{"id":368098,"date":"2026-02-09T12:27:29","date_gmt":"2026-02-09T11:27:29","guid":{"rendered":"https:\/\/zakrasnejsivimperk.cz\/?p=368098"},"modified":"2026-02-09T12:27:29","modified_gmt":"2026-02-09T11:27:29","slug":"vseobecna-zdravotni-pojistovna-geriatricka-pece","status":"publish","type":"post","link":"https:\/\/zakrasnejsivimperk.cz\/?p=368098","title":{"rendered":"V\u0160EOBECN\u00c1 ZDRAVOTN\u00cd POJI\u0160\u0164OVNA: Geriatrick\u00e1 p\u00e9\u010de"},"content":{"rendered":"

\"\"<\/p>\n

OT\u00c1ZKA:<\/h6>\n
Co obn\u00e1\u0161\u00ed geriatrick\u00e1 p\u00e9\u010de a komu je ur\u010dena?<\/h6>\n
ODPOV\u011a\u010e:<\/h6>\n

Geriatrie je samostatn\u00fd l\u00e9ka\u0159sk\u00fd obor, kter\u00fd se zab\u00fdv\u00e1 specifick\u00fdmi zdravotn\u00edmi probl\u00e9my spojen\u00fdmi se st\u00e1rnut\u00edm s\u00a0c\u00edlem komplexn\u00edho p\u0159\u00edstupu v\u00a0p\u00e9\u010di o fyzick\u00e9 i du\u0161evn\u00ed zdrav\u00ed t\u011bchto pacient\u016f zohled\u0148uj\u00edc\u00edho\u00a0jejich soci\u00e1ln\u00ed situaci<\/b>\u00a0Zam\u011b\u0159uje se na posouzen\u00ed funk\u010dn\u00edho stavu seniora, diagnostiku, l\u00e9\u010dbu a celkovou p\u00e9\u010di o pacienty vy\u0161\u0161\u00edho v\u011bku (obvykle nad 65 let) a tak\u00e9 prevenci rozvoje tzv. geriatrick\u00fdch syndrom\u016f Rozhoduj\u00edc\u00ed nen\u00ed kalend\u00e1\u0159n\u00ed v\u011bk, ale celkov\u00fd zdravotn\u00ed stav pacienta.\u00a0Geriatrick\u00e1 p\u00e9\u010de se t\u00fdk\u00e1 p\u0159edev\u0161\u00edm pacient\u016f, kte\u0159\u00ed trp\u00ed \u010detn\u00fdmi chronick\u00fdmi nemocemi, vykazuj\u00ed projevy tzv. sta\u0159eck\u00e9 k\u0159ehkosti vedouc\u00ed k poklesu sob\u011bsta\u010dnosti a kte\u0159\u00ed pot\u0159ebuj\u00ed obvykle koordinovanou zdravotn\u011b-soci\u00e1ln\u00ed p\u00e9\u010di.\u00a0<\/b>L\u00e9ka\u0159 specializuj\u00edc\u00ed se na tento obor se naz\u00fdv\u00e1 geriatr, v\u00a0\u017e\u00e1dn\u00e9m p\u0159\u00edpad\u011b ale nenahrazuje praktick\u00e9ho l\u00e9ka\u0159e, jen\u017e \u0159e\u0161\u00ed b\u011b\u017en\u00e9 nemoci, o\u010dkov\u00e1n\u00ed atp.<\/p>\n

