{"id":333649,"date":"2025-01-06T09:41:08","date_gmt":"2025-01-06T08:41:08","guid":{"rendered":"https:\/\/zakrasnejsivimperk.cz\/?p=333649"},"modified":"2025-01-06T09:41:08","modified_gmt":"2025-01-06T08:41:08","slug":"vseobecna-zdravotni-pojistovna-hrazeni-sluzeb-nutricniho-terapeuta","status":"publish","type":"post","link":"https:\/\/zakrasnejsivimperk.cz\/?p=333649","title":{"rendered":"V\u0160EOBECN\u00c1 ZDRAVOTN\u00cd POJI\u0160\u0164OVNA: Hrazen\u00ed slu\u017eeb nutri\u010dn\u00edho terapeuta"},"content":{"rendered":"<p><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter wp-image-201756 size-full\" src=\"https:\/\/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:<\/h6>\n<h6 style=\"text-align: center;\">V jak\u00fdch p\u0159\u00edpadech jsou hrazeny slu\u017eby nutri\u010dn\u00edho terapeuta zdravotn\u00ed poji\u0161\u0165ovnou?<\/h6>\n<h6 style=\"text-align: center;\">ODPOV\u011a\u010e:<\/h6>\n<p class=\"-wm-MsoNoSpacing\">Nutri\u010dn\u00ed terapeut pat\u0159\u00ed mezi tzv. nel\u00e9ka\u0159sk\u00e1 zdravotnick\u00e1 povol\u00e1n\u00ed.\u00a0<b>V\u00a0ambulantn\u00ed oblasti je jeho p\u00e9\u010de hrazena smluvn\u00edm poskytovatel\u016fm, tedy t\u011bm ambulanc\u00edm, kter\u00e9 maj\u00ed se zdravotn\u00ed\u00a0poji\u0161\u0165ovnou uzav\u0159enou smlouvu dle aktu\u00e1ln\u011b platn\u00e9ho\u00a0<\/b><a href=\"https:\/\/www.vzp.cz\/poskytovatele\/ciselniky\/zdravotni-vykony\" target=\"_blank\" rel=\"noopener\"><b>Seznamu zdravotn\u00edch v\u00fdkon\u016f<\/b><\/a><b>.\u00a0<\/b>V\u00fd\u010det v\u0161ech onemocn\u011bn\u00ed, u kter\u00fdch je vhodn\u00e9 \u010di dokonce nezbytn\u00e9 dietn\u00ed opat\u0159en\u00ed a sn\u00edm spojen\u00e9 vy\u0161et\u0159en\u00ed a zhodnocen\u00ed nutri\u010dn\u00edho stavu nutri\u010dn\u00edm terapeutem, je velmi obs\u00e1hl\u00fd. V\u010detn\u011b prediabetu a diabetu sem pat\u0159\u00ed \u0159ada intern\u00edch a metabolick\u00fdch onemocn\u011bn\u00ed.\u00a0<b>\u00dahrada se t\u00fdk\u00e1 ale i dal\u0161\u00edch zdravotn\u00edch probl\u00e9m\u016f, jako jsou poruchy p\u0159\u00edjmu potravy, dna nebo celiakie.<\/b><\/p>\n<p class=\"-wm-MsoNoSpacing\"><b>Slu\u017eby nutri\u010dn\u00edho terapeuta jsou zam\u011b\u0159en\u00e9 na zlep\u0161en\u00ed zdravotn\u00edho stavu pacienta.<\/b>\u00a0P\u0159edpokladem \u00fasp\u011b\u0161n\u00e9 l\u00e9\u010dby je pak vz\u00e1jemn\u00e1 spolupr\u00e1ce nutri\u010dn\u00edho terapeuta s\u00a0l\u00e9ka\u0159sk\u00fdmi obory, \u010di dal\u0161\u00edmi nel\u00e9ka\u0159sk\u00fdmi pracovn\u00edky. P\u0159\u00edkladem takov\u00e9 spolupr\u00e1ce je koncept tzv. roz\u0161\u00ed\u0159en\u00fdch diabetologick\u00fdch ambulanc\u00ed.\u00a0<b>Tato slu\u017eba je hrazen\u00e1 pacient\u016fm s cukrovkou, konkr\u00e9tn\u011b s nov\u011b diagnostikovan\u00fdm diabetem 2. typu, ob\u00e9zn\u00edm diabetik\u016fm 2. typu nebo diabetik\u016fm s\u00a0nasazenou injek\u010dn\u00ed l\u00e9\u010dbou. D\u00e1le jsou slu\u017eby nutri\u010dn\u00edho terapeuta hrazeny pacient\u016fm s\u00a0cukrovkou a s chronick\u00fdm onemocn\u011bn\u00edm ledvin nebo s vysok\u00fdm kardiovaskul\u00e1rn\u00edm rizikem.