{"id":282611,"date":"2023-07-10T08:26:40","date_gmt":"2023-07-10T07:26:40","guid":{"rendered":"https:\/\/zakrasnejsivimperk.cz\/?p=282611"},"modified":"2023-07-10T08:26:40","modified_gmt":"2023-07-10T07:26:40","slug":"vseobecna-zdravotni-pojistovna-drive-vyslovene-prani","status":"publish","type":"post","link":"https:\/\/zakrasnejsivimperk.cz\/?p=282611","title":{"rendered":"V\u0160EOBECN\u00c1 ZDRAVOTN\u00cd POJI\u0160\u0164OVNA: D\u0159\u00edve vysloven\u00e9 p\u0159\u00e1n\u00ed"},"content":{"rendered":"

\"\"<\/p>\n

OT\u00c1ZKA T\u00ddDNE<\/h6>\n
Co je to d\u0159\u00edve vysloven\u00e9 p\u0159\u00e1n\u00ed?<\/h6>\n
ODPOV\u011a\u010e<\/h6>\n

Pacientovi mohou b\u00fdt poskytnuty zdravotn\u00ed slu\u017eby pouze s\u00a0jeho souhlasem\u00a0<\/b>(bez jeho souhlasu mohou b\u00fdt poskytnuty pouze tam, kde to z\u00e1kon v\u00fdslovn\u011b p\u0159ipou\u0161t\u00ed).\u00a0<\/b>Mohou v\u0161ak nastat situace, kdy\u00a0by\u00a0se pacient mohl ocitnout v takov\u00e9m zdravotn\u00edm stavu, ve kter\u00e9m nebude schopen vyslovit souhlas nebo nesouhlas s\u00a0poskytnut\u00edm zdravotn\u00edch slu\u017eeb a zp\u016fsobem jejich poskytnut\u00ed. A pr\u00e1v\u011b tzv.\u00a0institut d\u0159\u00edve vysloven\u00e9ho p\u0159\u00e1n\u00ed umo\u017e\u0148uje pacientovi p\u0159edem vyj\u00e1d\u0159it svou v\u016fli pro p\u0159\u00edpad, kdy by\u00a0nemohl rozhodovat o sv\u00e9m zdravotn\u00edm stavu a l\u00e9\u010db\u011b\u00a0<\/b>\u2013 tzn. v\u00a0d\u0159\u00edve vysloven\u00e9m p\u0159\u00e1n\u00ed je\u00a0uveden bu\u010f souhlas, nebo tak\u00e9 nesouhlas s\u00a0poskytnut\u00edm zdravotn\u00edch slu\u017eeb \u010di zp\u016fsobem, jak\u00fdm maj\u00ed b\u00fdt takov\u00e9 zdravotn\u00ed slu\u017eby pacientovi poskytnuty.<\/p>\n

Podm\u00ednky d\u0159\u00edve vysloven\u00e9ho p\u0159\u00e1n\u00ed stanovuje z\u00e1kon o zdravotn\u00edch slu\u017eb\u00e1ch (\u010d. 372\/2011 Sb.), zejm\u00e9na ustanoven\u00ed \u00a7 36.<\/p>\n

Podm\u00ednky d\u0159\u00edve vysloven\u00e9ho p\u0159\u00e1n\u00ed<\/b><\/h6>\n

L\u00e9ka\u0159 bere na v\u011bdom\u00ed informace o d\u0159\u00edve vysloven\u00e9m p\u0159\u00e1n\u00ed pacienta, m\u00e1-li je k\u00a0dispozici.\u00a0D\u0159\u00edve vysloven\u00e9 p\u0159\u00e1n\u00ed mus\u00ed m\u00edt p\u00edsemnou formu a mus\u00ed b\u00fdt opat\u0159eno \u00fa\u0159edn\u011b ov\u011b\u0159en\u00fdm podpisem pacienta<\/b>.\u00a0Sou\u010d\u00e1st\u00ed d\u0159\u00edve vysloven\u00e9ho p\u0159\u00e1n\u00ed mus\u00ed b\u00fdt p\u00edsemn\u00e9 pou\u010den\u00ed o d\u016fsledc\u00edch jeho rozhodnut\u00ed.<\/b>\u00a0Pou\u010den\u00ed mus\u00ed b\u00fdt provedeno bu\u010f l\u00e9ka\u0159em v\u00a0oboru v\u0161eobecn\u00e9 praktick\u00e9 l\u00e9ka\u0159stv\u00ed, u\u00a0n\u011bho\u017e je pacient registrov\u00e1n, nebo jin\u00fdm o\u0161et\u0159uj\u00edc\u00edm l\u00e9ka\u0159em v\u00a0oboru zdravotn\u00ed p\u00e9\u010de, s\u00a0n\u00ed\u017e\u00a0<\/a>d\u0159\u00edve<\/a>\u00a0vysloven\u00e9<\/a>\u00a0p\u0159\u00e1n\u00ed souvis\u00ed.<\/p>\n

