{"id":4954,"date":"2026-06-05T12:12:49","date_gmt":"2026-06-05T12:12:49","guid":{"rendered":"https:\/\/practicalhealthpsychology.com\/?p=4954"},"modified":"2026-06-05T12:54:41","modified_gmt":"2026-06-05T12:54:41","slug":"helping-caregivers-when-patients-leave-hospital-practical-lessons-from-co-production","status":"publish","type":"post","link":"https:\/\/practicalhealthpsychology.com\/cz\/2026\/06\/helping-caregivers-when-patients-leave-hospital-practical-lessons-from-co-production\/","title":{"rendered":"Podpora pe\u010dovatel\u016f p\u0159i propu\u0161t\u011bn\u00ed pacient\u016f z nemocnice: Praktick\u00e9 poznatky ze spole\u010dn\u00e9 pr\u00e1ce"},"content":{"rendered":"<p><strong>Kathryn McEwan, Northumbria University, UK<\/strong><\/p>\n<p><i><span style=\"font-weight: 400;\">S\u00e1ra pomohla sbalit v\u011bci jej\u00edmu otci; \u00faleva se m\u00eds\u00ed se zvy\u0161uj\u00edc\u00ed \u00fazkost\u00ed. Po p\u011bti dnech v nemocnici po jeho mrtvici ho propou\u0161t\u011bj\u00ed. Sestra kr\u00e1tce zm\u00ednila zm\u011bny v medikaci a n\u00e1sleduj\u00edc\u00ed kontroly, ale S\u00e1ra (kdo o n\u011bj bude pe\u010dovat v dom\u00e1cnosti) nebyla sou\u010d\u00e1st\u00ed t\u011bchto rozhovor\u016f. Ode\u0161la s propou\u0161t\u011bc\u00ed zpr\u00e1vou, kter\u00e9 \u00fapln\u011b nerozum\u011bla, nem\u011bla jasno, kter\u00e9 varovn\u00e9 p\u0159\u00edznaky m\u00e1 sledovat a nem\u011bla jasno komu volat, kdy\u017e se objev\u00ed probl\u00e9my. Po 48 hodin\u00e1ch byl jej\u00ed otec zp\u011bt v nemocnici.<\/span><\/i><\/p>\n<p><!--more--><\/p>\n<p><span style=\"font-weight: 400;\">Pro mnoho pacient\u016f a pe\u010dovatel\u016f znamen\u00e1 propu\u0161t\u011bn\u00ed z nemocnice za\u010d\u00e1tek nejist\u00e9ho p\u0159echodn\u00e9ho obdob\u00ed bez dostate\u010dn\u00e9 podpory, kdy se odpov\u011bdnost za zaji\u0161t\u011bn\u00ed p\u00e9\u010de n\u00e1hle p\u0159esouv\u00e1 do dom\u00e1c\u00edho prost\u0159ed\u00ed. Pokud se tento p\u0159echod nezda\u0159\u00ed, a\u0165 u\u017e kv\u016fli usp\u011bchan\u00fdm vysv\u011btlen\u00edm, chyb\u011bj\u00edc\u00edm informac\u00edm nebo nedostate\u010dn\u00e9mu zapojen\u00ed pe\u010dovatele, mohou b\u00fdt n\u00e1sledky z\u00e1va\u017en\u00e9: zbyte\u010dn\u00e9 opakovan\u00e9 hospitalizace, zhor\u0161en\u00ed zdravotn\u00edho stavu v dom\u00e1c\u00edm prost\u0159ed\u00ed a ne\u00fanosn\u00fd stres pro ty, kdo p\u00e9\u010di poskytuj\u00ed.<\/span><\/p>\n<p><strong>Rozsah probl\u00e9mu<\/strong><\/p>\n<p><span style=\"font-weight: 400;\">V\u00fdzva je zna\u010dn\u00e1<\/span><b>.