Kdo je geriatrick\u00fd pacient?<\/b><\/p>\n

Geriatrick\u00fd pacient je \u010dlov\u011bk, u n\u011bho\u017e se kv\u016fli chronick\u00fdm onemocn\u011bn\u00edm ve vy\u0161\u0161\u00edm v\u011bku a v\u00a0souvislosti s\u00a0projevy geriatrick\u00fdch syndrom\u016f zhor\u0161uj\u00ed schopnosti zvl\u00e1dat b\u011b\u017en\u00e9 denn\u00ed situace. Je to tak\u00e9 osoba, kter\u00e1 je ohro\u017eena n\u00e1hl\u00fdm zhor\u0161en\u00edm celkov\u00e9ho zdravotn\u00edho stavu. T\u011blo u\u017e h\u016f\u0159e reaguje na zm\u011bny, obt\u00ed\u017en\u011bji se p\u0159izp\u016fsobuje a sn\u00e1\u0161\u00ed fyzickou i psychickou z\u00e1t\u011b\u017e.\u00a0<\/b>Proto se geriatrie nezam\u011b\u0159uje pouze na l\u00e9\u010dbu jednotliv\u00fdch nemoc\u00ed, ale na celkov\u00fd zdravotn\u00ed stav, sob\u011bsta\u010dnost a kvalitu \u017eivota pacienta.\u00a0V\u011bt\u0161inu geriatrick\u00fdch pacient\u016f tvo\u0159\u00ed osoby nad 65 let, kter\u00e9 \u010dasto trp\u00ed v\u00edce dlouhodob\u00fdmi nemocemi sou\u010dasn\u011b. Nej\u010dast\u011bji se jedn\u00e1 o kardiovaskul\u00e1rn\u00ed, neurologick\u00e1 a metabolick\u00e1 onemocn\u011bn\u00ed.<\/b>\u00a0Pat\u0159\u00ed sem ale i pacienti s onemocn\u011bn\u00edm tr\u00e1vic\u00edho traktu \u010di ledvin, psychiatrick\u00fdmi diagn\u00f3zami, onkologick\u00fdmi onemocn\u011bn\u00edmi, ko\u017en\u00edmi chorobami (b\u00e9rcov\u00fdmi v\u0159edy, prole\u017eeninami), pacienti po operac\u00edch, \u00farazech, s kloubn\u00edmi n\u00e1hradami \u010di nemocemi pohybov\u00e9ho apar\u00e1tu.<\/b><\/p>\n

Jak\u00e9 zdravotn\u00ed probl\u00e9my geriatrie \u0159e\u0161\u00ed?<\/b><\/p>\n

Star\u0161\u00ed pacienti b\u00fdvaj\u00ed ohro\u017eeni tzv. geriatrick\u00fdmi syndromy, tedy zdravotn\u00edmi pot\u00ed\u017eemi, kter\u00e9 vznikaj\u00ed z r\u016fzn\u00fdch p\u0159\u00ed\u010din a maj\u00ed obvykle dlouhodob\u00fd pr\u016fb\u011bh.\u00a0Mezi tyto probl\u00e9my pat\u0159\u00ed nap\u0159\u00edklad celkov\u00e1 k\u0159ehkost, svalov\u00e1 slabost, poruchy rovnov\u00e1hy a \u0161patn\u00e1 koordinace pohyb\u016f, v\u00a0jejich\u017e d\u016fsledku doch\u00e1z\u00ed k \u010dast\u00fdm p\u00e1d\u016fm a \u00faraz\u016fm, nedostate\u010dn\u00e1 v\u00fd\u017eiva, dehydratace, inkontinence, poruchy sp\u00e1nku, ale tak\u00e9 zhor\u0161en\u00ed pam\u011bti, demence nebo depresivn\u00ed stavy. U t\u011bchto pacient\u016f je tak\u00e9 zv\u00fd\u0161en\u00e9 riziko nadm\u011brn\u00e9ho u\u017e\u00edv\u00e1n\u00ed l\u00e9k\u016f, v\u00a0jeho\u017e d\u016fsledku doch\u00e1z\u00ed k projev\u016fm ne\u017e\u00e1douc\u00edch \u00fa\u010dink\u016f a l\u00e9kov\u00fdch interakc\u00ed. Geriatri\u010dt\u00ed pacienti jsou ohro\u017eeni i rizikem opakovan\u00e9 hospitalizace. Jmenovan\u00e9 probl\u00e9my se \u010dasto vz\u00e1jemn\u011b ovliv\u0148uj\u00ed.\u00a0<\/b>Geriatrie p\u0159istupuje k pacientovi komplexn\u011b a hodnot\u00ed nejen jeho fyzick\u00fd stav, ale tak\u00e9 psychick\u00e9 zdrav\u00ed, schopnost zvl\u00e1dat ka\u017edodenn\u00ed \u010dinnosti a soci\u00e1ln\u00ed podm\u00ednky, ve kter\u00fdch \u017eije. C\u00edlem je navrhnout individu\u00e1ln\u00ed p\u00e9\u010di, l\u00e9ka\u0159skou i o\u0161et\u0159ovatelskou, je\u017e odpov\u00edd\u00e1 skute\u010dn\u00fdm pot\u0159eb\u00e1m pacienta a pom\u00e1h\u00e1 mu udr\u017eet co nejvy\u0161\u0161\u00ed kvalitu \u017eivota.\u00a0Geriatrick\u00e1 p\u00e9\u010de m\u016f\u017ee prob\u00edhat ambulantn\u011b nebo na specializovan\u00e9m odd\u011blen\u00ed v nemocnici.<\/b><\/p>\n