<\/b><\/p>\n<p class=\"-wm-MsoNoSpacing\"><b>Jak\u00e9 jsou podm\u00ednky pro uhrazen\u00ed slu\u017eby?<\/b><\/p>\n<p class=\"-wm-MsoNoSpacing\"><b>Pro uhrazen\u00ed zdravotn\u00ed poji\u0161\u0165ovnou je nezbytn\u00e9, aby pacient obdr\u017eel z\u00e1kladn\u00ed informaci o p\u0159\u00edpadn\u00e9 \u00faprav\u011b diety v\u00a0r\u00e1mci l\u00e9\u010debn\u00e9ho postupu od sv\u00e9ho o\u0161et\u0159uj\u00edc\u00edho l\u00e9ka\u0159e.\u00a0<\/b>Ten n\u00e1sledn\u011b posoud\u00ed, zda jsou slu\u017eby nutri\u010dn\u00edho terapeuta pro pacienta pot\u0159ebn\u00e9 a vyd\u00e1 doporu\u010den\u00ed, na jeho\u017e z\u00e1klad\u011b se pacient m\u016f\u017ee k\u00a0nutri\u010dn\u00edmu terapeutovi objednat.\u00a0<b>Je nutn\u00e9, aby nutri\u010dn\u00ed terapeut\u00a0<\/b><b>pracoval ve zdravotnick\u00e9m za\u0159\u00edzen\u00ed, kter\u00e9 m\u00e1 smlouvu se zdravotn\u00ed poji\u0161\u0165ovnou.<\/b><b><\/b><\/p>\n<p class=\"-wm-MsoNoSpacing\"><strong>Jak prob\u00edh\u00e1 nutri\u010dn\u00ed terapie?<\/strong><\/p>\n<p class=\"-wm-MsoNoSpacing\"><b>Terapie obvykle za\u010d\u00edn\u00e1 komplexn\u00edm vyhodnocen\u00edm zdravotn\u00edho stavu pacienta, jeho stravovac\u00edch n\u00e1vyk\u016f a z\u00edsk\u00e1n\u00ed informac\u00ed, kolik energie a \u017eivin jeho t\u011blo pot\u0159ebuje.<\/b>\u00a0Tyto pot\u0159eby z\u00e1vis\u00ed na faktorech, jako je v\u011bk, v\u00e1ha nebo zdravotn\u00ed stav, proto by m\u011bl nutri\u010dn\u00ed terapeut p\u0159i\u00a0sv\u00e9 pr\u00e1ci vyu\u017e\u00edvat speci\u00e1ln\u00ed p\u0159\u00edstroje pro anal\u00fdzu t\u011blesn\u00e9 stavby\u00a0pacientova t\u011bla (nap\u0159. kolik m\u00e1 tukov\u00e9 tk\u00e1n\u011b a svalstva).\u00a0Na z\u00e1klad\u011b t\u011bchto \u00fadaj\u016f sestav\u00ed nutri\u010dn\u00ed terapeut individu\u00e1ln\u00ed pl\u00e1n, kter\u00fd zahrnuje zm\u011bny ve strav\u011b a \u017eivotn\u00edm stylu.\u00a0<b>Pacient obdr\u017e\u00ed rady t\u00fdkaj\u00edc\u00ed se v\u00fdb\u011bru vhodn\u00fdch potravin, spr\u00e1vn\u00e9ho slo\u017een\u00ed stravy a zp\u016fsob\u016f, jak kontrolovat hmotnost a p\u0159\u00edpadn\u011b hladinu cukru v\u00a0krvi u diabetik\u016f.<\/b><\/p>\n<p class=\"-wm-MsoNoSpacing\"><b>V\u00a0roz\u0161\u00ed\u0159en\u00e9 diabetologick\u00e9 ambulanci m\u016f\u017ee pacient absolvovat a\u017e 4 konzultace za 6-12 m\u011bs\u00edc\u016f od zah\u00e1jen\u00ed nutri\u010dn\u00ed intervence. Pokud je terapie \u00fasp\u011b\u0161n\u00e1, m\u016f\u017ee pokra\u010dovat v\u00a0konzultac\u00edch i n\u00e1sleduj\u00edc\u00ed rok.<\/b>\u00a0Mezi krit\u00e9ria \u00fasp\u011b\u0161nosti terapie pat\u0159\u00ed nap\u0159\u00edklad sn\u00ed\u017een\u00ed t\u011blesn\u00e9 hmotnosti u ob\u00e9zn\u00edch pacient\u016f alespo\u0148 o 5 %,\u00a0zlep\u0161en\u00ed kompenzace diabetu (pokles hodnoty glykovan\u00e9ho hemoglobinu), zlep\u0161en\u00ed hladiny gluk\u00f3zy v\u00a0krvi po j\u00eddle nebo sn\u00ed\u017een\u00ed v\u00fdskytu hypoglyk\u00e9mi\u00ed.