Iris Uit Oude Groeneveld
Z4O4A
Leerjaar 4
Cohort 2017
Philadelphia Plevierenpad Sneek
Groep Zwaluw 2
,Inhoudsopgave
Casus......................................................................................................................................................2
Medische geschiedenis......................................................................................................................2
Theoretische vaardigheden...............................................................................................................3
Sociale vaardigheden.........................................................................................................................3
Emotionele vaardigheden..................................................................................................................3
Praktische vaardigheden....................................................................................................................3
Verslechtering gezondheid................................................................................................................4
Complexiteitsformulier..........................................................................................................................5
11 Gezondheidspatronen van Gordon.................................................................................................11
Patroon van gezondheidsbeleving en -instandhouding...................................................................11
Voedings- en stofwisselingspatroon................................................................................................11
Uitscheidingspatroon.......................................................................................................................11
Activiteitenpatroon..........................................................................................................................12
Slaap- en rustpatroon......................................................................................................................12
Cognitie- en waarnemingspatroon..................................................................................................12
Zelfbelevingspatroon.......................................................................................................................12
Rollen- en relatiepatroon.................................................................................................................12
Seksualiteit- en voortplantingspatroon...........................................................................................13
Stressverwerkingspatroon...............................................................................................................13
Waarden en levensovertuigingspatroon..........................................................................................13
LACCS...................................................................................................................................................13
Wat houdt de LACCS in?......................................................................................................................15
L - Lichamelijk welzijn......................................................................................................................16
A - Alertheid.....................................................................................................................................16
C - Contact.......................................................................................................................................16
C - Communicatie.............................................................................................................................17
S - Stimulerende tijdsbesteding.......................................................................................................17
Fases................................................................................................................................................18
PES-die.................................................................................................................................................18
Farmacologie.......................................................................................................................................21
Bronnen...............................................................................................................................................23
1
, Casus
Mvr. heeft een zeer ernstige verstandelijke beperking. Ze heeft een ontwikkelingsniveau van
1 jaar en 5 maanden, motoriek betreft is dit ongeveer 2 jaar en 6 maanden. Mvr. is 55 jaar
oud. Mvr. heeft over het algemeen erg last van overmatig veel kwijlen.
Mvr. woont sinds 2018 op het Plevierenpad.
Mvr heeft geen besef van tijd, door een duidelijke structuur kan ze wel herkennen wat er
om haar heen gebeurt. Oriëntatie in plaats is redelijk goed ontwikkelt, binnen de woning en
dagbesteding kan mvr. haar weg goed vinden.
Mvr is gericht op de begeleiding, heeft verder geen vriendschappen met medecliënten. Mvr.
herkent haar familie wel met een glimlach.
Medische geschiedenis
Mvr. heeft het Hepatitis B-virus.
Mvr. had als kind last van epilepsie, rond haar 20ste is dit gestopt. Soms worden er nog
2
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