{"id":61997,"date":"2025-11-21T10:14:00","date_gmt":"2025-11-21T09:14:00","guid":{"rendered":"https:\/\/www.invarena.cz\/?p=61997"},"modified":"2025-11-21T10:14:26","modified_gmt":"2025-11-21T09:14:26","slug":"lezi-v-nemocnici-i-kdyz-by-nemuseli","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=61997","title":{"rendered":"Le\u017e\u00ed v\u00a0nemocnici, i kdy\u017e by nemuseli"},"content":{"rendered":"\n

O star\u0161\u00ed pacienty se nem\u00e1 kdo postarat, LDN jsou pln\u00e9<\/em><\/p>\n\n\n\n

V\u00edce ne\u017e 20 % pacient\u016f le\u017e\u00ed na nemocni\u010dn\u00edch l\u016f\u017ek\u00e1ch interny zbyte\u010dn\u011b. M\u011bli by u\u017e b\u00fdt doma nebo v\u00a0l\u00e9\u010debn\u011b dlouhodob\u011b nemocn\u00fdch (LDN). L\u00e9ka\u0159i je na l\u016f\u017eku ale nech\u00e1vaj\u00ed, proto\u017ee by pacienti nebyli schopni postarat se o sebe sami. Jejich rodina nechce nebo nem\u016f\u017ee a v \u201eeld\u00e9enk\u00e1ch\u201c je plno. Z\u016fst\u00e1vaj\u00ed tak na odd\u011blen\u00ed, kde je p\u016fvodn\u011b p\u0159ijali pro akutn\u00ed\u00a0pot\u00ed\u017ee, a p\u0159esto\u017ee je tato\u00a0komplikace\u00a0u\u017e vy\u0159e\u0161ena, nemohou je l\u00e9ka\u0159i propustit. <\/strong><\/p>\n\n\n\n

Na situaci upozor\u0148uj\u00ed internist\u00e9 p\u0159ed startem XXXII. kongresu \u010cesk\u00e9 internistick\u00e9 spole\u010dnosti (\u010cIS). Ten za\u010dal 19. listopadu.<\/strong><\/p>\n\n\n\n

Podle internist\u016f se to t\u00fdk\u00e1 p\u0159edev\u0161\u00edm lid\u00ed ve v\u011bku nad 65 let, kte\u0159\u00ed krom\u011b akutn\u00edho zdravotn\u00edho probl\u00e9mu, kv\u016fli kter\u00e9mu je p\u016fvodn\u011b do nemocnice p\u0159ivezli, trp\u00ed i \u0159adou dal\u0161\u00edch chronick\u00fdch chorob. \u201eNa na\u0161\u00ed klinice pozoruji rostouc\u00ed po\u010det star\u00fdch multimorbidn\u00edch pacient\u016f, kte\u0159\u00ed po na\u0161\u00ed hospitalizaci na intern\u011b vy\u017eaduj\u00ed dal\u0161\u00ed dol\u00e9\u010den\u00ed v\u00a0LDN. I kdy\u017e p\u016fvodn\u00ed komplikace typu infekce nebo rozvrat vnit\u0159n\u00edho prost\u0159ed\u00ed organismu vy\u0159e\u0161\u00edme a teoreticky bychom je m\u011bli propustit, nem\u016f\u017eeme. Vid\u00edme toti\u017e, \u017ee by to doma sami nezvl\u00e1dli. Na dol\u00e9\u010den\u00ed by m\u011bli j\u00edt do LDN, zde ale nar\u00e1\u017e\u00edme na nedostate\u010dnou kapacitu v na\u0161em\u00a0regionu,\u201c<\/em> \u0159\u00edk\u00e1 prof. MUDr. Jan V\u00e1clav\u00edk, p\u0159ednosta Intern\u00ed a kardiologick\u00e9 kliniky Fakultn\u00ed nemocnice Ostrava a L\u00e9ka\u0159sk\u00e9 fakulty Ostravsk\u00e9 univerzity. <\/p>\n\n\n\n

Dal\u0161\u00edm \u0159e\u0161en\u00edm by bylo p\u0159edat pacienta do rodiny, kter\u00e1 se o n\u011bj postar\u00e1, ne\u017e se postav\u00ed na nohy. \u201eNe ka\u017ed\u00fd ale m\u00e1 rodinu, kter\u00e1 to zvl\u00e1dne,\u201c<\/em> pokra\u010duje prim\u00e1\u0159 Intern\u00edho odd\u011blen\u00ed Nemocnice Znojmo MUDr. Zden\u011bk Monhart. \u201eMy m\u00e1me \u0161t\u011bst\u00ed, \u017ee l\u00e9\u010debna je sou\u010d\u00e1st\u00ed nemocnice, a tak se obvykle do t\u00fddne l\u016f\u017eko uvoln\u00ed. Hodn\u011b se n\u00e1m tak\u00e9 osv\u011bd\u010dila spolupr\u00e1ce se soci\u00e1ln\u00ed sestrou, kter\u00e1 je nezbytnou sou\u010d\u00e1st\u00ed na\u0161eho t\u00fdmu. M\u00e1 perfektn\u00ed p\u0159ehled, jak\u00e9 m\u00e1 pacient mo\u017enosti, co by pro n\u011bj bylo nejvhodn\u011bj\u0161\u00ed. Um\u00ed tak\u00e9 poradit p\u0159\u00edbuzn\u00fdm s\u00a0p\u0159\u00edsp\u011bvky a dal\u0161\u00ed pomoc\u00ed, kdy\u017e si vezmou nemocn\u00e9ho dom\u016f,\u201c<\/em> vysv\u011btluje prim. Monhart.<\/p>\n\n\n\n

