Summary
Samenvatting LNAH op basis van de leerdoelen
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Dit is een samenvatting voor het vak Logopedie bij LNAH, samengesteld op basis van de leerdoelen. Met deze samenvatting ik een 8,2 behaald.
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Samenvatting LNAH1. De student laat zien hoe hij de kennis over etiologie, symptomatologie, herstel en
prognose van afasie dysartrie dysfagie communicatieproblemen t.g.v. dementie
neurologische communicatiestoornissen degeneratieve neurogene aandoeningen
(MS, Parkinson, ALS…) (in het vervolg: ‘logopedische stoornissen bij NAH’)
toepast in aangeboden casuïstiek, indien aanwezig volgens de geldende
richtlijnen.
2. De student doorloopt de verschillende fasen van het Methodisch Logopedisch
Handelen (logopedisch onderzoek, analyse/formuleren diagnose, globaal en
specifiek behandelplan, evaluatie/afsluiting) bij casuïstiek betreffende logopedie
bij NAH, indien aanwezig volgens de geldende richtlijnen.
3. De student gebruikt zijn kennis van andere aandoeningen, bijv.
neuropsycholische functiestoornissen adequaat bij het MLH van cliënten met
NAH.
4. De student werkt binnen de verschillende schakels van ketenzorg inter- en
intraprofessioneel samen om effectieve afstemming en besluitvorming rond de
cliënt met NAH te realiseren.
5. De student demonstreert logopedische vaardigheden in simulatie volgens de
daarvoor geldende richtlijnen.
6. De student past communicatieve vaardigheden toe in interactie met een fictieve
cliënt of discipline.
1
,Inhoudsopgave
Samenvatting LNAH....................................................................................................................................... 1
1. De student laat zien hoe hij de kennis over etiologie, symptomatologie, herstel en prognose van afasie
dysartrie dysfagie communicatieproblemen t.g.v. dementie neurologische communicatiestoornissen
degeneratieve neurogene aandoeningen (MS, Parkinson, ALS…) (in het vervolg: ‘logopedische stoornissen bij
NAH’) toepast in aangeboden casuïstiek, indien aanwezig volgens de geldende richtlijnen.............................4
1.1. Afasie.............................................................................................................................................................4
1.1.1. Etiologie en symptomatologie...............................................................................................................4
1.1.2. Herstel en prognose..............................................................................................................................5
1.2. Dysartrie........................................................................................................................................................5
1.2.1. Etiologie.................................................................................................................................................5
1.2.2. Symptomatologie...................................................................................................................................6
1.2.3. Herstel en prognose..............................................................................................................................6
1.3. Dysfagie.........................................................................................................................................................7
1.3.1. Etiologie en symptomatologie...............................................................................................................7
1.3.2. Herstel en prognose..............................................................................................................................7
1.4. Apraxie...........................................................................................................................................................7
1.4.1. Etiologie en symptomatologie...............................................................................................................7
1.4.2. Herstel en prognose..............................................................................................................................7
1.5. Communicatieproblemen bij dementie.........................................................................................................8
1.5.1. Etiologie en symptomatologie...............................................................................................................8
1.5.2. Stadia dementie.....................................................................................................................................9
1.6. PPA...............................................................................................................................................................10
1.6.1. Etiologie...............................................................................................................................................10
1.6.2. Symptomatologie per soort.................................................................................................................10
1.6.3. Prognose..............................................................................................................................................11
1.7. Coma............................................................................................................................................................11
1.7.1. Etiologie en stadia bewustzijn.............................................................................................................11
1.7.2. Glascow Coma Scale............................................................................................................................11
1.7.3. Herstel en prognose............................................................................................................................11
1.8. MS................................................................................................................................................................12
1.8.1. Etiologie en symptomatologie.............................................................................................................12
1.8.2. Soorten MS..........................................................................................................................................12
1.8.3. Herstel en prognose............................................................................................................................12
1.9. ALS...............................................................................................................................................................12
1.9.1. Etiologie en symptomatologie.............................................................................................................12
1.9.2. Herstel en prognose............................................................................................................................13
1.10. Parkinson...................................................................................................................................................13
1.10.1. Etiologie en symptomatologie...........................................................................................................13
1.10.2. Herstel en prognose..........................................................................................................................13
1.11. Huntington.................................................................................................................................................13
1.11.1. Etiologie en symptomatologie...........................................................................................................14
1.11.2. Herstel en prognose..........................................................................................................................14
1.12. Cognitieve communicatieproblemen.........................................................................................................14
1.12.1. Etiologie en symptomatologie...........................................................................................................14
1.12.2. Diverse aspecten................................................................................................................................15
1.12.3. Herstel en prognose..........................................................................................................................15
2
, 1.13. Canule patiënten.......................................................................................................................................15
1.13.1. Etiologie.............................................................................................................................................15
1.13.2. Soorten canules.................................................................................................................................16
1.13.3. Herstel en prognose..........................................................................................................................16
1.14. Oncologische patiënten.............................................................................................................................17