<\/b><span style=\"font-weight: 400;\"> V Anglii p\u0159ibli\u017en\u011b<\/span><a href=\"https:\/\/www.england.nhs.uk\/statistics\/statistical-work-areas\/discharge-delays\/acute-discharge-situation-report\/\"><span style=\"font-weight: 400;\"> 13 000\u201314 000 pacient\u016f denn\u011b z\u016fst\u00e1v\u00e1 v nemocnici<\/span><\/a><span style=\"font-weight: 400;\"> (data z \u0159\u00edjna 2025) i p\u0159esto, \u017ee jsou ze zdravotn\u00edho hlediska p\u0159ipraveni k propu\u0161t\u011bn\u00ed. Zpo\u017ed\u011bn\u00e9 propou\u0161t\u011bn\u00ed p\u0159isp\u00edv\u00e1 ke ztr\u00e1t\u011b kapacity l\u016f\u017eek, del\u0161\u00edm dob\u00e1m p\u0159ed\u00e1v\u00e1n\u00ed pacient\u016f z\u00e1chrannou slu\u017ebou a ru\u0161en\u00ed pl\u00e1novan\u00fdch z\u00e1krok\u016f. <\/span><a href=\"https:\/\/committees.parliament.uk\/publications\/47485\/documents\/247289\/default\/\"><span style=\"font-weight: 400;\">Ka\u017ed\u00e9 sedm\u00e9 nemocni\u010dn\u00ed l\u016f\u017eko je obsazeno n\u011bk\u00fdm<\/span><\/a><span style=\"font-weight: 400;\">, kdo ji\u017e akutn\u00ed p\u00e9\u010di nepot\u0159ebuje, p\u0159i\u010dem\u017e podobn\u00e9 tlaky jsou <\/span><a href=\"https:\/\/www.oecd.org\/en\/data\/indicators\/hospital-discharge-rates.html\"><span style=\"font-weight: 400;\">patrn\u00e9 i v zahrani\u010d\u00ed<\/span><\/a><span style=\"font-weight: 400;\">.<\/span><\/p>\n<p><a href=\"https:\/\/www.cqc.org.uk\/publications\/major-reports\/soc202021_02d_discharging-patients\"><span style=\"font-weight: 400;\">V\u00edce ne\u017e polovina neform\u00e1ln\u00edch pe\u010dovatel\u016f<\/span><\/a><span style=\"font-weight: 400;\"> (rodinn\u00fdch p\u0159\u00edslu\u0161n\u00edk\u016f, p\u0159\u00e1tel nebo soused\u016f poskytuj\u00edc\u00edch podporu) uv\u00e1d\u00ed, \u017ee nebyla zapojena do rozhodov\u00e1n\u00ed o propu\u0161t\u011bn\u00ed. T<\/span><a href=\"https:\/\/bmjopen.bmj.com\/content\/15\/2\/e094443\"><span style=\"font-weight: 400;\">ito pe\u010dovatel\u00e9 vykon\u00e1vaj\u00ed slo\u017eit\u00e9 \u00fakoly,<\/span><\/a><span style=\"font-weight: 400;\"> v\u010detn\u011b pod\u00e1v\u00e1n\u00ed l\u00e9k\u016f, o\u0161et\u0159ov\u00e1n\u00ed ran a obsluhy zdravotnick\u00fdch p\u0159\u00edstroj\u016f.<\/span><a href=\"https:\/\/www.sciencedirect.com\/science\/article\/abs\/pii\/S0020748922001328\"><span style=\"font-weight: 400;\"> P\u0159esto v\u00fdzkumy ukazuj\u00ed, \u017ee mnoz\u00ed z nich se c\u00edt\u00ed nep\u0159ipraveni,<\/span><\/a><span style=\"font-weight: 400;\"> dost\u00e1vaj\u00ed nedostate\u010dn\u00e9 pokyny a jsou zahlceni slo\u017eitost\u00ed \u00fakol\u016f, kter\u00e9 se od nich po propu\u0161t\u011bn\u00ed pacienta o\u010dek\u00e1vaj\u00ed.<\/span><\/p>\n<p><strong>Co se m\u016f\u017ee zlep\u0161it p\u0159i propou\u0161ten\u00ed z nemocnice?<\/strong><\/p>\n<p><a href=\"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/hex.70483\"><span style=\"font-weight: 400;\">N\u00e1\u0161 ned\u00e1vn\u00fd spole\u010dn\u00fd v\u00fdzkum<\/span><\/a><span style=\"font-weight: 400;\">, na kter\u00e9m se pod\u00edleli pe\u010dovatel\u00e9, pracovn\u00edky zdravotn\u00ed a soci\u00e1ln\u00ed p\u00e9\u010de a kolegy z neziskov\u00e9ho sektoru, tato zji\u0161t\u011bn\u00ed potvrzuje a z\u00e1rove\u0148 nab\u00edz\u00ed praktick\u00e1 \u0159e\u0161en\u00ed. Zjistili jsme, \u017ee selh\u00e1n\u00ed v komunikaci nepramen\u00ed z individu\u00e1ln\u00edch pochyben\u00ed, ale ze syst\u00e9mov\u00fdch tlak\u016f a struktur\u00e1ln\u00edch bari\u00e9r.