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CBP 3.1 Casus over diabetische voet volgens de zes stappen van Marc Bakker
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Casus over een diabetische patient die volledig is uitgewerkt volgens de stappen van Marc Bakker.
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50 interview questions you can ask any nurse about their work
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By: marjoleinmetselaar • 2 year ago
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CBP 3.1 De zorgverlener in middencomplexe zorgsituaties
Naam: Studentnummer:
Begeleidend docent: Werkbeleider:
Toets code: VDPLP3.1-20 Klas:
Aantal woorden beroepsproduct: Aantal woorden verantwoordingsverslag:
,Inhoud
Inleiding..................................................................................................................................................2
Beroepsproduct......................................................................................................................................3
1. Oriëntatie op de situatie.................................................................................................................3
1.1 Situation/background...............................................................................................................3
1.2 Assessment...............................................................................................................................3
............................................................................................................................................................3
2. Klinische verloop.............................................................................................................................4
2.1 Urogenitale functies2................................................................................................................5
2.2 Spijsvertering functies2.............................................................................................................5
2.3 Huid en afweerfuncties2............................................................................................................5
3. Aanvullend onderzoek....................................................................................................................6
3.1 Anamnese.................................................................................................................................6
3.2 Lichamelijke onderzoek............................................................................................................8
3.3 Laboratoriumonderzoek...........................................................................................................8
3.4 Beeldvormend onderzoek.........................................................................................................9
4. Klinische beeld................................................................................................................................9
4.1 PES..........................................................................................................................................10
4.2 NOC.........................................................................................................................................10
4.3 NIC..........................................................................................................................................10
5. Klinische verloop...........................................................................................................................11
5.1 Gewenste situatie...................................................................................................................11
5.2 Ongewenste situatie...............................................................................................................12
6. Nabeschouwing............................................................................................................................12
..............................................................................................................................................................12
Verantwoordingsverslag.......................................................................................................................12
Literatuurlijst........................................................................................................................................14
Bijlagen.................................................................................................................................................15
Bijlagen 1 Complexiteitsscore lijst....................................................................................................15
1
, Inleiding
Deze opdracht gaat over zorg verlenen in midden complexe zorgsituaties. Aan de hand van de
complexiteitsscorelijst in bijlage 1 is er een patiënt gekozen met diabetische voet met plantair defect
waardoor voorvoet amputatie en waarbij diabetes mellitus type 2 werd ontdekt. Deze patiënt wordt
uitgewerkt aan de hand van de zes stappen van Marc Bakker. De anamnese wordt afgenomen aan de
hand van de elf gezondheidspatronen van Gordon en de diagnoses zijn gesteld door middel van de
NANDA en uitgewerkt door middel van de NOC en NIC. In een STARRT-verslag is er gereflecteerd op
de situatie en beargumenteerd waarom er bepaalde keuzes gemaakt zijn.
2
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