Vl\u00e1da ud\u011blala prvn\u00ed krok k tomu, aby odleh\u010dila p\u0159et\u00ed\u017een\u00fdm l\u00e9ka\u0159\u016fm. Od ledna plat\u00ed nov\u00e1 pravidla, d\u00edky kter\u00fdm maj\u00ed fyzioterapeuti roz\u0161\u00ed\u0159en\u00e9 kompetence, nov\u011b mohou pacient\u016fm l\u00e9\u010dbu stanovit sami, \u010d\u00edm\u017e pacienty u\u0161et\u0159\u00ed od mnohdy a\u017e n\u011bkolikat\u00fddenn\u00edho, \u010dasto bolestiv\u00e9ho \u010dek\u00e1n\u00ed na zah\u00e1jen\u00ed fyzioterapie, je roz\u0161i\u0159ov\u00e1n\u00ed kompetenc\u00ed tzv. nel\u00e9ka\u0159\u016f cestou, jak syst\u00e9m zdravotnictv\u00ed zefektivnit?<\/p>\n\n\n\n
\u010cek\u00e1n\u00ed dlouh\u00e9 t\u00fddny, n\u011bkdy i m\u011bs\u00edce na to a\u017e specializovan\u00fd l\u00e9ka\u0159 na p\u0159edpis u doktora stanov\u00ed pr\u016fb\u011bh rehabilitac\u00ed, tomu je definitivn\u011b konec. Fyzioterapeuti a ergoterapeuti, kte\u0159\u00ed maj\u00ed magistersk\u00e9 vzd\u011bl\u00e1n\u00ed a pot\u0159ebn\u00e9 zku\u0161enosti, mohou nov\u011b l\u00e9\u010dbu ur\u010dovat sami, na rehabilitaci se nyn\u00ed pacienti dostanou v\u011bt\u0161inou v \u0159\u00e1du dn\u016f.<\/p>\n\n\n\n
Fyzioterapeut \u010di erkoterapeut s odpov\u00eddaj\u00edc\u00edm vzd\u011bl\u00e1n\u00edm m\u016f\u017ee p\u0159ijmout poukaz od indikuj\u00edc\u00edho l\u00e9ka\u0159e, m\u016f\u017ee pacienta podrobn\u011b vy\u0161et\u0159it a nastavit pl\u00e1n p\u00e9\u010de. To p\u0159edt\u00edm nebylo mo\u017en\u00e9. <\/p>\n\n\n\n
Nov\u00e1 pravidla si pochvaluje nap\u0159\u00edklad Rehabilita\u010dn\u00ed nemocnice Beroun, kter\u00e1 nov\u011b otev\u0159ela 10 specializovan\u00fdch fyzioterapeutick\u00fdch a erkoterapeutick\u00fdch ambulanc\u00ed. Nemocnice se sv\u00fdm vybaven\u00edm \u0159ad\u00ed ke \u0161pi\u010dk\u00e1m jak v \u010cesku, tak ve st\u0159edn\u00ed Evrop\u011b. <\/p>\n\n\n\n
mluv\u010d\u00ed <\/strong><\/p>\n\n\n\n V\u017edycky to bylo tak, \u017ee ne\u017e ten pacient se dostal k n\u00e1m, tak to trvalo Docela dlouhou dobu. Ti pacienti nejd\u0159\u00edve p\u0159ijdou tomu l\u00e9ka\u0159i, on jim nap\u00ed\u0161e \u017e\u00e1danku, potom zase dal\u0161\u00ed krat\u0161\u00ed \u010dekac\u00ed doba k na\u0161emu l\u00e9ka\u0159i, ten potom zase vypsal prost\u011b d\u00e1l ten poukaz a pak byla dal\u0161\u00ed \u010dekac\u00ed doba, ne\u017e v\u016fbec se dostal k n\u00e1m, tak\u017ee n\u011bkdy opravdu trvalo, \u017ee t\u011bm pacient\u016fm se, zhor\u0161oval se ten stav.<\/p>\n\n\n\n mluv\u010d\u00ed 25,<\/strong> Kdy\u017e m\u011b ty z\u00e1da chyt\u00ed, tak bych \u010dekal t\u0159eba m\u011bs\u00edc, ne\u017e se n\u011bkam dostanu a takhle l\u00e9to opravdu v horizontu p\u00e1r dn\u00ed, jo, \u017ee p\u0159ijdu k doktor\u016f a hned prost\u011b jdu potom t\u0159eba na fyzio, kde u\u017e se mnou pracujou. Zase se \u0159e\u0161\u00ed p\u0159\u00edmo ten probl\u00e9m, \u017ee to nen\u00ed n\u011bjak\u00fd t\u00e1mhle vy\u0161et\u0159en\u00ed, t\u00e1mhle vy\u0161et\u0159en\u00ed. <\/p>\n\n\n\n redaktorka<\/strong> B\u011bhem \u010dek\u00e1n\u00ed na to, a\u017e