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Jako okam\u017eit\u011b pou\u017eiteln\u00e9 pro zdravotnick\u00e9 pracovn\u00edky se uk\u00e1zaly t\u0159i strategie vych\u00e1zej\u00edc\u00ed z behavior\u00e1ln\u00edch poznatk\u016f:<\/span><\/p>\n<ol>\n<li><strong> Zahajte rozhovory o propu\u0161t\u011bn\u00ed ji\u017e p\u0159i p\u0159ijet\u00ed<\/strong><\/li>\n<\/ol>\n<p><span style=\"font-weight: 400;\">Pe\u010dovatel\u00e9 opakovan\u011b popisovali pocit, \u017ee byli p\u0159izv\u00e1ni p\u0159\u00edli\u0161 pozd\u011b, a\u017e pot\u00e9, co ji\u017e byla p\u0159ijata kl\u00ed\u010dov\u00e1 rozhodnut\u00ed. To koresponduje s <\/span><a href=\"https:\/\/jamanetwork.com\/journals\/jamanetworkopen\/fullarticle\/2812390\"><span style=\"font-weight: 400;\">mezin\u00e1rodn\u00edmi v\u00fdzkumy v oblasti p\u0159echodov\u00e9 p\u00e9\u010de,<\/span><\/a><span style=\"font-weight: 400;\"> kter\u00e9 ukazuj\u00ed, \u017ee v\u010dasn\u00e9 zapojen\u00ed pe\u010dovatel\u016f sni\u017euje kognitivn\u00ed z\u00e1t\u011b\u017e, p\u0159edch\u00e1z\u00ed nerealistick\u00fdm o\u010dek\u00e1v\u00e1n\u00edm a vytv\u00e1\u0159\u00ed prostor pro \u0159e\u0161en\u00ed obav d\u0159\u00edve, ne\u017e se za\u010dnou prohlubovat. Pandemie COVID-19 tyto postupy naru\u0161ila, na odd\u011blen\u00edch byly zru\u0161eny pozice specializovan\u00fdch soci\u00e1ln\u00edch pracovn\u00edk\u016f a p\u0159estal b\u00fdt udr\u017eov\u00e1n kontakt s rodinami p\u0159i p\u0159ijet\u00ed pacienta, co\u017e m\u00e1 dopad na pl\u00e1nov\u00e1n\u00ed propou\u0161t\u011bn\u00ed dodnes.<\/span><\/p>\n<ol start=\"2\">\n<li><strong> Pou\u017e\u00edvejte srozumiteln\u00fd, b\u011b\u017en\u00fd jazyk, abyste nastavili spr\u00e1vn\u00e1 o\u010dek\u00e1v\u00e1n\u00ed<\/strong><\/li>\n<\/ol>\n<p><span style=\"font-weight: 400;\">Pe\u010dovatel\u00e9 popisovali obt\u00ed\u017ee s odbornou terminologi\u00ed, zkratkami a rychl\u00fdmi vysv\u011btlen\u00edmi. N\u011bkte\u0159\u00ed si v re\u00e1ln\u00e9m \u010dase vyhled\u00e1vali l\u00e9ka\u0159sk\u00e9 pojmy na internetu, zat\u00edmco emocion\u00e1ln\u00ed z\u00e1t\u011b\u017e a nezn\u00e1m\u00e9 prost\u0159ed\u00ed jim zt\u011b\u017eovaly vst\u0159eb\u00e1v\u00e1n\u00ed informac\u00ed. <\/span><a href=\"https:\/\/www.sciencedirect.com\/science\/article\/abs\/pii\/S0020748922001328\"><span style=\"font-weight: 400;\">Tato zku\u0161enost je dob\u0159e zdokumentov\u00e1na:<\/span><\/a><span style=\"font-weight: 400;\"> v\u00fdzkumy zam\u011b\u0159en\u00e9 na p\u0159ipravenost pe\u010dovatel\u016f a zdravotn\u00ed gramotnost identifikuj\u00ed