D\u0159\u00edve vysloven\u00e9 p\u0159\u00e1n\u00ed nelze uplatnit, jde-li o nezletil\u00e9 pacienty nebo pacienty s omezenou sv\u00e9pr\u00e1vnost\u00ed.<\/b><\/p>\n

Podm\u00ednkou pro respektov\u00e1n\u00ed d\u0159\u00edve vysloven\u00e9ho p\u0159\u00e1n\u00ed je, \u017ee v dob\u011b poskytov\u00e1n\u00ed zdravotn\u00edch slu\u017eeb nastala p\u0159edv\u00eddateln\u00e1 situace, k n\u00ed\u017e se d\u0159\u00edve vysloven\u00e9 p\u0159\u00e1n\u00ed vztahuje, a z\u00e1rove\u0148 je pacient v takov\u00e9m zdravotn\u00edm stavu, kdy nen\u00ed schopen vyslovit nov\u00fd souhlas nebo nesouhlas s\u00a0poskytnut\u00edm zdravotn\u00edch slu\u017eeb.<\/p>\n

Pacient m\u016f\u017ee u\u010dinit d\u0159\u00edve vysloven\u00e9 p\u0159\u00e1n\u00ed tak\u00e9 p\u0159i p\u0159ijet\u00ed do p\u00e9\u010de poskytovatelem zdravotn\u00ed p\u00e9\u010de nebo kdykoliv v pr\u016fb\u011bhu hospitalizace<\/b>. Takto vysloven\u00e9 p\u0159\u00e1n\u00ed se zaznamen\u00e1 do zdravotnick\u00e9 dokumentace veden\u00e9 o pacientovi a dokument podep\u00ed\u0161e pacient, zdravotnick\u00fd pracovn\u00edk a sv\u011bdek (v\u00a0tomto p\u0159\u00edpad\u011b nemus\u00ed b\u00fdt podpis \u00fa\u0159edn\u011b ov\u011b\u0159en).<\/p>\n

Nerespektov\u00e1n\u00ed d\u0159\u00edve vysloven\u00e9ho p\u0159\u00e1n\u00ed<\/b><\/h6>\n

Z\u00e1kon o zdravotn\u00edch slu\u017eb\u00e1ch uv\u00e1d\u00ed takt\u00e9\u017e podm\u00ednky, kdy l\u00e9ka\u0159 d\u0159\u00edve vysloven\u00e9 p\u0159\u00e1n\u00ed nesm\u00ed respektovat.<\/p>\n

D\u0159\u00edve vysloven\u00e9 p\u0159\u00e1n\u00ed nelze respektovat, t\u00fdk\u00e1-li se t\u011bchto p\u0159\u00edpad\u016f:<\/p>\n

    \n
  • pokud nab\u00e1d\u00e1 k takov\u00fdm postup\u016fm, jejich\u017e v\u00fdsledkem je aktivn\u00ed zp\u016fsoben\u00ed smrti<\/li>\n
  • pokud by jeho spln\u011bn\u00ed mohlo ohrozit jin\u00e9 osoby<\/li>\n
  • pokud byly v dob\u011b, kdy poskytovatel zdravotn\u00edch slu\u017eeb nem\u011bl k dispozici d\u0159\u00edve vysloven\u00e9 p\u0159\u00e1n\u00ed, zapo\u010daty takov\u00e9 zdravotn\u00ed v\u00fdkony, jejich\u017e p\u0159eru\u0161en\u00ed by vedlo k aktivn\u00edmu zp\u016fsoben\u00ed smrti<\/li>\n<\/ul>\n

    L\u00e9ka\u0159 d\u0159\u00edve vysloven\u00e9 p\u0159\u00e1n\u00ed nemus\u00ed respektovat, pokud by od doby jeho vysloven\u00ed do\u0161lo v\u00a0poskytov\u00e1n\u00ed zdravotn\u00edch slu\u017eeb k\u00a0takov\u00e9mu v\u00fdvoji, \u017ee by bylo mo\u017en\u00e9 d\u016fvodn\u011b p\u0159edpokl\u00e1dat, \u017ee by pacient vyslovil souhlas s\u00a0jejich poskytnut\u00edm. Rozhodnut\u00ed o nerespektov\u00e1n\u00ed a d\u016fvody, kter\u00e9 k\u00a0n\u011bmu vedly, se\u00a0zaznamenaj\u00ed do zdravotnick\u00e9 dokumentace veden\u00e9 o pacientovi.<\/p>\n

     <\/p>\n

    (tz-vzp)<\/strong><\/p>\n

    \n

     <\/p>\n

     <\/p>\n","protected":false},"excerpt":{"rendered":"

    OT\u00c1ZKA T\u00ddDNE <\/p>\n","protected":false},"author":2,"featured_media":282613,"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\/2023\/07\/10\/ram-vzp.jpg","_links":{"self":[{"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/282611"}],"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=282611"}],"version-history":[{"count":1,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/282611\/revisions"}],"predecessor-version":[{"id":282612,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/282611\/revisions\/282612"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/media\/282613"}],"wp:attachment":[{"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=282611"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=282611"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=282611"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}