jim l\u00e9ka\u0159 stanov\u00ed l\u00e9\u010dbu, \u010dasto pacienti museli n\u011bkdy i t\u00fddny sn\u00e1\u0161et intenzivn\u00ed bolesti pro vrcholov\u00e9 sportovce v\u010dasn\u00e1 rehabilitace m\u016f\u017ee znamenat i rozd\u00edl mezi \u00fasp\u011bchem a zka\u017eenou sez\u00f3nou. <\/p>\n\n\n\n mluv\u010d\u00ed 26,<\/strong> Zku\u0161enosti, co se t\u00fd\u010de \u010dek\u00e1n\u00ed na o\u0161et\u0159en\u00ed nebo rehabilitaci, m\u00e1m bohat\u00fd u sportovc\u016f na vrcholn\u00fd \u00farovni, to je obvykle lep\u0161\u00ed, ale u sportovc\u016f t\u0159eba junior\u016f, anebo t\u00e9 hor\u0161\u00ed v\u00fdkonnostn\u00ed \u00farovn\u011b, tak tam to n\u011bkdy trv\u00e1 del\u0161\u00ed dobu a m\u016f\u017ee to znamenat \u00fasp\u011bch nebo ne\u00fasp\u011bch t\u0159eba pro kvalifikaci nebo nekvalifikaci na olympi\u00e1du nebo dal\u0161\u00ed sout\u011b\u017ee.<\/p>\n\n\n\n mluv\u010d\u00ed 25,<\/strong> I kdy\u017e ta bolest byla vylo\u017een\u011b jako takov\u00e1, \u017ee se to nedalo, co jsem za\u017eil teda jenom jednou, na\u0161t\u011bst\u00ed t\u0159eba 14 dn\u016f v tomhle tom bylo hrozn\u011b zn\u00e1t v tomhle stavu. <\/p>\n\n\n\n mluv\u010d\u00ed 3,<\/strong> Akutn\u00ed bolest se st\u00e1v\u00e1 chronickou, m\u016f\u017eou se vyvinout takzvan\u011b dal\u0161\u00ed komplikace a nebo se vyvine jin\u00e9 kompenza\u010dn\u00ed mechanismy, aby tu bolest obe\u0161el. Pak v tom \u010dase \u0159e\u0161\u00edme ne ten z\u00e1kladn\u00ed probl\u00e9m, ale \u0159e\u0161\u00edme spoustu dal\u0161\u00edch v\u011bc\u00ed, kter\u00fd se v\u016fbec nemusely Rozvinout. <\/p>\n\n\n\n redaktorka<\/strong> Pacient\u016fm novela z\u00e1kona v\u00fdrazn\u011b zkr\u00e1t\u00ed \u010dekac\u00ed dobu. Na l\u00e9\u010dbu m\u016f\u017ee ale tak\u00e9 v\u00fdrazn\u011b zefektivnit l\u00e9\u010dbu jako takovou. <\/p>\n\n\n\n mluv\u010d\u00ed 7,<\/strong> P\u0159ijdou k n\u00e1m. My si ho vy\u0161et\u0159\u00edme, vid\u00edme v tu chv\u00edli, jak na to vypad\u00e1 a nasad\u00edme tu p\u00e9\u010di? Opravdu konkr\u00e9tn\u011b. Ta p\u0159\u00ed\u010dina m\u016f\u017ee b\u00fdt klidn\u011b \u00fapln\u011b n\u011bkde jinde, ne\u017e je to m\u00edsto t\u00e9 bolesti. Tak\u017ee my na z\u00e1klad\u011b toho c\u00edlen\u00e9 o\u0161et\u0159en\u00ed d\u00e1me i ty procedury p\u0159\u00edmo pacientovi.<\/p>\n\n\n\n mluv\u010d\u00ed 3,<\/strong> Na m\u00edru za star\u00e9ho syst\u00e9mu a dostane rozepsan\u00e9 procedury p\u0159esn\u011b dan\u00e9 n\u011bjak\u00e9 p\u0159\u00edstroje a v podstat\u011b pacient si to odchod\u00ed a pokud terapeut zjist\u00ed v pr\u016fb\u011bhu terapie zapot\u0159eb\u00ed n\u011bco zm\u011bnit, tak mus\u00ed kontaktovat l\u00e9ka\u0159e, ten to mus\u00ed schv\u00e1lit, propsat do syst\u00e9mu. Vrac\u00ed se to zp\u00e1tky, co\u017e samoz\u0159ejm\u011b vede k ur\u010dit\u00e9mu zpo\u017ed\u011bn\u00ed.