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Portfolio PLP 2

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Deze portfolio is opgesteld voor PLP2. Deze stage heb ik gelopen op de cardiologie afdeling van het MCL. De modules: Werken aan gezondheid, Bevorderen van zelfredzaamheid en Borgen van kwaliteit en Veiligheid zijn in deze portfolio opgesteld. Deze modules zijn allemaal beoordeeld met een 7,5. Wegen...

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  • April 23, 2021
  • 134
  • 2020/2021
  • Essay
  • Unknown
  • 7-8
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Portfolio PLP2
Praktijkleerperiode 2




Hanze hogeschool Groningen
Academie voor Verpleegkunde
Leerjaar 3
Praktijkleerperiode 2
Medisch centrum Leeuwarden
Cardiologie afdeling
Docentbegeleider:
Werkbegeleiders:
Datum: 11-01-2021

,Voorwoord
Dit is het portfolio van de PLP2 praktijkleerperiode. Dit is een periode van twintig weken, van
september 2020 tot februari 2021. Deze periode is stagegelopen op de cardiologie afdeling
van het Medisch Centrum Leeuwarden. Tijdens deze praktijkleerperiode is er veel geleerd en
zijn er veel ervaringen opgedaan. De verpleegkundige in opleiding is gegroeid in de
professionele en persoonlijke context.

In dit voorwoord wil ik mijn stagebegeleider enorm bedanken voor de leuke en leerzame tijd.
De samenwerking met jou vond ik erg fijn, je hebt mij geholpen in mijn ontwikkeling tot
beginnende verpleegkundige. Verder wil ik Inge en Janneke bedanken voor het begeleiden,
ik heb veel van jullie geleerd en vond de samenwerking prettig. Daarnaast wil ik de collega’s
van afdeling P & R bedanken voor de leerzame tijd. Het MCL-academie wil ik bedanken voor
de leerzame lessen die we mochten ontvangen, het was leuk om dit samen met de andere
stagiaires te doen. docentbegeleider wil ik bedanken voor het terugkom onderwijs en de
feedback die ik van heb ontvangen.

Ik wens u veel leesplezier!




2

,Inhoudsopgave
Voorwoord...............................................................................................................................................................2

Inleiding....................................................................................................................................................................8

1. Beargumenteren van zorg...................................................................................................................................9
1.1 Waarderingsformulier....................................................................................................................................9
1.2 Methodische reflectie......................................................................................................................................9

2. Werken aan gezondheid....................................................................................................................................11
2.1 Waarderingsformulier tussenevaluatie........................................................................................................11
2.2 Methodische reflectie tussenevaluatie..........................................................................................................11
2.3 Waarderingsformulier eindbeoordeling.......................................................................................................13
2.4 Methodische reflectie....................................................................................................................................13

3. Bevorderen van zelfmanagement.....................................................................................................................15
3.1 Waarderingsformulier tussenevaluatie........................................................................................................15
3.2 Methodische reflectie tussenevaluatie..........................................................................................................15
3.3 Waarderingsformulier eindbeoordeling.......................................................................................................16
3.4 Methodische reflectie....................................................................................................................................16

4. Regisseren van Zorg..........................................................................................................................................18
4.1 Waarderingsformulier..................................................................................................................................18
4.2 Methodische reflectie....................................................................................................................................18

5. Borgen van Kwaliteit en veiligheid..................................................................................................................20
5.1 Waarderingsformulier tussenevaluatie........................................................................................................20
5.2 Methodische reflectie tussenevaluatie..........................................................................................................20
5.3 Waarderingsformulier eindbeoordeling.......................................................................................................21
5.4 Methodische reflectie....................................................................................................................................21

6. Voorbehouden handelingen..............................................................................................................................23
6.1 Bewijsstuk uitvoering voorbehouden handelingen.......................................................................................23
6.2 Methodische reflectie....................................................................................................................................24

Literatuurlijst........................................................................................................................................................25

Bijlage A: Werken aan gezondheid.....................................................................................................................26

Werken aan gezondheid........................................................................................................................................26

Preventieplan..........................................................................................................................................................26

Inleiding..................................................................................................................................................................32

1. Module Werken aan gezondheid......................................................................................................................33
1.1 CanMED’s rollen.........................................................................................................................................33

3

, 2. Het model van Rosendal...................................................................................................................................34

3. Vertrouwen opbouwen......................................................................................................................................35
3.1 Vertrouwen opbouwen in de praktijk...........................................................................................................35

4. Anamnese...........................................................................................................................................................36
4.1 Casus............................................................................................................................................................36
4.2 Gezondheidspatronen van Gordon...............................................................................................................37

5. Oorzaken en gevolgen.......................................................................................................................................39
5.1 ASE-model....................................................................................................................................................39
5.2 Transtheoretisch model................................................................................................................................40
5.3 CHA2DS2-VASc score...................................................................................................................................40

6. Mogelijke diagnoses voorleggen.......................................................................................................................41
6.1 Mogelijke diagnoses voorleggen in de praktijk............................................................................................43

7. Zelfredzaamheid................................................................................................................................................43
7.1 Achterhalen...................................................................................................................................................44
7.2 Adviseren......................................................................................................................................................44
7.3 Afspreken......................................................................................................................................................44
7.4 Assisteren......................................................................................................................................................45
7.5 Arrangeren...................................................................................................................................................45
7.6 Draagkracht en draaglast analyse...............................................................................................................45
7.7 Draagkracht en draaglast van de familie.....................................................................................................45

8. Diagnose vastleggen...........................................................................................................................................47

9. Resultaat bepalen..............................................................................................................................................49
9.1 Risico op voedingstekort...............................................................................................................................49
9.2 Risico op vallen............................................................................................................................................49
9.3 Risico op therapieontrouw gedrag...............................................................................................................49

10. Interventies bepalen........................................................................................................................................50
10.1 Risico op voedingstekort.............................................................................................................................50
10.2 Risico op vallen..........................................................................................................................................50
10.3 Risico op therapieontrouw gedrag.............................................................................................................51

11. Toewijzen en/of doorverwijzen......................................................................................................................52
11.1 Fysiotherapie..............................................................................................................................................52
11.2 Diëtist.........................................................................................................................................................52
11.3 Revalidatiezorg...........................................................................................................................................52
11.4 Thuiszorg en huishoudelijke hulp...............................................................................................................52
11.5 Maaltijdvoorziening...................................................................................................................................53
11.6 Mevrouw haar familie................................................................................................................................53



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