Summary
Samenvatting Klinisch redeneren leerjaar 2 verpleegkunde LP5
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In dit document vind je een samenvatting van de voorbereidingsopdrachten en aantekeningen tijdens de les
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LP5-KT1: Klinisch redenerenInhoud
Week 1................................................................................................................................................... 10
Kennisclip: Introductieclip ..................................................................................................................... 10
Kennisclips: Stadia van palliatieve zorg ................................................................................................. 10
Algemene principes van palliatieve zorg ........................................................................................... 10
Palliatieve zorg (Bakker, 2019) .......................................................................................................... 11
Kennisclip: Principes van palliatieve zorg – deel 1 ............................................................................ 12
Kennisclip: Principes van palliatieve zorg – deel 2 ............................................................................ 12
Kennisclip: Principes van palliatieve zorg – deel 3 ............................................................................ 13
Kennisclip: Principes van palliatieve zorg – deel 4 ............................................................................ 14
Kennisclip: Klinisch redeneren: risico-inschatting en vroegsignalering ................................................ 14
Digitaal college: Risico-inschatting en vroegsignalering in de palliatieve zorg ................................. 15
Kennisclips: Anatomie, fysiologie, pathologie....................................................................................... 17
De nucleus + DNA + Eiwitsynthese (Grégoire, 2014) ........................................................................ 17
Opdrachten site fysiologie en anatomie ........................................................................................... 18
Opdracht 11 ................................................................................................................................... 18
Opdracht 12 ................................................................................................................................... 18
Opdracht 13 ................................................................................................................................... 18
Opdracht 15 ................................................................................................................................... 18
Opdracht 18 ................................................................................................................................... 18
Opdracht 19 ................................................................................................................................... 19
Opdracht 20 ................................................................................................................................... 19
Kanker, diagnostiek en stadiëring (springerlink) ............................................................................... 19
1.3: Epidemiologie en etiologie ..................................................................................................... 19
1.4: Preventie en het ontstaan van kanker ................................................................................... 19
1.5: Tumorgroei ............................................................................................................................. 20
1.6: Carcinogenese ........................................................................................................................ 21
1.7: Neoplasie ................................................................................................................................ 21
1.8: Indeling van kanker ................................................................................................................ 22
1.9: Diagnostiek ............................................................................................................................. 22
1.10: Performancestatus ............................................................................................................... 24
1.11: Primaire, secundaire en tertiaire preventie ......................................................................... 24
Kennisclip 1: AFP Oncologie .............................................................................................................. 25
, Mitose:........................................................................................................................................... 25
Meiose 1 ........................................................................................................................................ 26
Kennisclip 2: AFP Oncologie .............................................................................................................. 26
Kennisclip 3: AFP Oncologie .............................................................................................................. 27
Werkgroep 1 .......................................................................................................................................... 29
Voorbereidingsopdracht 1 ................................................................................................................ 29
Voorbereidingsopdracht 2 ................................................................................................................ 29
Voorbereidingsopdracht 3 ................................................................................................................ 29
Voorbereidingsopdracht 4 ................................................................................................................ 30
Symptomen en syndromen ........................................................................................................... 30
Aantekeningen werkgroep 1 ............................................................................................................. 33
Werkgroep 2 .......................................................................................................................................... 33
Voorbereidingsopdracht 1 ................................................................................................................ 33
Voorbereidingsopdracht 2 ................................................................................................................ 33
Voorbereidingsopdracht 3 ................................................................................................................ 33
Week 2................................................................................................................................................... 34
Kennisclips: Anatomie, Fysiologie, Pathologie ...................................................................................... 34
7.2.6: Dunne darm (Grégoire, 2014) ................................................................................................. 34
Colorectaal carcinoom (Springerlink) ................................................................................................ 38
3.2: Oorzaak................................................................................................................................... 38
3.3: Symptomen ............................................................................................................................ 38
3.4: Bevolkingsonderzoek.............................................................................................................. 39
3.5: Diagnostiek ............................................................................................................................. 39
3.6: Behandeling ............................................................................................................................ 39
3.7: Metastasen ............................................................................................................................. 39
3.8: Follow-up ................................................................................................................................ 39
Samenvatting/kernpunten ............................................................................................................ 40
Kennisclip 1: Colorectaal carcinoom ................................................................................................. 40
Kennisclip 2: Colorectaal carcinoom ................................................................................................. 41
Kennisclip 3: Colorectaal carcinoom ................................................................................................. 42
Kennisclips: Klinisch redeneren bij pijn ................................................................................................. 44
Hoofdstuk 15: Pijn (Bakker, 2019) ..................................................................................................... 44
15.1: Inleiding ................................................................................................................................ 44
15.3: Anatomie en fysieke functies ............................................................................................... 45
15.4: Externe en persoonlijke factoren ......................................................................................... 45
15.5: Assessment en diagnostiek .................................................................................................. 45
