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beargumenteren van zorg
- Course
- Institution
tijdens de praktijkleerperiodes is de module beargumenteren van zorg uitgewerkt. Behaald met een 8.8
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Beargumenteren van zorg……
……
School : Hanzehogeschool Groningen
Opleiding : HBO-Verpleegkunde Voltijd
Docentbegeleider : ………
Periode : PLP3 Semester 1
Studiejaar : 2021/ 2022
Instelling : ………
Plaats : …..
Werkbegeleiders: : ……
Inleverdatum :
Toetscode:
- Beargumenteren van zorg
Toetscode: HVVB21MBVZ
,Voorwoord
Beste lezer,
Voor u ligt de module Beargumenteren van Zorg, binnen deze module wordt het zorgproces
van mw. E uitgewerkt. Tijdens de PLP3 heb ik mijn stageperiode doorgebracht op de
afdeling Neurologie in het ……………
Bij deze wil ik graag mijn werkbegeleiders en collega´s bedanken voor hun ondersteuning en
begeleiding tijdens de praktijkleerperiode. Overigens wil ik ook Nelleke de Vries bedanken
voor de begeleiding van het afgelopen semester.
Ik hoop dat u geniet met het lezen van deze module.
……
………, 29 november 2021
2
,Inhoudsopgave
Voorwoord.............................................................................................................................................2
Inleiding..................................................................................................................................................5
Casusbeschrijving...................................................................................................................................7
ABCDE-methode...............................................................................................................................10
Het model van Rosendal.......................................................................................................................11
Stap 1. Vertrouwen opbouwen............................................................................................................11
Stap 2. Anamnese/ assessment............................................................................................................13
2.1 MEWS.........................................................................................................................................15
2.2 Barthel Index..............................................................................................................................16
2.3 Bradenschaal..............................................................................................................................18
2.4 SNAQ 65+ Score..........................................................................................................................19
2.5 Zelfredzaamheidsradar...............................................................................................................21
2.6 Ecogram......................................................................................................................................23
2.7 Draagkracht en -last....................................................................................................................25
Stap 3. Diagnoses stellen......................................................................................................................27
3.1 Mogelijke verpleegkundige diagnoses........................................................................................27
3.2 Prioritering diagnoses.................................................................................................................30
3.3 Verpleegkundige diagnoses........................................................................................................32
Stap 4. Resultaten bepalen...................................................................................................................33
4.1 Gewenste resultaten..................................................................................................................33
Stap 5. Interventies bepalen.................................................................................................................34
5.1 Gekozen interventies..................................................................................................................34
Stap 6. Toewijzen of doorverwijzen......................................................................................................35
6.1 Verschillende disciplines.............................................................................................................35
6.3 Toewijzen....................................................................................................................................38
Stap 7. Zorgplan starten.......................................................................................................................39
Stap 8. Monitoren en evalueren...........................................................................................................42
8.1 Overdracht..................................................................................................................................43
8.2 Zorgplan......................................................................................................................................43
8.3 Multidisciplinair Overleg.............................................................................................................44
8.4 Neurologie CVA-nazorgspreekuur..............................................................................................44
8.5 Familiegesprek............................................................................................................................45
8.6 Artsenvisite.................................................................................................................................46
8.7 Meetinstrumenten.....................................................................................................................47
Persoonsgerichte communicatie..........................................................................................................48
Informatie- en communicatietechnologieën........................................................................................48
3
, Bijlage 1. Geneeskundige methodiek CVA............................................................................................54
Inleiding............................................................................................................................................54
Epidemiologie...................................................................................................................................54
Etiologie............................................................................................................................................54
Pathofysiologie.................................................................................................................................55
Symptomatologie.............................................................................................................................56
Onderzoek/ diagnostiek...................................................................................................................57
Therapie...........................................................................................................................................57
Prognose/ beloop.............................................................................................................................57
Complicaties.....................................................................................................................................58
Bijlage 2. Medicatie..............................................................................................................................59
Bijlage 3. Bepaling complexiteit casus.................................................................................................61
Bijlage 4. Anti-plagiaatverklaring..........................................................................................................65
Bijlage 5. Reflectieverslagen PLP3........................................................................................................66
Tussenevaluatie................................................................................................................................66
Eindevaluatie....................................................................................................................................68
Literatuurlijst voor de reflecties:..................................................................................................69
Bijlage 6. Waarderingsformulieren PLP3..............................................................................................70
Tussenevaluatie................................................................................................................................70
Eindevaluatie....................................................................................................................................72
Bijlage 7. Reflectieverslag en waarderingsformulier PLP2....................................................................74
Reflectieverslag................................................................................................................................74
Waarderingsformulier......................................................................................................................75
4
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