May I ask why you gave two stars? The report has been rated 9 so I'm curious.
By: majanne10 • 2 year ago
By: danoo10 • 2 year ago
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May I ask why you gave one star? The report has been rated 9 so I'm curious.
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,Voorwoord
De uitvoering van module 2: Werken aan gezondheid is uitgevoerd aan de hand van de casus van
een bestaande cliënt van Zorggroep Meander. In verband met privacy redenen en de geldende
regel- en wetgeving (onder andere de AVG/WGBO) is de naam van de desbetreffende cliënt
gefingeerd. De cliënt die centraal staat in dit gezondheidsbevorderingsplan is een man met de ziekte
van Alzheimer die nog zelfstandig thuis woont. Door de ziekte van Alzheimer wordt de cliënt zijn
gedrag beïnvloed waardoor hij geagiteerd kan reageren naar de thuiszorg medewerkers. Dit leidt
vaak tot het weigeren van zorg.
Aangezien de cognitie en besluitvaardigheid van de cliënt beïnvloed wordt door de ziekte van
Alzheimer is ervoor gekozen om de focus te leggen op het veranderen van het gedrag van de cliënt
door middel van een specifieke bejegening vanuit de zorgmedewerkers. De doelstelling is om
geagiteerd en agressief gedrag van de cliënt te voorkomen zodat er geen zorg geweigerd wordt. Op
deze manier kan de cliënt met ondersteuning van de thuiszorg zo lang mogelijk thuis blijven wonen.
Voor de goede samenwerking, de coaching en het vertrouwen wil ik Karin Rozeveld en mijn collega’s
hartelijk bedanken.
2
,Inhoud
Voorwoord .................................................................................................................................. 2
Inleiding ...................................................................................................................................... 5
De cliënt ...................................................................................................................................... 6
1. Gezondheidskundige analyse .................................................................................................... 7
1.1 Gezondheidsprobleem .................................................................................................................. 7
1.1.1 Definitie dementie .................................................................................................................. 7
1.1.2 Fases van Alzheimer ............................................................................................................... 8
1.1.3 Epidemiologie ......................................................................................................................... 9
1.1.4 Morbiditeit ............................................................................................................................. 9
1.1.5 Multimorbiditeit ..................................................................................................................... 9
1.1.6 Mortaliteit .............................................................................................................................. 9
1.1.7 Risicofactoren......................................................................................................................... 9
1.1.8 Prognose en levensverwachting........................................................................................... 10
1.1.9 Kwaliteit van leven ............................................................................................................... 10
1.2 Relatie tussen gezondheidsprobleem en gedrag, omgeving en leefstijlfactoren ....................... 10
1.3 Determinanten ............................................................................................................................ 12
1.4 Screeningsmethoden .................................................................................................................. 13
1.5 Stress-kwetsbaarheid model....................................................................................................... 15
1.6 Stages of change ......................................................................................................................... 16
1.6.1 Cirkel van gedragsverandering ............................................................................................ 16
1.7 Conclusie gezondheidsanalyse.................................................................................................... 17
2. Verpleegkundige diagnose, zorgresultaten en interventies ...................................................... 18
2.1 Verpleegkundige diagnose .......................................................................................................... 18
2.2 Zorgresultaten............................................................................................................................. 18
2.3 Interventies ................................................................................................................................. 19
2.4 Evaluatie ...................................................................................................................................... 21
2.4.1 Proces evaluatie ................................................................................................................... 22
2.4.2 Effect evaluatie .................................................................................................................... 22
2.4.3 Continue evaluatie ............................................................................................................... 22
3. Gezondheidsbevordering: preventie-/signaleringsplan ............................................................ 23
3.1 Voorbereidende fase preventie-/signaleringsplan ..................................................................... 23
3.2 Oorzaken en gevolgen agitatie ................................................................................................... 23
3.3 Preventie-/signaleringsplan ........................................................................................................ 23
Fase 0: De situatie is normaal/stabiel ........................................................................................... 23
Fase 1: Lichte tot matige voortekenen dreigende crisis ................................................................ 24
3
, Fase 2: Ernstige voortekenen (decompensatie) ............................................................................ 25
3.4 Multidisciplinaire samenwerking ................................................................................................ 26
4. Uitvoering in de praktijk ......................................................................................................... 27
4.1 Resultaten (tot nu toe)................................................................................................................ 27
4.2 Gesprekstechnieken.................................................................................................................... 27
4.3 Rol van de mantelzorgers ........................................................................................................... 28
4.4 Bevorderen zelfmanagement ..................................................................................................... 28
5. Moreel dilemma..................................................................................................................... 29
Literatuurlijst ............................................................................................................................. 31
Bijlagen ..................................................................................................................................... 33
1. Short Nutritional Assessment Questionnaire 65+ ........................................................................ 33
2. Cohen-Mansfield Agitation Inventory........................................................................................... 34
3. Cornell Scale for Depression in Dementia .................................................................................... 35
4
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