Summary
Samenvatting Klinisch redeneren leerjaar 2 verpleegkunde LP8
- Course
- Institution
In dit document vind je een samenvatting van de aantekeningen tijdens de les en de voorbereidingsopdrachten inclusief de colleges.
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By: sdejager2 • 1 year ago
By: lievebongaerts • 7 months ago
By: emilylathouwers • 1 year ago
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LP8-KT1: Klinisch redenerenInhoud
Werkgroep 1 lesweek 1 ........................................................................................................................... 5
Hoofdstuk 1: Klinisch redeneren in zes stappen (ProActive nursing) ................................................. 5
Introductie ....................................................................................................................................... 5
De drie O’s van redeneren............................................................................................................... 5
Zes-stappen-methodiek .................................................................................................................. 6
Hoofdstuk 2: De zes stappen nader bekeken (ProActive nursing) ...................................................... 6
Stap 1: Oriëntatie op de situatie ..................................................................................................... 6
Stap 2: Klinische problematiek inzichtelijk ...................................................................................... 7
Stap 3: Aanvullend onderzoek......................................................................................................... 8
Stap 4: Klinisch beleid .................................................................................................................... 10
Stap 5: Klinisch verloop ................................................................................................................. 10
Stap 6: Nabeschouwing ................................................................................................................. 11
Kennisclip: Klinisch redeneren volgens ProActive nursing ................................................................ 11
Richtlijn Hartfalen (NHG-richtlijn) ..................................................................................................... 14
Kernboodschappen ....................................................................................................................... 14
Achtergronden .............................................................................................................................. 14
Kennisclip decompensatio cordis deel 1 ........................................................................................... 19
Voorbereidingsopdracht 1 ................................................................................................................ 24
Voorbereidingsopdracht 2 ................................................................................................................ 24
Specialismen ziekenhuis ................................................................................................................ 24
Voorbereidingsopdracht 3 ................................................................................................................ 25
Filmpje Klinisch redeneren (verpleegafdeling).............................................................................. 25
Vergelijking zes stappen ProActive nursing met andere modellen ............................................... 26
Aantekeningen week 1 les 1 .............................................................................................................. 26
Werkgroep 2 lesweek 1 ......................................................................................................................... 28
Kennisclip: Decompensatio cordis deel 2 .......................................................................................... 28
Voorbereidingsopdracht 1 ................................................................................................................ 30
Kennisclip stap 1 ProActive nursing .............................................................................................. 30
SBAR Mevrouw van de Wal ........................................................................................................... 31
Voorbereidingsopdracht 2 ................................................................................................................ 32
Aantekeningen week 1 les 2 .............................................................................................................. 32
Werkgroep 3 lesweek 2 ......................................................................................................................... 34
, Voorbereiding kennisclip AFP: klinisch redeneren bij een exacerbatie COPD deel 1 ....................... 34
Kennisclip AFP: Klinisch redeneren bij een exacerbatie COPD (deel 1 A) ......................................... 36
Kennisclip AFP: Klinisch redeneren bij een exacerbatie COPD (deel 1 B) ......................................... 37
Voorbereidingsopdracht 1 ................................................................................................................ 38
GOLD-stadia ................................................................................................................................... 39
Voorbereidingsopdracht 2 ................................................................................................................ 39
Voorbereidingsopdracht 3 ................................................................................................................ 40
Werkgroep 4 lesweek 2 ......................................................................................................................... 41
Voorbereiding kennisclip: financiën en DBC’s................................................................................... 41
Kennisclip: Financiën en DBC ............................................................................................................ 42
Voorbereiding kennisclip multidisciplinair samenwerken bij COPD ................................................. 43
Kennisclip multidisciplinair samenwerken bij COPD ......................................................................... 43
Kennisclip: AFP: Klinisch redeneren bij een exacerbatie COPD deel 2 .............................................. 47
Voorbereidingsopdracht 1 ................................................................................................................ 49
Filmpje Stap 2 proActive nursing................................................................................................... 49
Stap 1 vanuit de casus ................................................................................................................... 50
Stap 2 vanuit de casus ................................................................................................................... 50
Voorbereidingsopdracht 2 ................................................................................................................ 52
Aantekening les 4 lesweek 2 ............................................................................................................. 52
Werkgroep 5 lesweek 3 ......................................................................................................................... 53
Casus Marieke Boersema .................................................................................................................. 53
Mijn uitwerking stap 1 op SEH ...................................................................................................... 54
Correcte uitwerking stap 1 op SEH ................................................................................................ 55
Mijn uitwerking stap 2 ................................................................................................................... 56
Correcte uitwerking stap 2 op SEH ................................................................................................ 57
Voorbereiding kennisclip AFP: Klinisch redeneren bij een trauma ................................................... 60
Kennisclip AFP: Trauma deel 1 .......................................................................................................... 62
Voorbereidingsopdracht 1 ................................................................................................................ 63
Voorbereidingsopdracht 2 ................................................................................................................ 65
Voorbereidingsopdracht 3 ................................................................................................................ 65
Aantekeningen werkgroep 5 lesweek 3 ............................................................................................ 66
Werkgroep 6 lesweek 4 ......................................................................................................................... 67
Kennisclip trauma 2 ........................................................................................................................... 67
Kennisclip: Trauma deel 3 ................................................................................................................. 69
Voorbereidingsopdracht 1 ................................................................................................................ 71
Stap 3 Pro-active nursing: Aanvullend klinisch onderzoek (filmpje) ............................................. 71
, Aanvullende onderzoeken............................................................................................................. 71
