Rozhovor s farmaceutkou o úlohe lekárnika v zdravotníckom systéme

Napísal Alexandra Štullerová 23. jún 2024

Mgr Pavla Horáková: “Lekári často neberú lekárnikov ako plnohodnotných partnerov pre debatu, čo je škoda. Kto je na tom bitý, je pacient.”  Farmaceut je profesionál po celý život. Úloha lekárnika v modernom zdravotníckom systéme nabrala na obrátkach počas pandémie Covid19. 

pavla_horakova_lekaren

Farmaceut je profesionál po celý život. Úloha lekárnika v modernom zdravotníckom systéme nabrala na obrátkach počas pandémie Covid19.  „Prvý a často jediný, za kým sa pacient mohol ísť poradiť, boli práve lekárnici. Lekárnik má nezastupiteľné miesto v zdravotnom systéme, predovšetkým v oblasti poradenstva a prevencie. V množstve prípadov sme prvou líniou zdravotnej starostlivosti, kedy si k nám zákazníci a pacienti chodia pre radu skôr, ako navštívia lekárov, hovorí odborníčka, farmaceutka, vedúci online poradne prvej a najväčšej lekárne na slovenskom internete MojaLekáreň.sk, Mgr. Pavla Horáková.

Úloha lekárnika v zdravotníckom systéme je bezpochyby nenahraditeľná. Ako ju ale vnímate vy?

Áno, lekárnik má nezastupiteľné miesto v zdravotnom systéme, predovšetkým v oblasti poradenstva a prevencie. V mnohých prípadoch sme prvou líniou zdravotnej starostlivosti, kedy si k nám zákazníci a pacienti chodia pre radu skôr, než navštívi lekára. Najviac to bolo vidieť počas COVIDu, keď väčšina ordinácií lekárov bola zatvorená a prvý,  často jediný, za kým sa pacient mohol ísť poradiť, boli práve lekárnici. Zároveň sme aj posledným záchytným bodom v predpisovaní a výdaji liekov, kedy sme schopní pri výdaji zachytiť kontraindikované či chybne predpísané lieky a s lekárom všetko vyriešiť v prospech pacienta.

S tým súvisí aj zodpovednosť a možno každodenné výzvy.

Najväčšou výzvou je to, že sa občas stávam aj psychoterapeutom. V online je času oveľa viac na komunikáciu so zákazníkmi ako v kamennej lekárni. Takže sa často telefonáty pretiahnu a okrem praktické rady sa stávam aj tým, kto si zákazníka vypočuje v ťažkej, alebo aj radostnej situácii. Predovšetkým starší ľudia majú potrebu sa rozprávať. Mnohokrát len ​​to, že niekto vypočuje ich strasti, im neskutočne pomôže. Zároveň mi ale na online chýba priamy kontakt so zákazníkmi. To kompenzujem tým, že chodím vypomáhať aj do našej kamennej lekárne. Vždy sa teším na známe tváre, ktoré k nám rady chodia.

Viete teda porovnať profesiu „tradičnéholekárnika a lekárnika 21. storočia, ktorý s pacientom komunikuje v online priestore. Aké sú úskalia budovania dôvery?

V kamennej lekárni sa dôvera buduje oveľa jednoduchšie. Hovorí sa, že oči sú okno do duše. “Face to face” komunikácia je vždy priamejšia a vždy je vidieť, či zákazník všetko správne pochopil. Navyše, už od spoznáte pána Nováka či pani Šedivú, ktorí sa k vám hlásia aj keď ich stretnete v meste, nie len v lekárni. V online sa dôvera buduje oveľa ťažšie, predovšetkým preto, že nás je v poradni niekoľko a vždy zákazník môže naraziť na iného lekárnika, ktorý mu zodpovedá. Individuálna dôvera sa buduje ľahšie. Aj keď si myslím, že máme dobrý tím lekárnikov a dôveru zákazníkov, ktorí sa pýtajú opakovane, máme.

Od zákazníka k profesionálom - pociťujete potrebu zlepšenia komunikácie medzi lekárnikom a inými zdravotníckymi profesionálmi?

Spolupráca lekárnikov a ďalších zdravotníckych subjektov (predovšetkým lekárov) je dôležitá. Nie vždy však padá na úrodnú pôdu. Lekári často neberú lekárnikov ako plnohodnotných partnerov na diskusiu. Čo je škoda a ten, kto je na tom bitý je pacient. Avšak sú aj výnimky, keď spolupráca lekár-lekárnik je skvelá a v prospech pacienta.