nedostate\u010dnou komunikaci jako p\u0159ek\u00e1\u017eku bezpe\u010dn\u00e9ho propu\u0161t\u011bn\u00ed. <\/span><a href=\"https:\/\/www.cochranelibrary.com\/cdsr\/doi\/10.1002\/14651858.CD000313.pub6\/full\"><span style=\"font-weight: 400;\">Systematick\u00e9 p\u0159ehledy ukazuj\u00ed<\/span><\/a><span style=\"font-weight: 400;\">, \u017ee pe\u010dovatel\u00e9 \u010dasto p\u0159ech\u00e1zej\u00ed z naprost\u00e9 z\u00e1vislosti na nemocni\u010dn\u00edch sestr\u00e1ch k naprost\u00e9 sob\u011bsta\u010dnosti doma, p\u0159i\u010dem\u017e jsou zahlceni slo\u017eitost\u00ed \u00fakol\u016f, kter\u00e9 se od nich o\u010dek\u00e1v\u00e1, \u017ee zvl\u00e1dnou.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Jasn\u00fd a konkr\u00e9tn\u00ed jazyk sni\u017euje po\u010det chyb a buduje d\u016fv\u011bru. Zdravotni\u010dt\u00ed pracovn\u00edci n\u00e1m sd\u011blili, \u017ee n\u011bkdy nadhodnocuj\u00ed, co jsou pe\u010dovatel\u00e9 re\u00e1ln\u011b schopni zvl\u00e1dnout doma. To odpov\u00edd\u00e1 <\/span><a href=\"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jocn.14231\"><span style=\"font-weight: 400;\">v\u00fdzkum\u016fm poukazuj\u00edc\u00edm na mocensk\u00e9 nerovnov\u00e1hy<\/span><\/a><span style=\"font-weight: 400;\"> mezi pe\u010dovateli a odborn\u00edky, v\u011bt\u0161\u00ed obezn\u00e1menost zdravotnick\u00e9ho person\u00e1lu se syst\u00e9mem zdravotn\u00ed p\u00e9\u010de m\u016f\u017ee ne\u00famysln\u011b vytla\u010dovat pe\u010dovatele z d\u016fle\u017eit\u00fdch rozhovor\u016f. Otev\u0159enost ohledn\u011b syst\u00e9mov\u00fdch tlak\u016f, omezen\u00ed p\u00e9\u010de a toho, \u010deho lze re\u00e1ln\u011b dos\u00e1hnout, pom\u00e1h\u00e1 p\u0159edch\u00e1zet nedorozum\u011bn\u00edm a pozd\u011bj\u0161\u00ed frustraci. Takov\u00e1 up\u0159\u00edmn\u00e1 komunikace umo\u017e\u0148uje pe\u010dovatel\u016fm efektivn\u011b pl\u00e1novat, m\u00edsto aby \u010delili ne\u010dekan\u00fdm n\u00e1rok\u016fm.<\/span><\/p>\n<ol start=\"3\">\n<li><strong> Zajist\u011bte, aby m\u011bl pacient po propu\u0161t\u011bn\u00ed k dispozici jednu jasnou kontaktn\u00ed osobu<\/strong><\/li>\n<\/ol>\n<p><span style=\"font-weight: 400;\">Pe\u010dovatel\u00e9 popisovali hlubokou nejistotu ohledn\u011b toho, na koho se obr\u00e1tit s dotazy t\u00fdkaj\u00edc\u00edmi se l\u00e9k\u016f, zpo\u017ed\u011bn\u00e9ho dod\u00e1n\u00ed pom\u016fcek nebo p\u0159\u00edznak\u016f zhor\u0161en\u00ed zdravotn\u00edho stavu. Tento nedostatek jasnosti vyvol\u00e1v\u00e1 \u00fazkost a m\u016f\u017ee v\u00e9st k zbyte\u010dn\u00fdm readmis\u00edm nebo k odkl\u00e1d\u00e1n\u00ed vyhled\u00e1n\u00ed pomoci.