ALTIS-methode .............................................................................................................................. 72
Voorbereidingsopdracht 2 ................................................................................................................ 72
Aantekeningen les werkgroep 6 lesweek 4 ....................................................................................... 72
Werkgroep 7 lesweek 4 ......................................................................................................................... 73
Casus Jeroen Geurts .......................................................................................................................... 73
Stap 1 Casus Jeroen Geurts eigen uitwerking ................................................................................... 74
Stap 1 Uitwerking Jeroen Geurts....................................................................................................... 74
Uitwerking stap 2 casus Jeroen Geurts ............................................................................................. 75
Stap 3 uitwerking Jeroen Geurts ....................................................................................................... 76
Voorbereiding kennisclip: klinisch redeneren bij Multiple Sclerose deel 1 ...................................... 77
Kennisclip: MS 1 ................................................................................................................................ 79
Kennisclip: Wat is MS? ...................................................................................................................... 81
Kennisclip: Multiple Sclerose (MS) – wat is het en wat zijn de verschijnselen? ............................... 81
Voorbereidingsopdracht 3 ................................................................................................................ 82
Aantekeningen werkgroep 7 lesweek 4 ............................................................................................ 83
Werkgroep 8 lesweek 4 ......................................................................................................................... 84
Voorbereiding kennisclip: workshop over technologie in zorg en welzijn ........................................ 84
Kennisclip: Workshop over technologie in zorg en welzijn ............................................................... 85
Kennisclip: Multiple Sclerose 2 .......................................................................................................... 86
Voorbereidingsopdracht 1 ................................................................................................................ 87
Voorbereidingsopdracht 2 ................................................................................................................ 88
Stap 4: Klinisch beleid .................................................................................................................... 88
Stap 4: Jeroen Geurts .................................................................................................................... 88
Voorbereidingsopdracht 3 ................................................................................................................ 88
Aantekeningen werkgroep 8 lesweek 4 ............................................................................................ 89
Werkgroep 9 lesweek 5 ......................................................................................................................... 89
Casus Roos van Laarhoven ................................................................................................................ 89
Voorbereiding kennisclip AFP: klinisch redeneren bij een uterusextirpatie (deel 1) ........................ 91
Kennisclip AFP: Uterusextirpatie deel 1 ............................................................................................ 92
Uitwerking verschillende stappen casus ........................................................................................... 93
STAP 1: ORIENTATIE OP DE SITUATIE ............................................................................................ 93
STAP 2: KLINISCHE PROBLEMATIEK ............................................................................................... 94
STAP 3: AANVULLEND ONDERZOEK .............................................................................................. 95
STAP 4: KLINISCH BELEID ............................................................................................................... 96
Voorbereidingsopdracht 1 ................................................................................................................ 98
, Voorbereidingsopdracht 2 ................................................................................................................ 99
Voorbereidingsopdracht 3 .............................................................................................................. 100
Aantekeningen werkgroep 9 lesweek 5 .......................................................................................... 100
Werkgroep 10 lesweek 5 ..................................................................................................................... 101
Kennisclip AFP uterusextirpatie deel 2 ............................................................................................ 101
Voorbereidingsopdracht 1 .............................................................................................................. 103
Filmpje klinisch redeneren stap 5: Klinisch verloop .................................................................... 103
Stap 5 casus Roos ........................................................................................................................ 103
Voorbereidingsopdracht 3 .............................................................................................................. 103
Aantekeningen werkgroep 10 lesweek 5 ........................................................................................ 103
Werkgroep 11 lesweek 6 ..................................................................................................................... 105
Casus 6: Jerry Winklaar.................................................................................................................... 105
Stap 1 ........................................................................................................................................... 105
Stap 2 ........................................................................................................................................... 106
Stap 3 ........................................................................................................................................... 109
Stap 4 ........................................................................................................................................... 109
Stap 5 ........................................................................................................................................... 112
Voorbereiding kennisclip AFP: klinisch redeneren bij nierinsufficiëntie deel 1 .............................. 113
Begrippen .................................................................................................................................... 113
Epidemiologie .............................................................................................................................. 113
Etiologie en prognose .................................................................................................................. 113
Pathofysiologie ............................................................................................................................ 114
Metabole complicaties ................................................................................................................ 115
Nierfunctie ................................................................................................................................... 115
Richtlijnen diagnostiek ................................................................................................................ 116
Anamnese .................................................................................................................................... 116
Lichamelijk onderzoek ................................................................................................................. 116
Aanvullend onderzoek................................................................................................................. 116
Overig aanvullend onderzoek...................................................................................................... 117
Opsporing van metabole complicaties ........................................................................................ 117
Echografie .................................................................................................................................... 117
Evaluatie ...................................................................................................................................... 118
Kennisclip AFP: Nierinsufficiëntie deel 1-A ..................................................................................... 119
Kennisclip AFP: Nierinsufficiëntie deel 1-B...................................................................................... 121
Voorbereiding kennisclips: Diabetes Mellitus ................................................................................. 122
Kennisclip: Wat is diabetes? ............................................................................................................ 124
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