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Een samenvatting van klinisch redeneren 1.1.a.
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Samenvatting Klinisch redenerenKlinisch redeneren 1.1
Klinisch redeneren:
‘Het continue proces van kritisch denken, gegevensverzameling en analyse, gericht op de
vragen en problemen van een individu en diens naasten, in relatie tot ziekte en gezondheid,
om tot het beste besluit over de zorg voor deze (individuele) patiënt te komen’.
Drie kenmerken van analyse:
1. Regels volgend
2. Weinig beslisfouten
3. Bewust
ICF-model:
De vier basis vragen:
1. Wat is er aan de hand met de patiënt? Diagnostisch redeneren
2. Waardoor komt dat? Oorzakelijk/etiologisch redeneren
3. Hoe loopt het waarschijnlijk af met dit probleem? Wat denken we ermee te
bereiken? Prognostisch redeneren
4. Wat denken we eraan te kunnen doen? Therapeutisch redeneren
PES-structuur: (bij al aanwezige gezondheidsproblemen)
Probleem
Etiologie
Sign/Symptom (Sign = subjectief symptom = objectief)
PR-structuur: (Bij risico op gezondheidsproblemen in de toekomst)
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