Čo považujete v blízkej dobe v lekárnictve za kľúčové?

Najväčším trendom bude zavedenie dištančného výdaja Rx liekov a bude z toho ťažiť ten, kto naňho bude najlepšie pripravený. Ďalším trendom by mohla byť vyššia a širšia starostlivosť a prevencia v oblasti diabetu, obezity či psychiky.

Budúcnosť online lekární za 5 až 10 rokov. Aká bude podľa Pavly Horákovej?

Za 5-10 rokov bude prosperita online lekárne závisieť, s najväčšou pravdepodobnosťou, prevažne, na výdaji Rx liekov a na tom, aké ďalšie nadštandardné služby oproti konkurencii bude schopná ponúknuť.

Naspäť do súčasnosti – ste dôležitý, niekedy prvý kontakt pre pacienta. Mal by asi cítiť, že vás práca napĺňa a baví. Stále vás baví?

Najväčší úspech môjho prístupu je v tom, že aj po 15 rokoch ma tá práca stále baví. Od prvej rady v kamennej lekárni som sa dostala až k tomu, že môžem radiť ľuďom po celej Českej a Slovenskej republike. Najviac ma baví tá komunikácia s ľuďmi a možnosť im pomôcť, poradiť. Jeden milý a vďačný zákazník dokáže preraziť niekoľko negatívnych neúspechov. A práve títo ľudia ma stále ešte držia v tom, že lekárnici sú potrební, aj keď to tak mnohokrát nevyzerá.

Kto je Mgr. Pavla Horáková

Vyštudovala farmaceutickú fakultu Univerzity Karlovej v Hradci Králové s následnou atestáciou zverejného lekárenstva. Pracovala v kamennej lekárni Prima, ktorá bývala odborným garantom českej Lékárena.cz. V Lékárna.cz, a  MojaLekáreň.sk a pracuje už 15 rokov, v súčasnosti ako vedúci online poradne.

2 komentárov

  • Komentár aladin.tube %AM, %27 %114 %2025 %01:%mar napísal aladin.tube

    The deficit deadlift will require you to sink your hips barely decrease in the start place and have larger knee
    flexion. The hips and low back will be challenged extra when doing deficit deadlifts.

    The deficit deadlift exposes this weakness much more since you're pulling an extra vary of motion. If
    you’re doing it as an accessory exercise,
    it's best carried out on the higher physique prominent days after your huge strength moves for the day.

    Purpose for around 3 units of 8-10 reps with around
    65-75% of your 1RM.
    It’s worth noting that stiff leg deadlifts with lighter weight permit
    for a better stretch to your hamstrings (except the biceps femoris
    quick head). If you’re missing in grip strength, it’s
    a good suggestion to throw in some workout routines specifically to work on the strength of your palms, fingers and forearms.

    For instance, the Romanian deadlift (RDL) involves a shorter range of movement by
    not letting the bar contact the ground between reps.

    The deficit deadlift is a good deadlift variation for many who struggle with lower back energy.
    It also helps in case you have trouble separating the barbell from the floor within the initial pulling phases.
    You may lack energy and bar velocity to speed up the barbell
    during the latter half of the pull. In step 2, take
    a grip on the barthat is wider than your typical deadlift grip width.
    It needs tobe wide, but not necessarily your snatch grip width.

    What this does is will increase the range of movement
    thereby elliciting a greater contraction of the muscle tissue.

    This decreased stretch can limit the activation and engagement of the glutes throughout the range of movement, probably compromising the
    effectiveness of the exercise for glute growth. However, how much weight you can pull may
    even depend on the type of deadlift you’re doing.