Tento stav jde na konto postupn\u00e9mu st\u00e1rnut\u00ed populace, do\u017e\u00edv\u00e1n\u00ed se vy\u0161\u0161\u00edho v\u011bku a nedosta\u010duj\u00edc\u00edch kapacit za\u0159\u00edzen\u00ed, je\u017e se o seniory, kte\u0159\u00ed trp\u00ed v\u00edce nemocemi najednou, staraj\u00ed. \u201eVid\u00edme to i u n\u00e1s. Na b\u011b\u017en\u00fdch intern\u00edch l\u016f\u017ek\u00e1ch pot\u0159ebujeme v\u00edce person\u00e1lu ne\u017e doposud. Zat\u00edm n\u00e1m nap\u0159\u00edklad sta\u010dil jeden sanit\u00e1\u0159, nyn\u00ed u\u017e pot\u0159ebujeme dva. Polymorbidn\u00ed pacient vy\u017eaduje n\u00e1ro\u010dn\u011bj\u0161\u00ed p\u00e9\u010di,\u201c<\/em> dod\u00e1v\u00e1 prim. Monhart.<\/p>\n\n\n\n

Na nemocni\u010dn\u00edch l\u016f\u017ek\u00e1ch na intern\u00e1ch v\u0161ak zbyte\u010dn\u011b nele\u017e\u00ed jen nemocn\u00ed, kte\u0159\u00ed se uzdravuj\u00ed, ale i ti, pro kter\u00e9 je toto l\u016f\u017eko fin\u00e1ln\u00ed zast\u00e1vkou. \u201e<\/em>P\u0159ijde mi ne\u0161\u0165astn\u00e9, kdy\u017e rodiny po\u0161lou t\u011b\u017ece nemocn\u00e9 p\u0159\u00edbuzn\u00e9 um\u0159\u00edt do nemocnice. P\u0159itom by pro n\u011b mnohdy bylo lep\u0161\u00ed, aby v klidu do\u017eili mezi sv\u00fdmi. P\u0159esto\u017ee se situace pomalu lep\u0161\u00ed, nen\u00ed u n\u00e1s zvykem um\u00edrat doma. Rodiny \u010dasto cht\u011bj\u00ed, abychom termin\u00e1ln\u011b nemocn\u00e9 st\u00e1le l\u00e9\u010dili. Ale pro \u0159adu takto nemocn\u00fdch je lep\u0161\u00ed v klidu odej\u00edt v dom\u00e1c\u00edm prost\u0159ed\u00ed, ne\u017e aby le\u017eeli napojen\u00ed na hadi\u010dky a p\u00edchali jsme do nich injekce,\u201c<\/em> dod\u00e1v\u00e1 prof. V\u00e1clav\u00edk.<\/p>\n\n\n\n

Podle statistik \u017eilo v \u010cesk\u00e9 republice ke konci lo\u0148sk\u00e9ho roku asi 20,9 % lid\u00ed ve v\u011bku 65 a v\u00edce let\u2013<\/strong> tedy p\u0159ibli\u017en\u011b ka\u017ed\u00fd p\u00e1t\u00fd \u010dlov\u011bk je senior. Podle st\u0159edn\u00ed varianty projekce, kter\u00e1 p\u0159edstavuje \u201enejpravd\u011bpodobn\u011bj\u0161\u00ed sc\u00e9n\u00e1\u0159\u201c, se o\u010dek\u00e1v\u00e1, \u017ee tento pod\u00edl vzroste do poloviny stolet\u00edna cca 29 %. <\/strong><\/strong>Kolem roku 2050 by tak m\u011blo v \u010cesk\u00e9 republice \u017e\u00edt p\u0159ibli\u017en\u011b 3,1 milionu osob star\u0161\u00edch 65 let. <\/p>\n","protected":false},"excerpt":{"rendered":"

O star\u0161\u00ed pacienty se nem\u00e1 kdo postarat, LDN jsou pln\u00e9 V\u00edce ne\u017e 20 % pacient\u016f le\u017e\u00ed na nemocni\u010dn\u00edch l\u016f\u017ek\u00e1ch interny zbyte\u010dn\u011b. M\u011bli by u\u017e b\u00fdt […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":21447,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-61997","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-zdravi"],"_links":{"self":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/61997","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=61997"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/61997\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/21447"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=61997"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=61997"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=61997"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}