159 a hrad\u00ed zdravotn\u00ed poji\u0161\u0165ovny. Odborn\u00edci v\u0161ak varuj\u00ed, \u017ee bez adekv\u00e1tn\u00edho financov\u00e1n\u00ed na p\u0159\u00ed\u0161t\u00ed rok m\u016f\u017ee doj\u00edt k jej\u00edmu omezen\u00ed.<\/p>\n\n\n\n
Martin Fry\u010d z pra\u017esk\u00fdch Horn\u00edch Po\u010dernic nemus\u00ed d\u00edky p\u00e9\u010di sest\u0159i\u010dek z L\u00e9\u010debn\u00e9ho a rehabilita\u010dn\u00edho st\u0159ediska Chvaly nikam doj\u00ed\u017ed\u011bt na p\u0159evazy s diabetickou nohou. Chod\u00ed za n\u00edm dom\u016f a p\u00e9\u010di hrad\u00ed poji\u0161\u0165ovna. \u201eJsem veden\u00fd v Kol\u00edn\u011b, kde mi doporu\u010dili, abych se obr\u00e1til na sv\u00e9ho praktick\u00e9ho l\u00e9ka\u0159e, kter\u00fd mi p\u0159edepsal dom\u00e1c\u00ed zdravotn\u00ed p\u00e9\u010di. Kdy\u017e jsem byl \u010derstv\u011b po amputaci prst\u016f, chodila za mnou sest\u0159i\u010dka ka\u017ed\u00fd den. Nyn\u00ed obden,\u201c \u0159ekl Den\u00edku.<\/p>\n\n\n\n
Moc mu to pom\u00e1h\u00e1. \u201eV\u017edy se domluv\u00edme na \u010dase. Nemus\u00edm se starat ani o obvazy a \u010dtvere\u010dky, kter\u00e9 maj\u00ed k dispozici. Sest\u0159i\u010dky se vz\u00e1jemn\u011b zastupuj\u00ed, jak kter\u00e1 m\u016f\u017ee, a v\u017edycky mi vyhov\u00ed. Nen\u00ed probl\u00e9m ani ve sv\u00e1tc\u00edch, nikdy. Jsou velice mil\u00e9 a ochotn\u00e9,\u201c dodal.<\/p>\n\n\n\n
Rozsah poskytov\u00e1n\u00ed dom\u00e1c\u00ed zdravotn\u00ed p\u00e9\u010de, kdy sest\u0159i\u010dky chod\u00ed za pacienty dom\u016f p\u0159evazovat jim r\u00e1ny, pod\u00e1vat v\u00fd\u017eivu sondou do \u017ealudku \u010di nap\u0159\u00edklad odeb\u00edrat krev, je ale v \u010cesku ohro\u017een. Upozor\u0148uj\u00ed na to lid\u00e9, kte\u0159\u00ed ji provozuj\u00ed.<\/p>\n\n\n\n
V sou\u010dasn\u00e9 dob\u011b prob\u00edh\u00e1 dohodovac\u00ed \u0159\u00edzen\u00ed ohledn\u011b \u00fahradov\u00e9 vyhl\u00e1\u0161ky. \u201eJedn\u00e1me o financov\u00e1n\u00ed dom\u00e1c\u00ed zdravotn\u00ed p\u00e9\u010de na p\u0159\u00ed\u0161t\u00ed rok. Nejde n\u00e1m o navy\u0161ov\u00e1n\u00ed pen\u011bz za jej\u00ed poskytov\u00e1n\u00ed, ale o to, aby poji\u0161\u0165ovny zohlednily inflaci,\u201c \u0159ekla Den\u00edku \u010dlenka Gr\u00e9mia manager\u016f agentur dom\u00e1c\u00ed p\u00e9\u010de Ludmila Derner.<\/p>\n\n\n\n
Vysv\u011btlila, \u017ee zdravotn\u00ed poji\u0161\u0165ovny hrad\u00ed jak v\u00fdkon, tak dopravu a materi\u00e1l. \u201eNejsme soci\u00e1ln\u00ed slu\u017eba, kter\u00e1 m\u016f\u017ee b\u00fdt financovan\u00e1 z v\u00edce zdroj\u016f, t\u0159eba od don\u00e1tor\u016f, obc\u00ed nebo kraj\u016f. Jsme odborn\u00e1 zdravotn\u00ed p\u00e9\u010de, kterou sest\u0159i\u010dky pacient\u016fm poskytuj\u00ed na z\u00e1klad\u011b indikace l\u00e9ka\u0159e. A jedin\u00e9 finance m\u00e1me pr\u00e1v\u011b z \u00fahrad od poji\u0161\u0165oven,\u201c nast\u00ednila.<\/p>\n\n\n\n
Upozornila, \u017ee ceny za dopravu i materi\u00e1l, t\u0159eba v podob\u011b obvaz\u016f, stouply, \u00fahrady za n\u011b ale st\u00e1t navy\u0161ovat nepl\u00e1nuje. \u201ePokud se v n\u00e1vrhu nic nezm\u011bn\u00ed, budeme na tom h\u016f\u0159 ne\u017e dosud. P\u0159itom sta\u010d\u00ed p\u0159idat na \u00fahrady asi p\u016fl miliardy korun, co\u017e je naprost\u00fd zlomek z celkov\u00fdch 570 miliard, kter\u00e9 jdou na zdravotn\u00ed p\u00e9\u010di,\u201c poznamenala.<\/p>\n\n\n\n