    However, within the case of lifting with a big quantity of weight, there isn’t a lot give attention to the eccentric
    contraction. To enhance the engagement of your glutes you need to deadlift
    with heavier weights. The stiff-legged deadlift entails keeping your legs straight all through the entire vary of
    motion. To ensure optimal glute activation through the stiff-legged deadlift, you must give attention to driving via your heels and squeezing the glutes at
    the prime of the motion. When you think of superior lifters like powerlifters, you could notice they use lots
    of explosive energy when pulling the weight from the ground to lock out their hips on the
    high of the deadlift. With any deadlift variation, the greater the weight
    load the extra that your glute muscles will take over from the hamstrings to assist
    with straightening your pelvis.
    You can also do larger reps (15+) with a lighter weight for
    muscular endurance. Do three to 4 units of 1 to five
    repetitions, with heavy hundreds (80 % or more of your one-rep max), resting as needed between units.
    Frequently work up in weight till you attain the best weight you can safely transfer for 3 to five reps.
    If you presumably can carry the burden, especially with a deadlift, you need to be succesful of lower it back to the ground with
    an affordable amount of control. First, using the eccentric portion of the movement (lowering the load back
    to the ground) is a nice way to increase muscle activation, power,
    and hypertrophy.
    Mobility varies throughout different deadlift types and those with more mobility restrictions will feel like sure deadlifts are more difficult than others.
    Hamstring and hip mobility are two common limitations and which one you battle with will decide which deadlifts you like.
    Whereas the deadlift is at all times some version of a
    hip hinge, not all deadlifts have the exact same vary of motion. A managed descent (1-2 second lowering
    phase) ought to work well for nearly all lifters.

  • Komentár mental enhancement drugs %AM, %20 %187 %2025 %03:%mar napísal mental enhancement drugs

    Any time you’re going overhead, you’re biasing the lengthy head of the triceps
    brachii. This is a really similar exercise to the 2nd on this list – it’s simply the single-arm model.
    It’s a good idea to incorporate both double-arm and single-arm variations.
    This permits you to work on your side-to-side deficiencies and adds selection.
    The steering wheel exercise can be a good way of strengthening the rotator cuff and enhancing mobility.
    It’s a fantastic isolation motion for the lateral shoulder and ensures a set plane of motion all through.
    There are several variations of the ‘around the world’ train and
    it can be carried out both standing, seated, and even lying on the ground or a bench.

    The similar thing with HIIT exercises, when you have
    the energy, then do one, if not, then don’t. You wish to avoid overtraining, however you additionally need to push yourself to make important modifications and
    reach your targets. It depends on what kind of workouts you intend to do with the battle
    ropes, your coaching objectives, and what different
    exercises you are doing. Then, of course, your upper physique is working because it does with any waves variation.
    You are going to be shredding through high calorie burn and getting a imply pump
    in your arms, chest, and back. Your core, as always, might
    be working hard in tandem along with your lower body to stabilize all
    of it.
    Soon after he developed it, he trained the Particular Forces, the Cincinnati Bengals and the US Olympic wrestling team
    together with his newly conceived battle ropes system. Nowadays, you will note
    battle ropes in pretty much each single commercial health club all over the world.
    As A Outcome Of it's a highly efficient and efficient coaching tool for full physique workouts.
    One Other unimaginable quadruped position that can improve strength, stability and power output
    in yet another angle.
    They’re also portable and easy to retailer, so they’re excellent for home use,
    resort workouts, or making the most of a small house on the gym.
    Aaron Guyett is a devoted husband, father, Living.Fit Education Director, Battle Ropes Master Coach, Marine Corps Staff Sergeant &
    Combat Instructor. He teaches people to move better, really feel higher, and look
    better through his Battle Ropes Certifications.
    He was the founding father of Progressive Outcomes (sold
    2017), Battle Ropes Education (sold 2019), and Leaders of Leaders.
    He specializes in serving to folks develop bodily, mental, and spiritual energy that they never thought potential.

    Cable upright rows are a cable shoulder workout that targets the front a half of the shoulder.
    Upright rows are a great accessory exercise to add to your
    higher physique days. Incorporating a variety of units and reps primarily
    based on every exercise’s difficulty will aid in progressive overload, resulting in improved energy and definition in the shoulders.
    It’s necessary to focus on maintaining correct kind all through all
    repetitions to ensure optimum muscle contraction and progress.
    Cable and free weight exercises each have their
    very own advantages, so it is dependent upon what you’re in search of.
    Free weights are good at building muscle and energy, whereas cables provide
    constant rigidity and a controlled path of movement which makes them good
    for isolation.
    The shoulder muscles are composed of four different muscle tissue, the supraspinatus, infraspinatus, teres minor, and subscapularis.