<\/span><a href=\"https:\/\/link.springer.com\/article\/10.1186\/s12904-025-01826-y\"><span style=\"font-weight: 400;\"> V\u00fdzkumy ukazuj\u00ed,<\/span><\/a><span style=\"font-weight: 400;\"> \u017ee poskytnut\u00ed jedin\u00e9ho jmenn\u00e9ho kontaktu, i kdy\u017e pouze t\u0159\u00edd\u00ed dotazy a p\u0159epos\u00edl\u00e1 je d\u00e1l, v\u00fdrazn\u011b sni\u017euje stres pe\u010dovatel\u016f a zlep\u0161uje bezpe\u010dnost. V\u00fdzkumy zam\u011b\u0159en\u00e9 na <\/span><a href=\"https:\/\/link.springer.com\/article\/10.1186\/s12904-024-01610-4\"><span style=\"font-weight: 400;\">kontinuitu p\u00e9\u010de dokl\u00e1daj\u00ed<\/span><\/a><span style=\"font-weight: 400;\">, \u017ee skute\u010dnost, \u017ee v\u00e1s slu\u017eby \u201eznaj\u00ed&#8221;, sni\u017euje strach a zlep\u0161uje rozhodov\u00e1n\u00ed pacient\u016f i pe\u010dovatel\u016f.<\/span><\/p>\n<p><strong>Uplat\u0148ov\u00e1n\u00ed t\u011bchto z\u00e1sad v praxi<\/strong><\/p>\n<p><span style=\"font-weight: 400;\">Na podporu praktick\u00e9ho uplat\u0148ov\u00e1n\u00ed jsme vytvo\u0159ili <\/span><a href=\"https:\/\/figshare.northumbria.ac.uk\/articles\/online_resource\/_b_Personalised_Hospital_Discharge_A_Toolkit_for_Supporting_Caregivers_b_\/29589287\"><b>Sadu n\u00e1stroj\u016f pro propu\u0161t\u011bn\u00ed pro pe\u010dovatele<\/b><\/a><span style=\"font-weight: 400;\">, kter\u00e1 obsahuje p\u011bt flexibiln\u00edch n\u00e1stroj\u016f: uv\u00edtac\u00ed dopis, pr\u016fvodce p\u0159i p\u0159ijet\u00ed, karti\u010dku s ot\u00e1zkou \u201eCo je pro v\u00e1s d\u016fle\u017eit\u00e9?&#8221;, spole\u010dn\u00fd kontroln\u00ed seznam pro propu\u0161t\u011bn\u00ed a kontaktn\u00ed kartu pro obdob\u00ed po propu\u0161t\u011bn\u00ed. Tyto n\u00e1stroje jsou navr\u017eeny pro ru\u0161n\u00e1 nemocni\u010dn\u00ed odd\u011blen\u00ed a zlep\u0161uj\u00ed vztahov\u00e9 aspekty procesu propou\u0161t\u011bn\u00ed, p\u0159i\u010dem\u017e zohled\u0148uj\u00ed r\u016fznorod\u00e9 podoby pe\u010dovatelsk\u00e9 role. Lze je p\u0159izp\u016fsobit pot\u0159eb\u00e1m nemocni\u010dn\u00edch t\u00fdm\u016f, komunitn\u00edch slu\u017eeb i organizac\u00ed neziskov\u00e9ho sektoru.<\/span><\/p>\n<p><strong>Zpr\u00e1va od pe\u010dovatel\u016f a profesion\u00e1l\u016f<\/strong><\/p>\n<p><span style=\"font-weight: 400;\">Mal\u00e9, z\u00e1m\u011brn\u00e9 zm\u011bny v komunikaci mohou prom\u011bnit propu\u0161t\u011bn\u00ed z usp\u011bchan\u00e9ho z\u00e1v\u011bre\u010dn\u00e9ho bodu v podporovan\u00fd p\u0159echod. Kdy\u017e se pe\u010dovatel\u00e9 c\u00edt\u00ed uzn\u00e1ni, informov\u00e1ni a p\u0159ipraveni,<\/span><a href=\"https:\/\/link.springer.com\/article\/10.1186\/s12912-024-02441-7\"><span style=\"font-weight: 400;\"> kdy\u017e jsou vn\u00edm\u00e1ni jako partne\u0159i<\/span><\/a><span style=\"font-weight: 400;\">, v\u00fdsledky se zlep\u0161uj\u00ed pro v\u0161echny.