{"id":204870,"date":"2020-10-05T09:43:22","date_gmt":"2020-10-05T08:43:22","guid":{"rendered":"http:\/\/zakrasnejsivimperk.cz\/?p=204870"},"modified":"2020-10-05T09:43:22","modified_gmt":"2020-10-05T08:43:22","slug":"vseobecna-zdravotni-pojistovna-nestaci-k-navrhu-lazni-vyjadreni-praktickeho-lekare","status":"publish","type":"post","link":"https:\/\/zakrasnejsivimperk.cz\/?p=204870","title":{"rendered":"V\u0160EOBECN\u00c1 ZDRAVOTN\u00cd POJI\u0160\u0164OVNA: Nesta\u010d\u00ed k n\u00e1vrhu l\u00e1zn\u00ed vyj\u00e1d\u0159en\u00ed praktick\u00e9ho l\u00e9ka\u0159e?"},"content":{"rendered":"<p><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter wp-image-201756 size-full\" src=\"http:\/\/zakrasnejsivimperk.cz\/wp-content\/uploads\/2020\/08\/31\/vzp-logo.png\" alt=\"\" width=\"646\" height=\"223\" srcset=\"https:\/\/zakrasnejsivimperk.cz\/wp-content\/uploads\/2020\/08\/31\/vzp-logo.png 646w, https:\/\/zakrasnejsivimperk.cz\/wp-content\/uploads\/2020\/08\/31\/vzp-logo-300x104.png 300w\" sizes=\"(max-width: 646px) 100vw, 646px\" \/><\/p>\n<h6 style=\"text-align: center;\">OT\u00c1ZKA T\u00ddDNE:<\/h6>\n<h6 style=\"text-align: center;\">K n\u00e1vrhu na l\u00e1zn\u011b pr\u00fd vzhledem k sv\u00e9mu v\u011bku budu pot\u0159ebovat vyj\u00e1d\u0159en\u00ed internisty, zda jsem schopna je absolvovat. Nesta\u010d\u00ed vyj\u00e1d\u0159en\u00ed m\u00e9ho praktick\u00e9ho l\u00e9ka\u0159e, kter\u00fd bude l\u00e1zn\u011b navrhovat? A musela bych toto vy\u0161et\u0159en\u00ed platit, nebo ho hrad\u00ed poji\u0161\u0165ovna?<\/h6>\n<h6 style=\"text-align: center;\">ODPOV\u011a\u010e:<\/h6>\n<p>K n\u00e1vrhu na jak\u00e9koli l\u00e1ze\u0148sk\u00e9 l\u00e9\u010den\u00ed je skute\u010dn\u011b nutn\u00e9 u pacienta nad 70 let dolo\u017eit jednozna\u010dn\u00e9 stanovisko internisty nebo geriatra ke schopnosti tohoto poji\u0161t\u011bnce absolvovat l\u00e1ze\u0148skou l\u00e9\u010debn\u011b rehabilita\u010dn\u00ed p\u00e9\u010di. Tato podm\u00ednka je ve vyhl\u00e1\u0161ce MZ \u010cR \u010d. 2\/2015 Sb., o stanoven\u00ed odborn\u00fdch krit\u00e9ri\u00ed a dal\u0161\u00edch n\u00e1le\u017eitost\u00ed pro poskytov\u00e1n\u00ed l\u00e1ze\u0148sk\u00e9 l\u00e9\u010debn\u011b rehabilita\u010dn\u00ed p\u00e9\u010de. Vyj\u00e1d\u0159en\u00ed praktick\u00e9ho l\u00e9ka\u0159e tedy nesta\u010d\u00ed.<\/p>\n<p>Intern\u00ed vy\u0161et\u0159en\u00ed nebudete platit, hrad\u00ed ho poji\u0161\u0165ovna jako ka\u017ed\u00e9 l\u00e9ka\u0159em indikovan\u00e9 (tj. doporu\u010den\u00e9) vy\u0161et\u0159en\u00ed. Objedn\u00e1te se na n\u011bj na kter\u00e9koli intern\u00ed odd\u011blen\u00ed. Praktick\u00fd l\u00e9ka\u0159 v\u00e1m k tomu vystav\u00ed doporu\u010den\u00ed, kde uvede, jak\u00e9 vy\u0161et\u0159en\u00ed a pro jak\u00fd \u00fa\u010del je po\u017eadov\u00e1no. Na z\u00e1klad\u011b toho v\u00e1m bude provedeno intern\u00ed vy\u0161et\u0159en\u00ed v po\u017eadovan\u00e9m rozsahu, v\u010detn\u011b EKG, proto\u017ee elektrokardiografick\u00e9 vy\u0161et\u0159en\u00ed mus\u00ed b\u00fdt dolo\u017eeno k l\u00e1ze\u0148sk\u00e9mu n\u00e1vrhu u v\u0161ech pacient\u016f nad 40 let (op\u011bt podle zm\u00edn\u011bn\u00e9 vyhl\u00e1\u0161ky).