<\/p>\n\n\n\n mluv\u010d\u00ed 7,<\/strong> Nyn\u00ed vlastn\u011b t\u00edm, \u017ee my si stanovujeme sami ty dan\u00e9 procedury, tak to ovliv\u0148ujeme u\u017e rovnou my. <\/p>\n\n\n\n redaktorka<\/strong> Fyzioterapeut s pacientem tr\u00e1v\u00ed v\u00edce \u010dasu a l\u00e9pe pak rozum\u00ed jeho pot\u0159eb\u00e1m, m\u016f\u017ee tak\u00e9 l\u00e9pe kombinovat r\u016fzn\u00e9 typy cvi\u010den\u00ed. Ve Spojen\u00fdch st\u00e1tech maj\u00ed nejen fyzioterapeuti, ale i dal\u0161\u00ed nel\u00e9ka\u0159i, jako nap\u0159\u00edklad zdravotn\u00ed sestry u\u017e l\u00e9ta v\u011bt\u0161\u00ed pravomoce, do Evropy se tento trend dost\u00e1v\u00e1 teprve nyn\u00ed, n\u011bkte\u0159\u00ed ale na roz\u0161i\u0159ov\u00e1n\u00ed kompetenc\u00ed nel\u00e9ka\u0159\u016f hled\u00ed s jistou d\u00e1vkou nejistoty. <\/p>\n\n\n\n mluv\u010d\u00ed 3,<\/strong> Mohou b\u00fdt l\u00e9ka\u0159i, kte\u0159\u00ed mohou m\u00edt strach, \u017ee vlastn\u011b doch\u00e1z\u00ed k vyt\u011bs\u0148ov\u00e1n\u00ed jejich profese v tom dan\u00e9m oboru.<\/p>\n\n\n\n redaktorka<\/strong> Jist\u00e9 obavy jsou na m\u00edst\u011b. Fyzioterapeuti a ergoterapeuti se sice st\u00e1le s l\u00e9ka\u0159em o postupu rehabilitace rad\u00ed, pokud si nev\u00ed rady, zodpov\u011bdnost za l\u00e9\u010dbu u\u017e je ale na nich. <\/p>\n\n\n\n mluv\u010d\u00ed 3,<\/strong> \u010cesk\u00fd syst\u00e9m v tomto ohledu je zna\u010dn\u011b konzervativn\u00ed. Tak vlastn\u011b tito odborn\u00edci nem\u011bli \u0161anci pln\u011b vyu\u017e\u00edt sv\u00e9 kompetence, sv\u00e9 znalosti, a to je v sou\u010dasn\u00e9 dob\u011b vlastn\u011b v\u00fdzva, kterou m\u00e1me nau\u010dit je, aby um\u011bli prakticky vyu\u017e\u00edvat sv\u00e9 znalosti. <\/p>\n\n\n\n redaktorka<\/strong> Podle mnoh\u00fdch odborn\u00edk\u016f je roz\u0161i\u0159ov\u00e1n\u00ed kompetenc\u00ed pro nel\u00e9ka\u0159e krok spr\u00e1vn\u00fdm sm\u011brem, a to nejen fyzioterapeut\u016f, ale v budoucnu tak\u00e9 nap\u0159\u00edklad zdravotn\u00edch sester. T\u0159eba se pak doktor\u016fm kone\u010dn\u011b uvoln\u00ed ruce a vy\u0159e\u0161\u00ed se odv\u011bk\u00fd probl\u00e9m. Tedy je jich nedostatek.<\/p>\n\n\n\n St\u0159epiny, TV Nova<\/p>\n","protected":false},"excerpt":{"rendered":" Vl\u00e1da ud\u011blala prvn\u00ed krok k tomu, aby odleh\u010dila p\u0159et\u00ed\u017een\u00fdm l\u00e9ka\u0159\u016fm. Od ledna plat\u00ed nov\u00e1 pravidla, d\u00edky kter\u00fdm maj\u00ed fyzioterapeuti roz\u0161\u00ed\u0159en\u00e9 kompetence, nov\u011b mohou pacient\u016fm l\u00e9\u010dbu […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":29842,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11,9],"tags":[],"class_list":["post-58507","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-zdravi","category-zpravy"],"_links":{"self":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/58507","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=58507"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/58507\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/29842"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=58507"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=58507"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=58507"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}