<\/p>\n<p class=\"-wm-MsoNoSpacing\"><b>Jak\u00fd je rozd\u00edl mez\u00ed nutri\u010dn\u00edm terapeutem a v\u00fd\u017eivov\u00fdm poradcem?<\/b><\/p>\n<p class=\"-wm-MsoNoSpacing\">S rostouc\u00ed nab\u00eddkou v\u00fd\u017eivov\u00e9ho poradenstv\u00ed je pro laiky st\u00e1le obt\u00ed\u017en\u011bj\u0161\u00ed rozli\u0161it skute\u010dn\u00e9 odborn\u00edky na v\u00fd\u017eivu od t\u011bch, kte\u0159\u00ed maj\u00ed jen omezenou kvalifikaci nebo nejsou kvalifikov\u00e1ni v\u016fbec.\u00a0<b>Ozna\u010den\u00ed<\/b>\u00a0<b>nutri\u010dn\u00ed terapeut<\/b>\u00a0<b>sm\u00ed pou\u017e\u00edvat pouze osoba, kter\u00e1 \u00fasp\u011b\u0161n\u011b absolvovala bakal\u00e1\u0159sk\u00e9 studium v oboru nutri\u010dn\u00ed terapie na l\u00e9ka\u0159sk\u00e9 fakult\u011b nebo na vy\u0161\u0161\u00ed odborn\u00e9 \u0161kole.<\/b>\u00a0Po absolvov\u00e1n\u00ed tohoto studia se st\u00e1v\u00e1 nutri\u010dn\u00edm terapeutem, co\u017e j\u00ed umo\u017e\u0148uje poskytovat odborn\u00e9 poradenstv\u00ed v oblasti v\u00fd\u017eivy. Pokud pokra\u010duje v magistersk\u00e9m studiu a \u00fasp\u011b\u0161n\u011b jej dokon\u010d\u00ed, z\u00edsk\u00e1v\u00e1 titul\u00a0<b>nutri\u010dn\u00ed specialista<\/b>.<b><\/b><\/p>\n<p class=\"-wm-MsoNormal\"><b>Na rozd\u00edl od nutri\u010dn\u00edho terapeuta m\u016f\u017ee b\u00fdt v\u00fd\u017eivov\u00fdm poradcem v \u010cesk\u00e9 republice t\u00e9m\u011b\u0159 kdokoliv, kdo m\u00e1 ur\u010dit\u00e9 znalosti o v\u00fd\u017eiv\u011b.<\/b>\u00a0V\u00fd\u017eivov\u00fd poradce nemus\u00ed m\u00edt vysoko\u0161kolsk\u00e9 vzd\u011bl\u00e1n\u00ed, obvykle posta\u010d\u00ed, kdy\u017e absolvuje r\u016fzn\u00e9 kurzy zam\u011b\u0159en\u00e9 na v\u00fd\u017eivu a zdrav\u00fd \u017eivotn\u00ed styl nebo si z\u0159\u00edd\u00ed \u017eivnostensk\u00fd list.<\/p>\n<p><strong>(vzp)<\/strong><\/p>\n<hr \/>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>OT\u00c1ZKA: V <\/p>\n","protected":false},"author":2,"featured_media":333652,"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\/2025\/01\/06\/ram-vzp.jpg","_links":{"self":[{"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/333649"}],"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=333649"}],"version-history":[{"count":2,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/333649\/revisions"}],"predecessor-version":[{"id":333651,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/333649\/revisions\/333651"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/media\/333652"}],"wp:attachment":[{"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=333649"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=333649"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=333649"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}