Poji\u0161\u0165ovny by t\u00edm podle n\u00ed v d\u016fsledku u\u0161et\u0159ily, proto\u017ee kdy\u017e chod\u00ed sest\u0159i\u010dka za pacientem dom\u016f, vyjde to levn\u011bji, ne\u017e kdy\u017e doty\u010dn\u00fd le\u017e\u00ed v nemocnici. P\u00e9\u010de nav\u00edc umo\u017e\u0148uje lidem b\u00fdt tam, kde to maj\u00ed nejrad\u011bji. Doma. Sest\u0159i\u010dky je vid\u00ed pravideln\u011b, a mohou si tak v\u0161imnout t\u0159eba zhor\u0161en\u00ed jejich stavu a informovat praktiky.<\/p>\n\n\n\n
Nic nen\u00ed rozhodnuto<\/p>\n\n\n\n
Derner p\u0159idala konkr\u00e9tn\u00ed p\u0159\u00edklad, jak dom\u00e1c\u00ed zdravotn\u00ed p\u00e9\u010de pom\u00e1h\u00e1 lidem poklidn\u011b \u017e\u00edt. \u201eNa\u0161e sestry se staraj\u00ed t\u0159eba o t\u0159\u00edletou hol\u010di\u010dku, kter\u00e1 m\u00e1 nevidom\u00e9 rodi\u010de. Ti si s mnoh\u00fdm sami porad\u00ed, ale t\u0159eba j\u00ed nemohu vykapat oko, kdy\u017e m\u00e1 z\u00e1n\u011bt. Kdyby j\u00ed ho nevykapala sest\u0159i\u010dka, museli by s n\u00ed do nemocnice, co\u017e by jim zna\u010dn\u011b zkomplikovalo situaci,\u201c popsala.<\/p>\n\n\n\n
Upozornila kup\u0159\u00edkladu i na pohrani\u010dn\u00ed oblasti, kter\u00e9 se pot\u00fdkaj\u00ed s nedostatkem l\u00e9ka\u0159\u016f. \u201eZdravotn\u00ed slu\u017eby tam lid\u00e9 maj\u00ed dostupn\u00e9 pr\u00e1v\u011b d\u00edky sestr\u00e1m z dom\u00e1c\u00ed p\u00e9\u010de,\u201c podotkla.<\/p>\n\n\n\n
Dom\u00e1c\u00ed zdravotn\u00ed p\u00e9\u010di oce\u0148uj\u00ed i komun\u00e1ln\u00ed politici, kte\u0159\u00ed se dlouhodob\u011b v\u011bnuj\u00ed soci\u00e1ln\u00ed oblasti. T\u0159eba podle zastupitelky Prahy 20-Horn\u00edch Po\u010dernic Aleny \u0160trobov\u00e9 d\u00e1v\u00e1 lidem nad\u011bji na \u00fapln\u011b nov\u00fd \u017eivot. \u201eMohou b\u00fdt doma, co\u017e je lep\u0161\u00ed ne\u017e z\u016fst\u00e1vat v nemocnic\u00edch nebo za\u0159\u00edzen\u00edch n\u00e1sledn\u00e9 p\u00e9\u010de. Jsou ve sv\u00e9m prost\u0159ed\u00ed, kter\u00e9 maj\u00ed r\u00e1di,\u201c sd\u011blila Den\u00edku.<\/p>\n\n\n\n
Vn\u00edm\u00e1 to nejen u star\u0161\u00edch nebo lid\u00ed po \u00faraze, ale i u d\u011bt\u00ed. \u201eOmezit dom\u00e1c\u00ed p\u00e9\u010di pro d\u00edt\u011b na plicn\u00ed ventilaci nebo dom\u00e1c\u00ed dial\u00fdze by byla trag\u00e9die. Sest\u0159i\u010dky bychom m\u011bli naopak h\u00fd\u010dkat,\u201c doplnila.<\/p>\n\n\n\n
Podle ministersk\u00fdch \u00fa\u0159edn\u00edk\u016f skon\u010dilo dohodovac\u00edho \u0159\u00edzen\u00ed o \u00fahrad\u00e1ch v segmentu dom\u00e1c\u00ed p\u00e9\u010de nedohodou. Nic ale je\u0161t\u011b nen\u00ed rozhodnuto. \u201e\u00dahrady nyn\u00ed stanov\u00ed Ministerstvo zdravotnictv\u00ed v \u00fahradov\u00e9 vyhl\u00e1\u0161ce, kter\u00e1 se nyn\u00ed teprve za\u010d\u00edn\u00e1 p\u0159ipravovat \u2013 \u017e\u00e1dn\u00fd n\u00e1vrh tak nen\u00ed v tuto chv\u00edli k dispozici,\u201c vzk\u00e1zal Den\u00edku mluv\u010d\u00ed ministerstva zdravotnictv\u00ed Ond\u0159ej Jakob.<\/p>\n\n\n\n