1.14.1. Etiologie en symptomatologie...........................................................................................................17
1.14.2. Herstel en prognose..........................................................................................................................17
2. De student doorloopt de verschillende fasen van het Methodisch Logopedisch Handelen (logopedisch
onderzoek, analyse/formuleren diagnose, globaal en specifiek behandelplan, evaluatie/afsluiting) bij
casuïstiek betreffende logopedie bij NAH, indien aanwezig volgens de geldende richtlijnen. ........................17
2.1. Afasie...........................................................................................................................................................17
2.1.1. Onderzoek............................................................................................................................................17
2.1.2. Behandeling.........................................................................................................................................19
2.1.3. Communicatieadviezen.......................................................................................................................19
2.2. Dysartrie......................................................................................................................................................20
2.2.1. Onderzoek............................................................................................................................................20
2.2.2. Behandeling.........................................................................................................................................20
2.3. Dysfagie.......................................................................................................................................................22
2.3.1. Onderzoek............................................................................................................................................22
2.3.2. Behandeling en adviezen.....................................................................................................................22
2.4. Dementie.....................................................................................................................................................23
2.4.1. Onderzoek............................................................................................................................................23
2.4.2. Behandeling.........................................................................................................................................23
2.5. Apraxie.........................................................................................................................................................24
2.5.1. Onderzoek............................................................................................................................................24
2.5.2. Behandelen..........................................................................................................................................24
2.6. Coma............................................................................................................................................................24
2.6.1. Onderzoek............................................................................................................................................24
2.6.2. Behandeling ingedeeld op stadia bewustzijn......................................................................................25
2.6.3. Revalidatie...........................................................................................................................................25
2.7. MS................................................................................................................................................................25
2.7.1. Onderzoek............................................................................................................................................25
2.7.2. Behandeling.........................................................................................................................................25
2.8. ALS...............................................................................................................................................................25
2.8.1. Onderzoek............................................................................................................................................25
2.8.2. Behandeling.........................................................................................................................................25
2.9. Huntington...................................................................................................................................................26
2.9.1. Onderzoek............................................................................................................................................26
2.9.3. Behandeling.........................................................................................................................................26
2.10. Parkinson...................................................................................................................................................26
2.10.1. Onderzoek..........................................................................................................................................26
2.10.2. Behandeling.......................................................................................................................................26
2.11. Cognitieve communicatiestoornissen........................................................................................................27
2.11.1. Onderzoek..........................................................................................................................................27
2.11.2. Behandeling.......................................................................................................................................27
2.12. Behandeling canule patiënten...................................................................................................................27
2.12.1. Dysfagie en een canule......................................................................................................................27
2.12.2. Spraakrevalidatie totale laryngectomie............................................................................................27
2.12. Oncologische patiënten.............................................................................................................................28
3
, 2.12.1. Onderzoek..........................................................................................................................................28
2.12.2. Behandeling.......................................................................................................................................28
2.13. Normale veroudering.................................................................................................................................28
3. De student gebruikt zijn kennis van andere aandoeningen, bijv. neuropsycholische functiestoornissen
adequaat bij het MLH van cliënten met NAH................................................................................................29
3.1. Soorten NPFS...............................................................................................................................................29
3.1.1. Neglect en hemianopsie......................................................................................................................29
3.1.2. Apraxie.................................................................................................................................................30
3.1.3. Agnosie................................................................................................................................................30
3.2. Aanpak bij NPFS-cliënten.............................................................................................................................30
4. De student werkt binnen de verschillende schakels van ketenzorg inter- en intraprofessioneel samen om
effectieve afstemming en besluitvorming rond de cliënt met NAH te realiseren. ..........................................31
1. De student laat zien hoe hij de kennis over etiologie,
symptomatologie, herstel en prognose van afasie dysartrie dysfagie
communicatieproblemen t.g.v. dementie neurologische
communicatiestoornissen degeneratieve neurogene aandoeningen
(MS, Parkinson, ALS…) (in het vervolg: ‘logopedische stoornissen
bij NAH’) toepast in aangeboden casuïstiek, indien aanwezig
volgens de geldende richtlijnen.
1.1. Afasie
1.1.1. Etiologie en symptomatologie
Etiologie Symptomatologie
CVA Fonologische stoornissen
Neurologische aandoeningen Parafasieën
Tumor Grammaticale problemen
Ontsteking Telegramstijl
Taalbegrip problemen
Afgestorven hersencellen gaan niet meer Agrammatisme
werken. Soms krijgen ze net genoeg om te Fonematische parafasieën
overleven (na bijvoorbeeld een verdrukking Naspreken kan aangedaan zijn
door een tumor). Dan is het te herstellen.
4
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