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Podpora pe\u010dovatel\u016f nen\u00ed jen projevem soucitu, je nezbytnou podm\u00ednkou bezpe\u010dn\u00e9ho a efektivn\u00edho propu\u0161t\u011bn\u00ed. Na\u0161e <\/span><a href=\"https:\/\/figshare.northumbria.ac.uk\/articles\/online_resource\/_b_Personalised_Hospital_Discharge_A_Toolkit_for_Supporting_Caregivers_b_\/29589287\"><span style=\"font-weight: 400;\">sada n\u00e1stroj\u016f <\/span><\/a><span style=\"font-weight: 400;\">a <\/span><a href=\"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/hex.70483\"><span style=\"font-weight: 400;\">principy, na nich\u017e stoj\u00ed<\/span><\/a><span style=\"font-weight: 400;\">, nab\u00edzej\u00ed praktick\u00fd v\u00fdchoz\u00ed bod pro t\u00fdmy odhodlan\u00e9 tuto zm\u011bnu uskute\u010dnit.<\/span><\/p>\n<p><b>Praktick\u00e1 doporu\u010den\u00ed<\/b><\/p>\n<ol>\n<li><strong> Zahajte pl\u00e1nov\u00e1n\u00ed propu\u0161t\u011bn\u00ed ji\u017e p\u0159i p\u0159ijet\u00ed, nikoli a\u017e p\u0159i propu\u0161t\u011bn\u00ed.<\/strong><\/li>\n<\/ol>\n<p><span style=\"font-weight: 400;\">V\u010dasn\u00e9 zapojen\u00ed sni\u017euje \u00fazkost, p\u0159edch\u00e1z\u00ed nerealistick\u00fdm o\u010dek\u00e1v\u00e1n\u00edm a vytv\u00e1\u0159\u00ed prostor pro edukaci a \u0159e\u0161en\u00ed probl\u00e9m\u016f. Pomoc\u00ed jednoduch\u00fdch ot\u00e1zek si od sam\u00e9ho za\u010d\u00e1tku vytvo\u0159te spole\u010dn\u00e9 porozum\u011bn\u00ed:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><i><span style=\"font-weight: 400;\">Kdo v\u00e1s doma podporuje?<\/span><\/i><\/li>\n<\/ul>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><i><span style=\"font-weight: 400;\">Co ve va\u0161\u00ed ka\u017edodenn\u00ed rutin\u011b ji\u017e funguje dob\u0159e?<\/span><\/i><\/li>\n<\/ul>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><i><span style=\"font-weight: 400;\">Co by mohlo b\u00fdt po propu\u0161t\u011bn\u00ed obt\u00ed\u017en\u00e9?<\/span><\/i><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Tento p\u0159\u00edstup p\u0159er\u00e1mov\u00e1v\u00e1 propu\u0161t\u011bn\u00ed z n\u00e1hl\u00e9ho p\u0159ed\u00e1n\u00ed p\u00e9\u010de na postupn\u00fd, podporovan\u00fd p\u0159echod, kter\u00fd poskytuje \u010das na koordinaci slu\u017eeb po propu\u0161t\u011bn\u00ed a \u0159e\u0161en\u00ed obav d\u0159\u00edve, ne\u017e se za\u010dnou prohlubovat.<\/span><\/p>\n<ol start=\"2\">\n<li><strong> Pou\u017e\u00edvejte srozumiteln\u00fd, ka\u017edodenn\u00ed jazyk a ov\u011b\u0159ujte porozum\u011bn\u00ed<\/strong><\/li>\n<\/ol>\n<p><span style=\"font-weight: 400;\">Vyh\u00fdbejte se odborn\u00e9 terminologii. Nahra\u010fte v\u00fdraz \u201eporuchy mobility&#8221; slovn\u00edm spojen\u00edm \u201eobt\u00ed\u017ee s ch\u016fz\u00ed&#8221; nebo \u201esledov\u00e1n\u00ed vit\u00e1ln\u00edch funkc\u00ed&#8221; v\u00fdrazem \u201em\u011b\u0159en\u00ed teploty a krevn\u00edho tlaku&#8221;. Po vysv\u011btlen\u00ed zm\u011bny l\u00e9k\u016f nebo p\u00e9\u010de ov\u011b\u0159te porozum\u011bn\u00ed, m\u00edsto abyste ho p\u0159edpokl\u00e1dali. Pou\u017e\u00edvejte otev\u0159en\u00e9 ot\u00e1zky:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><i><span style=\"font-weight: 400;\">Co by v\u00e1m pomohlo c\u00edtit se doma jist\u011bji?