<\/p>\n<p>Internista bude p\u0159i vy\u0161et\u0159en\u00ed zji\u0161\u0165ovat va\u0161i anamn\u00e9zu \u2013 to znamen\u00e1, \u017ee se pt\u00e1 na v\u00e1\u0161 zdravotn\u00ed stav a na p\u0159\u00edpadn\u00e9 aktu\u00e1ln\u00ed pot\u00ed\u017ee, d\u00e1le na prod\u011blan\u00e1 onemocn\u011bn\u00ed, \u00farazy \u010di operace, na u\u017e\u00edv\u00e1n\u00ed l\u00e9k\u016f, alergie apod. Samotn\u00e9 intern\u00ed vy\u0161et\u0159en\u00ed pak m\u00e1 zjistit, zda netrp\u00edte n\u011bjak\u00fdm vnit\u0159n\u00edm onemocn\u011bn\u00edm, kter\u00e9 by br\u00e1nilo absolvovat l\u00e1ze\u0148skou l\u00e9\u010dbu. Mohlo by j\u00edt zejm\u00e9na o probl\u00e9my kardiovaskul\u00e1rn\u00ed, ob\u011bhov\u00e9 atd. L\u00e9ka\u0159 m\u00e1 pohledem, pohmatem, poklepem a poslechem vy\u0161et\u0159it nejen b\u0159icho a hrudn\u00edk (srdce, pl\u00edce, tr\u00e1vic\u00ed org\u00e1ny), ale i nap\u0159. krk (uzliny a \u0161t\u00edtnou \u017el\u00e1zu, kr\u010dn\u00ed tepny, hybnost krku) nebo kon\u010detiny (pohyblivost, kontrola stavu k\u016f\u017ee, pulzace tepen). Sou\u010d\u00e1st\u00ed je i zm\u011b\u0159en\u00ed krevn\u00edho tlaku a pulzu, p\u0159\u00edpadn\u011b odb\u011br krve a mo\u010di pro pot\u0159ebn\u00e1 vy\u0161et\u0159en\u00ed.<\/p>\n<p>Rozsah prov\u00e1d\u011bn\u00fdch vy\u0161et\u0159en\u00ed samoz\u0159ejm\u011b z\u00e1vis\u00ed na tom, kv\u016fli jak\u00e9mu onemocn\u011bn\u00ed nebo stavu m\u00e1te absolvovat l\u00e1ze\u0148skou l\u00e9\u010dbu. Nap\u0159\u00edklad u nej\u010dast\u011bj\u0161\u00edch indikac\u00ed pro l\u00e1ze\u0148skou l\u00e9\u010dbu, co\u017e jsou nemoci pohybov\u00e9ho \u00fastroj\u00ed, mus\u00ed b\u00fdt k n\u00e1vrh\u016fm v\u017edy p\u0159ilo\u017eeno p\u0159\u00edslu\u0161n\u00e9 odborn\u00e9 vy\u0161et\u0159en\u00ed v\u010detn\u011b odpov\u00eddaj\u00edc\u00edho laboratorn\u00edho a funk\u010dn\u00edho vy\u0161et\u0159en\u00ed a v\u010detn\u011b rentgenov\u00e9ho vy\u0161et\u0159en\u00ed (resp. popisu sn\u00edmk\u016f) z doby krat\u0161\u00ed ne\u017e 2 roky; dal\u0161\u00ed p\u0159\u00edpadn\u00e9 po\u017eadavky na vy\u0161et\u0159en\u00ed jsou uvedeny u jednotliv\u00fdch konkr\u00e9tn\u00edch indikac\u00ed.<\/p>\n<p>Na to, abyste absolvovala v\u0161echna nutn\u00e1 vy\u0161et\u0159en\u00ed, kter\u00e1 jsou stanovena platnou legislativou, mus\u00ed dohl\u00e9dnout praktick\u00fd l\u00e9ka\u0159, kter\u00fd vystavuje a pod\u00e1v\u00e1 l\u00e1ze\u0148sk\u00fd n\u00e1vrh. N\u00e1vrh n\u00e1sledn\u011b v\u017edy proch\u00e1z\u00ed rukama revizn\u00edho l\u00e9ka\u0159e poji\u0161\u0165ovny, kter\u00fd mus\u00ed posoudit, jsou-li spln\u011bny podm\u00ednky pro \u00fahradu l\u00e1ze\u0148sk\u00e9 p\u00e9\u010de z prost\u0159edk\u016f ve\u0159ejn\u00e9ho zdravotn\u00edho poji\u0161t\u011bn\u00ed dan\u00e9 platnou legislativou (p\u0159\u00edlohou \u010d. 5 z\u00e1kona o ve\u0159ejn\u00e9m zdravotn\u00edm poji\u0161t\u011bn\u00ed a v\u00fd\u0161e zm\u00edn\u011bnou vyhl\u00e1\u0161kou), jsou-li uvedena v\u0161echna pot\u0159ebn\u00e1 vy\u0161et\u0159en\u00ed a nebr\u00e1n\u00ed-li l\u00e9\u010den\u00ed n\u011bjak\u00e1 kontraindikace.<\/p>\n<p><strong>(tzvzp)<\/strong><\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>OT\u00c1ZKA T\u00ddDNE: <\/p>\n","protected":false},"author":2,"featured_media":204871,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"gallery","meta":{"footnotes":""},"categories":[88],"tags":[],"jetpack_featured_media_url":"https:\/\/zakrasnejsivimperk.cz\/wp-content\/uploads\/2020\/10\/05\/r\u00e1me\u010dek-ot\u00e1zka-t\u00fddne.jpg","_links":{"self":[{"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/204870"}],"collection":[{"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=204870"}],"version-history":[{"count":1,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/204870\/revisions"}],"predecessor-version":[{"id":204872,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/204870\/revisions\/204872"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/media\/204871"}],"wp:attachment":[{"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=204870"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=204870"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=204870"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}