    These muscle tissue work together and are answerable
    for serving to to stabilize the arm joint and transfer the arm.
    There are 5 muscles under the facet of the forearm and 5 on the top.
    The quads are the front a part of the upper leg and they’re one of many largest muscles in the body.
    A person’s quads are important in a wide selection of actions similar to operating, jumping, and
    walking, and are answerable for flexing the leg.
    Then take 1-2 minute rest and then full the remaining 2 sets.
    One-hand Cable Shoulder Press- Do four sets of 10
    reps. Take 1-2 minute relaxation in between units.
    Stand at a shoulder width stance or a cut up stance, whichever is snug for you.

    Also, your focus must be on lifting and reducing the
    load along with your traps alone rather than how much you presumably can bounce the weight.

    A controlled movement ensures maximum engagement of the traps and minimizes the danger of injury.

    Your shrugs must be up and down—no rolling your shoulders.


    It’s a very versatile piece of training tools that lends
    itself to creativity of actions. There are some great benefits to battle ropes that make them an excellent alternative for anybody eager to burn fat and construct muscle
    at the similar time. Working particular muscles could ship you over to the free
    weights however when you have to just work for basic groups,
    the battle ropes save you time. If you incorporate these cable shoulder workout routines into your exercise regimen and do it constantly, the
    results will converse for themselves. It permits
    for focused muscle development and provides an general 3D look to the shoulder.
    Cable shoulder exercises can help strengthen and stabilize the shoulder muscles,
    which may help reduce the danger of shoulder ache and injuries.

    The different necessary factor to concentrate to is
    the place of your arms and elbows on the finish point
    of the movement. As An Alternative, grab it in an underhand grip with your thumbs backward.
    This gives you the exterior rotation of the shoulder with elevation which is what we want.

    You don’t wish to be doing this, particularly when you do
    your face pulls as often as I’m going to advocate you do!
    You’d be accumulating lots of repetitions in an internally rotated shoulder place with elevation. One of the commonest errors when performing the face pull is the
    inaccurate placement of the anchor level of the
    band or the cable.
    Alternatively, you can add a rope move session at
    the finish of your typical workout routine. If you’re new to rope circulate exercises,
    you’ll probably need to make a DIY circulate rope, or purchase a
    branded move rope in order to give it a attempt. If this sounds fascinating, you could want
    to learn more about the advantages of rope move workouts and how one can add them to
    your workout routine. Cables are an excellent piece of apparatus to focus on every area of your shoulders.

    As A End Result Of of this, you possibly can add
    an amazing quantity of volume to your lagging body elements.
    It’s also essential to hydrate correctly and guarantee you’ve eaten something to assist
    gas your exercise. Anyplace between 15 and 20 works greatest for me and
    my clients. Though the method could damage at first,
    it’s a needed step in healing. You ought
    to be in a position to actively transfer the shoulder on your own by this level in your restoration.
    And that’s why I’m kicking issues off with a breakdown of the shoulder muscle tissue before stepping into the broader range of workout routines.

    It’s just as necessary (more so) to know how the muscle fibers work as it is to
    study efficient shoulder workouts for them. A shoulder workout with
    cables also can handle muscle imbalances and scale back the chance
    of shoulder harm. When trying to find core
    exercises on-line, you will encounter a wide range
    of uncommon and impressive routines designed to strengthen your core.
    Nevertheless, amidst all these options, it is easy to
    overlook th... This exercise is carried out in your side to alter the angle of resistance and target the obliques and transverse stomach
    muscular tissues. Battle ropes are versatile and so they come in different diameters and lengths to allow you to focus either on muscle endurance and conditioning or strength and power.

    Stretching the muscle tissue you've strengthened
    is important to restore vary of movement
    and stop damage. After performing strengthening activities, gently stretching your muscle tissue could help forestall ache and maintain their length and suppleness.
    An train conditioning program will assist you to get again to your
    regular actions and lead a more healthy, more active lifestyle following surgery or
    an injury. Following a carefully designed conditioning program could allow you to return to sports and other hobbies that you get
    pleasure from.
    Guarantee managed motions to maximize the engagement of the rear deltoids while minimizing the danger of injury.
    Earlier Than we dive into the shoulder workouts, it's essential to have a primary
    understanding of the shoulder muscles and their features.
    This data will assist you to better comprehend the exercises we suggest and
    assist you to construct lean muscle. For instance, Face Pulls are a sort of cable pull train that effectively
    targets the rear deltoids, that are crucial for shoulder health and
    stability. That’s the place cable machines and cable shoulder exercises come in.
    If the arms usually are not at proper angles to
    the body, you carry out a pull-down somewhat than a face
    pull. It has a simple design that can be used at home between bodily remedy classes.

