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OHBOV10 Verpleegplan volgens het NSM model
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Dit document is een verpleegplan gebaseerd op het Neuman System Model. Het gaat over een psychiatrisch cliënt.
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VERPLEEGPLAN IN DE GGZPortfolio (casestudy)
Nummer BP: OHBOV10
Naam: Portfolio (casestudy)
Inleverdatum:
Naam:
Saxion e-mail:
Studentnummer:
Klas:
Naam en locatie hogeschool: Saxion Enschede
Beoordelaar:
,Inhoud
Verpleegplan..........................................................................................................................................3
1. Cliëntgegevens...................................................................................................................................3
2. Stressoren...........................................................................................................................................3
2.1 Zoals ervaren door de cliënt.........................................................................................................3
2.2 Zoals ervaren door de hulpverlener..............................................................................................4
2.3 Medicatie......................................................................................................................................5
2.4 Cliëntsysteem...............................................................................................................................5
3. Samenvatting van indrukken..............................................................................................................6
3.1 Intrapersoonlijk............................................................................................................................6
3.2 Interpersoonlijk............................................................................................................................7
3.3 Extrapersoonlijk............................................................................................................................7
4. Formulering uitgebreide vpk diagnose...............................................................................................7
4.1 Verpleegkundige diagnoses..............................................................................................................7
4.1.1. Het vaststellen van de conditie van het cliëntsysteem.............................................................7
4.1.2. Het vaststellen van de behoefte aan zorg.............................................................................8
5. Verpleegkundige zorgresultaten en planning van interventies..........................................................9
5.1 Onmiddellijke zorgresultaten met interventies..........................................................................10
5.2 Tussentijds zorgresultaat met interventies.................................................................................10
5.3 Langetermijndoelen....................................................................................................................11
6. Plan van aanpak................................................................................................................................11
6.1 Doel 1..........................................................................................................................................11
6.1.1 Interventies..........................................................................................................................11
6.2 Doel 2..........................................................................................................................................12
6.2.1 Interventies..........................................................................................................................12
7. Evaluatie...........................................................................................................................................12
8. Conclusie..........................................................................................................................................13
9. Reflectie............................................................................................................................................14
9.1 Reflectiemodel van Korthagen....................................................................................................14
9.2 Leerdoel......................................................................................................................................15
Literatuurlijst........................................................................................................................................16
Bijlagen.................................................................................................................................................17
Bijlage 1 Cliëntsysteem.....................................................................................................................17
Bijlage 2 Signaleringsplan X..............................................................................................................18
Bijlage 3 Planning leerdoel 1.............................................................................................................19
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, Bijlage 4 Planning leerdoel 2.............................................................................................................20
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