<\/span><\/i><\/li>\n<\/ul>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><i><span style=\"font-weight: 400;\">Co v\u00e1s na zvl\u00e1d\u00e1n\u00ed p\u00e9\u010de doma nejv\u00edce znepokojuje?<\/span><\/i><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Tyto ot\u00e1zky vytv\u00e1\u0159ej\u00ed prostor pro odhalen\u00ed p\u0159\u00edpadn\u00fdch nedorozum\u011bn\u00ed. Bu\u010fte otev\u0159en\u00ed ohledn\u011b syst\u00e9mov\u00fdch tlak\u016f a toho, \u010deho lze re\u00e1ln\u011b dos\u00e1hnout \u2013 to sni\u017euje frustraci a podporuje realistick\u00e9 pl\u00e1nov\u00e1n\u00ed.<\/span><\/p>\n<ol start=\"3\">\n<li><strong> Zajist\u011bte jeden jasn\u00fd kontakt pro obdob\u00ed po propu\u0161t\u011bn\u00ed.<\/strong><\/li>\n<\/ol>\n<p><span style=\"font-weight: 400;\">Zave\u010fte st\u00e1vaj\u00edc\u00ed komunika\u010dn\u00ed kan\u00e1ly tak, aby byly p\u0159ehledn\u00e9 a p\u0159edv\u00eddateln\u00e9. Poskytn\u011bte jm\u00e9no, telefonn\u00ed \u010d\u00edslo a pokyny, kdy volat (nap\u0159. \u201eV p\u0159\u00edpad\u011b dotaz\u016f ohledn\u011b l\u00e9k\u016f nebo pom\u016fcek kontaktujte Lucie Nov\u00e1kovou, propou\u0161t\u011bc\u00ed sestru, v pracovn\u00ed dny mezi 9:00 a 17:00&#8243;). I pokud tato osoba dotazy pouze t\u0159\u00edd\u00ed a p\u0159epos\u00edl\u00e1 d\u00e1l, samotn\u00e1 v\u011bdomost, \u017ee se maj\u00ed na koho obr\u00e1tit, prom\u011b\u0148uje zku\u0161enost po propu\u0161t\u011bn\u00ed z pocitu opu\u0161t\u011bn\u00ed v pocit podporovan\u00e9 p\u00e9\u010de.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Translated by: Krist\u00fdna Anna \u010cern\u00edkov\u00e1<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>By Kathryn McEwan, Northumbria University, UK Sarah helped her father pack his belongings; relief mixed with rising anxiety. After five days in hospital following his stroke, he was being discharged. A nurse had briefly mentioned medication changes and follow-up appointments, [&hellip;]<\/p>\n","protected":false},"author":9,"featured_media":4956,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"","_et_pb_old_content":"","_et_gb_content_width":"","_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"_uf_show_specific_survey":0,"_uf_disable_surveys":false,"footnotes":""},"categories":[28,13,43,20],"tags":[],"class_list":["post-4954","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-communication","category-interventions","category-patient-engagement","category-social-support"],"translation":{"provider":"WPGlobus","version":"3.0.2","language":"cz","enabled_languages":["en","id","my","bg","zh","hr","cz","da","de","es","fr","gr","he","it","ja","kr","lv","lt","hu","nl","no","pl","pt","ro","ru","sk","sr","fi","sv","tr","uk"],"languages":{"en":{"title":true,"content":true,"excerpt":false