    It installs over any door without instruments, assembly, or setup.
    The handle and non-slip flat strap are simple to set over a door.

    It's great for residence physical therapy or touring
    to continue your rehabilitation. This train could be tailor-made to focus on completely
    different areas of the shoulders and upper back, making it
    an adaptable addition to any exercise routine focused on sculpting sturdy, outlined
    shoulders.
    Various grips enable for a diverse range of movement, providing totally
    different angles of attack on the deltoids. This flexibility in attachments helps you customize
    your exercises to focus on particular areas and achieve balanced shoulder growth.
    Cable machine shoulder workouts are simply as efficient as dumbbell shoulder workouts.
    They improve your range of movement and enable you to maintain fixed rigidity on the delts throughout the entire train, through the concentric and
    eccentric phases of your reps. The half-kneeling
    single-arm cable shoulder press exercise is a great
    shoulder pressing variation that maximizes the range of motion on your entrance deltoids.

    By selecting a weight that permits you to execute each movement with control and precision, you'll find a way to
    goal your shoulder muscle tissue successfully and safely.
    To execute this train, place your self dealing with the cable
    machine with the handle set at shoulder top.
    Pull the handle in the direction of your face, sustaining a
    high elbow and retracted shoulder blades to focus on the meant muscular tissues effectively.

    Exercises just like the cable rear delt row concentrate on the often-neglected
    posterior deltoids whereas front raises zero in on your anterior delts.
    The distinctive ability of cables to pivot and regulate allows you
    to hit every muscle group from an array of instructions that free weights simply can’t replicate.
    Using cables for lateral raises helps improve shoulder stability and energy.

    Prospects discover the product helpful for physical therapy after shoulder surgery.
    It Is easy to use and offers the results desired by physical
    therapists. The pulley allows them to perform every day shoulder movement exercises at home.

    The adjustability of the cable machine enables you to
    change the angles easily without having to fully change workout routines or get
    any heavy dumbbells or barbells out. The triceps are
    a smaller muscle group, however that doesn’t imply
    you don’t need to heat up correctly. Make positive you’re doing some arm swings –
    getting the arms transferring and blood flowing before you hop right
    into a exercise. This is similar to the first exercise on the list – the cable overhead extension with the rope.
    Each are essential to incorporate in a well-rounded coaching program.
    However, this variation permits you to focus on burning out one arm at a time.
    Regular follow of this train helps strengthen your higher again and
    shoulder muscle tissue.
    That’ll be enjoyable and games in comparison with even only
    a 10 minute battle rope finisher. This type of
    mental fortitude is what builds winners on all fronts. You’ll quickly find
    yourself pushing more durable in all areas of
    your training.
    The muscular tissues targeted in cable pull throughs
    are primarily answerable for propelling you ahead so it’s important that they function flawlessly.
    One of the most common cable back exercises, the lat pulldown is a
    incredible train to add strength and construct muscle mass to your
    lats. This motion won't be as effective as a pullups
    by means of constructing muscle but you
    possibly can easily change the weight and grip placement so you can isolate certain areas of
    the back better. It's also pretty widespread to pick
    a weight that's too heavy for a face pull exercise.
    The rear delts are a smaller muscle group, and should you're not
    used to working them, you will need to go lighter than you'd with other shoulder workouts.
    This sort of muscular imbalance can contribute to shoulder pain and injuries, not to
    point out a "hunched forward" appearance and poor posture.


    This is a superb train to reinforce shoulder stability, develop lean mass,
    and improve the body's posture. It helps to enhance posture and higher back stability for streamlined lively motion. The snake variation starting place is very like that
    of the alternating waves. The plank train by itself already does a
    fantastic job of concentrating on your core, significantly the
    deep, supporting muscle tissue of your transverse abdominis.
    To intensify the train, stroll your ft in the direction of the anchor level
    to increase the resistance or focus on slowing down the motion to emphasize control and muscle engagement.
    For people seeking to cut back depth, additional away from the
    anchor level to decrease resistance.
    One of the best issues about cable stations is the power to regulate the machine load
    increments. Every rep must be controlled, with a give consideration to intense muscle contraction. Focus
    on creating your personal resistance with
    mild weight before moving up to the heavier weight plates.

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