Stap 2: Probleemanalyse................................................................................................................................... 10
Verpleegkundige problemen en prioritering............................................................................................................10
Betrokken orgaansystemen......................................................................................................................................10
Stap 3: Aanvullend onderzoek en diagnose........................................................................................................ 13
Aanvullende informatie om werkhypothese te bevestigen of te verwerpen...........................................................13
Diagnoses en doelstellingen.....................................................................................................................................14
Stap 4: Klinisch beleid........................................................................................................................................ 15
Interventies behorend bij verpleegkundige diagnose 1...........................................................................................15
Interventies behorend bij verpleegkundige diagnose 2...........................................................................................15
Interventies behorend bij verpleegkundige diagnose 3...........................................................................................16
Betrokkenheid familie..............................................................................................................................................16
Stap 5: Klinisch verloop..................................................................................................................................... 18
Interventies zelfmanagement..................................................................................................................................19
Betrekken van professionele zorg en mantelzorg....................................................................................................19
Inleiding............................................................................................................................................................ 31
Doel- en probleemstelling........................................................................................................................................31
Pico systeem.............................................................................................................................................................31
Essentiële variabele uit de onderzoeksvraag...........................................................................................................32
Methode........................................................................................................................................................... 32
Keuze voor databanken.......................................................................................................................................32
In- en exclusiecriteria..........................................................................................................................................32
Correcte zoektermen...........................................................................................................................................33
Resultaten van de Zoekactie....................................................................................................................................34
Klinische relevantie met vertaling naar de praktijk.............................................................................................40
, Opdracht Klinisch redeneren
Inleiding
Voor de opdracht klinisch redeneren heb ik een zorgvrager van de afdeling hartziekten
aan het Rijnstate ziekenhuis gekozen. Om mijn opdracht concreet en goed uit te werken
heb ik gebruik gemaakt van literatuur, een interview afgenomen en observaties gedaan.
In verband met de privacy van de zorgvrager heb ik in dit verslag de naam ‘de heer T’
gebruikt, dit om de privacy van de zorgvrager te waarborgen. Ik wens de lezer(s) alvast
veel leesplezier.
Student verpleegkunde Hogeschool van Utrecht
4
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