Jak naj\u00edt l\u00e9ka\u0159e geriatra?<\/b><\/p>\n

Geriatrick\u00e9ho l\u00e9ka\u0159e je mo\u017en\u00e9 vyhledat nap\u0159\u00edklad prost\u0159ednictv\u00edm\u00a0<\/b>Vyhled\u00e1va\u010de smluvn\u00edch poskytovatel\u016f zdravotn\u00edch slu\u017eeb VZP<\/b><\/a>, kde si pacient zvol\u00ed odbornost, lokalitu a zjist\u00ed, zda m\u00e1 dan\u00e9 za\u0159\u00edzen\u00ed smlouvu s jeho zdravotn\u00ed poji\u0161\u0165ovnou.\u00a0<\/b>Doporu\u010den\u00ed od praktick\u00e9ho \u010di jin\u00e9ho l\u00e9ka\u0159e na geriatrick\u00e9 vy\u0161et\u0159en\u00ed je ve v\u011bt\u0161in\u011b p\u0159\u00edpad\u016f v\u00fdhodou, ale nen\u00ed v\u017edy podm\u00ednkou, z\u00e1le\u017e\u00ed na konkr\u00e9tn\u00edm zdravotnick\u00e9m za\u0159\u00edzen\u00ed. M\u00e1-li pacient pot\u00ed\u017ee s pam\u011bt\u00ed, pohybem nebo jin\u00e1 zdravotn\u00ed omezen\u00ed, doporu\u010duje se na vy\u0161et\u0159en\u00ed p\u0159ij\u00edt s bl\u00edzkou osobou. S sebou by m\u011bl m\u00edt ob\u010dansk\u00fd pr\u016fkaz, karti\u010dku poji\u0161t\u011bnce, dostupn\u00e9 l\u00e9ka\u0159sk\u00e9 zpr\u00e1vy, seznam v\u0161ech u\u017e\u00edvan\u00fdch l\u00e9k\u016f (v\u010detn\u011b voln\u011b prodejn\u00fdch p\u0159\u00edpravk\u016f a dopl\u0148k\u016f stravy, nen\u00ed od v\u011bci s sebou v\u0161echny u\u017e\u00edvan\u00e9 l\u00e9ky a dopl\u0148ky vz\u00edt na prvn\u00ed n\u00e1v\u0161t\u011bvu u geriatra), a pom\u016fcky jako br\u00fdle, naslouchadlo \u010di h\u016fl.<\/p>\n

\u00dahrada z\u00a0ve\u0159ejn\u00e9ho zdravotn\u00edho poji\u0161t\u011bn\u00ed<\/strong><\/p>\n

Ve\u0161ker\u00e1 vy\u0161et\u0159en\u00ed, kter\u00e1 jsou pacientovi indikov\u00e1na, jsou pln\u011b hrazena z ve\u0159ejn\u00e9ho zdravotn\u00edho poji\u0161t\u011bn\u00ed. V\u0161echna vy\u0161et\u0159en\u00ed je nutn\u00e9 prov\u00e9st ve\u00a0smluvn\u00edch zdravotnick\u00fdch za\u0159\u00edzen\u00edch<\/strong>\u00a0(tedy u\u00a0poskytovatele zdravotn\u00edch slu\u017eeb, kter\u00fd m\u00e1 smlouvu se\u00a0zdravotn\u00ed poji\u0161\u0165ovnou pacienta).<\/p>\n

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

\n

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

OT\u00c1ZKA: Co <\/p>\n","protected":false},"author":2,"featured_media":368099,"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\/2026\/02\/09\/ram-vzp.jpg","_links":{"self":[{"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/368098"}],"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=368098"}],"version-history":[{"count":1,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/368098\/revisions"}],"predecessor-version":[{"id":368100,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/368098\/revisions\/368100"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/media\/368099"}],"wp:attachment":[{"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=368098"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=368098"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=368098"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}