, 15.6: Interventies .......................................................................................................................... 46
15.7: Rol van de behandelaar ........................................................................................................ 47
Kennisclip: Wat is pijn?...................................................................................................................... 47
Kennisclip: Pijn meten ....................................................................................................................... 47
Kennisclip: Pijnverwerking en medicatie........................................................................................... 47
Kennisclip: Psychische en sociale invloeden op pijn ......................................................................... 48
Kennisclips: Spiritualiteit, zingeving, levensbeschouwing..................................................................... 49
Richtlijn: Zingeving en spiritualiteit ................................................................................................... 49
Algemeen....................................................................................................................................... 49
Ontstaanswijze en verloop ............................................................................................................ 50
Diagnostiek, rapportage en verwijzing .......................................................................................... 50
Kennisclip 1: Introductie spiritualiteit ............................................................................................... 52
Kennisclip 2: Spiritualiteit, verpleegkunde en Canmeds-rollen ........................................................ 52
Kennisclip 3: Definiëring spiritualiteit ............................................................................................... 53
Filmpje: Zingeving in de palliatieve fase (het diamantmodel) .......................................................... 54
Werkgroep 3 .......................................................................................................................................... 54
Voorbereidingsopdracht 1: Verpleegkundige zorg bij pijn............................................................ 54
Voorbereidingsopdracht 2: De reflectieve EBP-professional ............................................................ 55
Voorbereidingsopdracht 3: Vroegsignalering bij palliatieve zorg ..................................................... 55
Aantekeningen werkgroep 3 ............................................................................................................. 56
Werkgroep 4 .......................................................................................................................................... 57
Voorbereidingsopdracht 1 ................................................................................................................ 57
Voorbereidingsopdracht 2 ................................................................................................................ 57
Voorbereidingsopdracht 3 ................................................................................................................ 57
Aantekeningen werkgroep 3 ............................................................................................................. 58
Week 3................................................................................................................................................... 62
Kennisclips: Anatomie, fysiologie, pathologie CVA en dementie .......................................................... 62
Hoofdstuk 12: Zenuwstelsel (Grégoire, 2014)................................................................................... 62
12.5: Grote hersenen .................................................................................................................... 62
12.6: Tussenhersenen ................................................................................................................... 66
12.7: Hersenstam .......................................................................................................................... 67
12.8: Kleine hersenen .................................................................................................................... 70
12.9: Ruggenmerg ......................................................................................................................... 70
12.10: Reflexen .............................................................................................................................. 75
12.11: Vegetatieve zenuwstelsel ................................................................................................... 76
12.12: Hersenvliezen ..................................................................................................................... 78
, 12.13: Ventrikels en liquor ............................................................................................................ 79
12.14: Doorbloeding van de hersenen .......................................................................................... 81
Kennisclip 1 week 3: AFP: algemene neurologie, CVA en dementie ................................................. 82
Kennisclip 2 week 3: AFP: Algemene neurologie, CVA en dementie ................................................ 84
Kennisclip 3 week 3: AFP: Algemene neurologie, CVA en dementie ................................................ 86
Kennisclips: Exacerbatiemanagement bij palliatieve zorg .................................................................... 87
Leefstijladviezen bij CVRM (cardiovasculair risicomanagement) ...................................................... 87
Gedragsverandering bij CVRM ...................................................................................................... 87
Psychosociale factoren bij CVRM .................................................................................................. 87
Sedentaire leefstijl en activiteit bij CVRM ..................................................................................... 87
Stoppen met roken-interventie bij CVRM ..................................................................................... 87
Voeding bij CVRM .......................................................................................................................... 88
Lichaamsgewicht bij CVRM............................................................................................................ 88
Leefstijladviezen bij (kwetsbare) ouderen bij CRVM..................................................................... 88
Kennisclip 1: Exacerbatiemanagement bij hartfalen......................................................................... 88
Kennisclip deel 2: Exacerbatiemanagement bij hartfalen; preventie en symptomen ...................... 89
Kennisclip deel 3: Exacerbatiemanagement bij hartfalen; signaleren en interventies ..................... 90
Kennisclip: Klinisch redeneren bij dyspneu ........................................................................................... 91
Richtlijn dyspneu in de palliatieve fase ............................................................................................. 91
Kennisclip: Klinisch redeneren bij dyspneu ....................................................................................... 94
Kennisclip: Spirituele zorgbehoeften (probleemherkenning en interventies) ...................................... 97
Kennisclip 5: Spirituele zorgbehoeften ............................................................................................. 97
Werkgroep 5 .......................................................................................................................................... 98
Voorbereidingsopdracht 1 ................................................................................................................ 98
Voorbereidingsopdracht 2 ................................................................................................................ 98
Voorbereidingsopdracht 3 ................................................................................................................ 99
Voorbereidingsopdracht 4 ................................................................................................................ 99
Aantekening werkgroep 5 ............................................................................................................... 100
Werkgroep 6 ........................................................................................................................................ 100
Voorbereidingsopdracht 2 .............................................................................................................. 101
Voorbereidingsopdracht 3 .............................................................................................................. 101
Voorbereidingsopdracht 4 .............................................................................................................. 102
Werkgroep 6 aantekening ............................................................................................................... 102
Werkgroep 1: AFP................................................................................................................................ 103
Week 4................................................................................................................................................. 106
Kennisclips: Anatomie en fysiologie van het brein in relatie tot CVA ................................................. 106
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