},"id":{"title":false,"content":false,"excerpt":false},"my":{"title":false,"content":false,"excerpt":false},"bg":{"title":true,"content":true,"excerpt":false},"zh":{"title":false,"content":false,"excerpt":false},"hr":{"title":true,"content":true,"excerpt":false},"cz":{"title":true,"content":true,"excerpt":false},"da":{"title":false,"content":false,"excerpt":false},"de":{"title":true,"content":true,"excerpt":false},"es":{"title":false,"content":false,"excerpt":false},"fr":{"title":true,"content":true,"excerpt":false},"gr":{"title":false,"content":false,"excerpt":false},"he":{"title":false,"content":false,"excerpt":false},"it":{"title":true,"content":true,"excerpt":false},"ja":{"title":true,"content":true,"excerpt":false},"kr":{"title":false,"content":false,"excerpt":false},"lv":{"title":false,"content":false,"excerpt":false},"lt":{"title":false,"content":false,"excerpt":false},"hu":{"title":false,"content":false,"excerpt":false},"nl":{"title":false,"content":false,"excerpt":false},"no":{"title":false,"content":false,"excerpt":false},"pl":{"title":true,"content":true,"excerpt":false},"pt":{"title":false,"content":false,"excerpt":false},"ro":{"title":false,"content":false,"excerpt":false},"ru":{"title":true,"content":true,"excerpt":false},"sk":{"title":true,"content":true,"excerpt":false},"sr":{"title":false,"content":false,"excerpt":false},"fi":{"title":false,"content":false,"excerpt":false},"sv":{"title":false,"content":false,"excerpt":false},"tr":{"title":true,"content":true,"excerpt":false},"uk":{"title":true,"content":true,"excerpt":false}}},"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/practicalhealthpsychology.com\/cz\/wp-json\/wp\/v2\/posts\/4954","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/practicalhealthpsychology.com\/cz\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/practicalhealthpsychology.com\/cz\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/practicalhealthpsychology.com\/cz\/wp-json\/wp\/v2\/users\/9"}],"replies":[{"embeddable":true,"href":"https:\/\/practicalhealthpsychology.com\/cz\/wp-json\/wp\/v2\/comments?post=4954"}],"version-history":[{"count":17,"href":"https:\/\/practicalhealthpsychology.com\/cz\/wp-json\/wp\/v2\/posts\/4954\/revisions"}],"predecessor-version":[{"id":4986,"href":"https:\/\/practicalhealthpsychology.com\/cz\/wp-json\/wp\/v2\/posts\/4954\/revisions\/4986"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/practicalhealthpsychology.com\/cz\/wp-json\/wp\/v2\/media\/4956"}],"wp:attachment":[{"href":"https:\/\/practicalhealthpsychology.com\/cz\/wp-json\/wp\/v2\/media?parent=4954"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/practicalhealthpsychology.com\/cz\/wp-json\/wp\/v2\/categories?post=4954"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/practicalhealthpsychology.com\/cz\/wp-json\/wp\/v2\/tags?post=4954"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}