Podle n\u011bj je z\u0159ejm\u00e9, \u017ee r\u016fsty \u00fahrad nebudou nijak vysok\u00e9 vzhledem k usnesen\u00ed vl\u00e1dy, kter\u00e9 resort zavazuje vydat finan\u010dn\u011b neutr\u00e1ln\u00ed \u00fahradovou vyhl\u00e1\u0161ku. \u201eD\u00e1le je t\u0159eba uv\u011bdomit si, \u017ee automatickou valorizac\u00ed osobn\u00edch a re\u017eijn\u00edch n\u00e1klad\u016f v seznamu v\u00fdkon\u016f doch\u00e1z\u00ed k inflaci po\u010dtu bod\u016f v\u00fdkon\u016f. Sn\u00ed\u017een\u00ed hodnoty bodu tak nutn\u011b neznamen\u00e1 pokles \u00fahrad,\u201c dodal.<\/p>\n\n\n\n
Sestry v dom\u00e1c\u00ed p\u00e9\u010di maj\u00ed \u0161irok\u00e9 kompetence a vykon\u00e1vaj\u00ed \u0159adu zdravotn\u00edch v\u00fdkon\u016f v\u010detn\u011b peritone\u00e1ln\u00ed dial\u00fdzy, kter\u00e1 nahrazuje funkci ledvin, \u010di plicn\u00ed ventilace. Jezd\u00ed i t\u0159eba za d\u011btmi s af\u00e1zi\u00ed (pot\u00ed\u017eemi s porozum\u011bn\u00edm) nebo p\u0159evazuj\u00ed b\u00e9rcov\u00e9 v\u0159edy.<\/p>\n\n\n\n
Pe\u010duj\u00ed i o onkologick\u00e9 pacienty a podobn\u011b. T\u0159eba p\u0159evazuj\u00ed r\u00e1ny, c\u00e9vkuj\u00ed, o\u0161et\u0159uj\u00ed stomii, aplikuj\u00ed infuzn\u00ed terapie nebo kontroluj\u00ed medikace a d\u011blaj\u00ed odb\u011bry krve. \u201eVelkou \u010d\u00e1st na\u0161\u00ed p\u00e9\u010de tvo\u0159\u00ed tak\u00e9 o\u0161et\u0159ovatelsk\u00e1 rehabilitace, nap\u0159\u00edklad po c\u00e9vn\u00edch mozkov\u00fdch p\u0159\u00edhod\u00e1ch, \u00farazech a operac\u00edch. Zkr\u00e1tka v\u0161e, co indikuje l\u00e9ka\u0159,\u201c \u0159ekla v ned\u00e1vn\u00e9m rozhovoru pro Den\u00edk vrchn\u00ed sestra pro Prahu 1, 2 a 3 Dom\u00e1c\u00ed p\u00e9\u010de V\u010delka Vilma Stefanovi\u010dov\u00e1.<\/p>\n\n\n\n
Dom\u00e1c\u00ed zdravotn\u00ed p\u00e9\u010de<\/p>\n\n\n\n
V\u017edy ji p\u0159edepisuje l\u00e9ka\u0159.<\/p>\n\n\n\n
Je hrazena z ve\u0159ejn\u00e9ho poji\u0161t\u011bn\u00ed.<\/p>\n\n\n\n
Poskytuj\u00ed ji v\u0161eobecn\u00e9 zdravotn\u00ed sestry.<\/p>\n\n\n\n
Vynakl\u00e1daj\u00ed se na ni 4 miliardy korun.<\/p>\n\n\n\n
Ro\u010dn\u011b se postar\u00e1 asi o 150 tis\u00edc pacient\u016f.<\/p>\n\n\n\n
Zdroj: Gr\u00e9mium manager\u016f agentur dom\u00e1c\u00ed p\u00e9\u010de<\/p>\n\n\n\n
Andrea Cerqueirov\u00e1<\/p>\n\n\n\n
Den\u00edk.cz<\/p>\n\n\n\n
https:\/\/www.denik.cz<\/a><\/p>\n","protected":false},"excerpt":{"rendered":" P\u00e9\u010di sester, kter\u00e9 chod\u00ed za pacienty dom\u016f, obvazuj\u00ed jim r\u00e1ny, p\u00edchaj\u00ed injekce nebo se t\u0159eba staraj\u00ed o nemocn\u00e9 s plicn\u00ed ventilac\u00ed, v \u010cesku ro\u010dn\u011b vyu\u017e\u00edv\u00e1 […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":17812,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[9],"tags":[],"class_list":["post-50556","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-zpravy"],"_links":{"self":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/50556","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=50556"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/50556\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/17812"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=50556"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=50556"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=50556"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}